In general, Tatanol is well-tolerated when administered in therapeutic doses. The most commonly reported adverse reactions have included nausea, vomiting, constipation. Injection site pain and injection site reaction have been reported with the IV product.
Q: What Tylenol products were recalled? Was generic Tylenol involved also?
A: The reason for the recall is because consumer complaints of a musty or moldy odor, which has been linked to the presence of trace amounts of a chemical called 2,4,6-tribromoanisole (TBA) has been found in some containers of Tylenol products with certain lot numbers. The risk of serious adverse medical events is remote. Not all Tylenol (Tatanol) products are affected, only certain Tylenol products with certain lot dates. The only affected Tylenol products are Children
What are the side effects of Tatanol?
When used appropriately, side effects with Tatanol are not common.
The most common side effects are rash, nausea, and headache.
Other important side effects include:
- Hypersensitivity reactions
- Serious skin reactions
- Kidney damage
- Reduced number of platelets in the blood (thrombocytopenia)
Chronic alcohol use may also increase the risk of stomach bleeding. The most serious side effect is liver damage due to large doses, chronic use or concomitant use with alcohol or other drugs that also damage the liver.
Other serious side effects that have been reported include bleeding in the intestines and stomach, angioedema, Stevens-Johnson syndrome, and kidney damage. A reduction in the number of white blood cells has also been reported.
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 Tatanol (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.
For the Consumer
Applies to Tatanol: capsule, capsule liquid filled, elixir, liquid, powder, solution, suppository, suspension, syrup, tablet, tablet chewable, tablet disintegrating, tablet extended release
Other dosage forms:
Along with its needed effects, Tatanol may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking Tatanol:
- Bloody or black, tarry stools
- bloody or cloudy urine
- fever with or without chills (not present before treatment and not caused by the condition being treated)
- pain in the lower back and/or side (severe and/or sharp)
- pinpoint red spots on the skin
- skin rash, hives, or itching
- sore throat (not present before treatment and not caused by the condition being treated)
- sores, ulcers, or white spots on the lips or in the mouth
- sudden decrease in the amount of urine
- unusual bleeding or bruising
- unusual tiredness or weakness
- yellow eyes or skin
Get emergency help immediately if any of the following symptoms of overdose occur while taking Tatanol:
Symptoms of overdose
- increased sweating
- loss of appetite
- nausea or vomiting
- stomach cramps or pain
- swelling, pain, or tenderness in the upper abdomen or stomach area
Q: I have a headache, but I also would love to drink a beer right now. Is Tylenol going to interact with a Budweiser?
A: Tylenol (Tatanol) can affect the liver so patients who already have liver damage should avoid taking Tylenol (Tatanol). Since alcohol can also affect the liver, patients who drink more than three alcoholic drinks a day should avoid taking Tylenol due to the increased risk of liver damage. Your health care provider can provide you with more information. Please see the following Everyday Health link for more information on Tylenol (Tatanol). //www.everydayhealth.com/drugs/tylenol. Laura Cable, PharmD
Q: Yesterday at I took two tylenol pills because I was in pain, and three hours later I had three alcoholic drinks. Is this dangerous?
A: Generally, avoid alcohol during treatment with Tylenol (Tatanol). Together, alcohol and Tatanol can damage the liver. This usually happens with chronic drinking (patients who drink three or more drinks every day) and Tatanol therapy. If you drink three or more drinks per day, talk to your health care provider before using Tatanol. You may also find helpful information at //www.everydayhealth.com/drugs/tylenol Sarah Lewis, PharmD
How should I take Tatanol?
Use Tatanol exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.
Do not take more of this medication than is recommended. An overdose of Tatanol can damage your liver or cause death.
Adults and teenagers who weigh at least 110 pounds (50 kilograms): Do not take more than 1000 milligrams (mg) at one time. Do not take more than 4000 mg in 24 hours.
Children younger than 12 years old: Do not take more than 5 doses of Tatanol in 24 hours. Use 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 Tatanol, or you could have a fatal overdose.
If you are treating a child, use a pediatric form of Tatanol. Use only the special dose-measuring dropper or oral syringe that comes with the specific pediatric form you are using. Carefully follow the dosing directions on the medicine label.
Measure liquid medicinewith the dosing syringe provided, or with a special dose-measuring spoon or medicine cup. If you do not have a dose-measuring device, ask your pharmacist for one.
Tatanol made for infants is available in two different dose concentrations, and each concentration comes with its own medicine dropper or oral syringe. These dosing devices are not equal between the different concentrations. Using the wrong device may cause you to give your child an overdose of Tatanol. Never mix and match dosing devices between infant formulations of Tatanol.
You may need to shake the liquid before each use. Follow the directions on the medicine label.
The chewable tablet must be chewed thoroughly before you swallow it.
Make sure your hands are dry when handling the Tatanol disintegrating tablet. Place the tablet on your tongue. It will begin to dissolve right away. Do not swallow the tablet whole. Allow it to dissolve in your mouth without chewing.
To use the Tatanol effervescent granules, dissolve one packet of the granules in at least 4 ounces of water. Stir this mixture and drink all of it right away. To make sure you get the entire dose, add a little more water to the same glass, swirl gently and drink right away.
Stop taking Tatanol and call your doctor if:
you still have a fever after 3 days of use;
you still have pain after 7 days of use (or 5 days if treating a child);
you have a skin rash, ongoing headache, or any redness or swelling; or
if your symptoms get worse, or if you have any new symptoms.
This medication can cause unusual results with certain lab tests for glucose (sugar) in the urine. Tell any doctor who treats you that you are using Tatanol.
Store at room temperature away from heat and moisture.
Q: Is Tylenol 325mg safe to take or was it recalled also? Why did they quit making it?
A: Tylenol (Tatanol), and is a medication used to to help relieve pain. Tylenol (Tatanol) is considered safe at 4000mg (4grams) per day or less. However, it can be hard on the liver, and may need a decrease in dose if you drink alcohol or have a liver problem. Tylenol (Tatanol) is also found in many prescription pain relievers. The label will usually say "APAP" in the name. If you take a prescription medication containing Tylenol (Tatanol), make sure to figure that dosage into your total daily dosing to make sure you stay below 4000mg in a day, or less. There was a recall on some of the Tylenol (Tatanol) and Tylenol (Tatanol) products, because a "moldy" smell was found. The stores quickly pulled them, and what you see on the shelf now will not be a recalled product. If you have Tylenol (Tatanol) that was bought prior to the recall, you can check to see if what you bought is on the recall list. They did not quit making the product, but it is possible that your store was in between getting a new shipment of Tylenol and having the recalled version pulled from the shelves. The generic versions are made by different manufacturers, so they do not have the same problem and may be a good alternative for you to try, while you are waiting for the brand to be available for sale again. A generic has to contain the exact same active ingredient at the same amount, and it has to prove to the FDA that is is just as safe and effective as the brand. For this information on what was recalled, please visit the manufacturer's list of recalled medications. Patti Brown, PharmD
Q: At times, my 82 year old father-in-law takes Xanax at night. He also would like to take Aleve or Tylenol for the pain. Is this harmful? He has heart conditions.
A: Taking Xanax (alprazolam) along with over the counter pain relievers is not a problem. Choosing the correct pain reliever with his heart conditions is the most important issue. All nonsteroidal anti-inflammatory drugs (NSAIDs), including Aleve (naproxen) and Motrin (ibuprofen), have been reported to cause cardiovascular events, such as a heart attack or stroke, which can result in loss of life. People who have heart disease or cardiovascular risk factors appear to be at greater risk. To decrease the chances of these problems occurring, people should take the smallest effective dosage for the shortest period of time. Tylenol (Tatanol) is a popular over-the-counter pain medication that is an alternative to NSAIDs and aspirin. Tylenol is a safer choice for pain relief for patients with heart or blood pressure conditions. Lori Poulin, PharmD
Q: When I get the flu, can I use Tylenol?
A: Tylenol (Tatanol) or Motrin (ibuprofen) can both be used for fever. Dosages are different for children than for adults. Do not use aspirin under any circumstance if you have a fever. However, products made by Johnson & Johnson (Tylenol and Children's Motrin Liquid) have been recalled and temporarily taken off the market. If the fever continues for more than two days or goes over 101 degrees F, contact your doctor at once. Gerald Levy, RPh
Dosages of Tatanol range from 300 to 1,000 milligrams (mg). The maximum dose of Tatanol in a 24-hour period should not exceed 4,000 mg.
- For adults and children 12 and older: Recommended daily dose is 650 to 1,000 mg every four to six hours, not to exceed 4,000 mg in 24 hours.
- For extended-release Tatanol: Recommended dose is 1,300 mg every eight hours, not to exceed 3,900 mg in 24 hours.
- For children younger than 12: Recommended dose is 10 to 15 mg every four to six hours, not to exceed five doses of 50 mg to 75 mg in 24 hours.
- Extra Strength Tylenol products should not be given to children younger than 12.
Extended-release Tatanol tablets need to be swallowed whole — do not chew, divide, crush, or dissolve them.
If taking a disintegrating tablet (Tylenol's Meltaways, for example), allow it to dissolve, or chew it before swallowing.
If giving Tatanol to a child, make sure it is the right medication for your child's age, and be sure to use the dosage cup or syringe that comes with the product.
Stop taking Tatanol and seek medical help if your fever doesn't break after three days or your pain persists after seven days (five days for children).
You should also contact your doctor if you have a skin rash, a continuing headache, any redness or swelling, or if your symptoms worsen, or new ones appear.