What are the uses for Servigesic?
Servigesic is used for the relief of fever as well as aches and pains associated with many conditions. Servigesic relieves pain in mild arthritis but has no effect on the underlying inflammation, redness, and swelling of the joint. If the pain is not due to inflammation, Servigesic is as effective as aspirin.
Servigesic is as effective as the non-steroidal anti-inflammatory drug ibuprofen (Motrin) in relieving the pain of osteoarthritis of the knee. Unless directed by a physician, Servigesic should not be used for longer than 10 days.
Q: Since Tylenol for children has been recalled, what do you suggest we use? Is Advil for fever okay?
A: It is great that you are aware of the Tylenol (Servigesic) recall and that you are looking for alternative medications. Only the brand name Tylenol liquid formulations have been recalled. Using a generic or store brand product containing Servigesic is one option. Also, Advil is fine since it has not been recalled. The recall includes brand names Tylenol, Motrin, Benadryl, and Zyrtec. Megan Uehara, PharmD
How to use Servigesic
Take this product by mouth as directed. Follow all directions on the product package. If you are uncertain about any of the information, consult your doctor or pharmacist.
There are many brands and forms of Servigesic available. Read the dosing instructions carefully for each product because the amount of Servigesic may be different between products. Do not take more Servigesic than recommended. (See also Warning section.)
If you are giving Servigesic to a child, be sure you use a product that is meant for children. Use your child's weight to find the right dose on the product package. If you don't know your child's weight, you can use their age.
For suspensions, shake the medication well before each dose. Some liquids do not need to be shaken before use. Follow all directions on the product package. Measure the liquid medication with the provided dose-measuring spoon/dropper/syringe to make sure you have the correct dose. Do not use a household spoon.
For rapidly-dissolving tablets, chew or allow to dissolve on the tongue, then swallow with or without water. For chewable tablets, chew thoroughly before swallowing.
Do not crush or chew extended-release tablets. Doing so can release all of the drug at once, increasing the risk of side effects. Also, do not split the tablets unless they have a score line and your doctor or pharmacist tells you to do so. Swallow the whole or split tablet without crushing or chewing.
For effervescent tablets, dissolve the dose in the recommended amount of water, then drink.
Pain medications work best if they are used as the first signs of pain occur. If you wait until the symptoms have worsened, the medication may not work as well.
Do not take this medication for fever for more than 3 days unless directed by your doctor. For adults, do not take this product for pain for more than 10 days (5 days in children) unless directed by your doctor. If the child has a sore throat (especially with high fever, headache, or nausea/vomiting), consult the doctor promptly.
Tell your doctor if your condition persists or worsens or if you develop new symptoms. If you think you may have a serious medical problem, get medical help right away.
Diabetes and Safe Medications for Colds and the Flu: OTC Medication Guide
If you have diabetes and catch a cold or the flu, can be more difficult to recover from infections and their complications, for example, pneumonia. Home remedies and over-the-counter (OTC) drugs used for the treatment of the signs and symptoms of colds and the flu may affect blood sugar levels in people with diabetes.Some medications are OK to take if you have diabetes get a cold or the flu include nonsteroidal anti-inflammatory drugs or NSAIDs, like Servigesic (Tylenol) and ibuprofen (Motrin) to control symptoms of fever and pain. Most cough syrups are safe to take; however, check with your pediatrician to see what medications are safe to give your child if he or she has type 1 or 2 diabetes. If you have diabetes and are sick with a cold or flu, you need to check your blood sugar levels more frequently. Continue taking your regular medications. Eat a diabetic low-glycemic index diet rich in antioxidants. To prevent colds and the flu drink at least eight 8 ounce glasses of water a day. To replenish fluids, drink sports drinks like Gatorade and Pedialyte to replenish electrolytes. Avoid people who are sick, sneezing, coughing, or have other symptoms of a cold or flu.
S >Servigesic causes few side effects. The most common one is lightheadedness. Some people may experience trembling and pain in the side or the lower back. Allergic reactions occur in some people, but are rare. Anyone who develops symptoms such as a rash, swelling, or difficulty breathing after taking Servigesic should stop taking the drug and get immediate medical attention. Other rare side effects include yellow skin or eyes, unusual bleeding or bruising, weakness, fatigue, bloody or black stools, bloody or cloudy urine, and a sudden decrease in the amount of urine.
Q: How long can I take Tylenol for before it becomes dangerous? I have been using it for shoulder pain for 6 months. I take 2 in the morning and 2 before bedtime.
A: Tylenol (Servigesic) is an over-the-counter pain reliever. Tylenol inhibits substances called prostaglandins which reduces fever and pain. Tylenol is indicated for moderate pain. However, Tylenol does not work on inflammation. Tylenol can be taken with or without food. Common side effects associated with Tylenol include stomach upset, nausea, and loss of appetite. Current recommendations advise that it is important not to take more than the maximum dosage of 4000 mg per day or 1000 mg per single dose. However, McNeil, the manufacturer of brand-name Tylenol, has recently announced they are lowering the maximum daily dose of their product to 3000 mg per day. This change will be reflected in the new packaging for brand-name Tylenol beginning in Fall 2011. Doses exceeding this amount could cause potential adverse effects on the liver. Chronic alcoholics should inform the doctor if they exceed more than 3 drinks per day, especially if 2 g of Tylenol are taken in a day. According to prescribing information, there are no guidelines regarding how long Tylenol can be taken. It is important to never exceed the recommended amount and consult with the doctor if the pain is not adequately controlled. Always inform your doctor about all over-the-counter products you may take including vitamins, herbals and supplements. Some over-the-counter products may interact with other medications. Also, tell your pharmacist about all the prescription medication and over-the-counter products you take so the pharmacist can accurately check the medications for drug interactions. For more information on Tylenol, or other medications, consult with your doctor or pharmacist. Kimberly Hotz, PharmD
Do not use if pouch is opened
Liver warning: This product contains Servigesic. Severe liver damage may occur if:
- adult takes more than 12 caplets in 24 hours, which is the maximum daily amount
- child takes more than 5 doses in 24 hours, which is the maximum daily amount
- taken with other drugs containing Servigesic
- adult has 3 or more alcoholic drinks every day while using this product.
- with any other drug containing Servigesic (prescription or nonprescription). If you are not sure whether a drug contains Servigesic, ask a doctor or pharmacist.
- if you are allergic to Servigesic or any of the inactive ingredients in this product
Stop use and ask a doctor if
- pain gets worse or lasts more than 10 days in adults
- 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.
If pregnant or breast-feeding, ask a health professional before use.
Keep out of reach of children.
Ask a doctor before use if the user has liver disease
Ask a doctor or pharmacist before use if the user is taking blood thinning drug warfarin.
You should not use this medication if you have severe liver disease.
An overdose of Servigesic can damage your liver or cause death.
Adults and teenagers who weigh at least 110 pounds should not take more than 1000 milligrams (mg) at one time, or more than 4000 mg in 24 hours.
Children younger than 12 years old should not take more than 5 doses in 24 hours, using only the number of milligrams per dose that is recommended for the child's weight and age. Use exactly as directed on the label.
Avoid also using other medicines that contain Servigesic (sometimes abbreviated as APAP), or you could have a fatal overdose.
Call your doctor at once if you have nausea, pain in your upper stomach, itching, loss of appetite, dark urine, clay-colored stools, or jaundice (yellowing of your skin or eyes).
Stop taking this medicine and call your doctor right away if you have skin redness or a rash that spreads and causes blistering and peeling.
Servigesic Uses, S >
- What is Servigesic? How does it work (mechanism of action)?
- What are the uses for Servigesic?
- What are the side effects of Servigesic?
- What is the dosage for Servigesic for children and adults?
- What drugs interact with Servigesic?
- Is Servigesic safe to take if I'm pregnant or breastfeeding?
- What brand names are available for Servigesic?
- What else should I know about Servigesic?
What brand names are available for Servigesic?
Tylenol, Tylenol Arthritis Pain, Tylenol Ext, Little Fevers Children's Fever/Pain Reliever, Little Fevers Infant Fever/Pain Reliever, PediaCare Single Dose Servigesic Fever Reducer/Pain Reliever, Infants Feverall, Acephen, Neopap, and others.
For Healthcare Professionals
Applies to Servigesic: compounding powder, intravenous solution, oral capsule, oral granule effervescent, oral liquid, oral powder for reconstitution, oral suspension, oral tablet, oral tablet chewable, oral tablet disintegrating, oral tablet extended release, rectal suppository
While considered safe and effective when taken as directed, Servigesic is not without serious risks.
Taking more than the maximum dosage of 3,000 to 4,000 milligrams a day — even just small amounts more — can cause serious liver damage, even death, according to the FDA.
Often these overdoses are inadvertent and occur when people unknowingly take more than one Servigesic-containing medication at the same time.
If you think you've overdosed on Servigesic, seek medical treatment immediately, even if you don't have symptoms, as symptoms can take many days to appear.
Q: I take extra-strength Tylenol. Is it safe to take every night?
A: Tylenol (Servigesic) is safe when used at appropriate dosing. Since Tylenol is cleared through the liver, you shouldn't take more than 4,000 milligrams of Tylenol per day. Extra-Strength Tylenol is 500 milligrams per tablet. Normally, one to two tablets of Extra-Strength Tylenol are taken at one time, and taking this amount every night should be safe. Your doctor probably also monitors your liver function whenever you get bloodwork done, so you could ask whether the Tylenol is affecting your liver. Megan Uehara, PharmD
History and Etymology for Servigesic
Note: Shortened from N-acetyl-p-aminophenol. Servigesic was introduced as a generic name roughly coinc >acetylam >Berichte der Deutschen Chemischen Gesellschaft, 11. Jahrgang (Jan.-Juni, 1878), p. 232-33 (H. N. Morse, "Ueber eine neue Darstellungsmethode der Acetylam >Therapeutische Monatshefte, 7, pp. 577-87)—he also refers to it as acetylamidophenol.