Acetaminophen (rectal)

Acetaminophen (rectal)
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aparna Vuppala, M.B.B.S. [2]

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Overview

Acetaminophen (rectal) is an analgesic and antipyretic that is FDA approved for the treatment of minor aches and pains due to headache, muscular aches, backache. Common adverse reactions include pruritus, constipation, nausea, vomiting, headache, agitation, insomnia and atelectasis.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

• Temporarily relieves minor aches and pains due to:

• headache
• muscular aches
• backache
• minor pain of arthritis
• the common cold
• toothache
• premenstrual and menstrual cramps
• temporarily reduces fever

Dosing Information

• Do not take more than directed

This image is provided by the National Library of Medicine.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Acetaminophen (rectal) in adult patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Acetaminophen (rectal) in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding FDA-Labeled Use of Acetaminophen (rectal) in pediatric patients.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Acetaminophen (rectal) in pediatric patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Acetaminophen (rectal) in pediatric patients.

Contraindications

There is limited information regarding Acetaminophen (rectal) Contraindications in the drug label.

Warnings

• Liver warning
• This product contains acetaminophen. Severe liver damage may occur if:

• adult takes more than 6 doses in 24 hours, which is the maximum daily amount
• child takes more than 5 doses in 24 hours
• adult has 3 or more alcoholic drinks everyday while using this product

• Sore throat warning

• If sore throat is severe, persists for more than 2 days, is accompanied or followed by fever, headache, rash, nausea, or vomiting, consult a doctor promptly.

• Do not use

• with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist.
• if you are allergic to acetaminophen or any of the inactive ingredients of this product

• Ask a doctor before use if the user has liver disease.

• Ask a doctor or pharmacist before use if the user is taking the blood thinning drug warfarin.

• Stop use and ask a doctor if

• pain gets worse or lasts more than 10 days in adults and children
• pain gets worse or lasts more than 5 days in children under 12 years
• fever gets worse or lasts more than 3 days
• new symptoms occur
• redness or swelling is present

• These could be signs of a serious condition.

Adverse Reactions

Clinical Trials Experience

There is limited information regarding Clinical Trial Experience of Acetaminophen (rectal) in the drug label.

Postmarketing Experience

There is limited information regarding Postmarketing Experience of Acetaminophen (rectal) in the drug label.

Drug Interactions

There is limited information regarding Acetaminophen (rectal) Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): C

• If pregnant or breast-feeding, ask a health professional before use.

Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Acetaminophen (rectal) in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Acetaminophen (rectal) during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Acetaminophen (rectal) with respect to nursing mothers.

Pediatric Use

• Keep out of reach of children.

Geriatic Use

There is no FDA guidance on the use of Acetaminophen (rectal) with respect to geriatric patients.

Gender

There is no FDA guidance on the use of Acetaminophen (rectal) with respect to specific gender populations.

Race

There is no FDA guidance on the use of Acetaminophen (rectal) with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Acetaminophen (rectal) in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Acetaminophen (rectal) in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Acetaminophen (rectal) in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Acetaminophen (rectal) in patients who are immunocompromised.

Administration and Monitoring

Administration

• Oral

Monitoring

There is limited information regarding Monitoring of Acetaminophen (rectal) in the drug label.

IV Compatibility

There is limited information regarding IV Compatibility of Acetaminophen (rectal) in the drug label.

Overdosage

• Taking more than the recommended dose (overdose) may cause liver damage. In case of overdose, get medical help or contact a Poison Control Center right away. (1-800-222-1222). Quick medical attention is critical for adults as well as children even if you do not notice any signs or symptoms.

Pharmacology

Paracetamol (acetaminophen)
Systematic (IUPAC) name
N-(4-hydroxyphenyl)ethanamide N-(4-hydroxyphenyl)acetamide
Identifiers
CAS number	103-90-2
ATC code	N02BE01
PubChem	1983
DrugBank	DB00316
Chemical data
Formula	Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox
Mol. mass	151.163 g/mol
SMILES	eMolecules & PubChem
Physical data
Density	1.263 g/cm³
Melt. point	169 °C (336 °F)
Solubility in water	12.78 mg/mL (20 °C)
Pharmacokinetic data
Bioavailability	63-89%
Protein binding	10-25%
Metabolism	Predominantly in the liver
Half life	1–4 hours
Excretion	Urine (85-90%)
Therapeutic considerations
Licence data	US
Pregnancy cat.	A(AU) C(US) Not tested but seems to be safe
Legal status	Unscheduled(AU) GSL(UK) OTC(US)
Routes	Oral, rectal, intravenous

Mechanism of Action

There is limited information regarding Acetaminophen (rectal) Mechanism of Action in the drug label.

Structure

This image is provided by the National Library of Medicine.

Pharmacodynamics

There is limited information regarding Pharmacodynamics of Acetaminophen (rectal) in the drug label.

Pharmacokinetics

There is limited information regarding Pharmacokinetics of Acetaminophen (rectal) in the drug label.

Nonclinical Toxicology

There is limited information regarding Nonclinical Toxicology of Acetaminophen (rectal) in the drug label.

Clinical Studies

There is limited information regarding Clinical Studies of Acetaminophen (rectal) in the drug label.

How Supplied

• sodium content: 2 mg/5 mLstore at 20° to 25°C (68° to 77°F). [See USP controlled room temperature]
• keep tightly closed
• protect from light
• a red, cherry flavored solution supplied in the following oral dosage forms:
• NDC 0121-0657-05 (unit dose cups of 5 mL, 10 × 10's), NDC 0121-0657-11 (unit dose cups of 10.15 mL, 10 × 10's), and NDC 0121-0657-21 (unit dose cups of 20.3 mL, 10 × 10's).

Storage

There is limited information regarding Acetaminophen (rectal) Storage in the drug label.

Images

Drug Images

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Package and Label Display Panel

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Patient Counseling Information

There is limited information regarding Patient Counseling Information of Acetaminophen (rectal) in the drug label.

Precautions with Alcohol

• Alcohol-Acetaminophen (rectal) interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

There is limited information regarding Acetaminophen (rectal) Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Acetaminophen (rectal) Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.

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