Nausea, vomiting constipation lightheadedness, dizziness,
drowsiness headache, or vision changes may occur. If any of these
effects persist or worsen, notify your doctor or pharmacist
promptly. Remember that your doctor has prescribed this medication
because he or she has judged that the benefit to you is greater
than the risk of side effects. Many people using this medication do
not have serious side effects. Tell you doctor immediately if any
of these serious side effects occur: mental/mood changes. Tell your
doctor immediately if this highly unlikely but very serious side
effect occurs: change in the color of urine. If you do not have
liver problems, the adult maximum dose of acetaminophen is 4 grams
per day (4000 milligrams). If you take more than the maximum daily
amount, it may cause serious (possibly fatal) liver disease.
Propoxyphene may also rarely cause liver disease. Seek immediate
medical attention if you have any of the following symptoms of
liver damage: severe nausea/vomiting, stomach/abdominal pain,
yellowing eyes or skin, dark urine, extreme fatigue. If you have
liver problems, consult your doctor or pharmacist for a safe dosage
of this medication. A serious allergic reaction to this drug is
unlikely, but seek immediate medical attention if it occurs.
Symptoms of a serious allergic reaction include: rash,
itching/swelling (especially of the face/tongue/throat), severe
dizziness, trouble breathing. This is not a complete list of
possible side effects. If you notice other effects not listed above
contact your doctor or pharmacist. In the US - Call your doctor for
medical advice about the side effects. You may report side effects
to FDA at 1-800-FDA-1088.
Drug Interaction caution: Naltrexone, Blood thinners (Warfarin),
carbamazepine, cimetidine, MAO inhibitors (e.g. furazolidone,
isocarboxazid, linezolid, moclobemide, phenelzine, procarbazine,
rasagiline, selegiline, tranylcypromine), other pain medications,
tricyclic antidepressants (e.g., doxepin). Drugs that cause
drowsiness such as: anti-anxiety drugs (e.g. diazepam),
antidepressants (e.g. amitriptyline), antihistamines that cause
drowsiness (e.g., diphenyhdramine, anti-seizure drugs (e.g.,
peneobarbital, medicine for sleep (e.g., sedatives) muscle
relaxants, psychiatric medicines (e.g., phenothiazines such as
chlorpromazine), tranquilizers. Check the labels on all your
medicines (e.g., cough-and-cold products) because they may contain
ingredients that cause drowsiness.