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Maximum Dose Of Extra Strength Tylenol

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Tylenol Dosage For Children

Company Reduces Maximum Allowable Dose Of Extra Strength Tylenol

Regular Strength Tylenol may be given to children between the ages of 6 and 11. Only give Tylenol to children younger than 6 under the direction of a pediatrician or other healthcare professional. When giving Tylenol to young children, the doctor will determine the appropriate dose based on the childs weight and age.

Higher-dose Tylenol should not be given to children except under the direction of a doctor. Tylenol Extra Strength should not be given to children under the age of 12 and Tylenol 8 HR should not be given to those under the age of 18. Tylenol is available as a low-dose oral suspension or dissolving tablet for children and infants . Both come with measuring devices suitable for administering an acetaminophen dose safe for children or infants.

What Are Dosages Of Acetaminophen

Dosages of Acetaminophen Should Be Given As Follows:

Adult Dosage Forms & Strengths

Dosage ConsiderationsAnalgesia and Fever

Immediate release

  • Regular strength: 325-650 mg orally/rectally once every 4 hours as needed not to exceed 3250 mg/day under supervision of healthcare professional, daily doses of up to 4 g/day may be used
  • Extra Strength: 1000 mg orally once every 6-8 hours as needed not to exceed 3000 mg/day under supervision of healthcare professional, daily doses of up to 4 g/day may be used


  • 2 capsules orally once every 8 hours as needed not to exceed 3.9 g/day

Maximum dose

  • Acetaminophen containing products: Not to exceed a cumulative dose of 3.25 g/day of acetaminophen under supervision of healthcare professional, daily doses of up to 4 g/day may be used
  • Tylenol Extra-Strength : Not to exceed 3 g/day under supervision of a healthcare professional, daily doses of up to 4 g/day may be used

Renal Impairment

Longer dosing intervals and the reduced total dose may be warranted in patients with severe renal impairment

Hepatic Impairment

Use caution with any type of liver disease.

Pediatric Pain & Fever Relief

Weight-based dosing

  • Children under 12 years: 10-15 mg/kg/dose taken orally once every 4-6 hours not to exceed 5 doses in 24 hours

Fixed dosing

  • Low platelet count
  • Low red and white blood cell count and low platelet count

The Importance Of Correctly Dosing Acetaminophen

When it comes to over-the-counter medication, acetaminophen seems to be the jack of all trades. However, it can also be dangerous when taken in large doses. Acetaminophen is the main ingredient in Tylenol, which has recently lowered their recommended maximum doses for single-ingredient Extra Strength Tylenol from eight pills per day to six pills per day . Nicola Contreras, MSN, RN and clinical assistant professor with the Texas A& M College of Nursing, explains the importance of taking acetaminophen in proper doses.

When should you take acetaminophen

Acetaminophen is the ingredient used to treat mild to moderate aches and pains and as a fever reducer. According to the Acetaminophen Awareness Coalition , over-the-counter acetaminophen is not intended to treat chronic pain, and you should talk to your health care provider if pain lasts more than 10 days.

Someone who has a condition, such as arthritis, may find themselves taking acetaminophen to help manage the pain, Contreras said. It could be used as part of a regimen in consultation with your providers, but its intended use is to treat occasional aches and pains.

Many people will also take acetaminophen to deal with pain from common illnesses, such as the cold or flu. However, this is where some of the problem may arise in your medicine cabinet. According to the AAC, acetaminophen is the most common drug ingredient in America, and more than 600 over-the-counter and prescription medicines contain acetaminophen.

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How Much Should You Worry

Tens of thousands of people become ill every year from taking too much acetaminophen. In a smaller number of casesseveral hundred per yearit leads to death. But it need not happen to you. “Read the labels and stick to the guidelines,” Dr. Lai Becker advises.

Acetaminophen: How much can you take safely?

Tylenol Extra Strength Dosage For Pets

TYLENOL Extra Strength Caplets Fever Reducer and Pain Reliever 500mg ...

Veterinarians only very rarely prescribe acetaminophen to pets because of its toxicity. Even a small dose can poison some animals. If a pet or animal is in pain or has a fever, veterinarians typically prescribe other medications more suitable for animals such as NSAIDs, gabapentin, or opioids. Do not give an animal Tylenol Extra Strength for any reason except under the direction of a veterinarian. Pets that accidentally consume Tylenol will require emergency veterinary treatment.

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Can I Take Tylenol If I Have A Stomach Ulcer

Some OTC pain relievers such as ibuprofen are known to cause ulcers. However, according to the American Academy of Family Physicians, the development of stomach ulcers in not considered to be among potential Tylenol side effects.

The official Tylenol brand website states that Tylenol is a safe pain reliever for people with a history of stomach ulcers, stomach bleeding and other stomach problems such as heartburn. In general, acetaminophen is believed to be safe for people with ulcers as it does not affect the natural lining of the stomach. However, when a person already has an ulcer, more study is required.

Tylenol does not increase the risk of bleeding alone. However, it may enhance the risk of bleeding when combined with certain blood thinners. If you are taking any blood thinners, ask your doctor about taking Tylenol.

Follow Dosing Directions Why

It is important to follow the directed dose and wait the correct amount of time between doses to avoid harmful side effects.

Remember: It is important to always read and follow the label. If you have any questions or are unsure which pain reliever may be right for you, talk with your healthcare professional.

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Tylenol Dosage For Adults

TYLENOL® is the #1 Doctor Recommended Brand for pain relief and fever reduction. TYLENOL® products contain the active ingredient acetaminophen and are formulated to temporarily reduce fever and relieve minor aches and pains.

Below you will find dosing charts for several adult TYLENOL® products available in different forms including tablets, liquid gels and dissolve packs with information for the maximum dose. Use these dosing charts as your guide to ensure safe use.

2 tablets every 4-6 hours while symptoms last

Not to exceed 10 tablets in 24 hours, unless directed by a doctor

2 capsules every 4-6 hours while symptoms last

Not to exceed 10 capsules in 24 hours, unless directed by a doctor

2 caplets every 6 hours while symptoms last

Not to exceed 6 caplets in 24 hours, unless directed by a doctor

2 tablets every 6 hours while symptoms last

Not to exceed 6 tablets in 24 hours, unless directed by a doctor

2 gelcaps every 6 hours while symptoms last

Not to exceed 6 gelcaps in 24 hours, unless directed by a doctor

2 caplets every 8 hours while symptoms last

Not to exceed 6 caplets in 24 hours

2 caplets every 8 hours while symptoms last

Not to exceed 6 caplets in 24 hours

2 powders every 8 hours while symptoms last

Not to exceed 6 powders in 24 hours, unless directed by a doctor

Can I Take 2 Extra Strength Tylenol And Ibuprofen

Daily dosage of popular pain reliever is being lowered

A: Its generally safe to take ibuprofen and extra strength Tylenol together. You can alternate ibuprofen and two extra strength Tylenol tablets every three hours. Or you can take them together every six hours.

What should you not take with ibuprofen?

Its safe to take ibuprofen with paracetamol or codeine. But do not take ibuprofen with similar painkillers like aspirin or naproxen without talking to a pharmacist or doctor. Ibuprofen, aspirin and naproxen belong to the same group of medicines called non-steroidal anti-inflammatory drugs .

How do you stagger Tylenol and ibuprofen?

If one medication does not seem to work sufficiently to reduce fever or pain in children age 12 and under, the key is to alternate between acetaminophen and ibuprofen: administer one medication at 10 a.m., 2 p.m., and 6 p.m., and the other at 12 p.m., 4 p.m., and 8 p.m.

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What To Expect At The Emergency Room

The provider will measure and monitor the person’s vital signs, including temperature, pulse, breathing rate, and blood pressure. Blood tests will be done to check how much acetaminophen is in the blood. The person may receive:

  • Activated charcoal
  • Airway support, including oxygen, breathing tube through the mouth , and ventilator
  • Blood and urine tests
  • Fluids through the vein
  • Medicines to treat symptoms, including an antidote, n-acetylcysteine , to counteract the effects of the drug

People with liver disease are more likely to develop serious complications of acetaminophen overdose. Overdose may be either acute or chronic , depending on the doses taken, and symptoms may therefore vary.

Tylenol Extra Strength Vs Tylenol 8 Hr: Whats The Difference In Doses

Tylenol Extra Strength contains a high dose of immediate-release acetaminophen. Tylenol 8 HR, primarily intended for the relief of muscle aches or arthritis pain, contains a higher dose of acetaminophen in an extended-release format. People taking Tylenol 8 HR will take two caplets every eight hours as opposed to two caplets, tablets, or powders taken every six hours for Tylenol Extra Strength. However, the maximum daily dose for both Tylenol Extra Strength and Tylenol 8 HR is six tablets or caplets.

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Tylenol Dosage For Aches Pain And Fever

For adults and adolescents 12 years or older, Tylenol is indicated for the temporary relief of minor aches and pain due to headache, muscle ache, backache, cold, arthritis pain, toothache, or premenstrual/menstrual cramps. Tylenol is also indicated for the temporary relief of fever or chills. Tylenol Regular Strength may be given to children between the ages of 6 and 11 to relieve minor aches, pains, fever, or chills.

  • Adults and adolescents : Up to 650 mg every four to six hours.

  • Pediatric patients : 325 mg every four to six hours.

  • Renally impaired patientsdose frequency adjustment:

  • Creatinine clearance of 10-50 mL/min: Recommended dose every six hours

  • Creatinine clearance less than 10 mL/min: Recommended dose every eight hours

  • Dialysis patients: Recommended dose every eight hours, no supplemental dose required

  • Hepatically impaired patients: Consult a doctor for the appropriately reduced dose.

  • Maximum Dose Of Tylenol Reduced To Help Prevent Overdoses

    Tylenol Extra Strength Coated Tablets with Acetaminophen 500mg, Pain ...

    The maximum daily dose for Tylenol will be lowered on all acetaminophen-containing adult products from 4,000 mg to 3,000 mg , the manufacturer said today. The move is intended to reduce the risk of accidental acetaminophen overdoses that can lead to liver failure and death.

    People can unknowingly take too much acetaminophen, the active ingredient in Tylenol, because it’s included in more than 600 hundred over-the-counter medications that are intended to treat back pain, cold and flu symptoms, headaches, and other conditions. Acetaminophen is also found in certain prescription painkillers, such as Percocet and Vicodin.

    The reduction in the maximum daily dose will appear on bottle labels in the fall for Extra Strength Tylenol. Regular strength Tylenol and other products that contain acetaminophen will get reduced maximum dose instructions starting in 2012.

    Bottom line: Check the ingredients of all medications you take to see if they contain acetaminophen and make sure you are not taking more than the maximum daily dose. If you take 4,000 mg for chronic pain relief, talk to your doctor about other pain relief strategies.

    If you have liver disease or drink alcohol heavily, you should avoid acetaminophen. If you regularly take the drug, watch for signs of liver damage, which includes dark urine, pale stools, right-upper abdominal pain, and a yellowish tinge in the whites of eyes.

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    What Is Acetaminophen And How Does It Work

    Acetaminophen is an analgesic used to temporarily relieve minor aches and pains due to headache, muscular aches, backache, minor pain of arthritis, the common cold, toothache, and premenstrual and menstrual cramps. Acetaminophen is also used to temporarily reduce fever.

    • Acetaminophen is available under the following different brand names: Tylenol, Tylenol Arthritis Pain, Tylenol Ext, Little Fevers Children’s Fever/Pain Reliever, Little Fevers Infant Fever/Pain Reliever, and PediaCare Single Dose Acetaminophen Fever Reducer/Pain Reliever.

    What You Can Do To Protect Yourself:

    Avoid accidental overdose! Before taking drugs that contain acetaminophen, make sure that you know:

    • How much you should take the safe dose. The package label can be confusing. For example, the instructions could say: Adults and teenagers650 to 1000 milligrams every 4 to 6 hours as needed. This DOES NOT mean that you can take 1000 mg every 4 hours! Because the maximum dose for an adult is 4 grams per day, you can take either 650 mg every 4 hours or 1000 mg every 6 hours. Tylenols manufacturer recommends even lower dose as a daily maximum 3.25 grams.
    • If you are not sure you understand the dose, ask your doctor or a pharmacist at your local drug store before taking the drug.
    • How many hours you must wait before taking another dose of acetaminophen even if your pain or fever isnt any better
    • How many doses of acetaminophen you can take safely each day
    • When you should stop taking acetaminophen
    • Do any other medications you take also contain acetaminophen? Never take more than one.

    Make sure you know exactly how much acetaminophen is in the doses you or your children are taking. If you are an adult, do NOT take more than 4 grams per day, and aim for less than 4 grams. For Tylenol Extra Strength, the maximum dose is 3 grams per 24 hours. Do not take 2 Extra Strength Tylenol at a time, unless you find that one is not enough. Follow the directions your doctor gives you or the directions that come with your medicine. This is a good habit for any medication.

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    How Long Does It Take Tylenol Extra Strength To Work

    It takes Tylenol Extra Strength caplets or tablets about 45 minutes to start working. Pain relief and fever reduction peak in about 90 minutes. Tylenol Extra Strength dissolving tablets, however, typically start working about 20 minutes after taking a dose.

    Although Tylenol Extra Strength can be taken with or without food, some foods will interfere with the bodys ability to absorb the drug, making it less effective at pain relief or fever reduction. In particular, avoid eating cruciferous vegetables, such as broccoli, cabbage, Brussels sprouts, and cauliflower, when taking a dose of Tylenol Extra Strength.

    Tylenol Extra Strength Dosage For Children

    Tylenol’s recommended dosage lowered

    Tylenol Extra Strength should not be given to children younger than 12 years of age. Instead, parents can turn to Tylenol products specifically formulated to provide doses appropriate for younger children. Tylenol Regular Strength can be given to children as young as 6 years of age. Younger children, infants, and newborns should be given lower-dose products such as Childrens Tylenol and Infants Tylenol. These products are available as easily administered oral suspensions that allow for more precise dosing based on a childs weight.

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    What Can Be Used Instead Of Tylenol

    If you must discontinue or cant take Tylenol because of side effects, allergies, or other considerations, consider taking alternative over-the-counter analgesics and fever reducers such as aspirin, ibuprofen , or naproxen . Consult a healthcare provider for alternative options to Tylenol.

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    What Are Warnings And Precautions For Acetaminophen


    This medication contains acetaminophen. Do not take Tylenol, Tylenol Arthritis Pain, Tylenol Ext, Little Fevers Children’s Fever/Pain Reliever, Little Fevers Infant Fever/Pain Reliever, or PediaCare Single Dose Acetaminophen Fever Reducer/Pain Reliever if you are allergic to acetaminophen or any ingredients contained in this drug.

    Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center immediately.


    There are no effects of drug abuse with the use of acetaminophen.

    Short-term Effects

    See âWhat Are Side Effects Associated with Using Acetaminophen?â

    Long-term Effects

    • The risk of hepatotoxicity is higher in chronic high dose
    • See âWhat Are Side Effects Associated with Using Acetaminophen?â


    • Acetaminophen is available in many dosage forms and products, check labels carefully to avoid overdose.
    • Repeated administration in patients with anemia or cardiac, pulmonary, or renal disease.
    • The risk of hepatotoxicity is higher in alcoholics, chronic high dose, or use of more than one acetaminophen-containing product.
    • Use caution in patients with G6PD deficiency.
    • Use caution in patients with chronic malnutrition.
    • Risk for rare, but serious skin reactions that can be fatal these reactions include Stevens-Johnson Syndrome , toxic epidermal necrolysis , and acute generalized exanthematous pustulosis symptoms may include skin redness, blisters, and rash.

    Pregnancy and Lactation

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    What Happens If I Miss A Dose Of Tylenol Extra Strength

    As a symptom medication, any missed dose of Tylenol Extra Strength can be taken when remembered, provided symptoms are still present. However, always make sure that at least six hours go by between doses. If you take a missed dose, dont take the next dose until six hours after the missed dose was taken. Never take a larger dose of Extra Strength Tylenol to make up for a missed dose.

    What Is The Maximum Dosage For Tylenol

    Tylenol Extra Strength With Acetaminophen 500mg 24 Coated Tablets

    Because acetaminophen damages the liver, the maximum daily acetaminophen dosage should not exceed 4 grams . However, the manufacturer of Tylenol and the FDA have set the maximum daily Tylenol dosage to 3 grams . This provides a window of safety to prevent accidental or unintended acetaminophen overdose.

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