Cold and flu season is kicking into high gear, prompting the Acetaminophen Awareness Coalition (AAC) to urge consumers to double check to avoid doubling up on medicines that contain acetaminophen when treating winter illnesses.
Acetaminophen, the main ingredient in Tylenol, is also found in more than 600 different medicines, including prescription (Rx) and over-the-counter (OTC) pain relievers, fever reducers, sleep aids and numerous cough, cold and flu medicines. Approximately 23% of U.S. adults use it. While it is safe and effective when used as directed, there is a limit to how much can be taken in one day. Taking more than directed is an overdose and can lead to liver damage.
Colds and flu
Americans suffer from an estimated one billion colds each year, and as many as 20% of us will get the flu. Seven in 10 people will reach for over-the-counter medicines, many of which contain acetaminophen, to treat fevers, sinus headaches and other unwelcome cold and flu symptoms.
“It is especially important for patients who regularly use medicines with acetaminophen for pain conditions such as arthritis or headaches, to ‘Double Check, Don’t Double Up’ before taking a cold or flu medicine that also contains acetaminophen,” said pharmacist Phil LaFoy, a member of the National Community Pharmacists Association, a founding organization of the AAC. “Educating patients on safe acetaminophen use is the first step in preventing liver damage.”
“Consumers should be diligent about reading their medicine labels, knowing the ingredients in their medicines and following dosing directions when taking all medicines—especially during cold and flu season when medicines for coughs and stuffy noses are commonly layered on top of other medications they may be taking,” said Kathleen Wilson, nurse practitioner and member of the American Association of Nurse Practitioners, a founding organization of the AAC. “Because acetaminophen is in many pain relievers as well as medicines to treat cold and flu symptoms, I remind my patients to double check medicine labels and avoid taking two medicines that contain acetaminophen so they don’t exceed the daily limit when taking multiple medicines.”
The U.S. Food and Drug Administration recommends taking no more than 4,000 mg of acetaminophen in a 24-hour period. You can check here for more information and a list of some of the common medicines that contain acetaminophen.
What to do
When taking medicines for cough, cold or flu, the Acetaminophen Awareness Coalition counsels consumers to follow these four simple acetaminophen safety steps:
Always read and follow the medicine label.
Know if medicines contain acetaminophen, which is in bold type or highlighted in the “active ingredients” section of over-the-counter medicine labels and sometimes listed as “APAP” or “acetam” on prescription labels.
Never take two medicines that contain acetaminophen at the same time.
Ask a healthcare provider or a pharmacist if you have questions about dosing instructions or medicines that contain acetaminophen.