section name header

Indications ⬇

REMS


Contraind./Precautions ⬆ ⬇

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects ⬆ ⬇

CV: hypertension(IV), hypotension(IV)

Derm: ACUTE GENERALIZED EXANTHEMATOUS PUSTULOSIS, rash, STEVENS-JOHNSON SYNDROME (SJS), TOXIC EPIDERMAL NECROLYSIS, urticaria

F and E: hypokalemia(IV)

GI: ↑liver enzymes, constipation(↑ in children) (IV), HEPATOTOXICITY (WITH HIGHER DOSES), nausea(IV), vomiting(IV)

GU: renal failure(high doses/chronic use)

Hemat: neutropenia, pancytopenia

MS: muscle spasms (IV)

Neuro: agitation (↑ in children) (IV), anxiety(IV), fatigue(IV), headache(IV), insomnia(IV)

Resp: atelectasis(↑ in children) (IV), dyspnea(IV)

Interactions ⬆ ⬇

Drug-drug:

Availability ⬆ ⬇

(Generic available)

Route/Dosage ⬆ ⬇

US Brand Names ⬆ ⬇

Infant’s Feverall, Ofirmev, Tylenol

Action ⬆ ⬇

  • Inhibits synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS.
  • Has no significant anti-inflammatory properties or GI toxicity.
Therapeutic effects:
  • Analgesia.
  • Antipyresis.

Classifications ⬆ ⬇

Therapeutic Classification: antipyretics, nonopioid analgesics

Pharmacokinetics ⬆ ⬇

Absorption: Well absorbed following oral administration. Rectal absorption is variable. Intravenous administration results in complete bioavailability.

Distribution: Widely distributed.

Metabolism/Excretion: 85–95% metabolized by the liver (CYP2E1 enzyme system). Metabolites may be toxic in overdose situation. Metabolites excreted by the kidneys.

Half-Life: Neonates: 7 hr; Infants and Children: 3–4 hr; Adults: 1–3 hr.

Canadian Brand Names ⬆ ⬇

Abenol, Acet, Children Feverhalt, Fortolin, Pediaphen, Pediatrix, Taminol, Tempra

Time/Action Profile ⬆ ⬇

( analgesia and antipyresis)

ROUTEONSETPEAKDURATION
PO0.5–1 hr1–3 hr3–8 hr‡
Rect0.5–1 hr1–3 hr3–4 hr
IV‡within 30 min30 min4–6 hr

‡Depends on dose.

‡Antipyretic effects.

Patient/Family Teaching ⬆ ⬇

Pronunciation ⬆ ⬇

a-seet-a-MIN-oh-fen

Code ⬆

NDC Code