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Acetaminophen (N-Acetyl-p-Aminophenol; APAP) (ass-cet-ah-MEE-noe-fen)
Trade Name(s): Acephen
  • Suppositories 120 mg
  • Suppositories 325 mg
  • Suppositories 650 mg
    Aceta
  • Tablets 325 mg
  • Tablets 500 mg
  • Elixir 120 mg/5 mL
    Acetaminophen Uniserts
  • Suppositories 120 mg
  • Suppositories 325 mg
  • Suppositories 650 mg
    Apacet
  • Tablets, chewable 80 mg
  • Solution 100 mg/mL
    Aspirin Free Anacin Maximum Strength
  • Tablets 500 mg
  • Caplets 500 mg
  • Gelcaps 500 mg
    Aspirin Free Pain Relief
  • Tablets 325 mg
  • Tablets 500 mg
  • Caplets 500 mg
    Children's Dynafed Jr.
  • Tablets, chewable 80 mg
    Children's Feverall
  • Suppositories 120 mg
  • Tablets, chewable 120 mg
  • Capsules, sprinkle 80 mg
    Children's Genapap
  • Tablets, chewable 80 mg
  • Elixir 160 mg/5 mL
    Children's Halenol
  • Liquid 160 mg/5 mL
    Children's Mapap
  • Tablets, chewable 80 mg
  • Elixir 160 mg/5 mL
    Children's Pain Reliever
  • Elixir 160 mg/5 mL
  • Suspension 160 mg/5 mL
    Children's Panadol
  • Tablets, chewable 80 mg
  • Liquid 160 mg/5 mL
    Children's Silapap
  • Elixir 80 mg/2.5 mL
    Children's Tylenol
  • Tablets, chewable 80 mg
  • Elixir 160 mg/5 mL
    Children's Tylenol Soft Chews
  • Tablets, chewable 80 mg
    Dapacin
  • Capsules 325 mg
    Extra Strength Dynafed E.X.
  • Tablets 500 mg
    Feverall, Junior Strength
  • Suppositories 325 mg
  • Capsules, sprinkle 160 mg
    Feverall, Infants
  • Suppositories 80 mg
    Genapap
  • Tablets 325 mg
    Genapap, Infants' Drops
  • Solution 100 mg/mL
    Genapap Extra Strength
  • Tablets 500 mg
  • Caplets 500 mg
    Genebs
  • Tablets 325 mg
    Genebs Extra Strength
  • Tablets 500 mg
  • Caplets 500 mg
    Infants' Pain Reliever
  • Drops 80 mg/0.8 mL
    Infants' Silapap
  • Solution 100 mg/mL
    Junior Strength Panadol
  • Caplets 160 mg
    Liquiprin Drops for Children
  • Solution 80 mg/1.66 mL
    Mapap Extra Strength
  • Tablets 500 mg
    Mapap Infant Drops
  • Solution 100 mg/mL
    Mapap Regular Strength
  • Tablets 325 mg
    Maranox
  • Tablets 325 mg
    Meda Cap
  • Capsules 500 mg
    Meda Tab
  • Tablets 325 mg
    Neopap
  • Suppositories 125 mg
    Oraphen-PD
  • Elixir 120 mg/5 mL
    Panadol
  • Tablets 500 mg
  • Caplets 500 mg
    Panadol, Infants' Drops
  • Solution 100 mg/mL
    Redutemp
  • Tablets 500 mg
    Ridenol
  • Elixir 80 mg/5 mL
    Tapanol Extra Strength
  • Tablets 500 mg
  • Caplets 500 mg
  • Gelcaps 500 mg
    Tapanol Regular Strength
  • Tablets 325 mg
    Tempra
  • Tablets 160 mg
    Tempra 1
  • Solution 100 mg/mL
    Tempra 2 Syrup
  • Liquid 160 mg/5 mL
    Tempra 3
  • Tablets, chewable 80 mg
    Tylenol Arthritis
  • Tablets, extended-release 650 mg
    Tylenol Caplets
  • Tablets 325 mg
    Tylenol Extended Relief
  • Caplets 650 mg
    Tylenol Extra Strength
  • Tablets 500 mg
  • Gelcaps 500 mg
  • Liquid 500 mg/15 mL
    Tylenol Infants' Drops
  • Solution 100 mg/mL
    Tylenol Junior Strength
  • Tablets 160 mg
    Tylenol Regular Strength
  • Tablets 325 mg
    Uni-Ace
  • Solution 100 mg/mL
    Abenol
    A.F. Anacin
    Apo-Acetaminophen
    Atasol
    Children's Acetaminophen
    Children's Chewable Acetaminophen
    Extra Strength Acetaminophen
    Pediatrix
    PMS-Acetaminophen
    Regular Strength Acetaminophen
    Tempra
    222AF
    Tylenol

    Indicates Canadian Trade Name.


  • Class: Analgesic Antipyretic


    Action: Inhibits prostaglandins in CNS but lacks anti-inflammatory effects in periphery; reduces fever through direct action on hypothalamic heat-regulating center.


    Indications: Relief of mild-to-moderate pain; treatment of fever.


    Contraindications: Standard considerations.


    Route/Dosage:

    Interactions: Ethanol: Chronic excessive use may increase risk of hepatotoxicity.

    Hydantoins, sulfinpyrazone: May decrease therapeutic effect of APAP; concomitant long-term use may increase risk of hepatotoxicity.


    Lab Test Interferences: With Chemstrip bG , Dextrostix , Visidex II home blood glucose measurement systems, drug may cause > 20% decrease in mean glucose.


    Adverse Reactions: hematologic: Hemolytic anemia; neutropenia; leukopenia; pancytopenia; thrombocytopenia.

    hepatic: Jaundice.

    other: Hypoglycemia; allergic skin eruptions or fever.


    Precautions: Pregnancy: Category B.

    Lactation: Excreted in breast milk.

    Hepatic impairment: Chronic alcoholics should not exceed 2 g/day.

    Persistent pain or fever: May indicate serious illness. Consult health care provider.


    Administration/Storage:
  • Administer with water 30 min before or 2 hr after meals.

  • Store tablets and capsules at room temperature in tightly closed container. Refrigerate suppositories. Refrigeration of elixir improves palatability.



  • Assessment/Interventions:
  • Obtain patient history, including drug history and any known allergies.

  • Assess for pain and fever before and 1 to 2 hr after administration.

  • Assess serum glucose and liver enzyme levels before long-term therapy.



  • Patient/Family Education:
  • Instruct family to consult health care provider for use in children < 3 yr and, not to continue taking drug > 5 days unless advised by health care provider.

  • Instruct adult patients not to continue taking drug > 10 days for pain or 3 days for fever.

  • Instruct patient/family to contact health care provider if pain or fever (> 103°F) persists > 3 days.

  • Advise diabetic patients to use sugar-free form of drug.