Tempra Special Precautions

Hepatic toxicity may occur in an adult who takes more than 4 grams (which is the maximum daily amount per day in adults) in 24 hours.
Hepatic toxicity in children may occur if given more than 5 doses (which is the maximum amount per day in children) in 24 hours.
For patients with liver or kidney problems, a doctor must first be consulted before giving this drug.
Care should also be taken in giving acetaminophen (paracetamol) to those who are malnourished or in those with eating disorders.
This should not be taken together with another drug that also contains acetaminophen (paracetamol).
A doctor must always be consulted before giving acetaminophen (paracetamol) especially if the patient is taking other medications (rifampicin, warfarin, phenobarbital, etc).
A doctor must also be consulted for patients who are alcoholics or who regularly ingest alcohol in excess before giving this drug.
Consult a Doctor: If fever persists more than 3 days (72 hours) or if pain continues for more than 5 days, consult a doctor.
As with any drug, if the patient is pregnant or nursing a baby, seek the advice of a health professional before using this product.
If rashes or any swelling develops, stop the use of acetaminophen (paracetamol) immediately and consult with the doctor.
Signs and symptoms do not improve or new signs develop.
Oral drops: Acetaminophen (paracetamol) has been reported to potentiate the effect of orally administered anticoagulants. Acetaminophen (paracetamol) should be given with caution to patients with impaired kidney or liver function as well as to patients taking other drugs that affect the liver. Consult a physician before administering to infants less than 2 months of age.