Interesting how my local Rite-Aid has magnifying glasses on display in the “Analgesics” aisle—the one where you find acetaminophen. It’s either a brilliant marketing ploy or the result of some merchandiser’s sense of humor. Why? If you’re trying to actually read the medication ingredient lists—the ones in mice type—you can’t, so that magnifier can come in mighty handy.
Now add on the state of mind you’re typically in when you’re tooling down the drugstore aisle in search of acetaminophen. Your eyes are most likely darting across those shelves in search of a red box with maybe some white lettering on a slant (Tylenol). Maybe also a big “E” on a green box (Excedrin). If it’s a bad sinus day, let’s throw in a flash of hot pink (Benadryl). And before you know it there’s an acetaminophen party going on in your little shopping basket.
It’s a no-brainer to monitor acetaminophen doses when Nurse Betty hands you 2 Tylenol tablets in a Dixie cup during a hospital stay, right? Sure, you want more—or an I.V. drip, and it’s a prayer in you-know-what you’ll get it. But Nurse Betty isn’t with you in the Rite-Aid, is she?
And that’s where the trouble can start.
All joking aside, while acetaminophen is a popular pain-killer in the US, sometimes a thing can be so popular and prevalent that we fail to see it anymore—or we fail to adequately estimate its potentially harmful effects.
With the recent flurry of news about the risk of acetaminophen overdose and the FDA Advisory Panel’s recommendations for stronger black box warnings on OTC acetaminophen along with the removal of some prescription acetaminophen-based drugs, like Vicodin, it’s a good time to play some acetaminophen hide and seek—and take note of the brands where acetaminophen is “hiding” in those ingredient lists that, of course, you can’t read.
Acephen
Allerest No Drowsiness
Anacin Aspirin Free Maximum Strength Tablets
Axoce
Benadryl Severe Allergy and Sinus Headache Maximum Strength Caplets
Bupap
Capital and Codeine
Dristan Cold No Drowsiness Formula Maximum Strength Caplets
Duradrin
Endocet
Excedrin Aspirin-Free Caplets
Excedrin Aspirin-Free Geltabs
Excedrin Extra-Strength Caplets
Excedrin Extra-Strength Tablets
Excedrin Migraine Caplets
Excedrin Migraine Geltabs
Excedrin Migraine Tablets
Excedrin Quicktabs
Excedrin P.M. Caplets
Excedrin P.M. Geltabs
Excedrin P.M. Tablets
FeverAll
FeverAll Infants’
FeverAll Junior Strength
Gelpirin
Genapap
Genapap Children’s
Genapap Drops Infant’s
Genapap Extra Strength Caplets
Genapap Extra Strength Tablets
Genapap Gel-Coat Caplets
Genebs
Genebs Extra Strength Caplets
Genebs Extra Strength Tablets
Goody’s Extra Strength Tablets
Goody’s Fast Pain Relief Tablets
Goody’s Headache Powders
I.D.A.
Liquiprin Drops
Midol Menstrual Formula Maximum Strength Caplets
Midol Menstrual Formula Maximum Strength Gelcaps
Midol PMS Maximum Strength Caplets
Midol PMS Maximum Strength Gelcaps
Midol Teen Menstrual Formula Caplets
Midrin
Ornex Caplets
Ornex Maximum Strength Caplets
Pamprin Maximum Pain Relief Caplets
Pamprin Multi-Symptom
Percogesic
Percogesic Extra Strength Caplet
Phrenilin
Phrenilin Forte
Premsyn PMS Caplets
Roxicet
Sedapap
Sinarest No Drowsiness Tablets
Sine-Off Maximum Strength No Drowsiness Formula Caplets
Sinutab
Sinutab Sinus Medication Maximum Strength without Drowsiness Tablets
Sominex Pain Relief Formula
St. Joseph Cold Tablets for Children
Sudafed Sinus & Headache Caplets
Sudafed Sinus & Headache Maximum Strength Tablets
Supac
Tylenol
Tylenol Allergy Sinus NightTime Maximum Strength Caplets
Tylenol Arthritis Pain Extended Relief Caplets
Tylenol Concentrated Drops Infant’s
Tylenol Extra Strength
Tylenol Extra Strength Adult
Tylenol Extra Strength Gelcaps
Tylenol Extra Strength Geltabs
Tylenol Extra Strength Tablets
Tylenol Flu NightTime Maximum Strength Gelcaps
Tylenol Meltaways
Tylenol Meltaways Junior Strength
Tylenol PM Extra Strength Caplets
Tylenol PM Extra Strength Gelcaps
Tylenol PM Extra Strength Geltabs
Tylenol Sinus Geltabs Maximum Strength Tablets
Tylenol Sinus Medication Maximum Strength Geltabs
Tylenol Sinus Medication Maximum-Strength Caplets
Tylenol Sinus Medication Maximum-Strength Gelcaps
Tylenol Suspension Children’s
Tylenol Women’s Caplets
Tylox
Ultracet
Vanquish Caplets
Women’s Tylenol Menstrual Relief Caplets
Wygesic
(source: nlm.nih.gov, list last updated 2/1/09)