TYLENOL® Dosing Guidelines | TYLENOL® Professional

Use these charts to guide proper dosage for your patients 12 and older

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• TYLENOL® Regular Strength Liquid Gels
• TYLENOL® Regular Strength Tablets
• TYLENOL® Family, Children & Adults Oral Suspension
• TYLENOL® Extra Strength Caplets
• TYLENOL® Extra Strength Coated Tablets
• TYLENOL® Extra Strength Dissolve Packs
• TYLENOL® Rapid Release Gels
• TYLENOL® 8HR Arthritis Pain Tablets
• TYLENOL® 8HR Muscle Aches & Pain Tablets
• TYLENOL® PM Extra Strength Caplets

Patients may have questions about over-the-counter analgesics. Use the information below to help them find the TYLENOL® product that’s right for them. Remember, many medicines contain the same active ingredient, so remind patients to use ONLY 1 medicine containing the same active ingredient at a time.

PROFESSIONAL DISCRETIONARY DOSING: To help encourage the safe use of acetaminophen, in 2011, the makers of TYLENOL® lowered the labeled maximum daily dose for single-ingredient TYLENOL® Extra Strength (acetaminophen) products sold in the US from 8 pills/day (4000 mg) to 6 pills/day (3000 mg). The dosage interval also changed from 2 pills every 4 to 6 hours to 2 pills every 6 hours. If pain or fever persists at the total labeled daily dose, healthcare professionals may exercise their discretion and recommend up to 4000 mg/day.*

*The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*Consult TYLENOL® Regular Strength liquid gels packaging for dosing children under 12 years.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*Consult TYLENOL® Regular Strength tablet packaging for dosing children under 12 years.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

TYLENOL® Family, Children & Adults Oral Suspension
	ACTIVE INGREDIENT	DOSAGE FREQUENCY	DIRECTIONS
	Acetaminophen 160 mg (in each 5 mL)	Take every 4 hours while symptoms last	Not to exceed 5 doses in 24 hours, unless directed by a doctor
	IF POSSIBLE, USE WEIGHT TO DOSE; OTHERWISE, USE AGE.
	WEIGHT	AGE	DOSE*
	Under 24 lbs	Under 2 years	Ask a doctor
	24-35 lbs	2-3 years	5 mL
	36-47 lbs	4-5 years	7.5 mL
	48-59 lbs	6-8 years	10 mL
	60-71 lbs	9-10 years	12.5 mL
	72-95 lbs	11 years	15 mL
	96 lbs and over	Adults and children 12 years and over	20 mL

mL = milliliter
*Or as directed by a doctor.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*For children under 12 years, at healthcare professional’s discretion.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*For children under 12 years, at healthcare professional’s discretion.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*For children under 12 years, at healthcare professional’s discretion.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*For children under 12 years, at healthcare professional’s discretion.

†The efficacy and safety of TYLENOL® at 4000 mg/day are well established.

*For children under 18 years of age, at healthcare professional’s discretion.

*Do not use in children under 12 years of age.

*Do not use in children under 12 years of age.

This is not a complete list.

Dosage Chart: Acetaminophen (Tylenol)

Dosage Chart: Acetaminophen (Tylenol)

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• Well Care / Annual Check-Ups
• “Get Acquainted” Visits
• Lab Work
• Recommended Health Maintenance Schedule
• Dosage Chart: Acetaminophen (Tylenol)
• Dosage Chart: Ibuprofen (Motrin/Advil)
• Vaccination Policy

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Acetaminophen may be less upsetting to the stomach than ibuprofen. Therefore, in general, use of acetaminophen is preferable to ibuprofen if the patient has stomach upset or is not drinking well.

In case of doubt: First, read the package label. If uncertainty still exists, call the office.

	Age	0-3 mos	4-11 mos	12-23 mos	2-3 yrs	4-5 yrs	6-8 yrs	9-10 yrs	11-12 yrs	12+ yrs
	Weight in pounds	6-11	12-17	18-23	24-35	36-47	48-59	60-71	72-95	96+
Concentration
5 ml = 160 mg	Children’s Tylenol Suspension mL	1. 25	2.5	3.75	5	7.5	10	12.5	15	20
1 tab = 80 mg	Children’s Tylenol Melt-aways # of tabs	–	–	1 ½	2	3	4	5	6	8
1 tab = 160 mg	Junior Tylenol Melt-aways # of tabs	–	–	–	1	1 ½	2	2 ½	3	4
1 tab = 325 mg	Tylenol (regular adult) # tabs	–	–	–	–	½	1	1	1 ½	2
1 tab = 500 mg	Tylenol (extra strength adult) # tabs	–	–	–	–	½	½	1	1	1 ½
1 tab = 650 mg	Tylenol (extended release adult) # tabs	–	–	–	–	–	–	–	–	1

• Check dosage form and concentration carefully!
• When choosing dose, weight is more important than age.
• Acetaminophen doses may be repeated every four hours. 5 doses in 24 hours is a reasonable maximum.
• 1 tsp (teaspoon) = 5.0 ml

Tylenol™ – instructions for use, doses, side effects, reviews of the drug:

0.056 ‰

Analogs

All forms of release, dosages, registration certificates, drug manufacturers, drug characteristics

Product Description Tylenol™ Caplets (caplets), 500 mg) based on the label, approved by the manufacturer in 2000

Approval date: 07/31/2000

Content

• Active substance
• ATX
• Pharmacological group
• Nosological classification (ICD-10)
• Composition and form of release
• pharmachologic effect
• pharmachologic effect
• Indications
• Contraindications
• Use during pregnancy and lactation
• Dosage and administration
• Side effects
• Precautionary measures
• Storage conditions
• Best before date
• Reviews

Active ingredient

Paracetamol* (Paracetamol*)

ATX

N02BE01 Paracetamol

Pharmacological group

Anilides

Nosological classification (ICD-10)

ICD-10 code list

Composition and formulation

1 caplet contains paracetamol 500 mg; in a blister 10 pcs. , in a box 1 blister or in strips of 2 pcs., in a box 50 strips.

Pharmacological action

Pharmacological action –

analgesic , antipyretic .

Inhibits cyclooxygenase, inhibits the synthesis of PG in the central nervous system and their stimulating effect on the thermoregulatory center of the hypothalamus; increases heat transfer.

Inhibits cyclooxygenase, inhibits the synthesis of PG in the central nervous system and their stimulating effect on the thermoregulatory center of the hypothalamus; increases heat transfer.

Indications

Pain of mild to moderate intensity (including headache, toothache, sore throat and general malaise), fever.

Contraindications

Hypersensitivity, severe impairment of liver and kidney function, deficiency of glucose−6-phosphate dehydrogenase, children’s age (up to 12 years).

Use during pregnancy and lactation

Acceptable, but only on medical prescription.

Dosage and Administration

Information for healthcare professionals only.
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Inside, 2 caplets 3-4 times a day, but not more than 8 caplets per day.

Side effects

In rare cases, nausea, abdominal pain, allergic reactions (skin rash, itching, urticaria).

Precautions

Do not use more than 10 days for pain and 3 days as an antipyretic. It should not be taken together with other drugs containing paracetamol.

Storage conditions

At a temperature of 15–30 °C.

Keep out of reach of children.

Expiry date

4 years.

Do not use after the expiry date which is stated on the pack.

Update date: 11/21/2018

Reviews

Read all reviews and leave your own.

Information for healthcare professionals only.
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TYLENOL: instructions, reviews, analogues, price in pharmacies

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• Indications for use
• Side effects
• Contraindications
• Pregnancy

9 0023 Overdose

• Storage conditions
• Release form
• Ingredients

Tylenol used for colds. Tylenol belongs to the group of non-narcotic analgesics. The drug affects the centers of thermoregulation, pain, its active ingredient is paracetamol. Tylenol does not adversely affect the mucous membranes of the gastrointestinal tract, water-salt metabolism. It affects the centers of thermoregulation and pain, thereby reducing body temperature and removing pain. This medicine does not cause retention of sodium and water ions in the body. In addition, it is completely harmless to the digestive tract, the walls of which are usually affected by other similar drugs.

Indications for use

The drug Tylenol is effective in fever associated with infections, helps with toothache, headache, as well as pain caused by arthralgia, migraine, myalgia that occurs with algomenorrhea.

Directions for use
By mouth Tylenol is taken one to two hours after a meal. Children from 12 years old, weighing more than 40 kg and adults are prescribed Tylenol in a single dosage of 500 mg. Take Tylenol about 4 times a day. Therapy lasts 5-7 days. If the patient suffers from a violation of the liver, kidneys or Gilbert’s syndrome, he needs to adjust the dose down. The same applies to older patients. In addition to reducing the dose of Tylenol for such patients, it is practiced to increase the intervals between doses. Children up to six months, weighing up to 7 kg are prescribed 350 mg of Tylenol; children under 1 year old, weighing up to 10 kg are given 500 mg of Tylenol; children under three years old, weighing up to 15 kg give 750 mg; up to 6 liters, weighing up to 22 kg – 1 g; children 9l. , weighing up to 30 kg give 1.5 g of Tylenol; children up to 12 liters – 2 g. Suspension for children 6-12 liters. give 10-20 ml; children 1-6 years old. – 5-10 ml; children from three months to one year are given 2.5-5 ml. For children under 3 months, the dosage of Tylenol is determined individually. Give children a suspension 4 times a day. Without medical supervision, the drug can be given only for 3 days to relieve fever and no more than 5 days for pain relief. Tylenol rectal suppositories are prescribed for adults at a dosage of 500 mg, they are used no more than four times a day. Children 12-15 years old. prescribe 250-300 mg of Tylenol about four times a day; 8-12 years – 250-300 mg no more than three times a day; 6-8 years old – 750-900 mg in three doses; 4-6 years – 150 mg about 3-4 times a day; child 2-4 years old – 300-450 mg in two or three doses; 1-2 years – 80 mg of Tylenol no more than four times a day; from six months to a year – 80 mg no more than three times a day; 3-6 months

– 160 mg per day, in two divided doses.

Side effects

Tylenol side effects may cause skin rash, erythema, angioedema, dizziness, nausea, epigastric pain, agitation, hepatonecrosis, anemia, dyspnea, cyanosis, heart pain, agranulocytosis, thrombocytopenia denia, leukopenia , neutropenia. In large quantities, Tylenol can be nephrotoxic, resulting in renal colic, papillary necrosis, or interstitial nephritis.

Contraindications

:
Tylenol is contraindicated in case of allergy to it, children under one month old. Caution is observed when prescribing Tylenol to patients with renal, hepatic insufficiency, benign hyperbilirubinemia, viral hepatitis, suffering from alcoholism, diabetes, lack of glucose-6-phosphate dehydrogenase, as well as elderly patients, lactating, pregnant women, children under 3 months.

Pregnancy

:
Tylenol should not be taken during pregnancy unless the physician believes that the benefit to the mother at that time is more important than the potential harm to the fetus.

Interaction with other drugs:
Tylenol reduces the effectiveness of uricosuric drugs. The concomitant use of paracetamol in high doses increases the effect of anticoagulant drugs (decrease in the synthesis of procoagulant factors in the liver). Inducers of microsomal oxidation in the liver (phenytoin, ethanol, barbiturates, rifampicin, phenylbutazone, tricyclic antidepressants), ethanol and hepatotoxic drugs increase the production of hydroxylated active metabolites, which makes it possible to develop severe intoxications even with a small overdose. Prolonged use of barbiturates reduces the effectiveness of paracetamol. Ethanol contributes to the development of acute pancreatitis. Microsomal oxidation inhibitors (including cimetidine) reduce the risk of hepatotoxicity. Long-term combined use of paracetamol and other NSAIDs increases the risk of developing “analgesic” nephropathy and renal papillary necrosis, the onset of end-stage renal failure. Simultaneous long-term administration of paracetamol in high doses and salicylates increases the risk of developing kidney or bladder cancer. Diflunisal increases the plasma concentration of paracetamol by 50% – the risk of developing hepatotoxicity. Myelotoxic drugs increase the manifestations of hematotoxicity of the drug.

Overdose

:
Overdose symptoms of Tylenol : in the first 24 hours – pallor, nausea, vomiting and abdominal pain; after 12-48 hours – damage to the kidneys and liver with the development of liver failure (encephalopathy, coma, death), cardiac arrhythmias and pancreatitis. Liver damage is possible when taking 10 g or more (in adults).
Treatment: administration of methionine orally or intravenously with N-acetylcysteine.

Storage conditions

Tylenol Store at 15-30°C.

Formulation

Capsules, effervescent powder for oral solution [children], solution for infusion, oral solution [children], syrup, rectal suppositories, rectal suppositories [children], oral suspension , suspension.