Isometheptene, caffeine and acetaminophen: Difference between revisions

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| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = XVQUOJBERHHONY-UHFFFAOYSA-N
| StdInChIKey = XVQUOJBERHHONY-UHFFFAOYSA-N
}}
{{drugbox| Watchedfields = changed
| verifiedrevid = 456349142
| IUPAC_name = ''N''-(4-hydroxyphenyl)ethanamide<br>''N''-(4-hydroxyphenyl)acetamide
| image = Paracetamol-skeletal.svg
| image2 = Paracetamol-from-xtal-3D-balls.png
| drug_name = Paracetamol (acetaminophen)
<!--Clinical data-->
| tradename = Tylenol (U.S. and Japan), Panadol (United Kingdom and Australia), and many others; see this thorough [[list of paracetamol brand names]]
| Drugs.com = {{drugs.com|monograph|acetaminophen}}
| MedlinePlus = a681004
| licence_US = Acetaminophen
| pregnancy_AU = A
| pregnancy_US = C
| pregnancy_category = Not tested but seems to be safe
| legal_AU = unscheduled
| legal_UK = GSL
| legal_US = OTC
| routes_of_administration = [[Mouth|Oral]], [[Rectal (medicine)|rectal]], [[Intravenous therapy|intravenous]]
<!--Pharmacokinetic data-->
| bioavailability = 63-89%<ref>{{cite isbn|978-0-9775174-5-9}}</ref>{{rp|73}}
| protein_bound = 10-25%<ref>{{cite web|title=Tylenol, Tylenol Infants' Drops (acetaminophen) dosing, indications, interactions, adverse effects, and more|work=Medscape Reference|publisher=WebMD|accessdate=10 May 2014|url=http://reference.medscape.com/drug/tylenol-acetaminophen-343346#showall}}</ref>
| metabolism = Predominantly in the liver<ref name = TGA>{{cite web|title=Codapane Forte Paracetamol and codeine phosphate PRODUCT INFORMATION|work=TGA eBusiness Services|publisher=Alphapharm Pty Limited|date=29 April 2013|accessdate=10 May 2014|url=https://www.ebs.tga.gov.au/ebs/picmi/picmirepository.nsf/pdf?OpenAgent&id=CP-2010-PI-05623-3|format=PDF}}</ref>
| elimination_half-life = 1–4 hours<ref name = TGA/>
| excretion = Urine (85-90%)<ref name = TGA/>
<!--Identifiers-->
| CASNo_Ref = {{cascite|correct|CAS}}
| CAS_number_Ref = {{cascite|correct|??}}
| CAS_number = 103-90-2
| ATC_prefix = N02
| ATC_suffix = BE01
| PubChem = 1983
| DrugBank_Ref = {{drugbankcite|correct|drugbank}}
| DrugBank = DB00316
| ChemSpiderID_Ref = {{chemspidercite|correct|chemspider}}
| ChemSpiderID = 1906
| UNII_Ref = {{fdacite|correct|FDA}}
| UNII = 362O9ITL9D
| KEGG_Ref = {{keggcite|correct|kegg}}
| KEGG = D00217
| ChEBI_Ref = {{ebicite|correct|EBI}}
| ChEBI = 46195
| ChEMBL_Ref = {{ebicite|correct|EBI}}
| ChEMBL = 112
| PDB_ligand = TYL
<!--Chemical data-->
| C=8 | H=9 | N=1 | O=2
| molecular_weight = 151.163 g/mol
| smiles = CC(NC1=CC=C(O)C=C1)=O
| InChI = 1/C8H9NO2/c1-6(10)9-7-2-4-8(11)5-3-7/h2-5,11H,1H3,(H,9,10)
| StdInChI_Ref = {{stdinchicite|correct|chemspider}}
| StdInChI = 1S/C8H9NO2/c1-6(10)9-7-2-4-8(11)5-3-7/h2-5,11H,1H3,(H,9,10)
| StdInChIKey_Ref = {{stdinchicite|correct|chemspider}}
| StdInChIKey = RZVAJINKPMORJF-UHFFFAOYSA-N
| density = 1.263
| melting_point = 169
| melting_notes =<ref>{{cite doi|10.1021/ci0500132}}</ref><ref>{{cite web | url = http://lxsrv7.oru.edu/~alang/meltingpoints/meltingpointof.php?csid=1906 | title = melting point data for paracetamol |publisher=Lxsrv7.oru.edu | accessdate = 2011-03-19}}</ref>
| solubility = 12.78<ref>{{cite journal | doi = 10.1021/je990124v | title = Solubility of paracetamol in pure solvents | author = Granberg RA, Rasmuson AC | journal = [[Journal of Chemical & Engineering Data]] | volume = 44 | issue = 6 | pages = 1391–95 | year = 1999}}</ref>
}}
}}
|howSupplied=*Isometheptene, Caffeine, and Acetaminophen Tablets are supplied as white tablets debossed “130” on one side, and scored on the opposite side. Available in bottles of 50 tablets, NDC 50967-620-50.
|howSupplied=*Isometheptene, Caffeine, and Acetaminophen Tablets are supplied as white tablets debossed “130” on one side, and scored on the opposite side. Available in bottles of 50 tablets, NDC 50967-620-50.

Latest revision as of 19:24, 27 February 2015

Isometheptene, caffeine and acetaminophen
Black Box Warning
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: Alberto Plate [2]

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Black Box Warning

Warning
See full prescribing information for complete Boxed Warning.
Hepatotoxicity:
  • Isometheptene, Caffeine, and Acetaminophen Tablets contain acetaminophen, isometheptene mucate and caffeine. Acetaminophen has been associated with cases of acute liver failure at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4,000 milligrams per day, and often in combination with other acetaminophen-containing products.

Overview

Isometheptene, caffeine and acetaminophen is an analgesic that is FDA approved for the treatment of tension and vascular headaches. There is a Black Box Warning for this drug as shown here. Common adverse reactions include hepatotoxicity.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Migraine Headache

  • Dosage: The usual adult dosage is two tablets at once, followed by one tablet every hour until relieved, up to 5 tablets within a twelve hour period.

Tensional Headache

  • Dosage: The usual adult dosage is one or two tablets every four hours up to 8 tablets a day.

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Isometheptene, caffeine and acetaminophen in adult patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Isometheptene, caffeine and acetaminophen in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

There is limited information regarding Isometheptene, caffeine and acetaminophen FDA-Labeled Indications and Dosage (Pediatric) in the drug label.

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

There is limited information regarding Off-Label Guideline-Supported Use of Isometheptene, caffeine and acetaminophen in pediatric patients.

Non–Guideline-Supported Use

There is limited information regarding Off-Label Non–Guideline-Supported Use of Isometheptene, caffeine and acetaminophen in pediatric patients.

Contraindications

Warnings

Warning
See full prescribing information for complete Boxed Warning.
Hepatotoxicity:
  • Isometheptene, Caffeine, and Acetaminophen Tablets contain acetaminophen, isometheptene mucate and caffeine. Acetaminophen has been associated with cases of acute liver failure at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4,000 milligrams per day, and often in combination with other acetaminophen-containing products.

Hepatotoxicity

  • Acetaminophen has been associated with cases of acute liver failure, at times resulting in liver transplant and death. Most of the cases of liver injury are associated with the use of acetaminophen at doses that exceed 4,000 milligrams per day, and often involve more than one acetaminophen-containing product. The excessive intake of acetaminophen may be intentional to cause self-harm or unintentional as patients attempt to obtain more pain relief or unknowingly take other acetaminophen-containing products. The risk of acute liver failure is higher in individuals with underlying liver disease and in individuals who ingest alcohol while taking acetaminophen.
  • Instruct patients to look for acetaminophen or APAP on package labels and not to use more than one product that contains acetaminophen. Instruct patients to seek medical attention immediately upon ingestion of more than 4,000 milligrams of acetaminophen per day, even if they feel well.

Hypersensitivity/Anaphylaxis

  • There have been post-marketing reports of hypersensitivity and anaphylaxis associated with the use of acetaminophen. Clinical signs included swelling of the face, mouth, and throat, respiratory distress, urticaria, rash, pruritus, and vomiting. There were infrequent reports of life-threatening anaphylaxis requiring emergency medical attention. Instruct patients to discontinue Isometheptene, Caffeine, and Acetaminophen Tablets immediately and seek medical care if they experience these symptoms. Do not prescribe Isometheptene, Caffeine, and Acetaminophen Tablets for patients with acetaminophen allergy.

Adverse Reactions

Clinical Trials Experience

  • Hypersensitive patients have shown rash and transient dizziness, this can be eliminated by reducing dosage.

Postmarketing Experience

There is limited information regarding Isometheptene, caffeine and acetaminophen Postmarketing Experience in the drug label.

Drug Interactions

There is limited information regarding Isometheptene, caffeine and acetaminophen Drug Interactions in the drug label.

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Isometheptene, caffeine and acetaminophen in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Isometheptene, caffeine and acetaminophen in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Isometheptene, caffeine and acetaminophen during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in geriatric settings.

Gender

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen with respect to specific gender populations.

Race

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Isometheptene, caffeine and acetaminophen in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Isometheptene, caffeine and acetaminophen in patients who are immunocompromised.

Administration and Monitoring

Administration

There is limited information regarding Isometheptene, caffeine and acetaminophen Administration in the drug label.

Monitoring

There is limited information regarding Isometheptene, caffeine and acetaminophen Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Isometheptene, caffeine and acetaminophen and IV administrations.

Overdosage

Following an acute overdosage, toxicity may result

Pharmacology

Template:Px
Isometheptene, caffeine and acetaminophen
Systematic (IUPAC) name
N,6-dimethylhept-5-en-2-amine
Identifiers
CAS number 503-01-5
ATC code A03AX10
PubChem 22297
DrugBank DB06706
Chemical data
Formula Template:OrganicBox atomTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox atomTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBoxTemplate:OrganicBox 
Mol. mass 141.254 g/mol
SMILES eMolecules & PubChem
Pharmacokinetic data
Bioavailability ?
Metabolism ?
Half life ?
Excretion ?
Therapeutic considerations
Pregnancy cat.

?

Legal status
Routes Oral

Mechanism of Action

There is limited information regarding Isometheptene, caffeine and acetaminophen Mechanism of Action in the drug label.

Structure

There is limited information regarding Isometheptene, caffeine and acetaminophen Structure in the drug label.

Pharmacodynamics

There is limited information regarding Isometheptene, caffeine and acetaminophen Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Isometheptene, caffeine and acetaminophen Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Isometheptene, caffeine and acetaminophen Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Isometheptene, caffeine and acetaminophen Clinical Studies in the drug label.

How Supplied

  • Isometheptene, Caffeine, and Acetaminophen Tablets are supplied as white tablets debossed “130” on one side, and scored on the opposite side. Available in bottles of 50 tablets, NDC 50967-620-50.

Storage

  • Store at 20°-25°C (68°-77°F). See USP Controlled Room Temperature. Avoid exposure to heat.

Images

Drug Images

{{#ask: Page Name::Isometheptene, caffeine and acetaminophen |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}

Package and Label Display Panel

{{#ask: Label Page::Isometheptene, caffeine and acetaminophen |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}

Patient Counseling Information

There is limited information regarding Isometheptene, caffeine and acetaminophen Patient Counseling Information in the drug label.

Precautions with Alcohol

  • Alcohol-Isometheptene, caffeine and acetaminophen 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 Isometheptene, caffeine and acetaminophen Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Isometheptene, caffeine and acetaminophen 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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