ACETAMINOPHEN, ASPIRIN AND CAFFEINE- acetaminophen, aspirin and caffeine tablet 
Safeway, Inc

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Migraine Relief

Acetaminophen, Aspirin and Caffeine Tablets, USP 250 mg, 250 mg and 65 mg

Pain Reliever / Pain Reliever Aid

Active ingredients (in each caplet)

Acetaminophen 250mg
Aspirin 250 mg (NSAID)**
Caffeine 65 mg

**nonsteroidal anti-inflammatory drug

Purposes

Pain reliever/Pain reliever aid

Use

• treats migraine

Reye’s syndrome:

Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye’s syndrome, a rare but serious illness.

Allergy alert:

Acetaminophen may cause severe skin reactions.
Symptoms may include: ■ skin reddening ■ blisters ■ rash
If a skin reaction occurs, stop use and seek medical help right away.

Allergy alert:

Allergy alert: Aspirin may cause a severe allergic reaction which may include:
■ hives ■ facial swelling ■ asthma (wheezing) ■ shock

Liver warning:

This product contains acetaminophen. Severe liver damage may occur if you take
■ more than 2 caplets in 24 hours, which is the maximum daily amount
■ with other drugs containing acetaminophen
■ 3 or more alcoholic drinks every day while using this product

Stomach bleeding warning:

This product contains an NSAID, which may cause severe stomach bleeding. The chance is higher if you
■ are age 60 or older
■ have had stomach ulcers or bleeding problems
■ take a blood thinning (anticoagulant) or steroid drug

■ take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)
■ have 3 or more alcoholic drinks every day while using this product
■ take more or for a longer time than directed

Medication overuse headache warning:

Headaches may worsen if this product is used for 10 or more days per month

Caffeine warning:

The recommended dose of this product contains about as much caffeine as a cup of coffee. Limit the use of caffeine containing
medications, foods or beverages while taking this product because too much caffeine may cause nervousness, irritability,
sleeplessness and occasionally rapid heart beat.

Do not use

■ if you have ever had an allergic reaction to acetaminophen, aspirin or any other pain reliever/fever reducer
■ with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains
acetaminophen, ask a doctor or pharmacist.

Ask a doctor before use if

■ you have never had migraines diagnosed by a health professional
■ you have a headache that is different from your usual migraines
■ you have the worst headache of your life
■ you have fever and stiff neck
■ you have headaches beginning after or caused by head injury, exertion, coughing or bending
■ you experienced your first headache after the age of 50
■ you have daily headaches
■ you have a migraine so severe as to require bed rest
■ you have liver disease
■ stomach bleeding warning applies to you
■ you have a history of stomach problems, such as heartburn
■ you have high blood pressure, heart disease, liver cirrhosis, or kidney disease
■ you are taking a diuretic
■ you have asthma
■ you have problems or serious side effects from taking pain relievers or fever reducers

■ you have vomiting with your migraine headache

Ask a doctor or pharmacist before use if you are

■ taking a prescription drug for: • diabetes • gout • arthritis
■ under a doctor’s care for any serious condition
■ taking any other drug
■ taking any other product that contains aspirin, acetaminophen or any other pain reliever/fever reducer

Stop use and ask a doctor if

■ an allergic reaction occurs. Seek medical help right away.
■ you experience any of the following signs of stomach bleeding:
• feel faint • vomit blood • have bloody or black stools
• have stomach pain that does not get better
■ your migraine is not relieved or worsens after first dose
■ new or unexpected symptoms occur
■ ringing in the ears or loss of hearing occurs

If pregnant or breast-feeding,

ask a health professional before use. It is especially important not to use aspirin at 20 weeks or later in pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery.

Keep Out of Reach of Children

In case of overdose, get medical help or contact a Poison Control Center right away. Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.

Directions

■ do not use more than directed

adults take 2 caplets with a glass of water
• if symptoms persist or worsen, ask your doctor
• do not take more than 2 caplets in 24 hours, unless directed by a doctor

under 18 years of age ask a doctor

Other information

■ store at controlled room temperature 20° to 25°C (68° to 77°F)
■ close cap tightly after use

■ read all product information before using. Keep this box for important information.

Inactive ingredients

carnauba wax, hydroxypropyl cellulose, hypromellose, microcrystalline cellulose, polyethylene glycol, sodium stearyl fumarate and titanium dioxide

Questions or comments?

contact 1-877-770-3183 Mon-Fri 8:00 AM EST to 5:00 PM PST

PDP

Migraine 100ctMigraine 50ctMigraine 24ct

ACETAMINOPHEN, ASPIRIN AND CAFFEINE 
acetaminophen, aspirin and caffeine tablet
Product Information
Product TypeHUMAN OTC DRUGItem Code (Source)NDC:21130-681
Route of AdministrationORAL
Active Ingredient/Active Moiety
Ingredient NameBasis of StrengthStrength
ACETAMINOPHEN (UNII: 362O9ITL9D) (ACETAMINOPHEN - UNII:362O9ITL9D) ACETAMINOPHEN250 mg
ASPIRIN (UNII: R16CO5Y76E) (ASPIRIN - UNII:R16CO5Y76E) ASPIRIN250 mg
CAFFEINE (UNII: 3G6A5W338E) (CAFFEINE - UNII:3G6A5W338E) CAFFEINE65 mg
Inactive Ingredients
Ingredient NameStrength
HYDROXYPROPYL CELLULOSE (110000 WAMW) (UNII: 5Y0974F5PW)  
TITANIUM DIOXIDE (UNII: 15FIX9V2JP)  
MICROCRYSTALLINE CELLULOSE (UNII: OP1R32D61U)  
HYPROMELLOSE 2910 (6 MPA.S) (UNII: 0WZ8WG20P6)  
SODIUM STEARYL FUMARATE (UNII: 7CV7WJK4UI)  
POLYETHYLENE GLYCOL 400 (UNII: B697894SGQ)  
CARNAUBA WAX (UNII: R12CBM0EIZ)  
Product Characteristics
ColorwhiteScoreno score
ShapeCAPSULE (Capsule shaped Tablet) Size17mm
FlavorImprint Code I1
Contains    
Packaging
#Item CodePackage DescriptionMarketing Start DateMarketing End Date
1NDC:21130-681-0550 in 1 BOTTLE; Type 0: Not a Combination Product08/04/2023
2NDC:21130-681-10100 in 1 BOTTLE; Type 0: Not a Combination Product08/04/2023
3NDC:21130-681-2424 in 1 BOTTLE; Type 0: Not a Combination Product08/04/2023
Marketing Information
Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
ANDAANDA21403908/04/2023
Labeler - Safeway, Inc (009137209)

Revised: 12/2023
Document Id: 0ccfacb0-1b6d-2111-e063-6294a90a7296
Set id: f2a2cbb5-5a63-7514-e053-2995a90a572c
Version: 3
Effective Time: 20231218
 
Safeway, Inc