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Extra Strength Pain Reliever

acetaminophen, aspirin and caffeine · Extra Strength Pain Reliever is a central nervous system stimulant (over-the-counter) containing acetaminophen, aspirin and caffeine, made by 2 manufacturers.

Type
Over the counter
Drug class
Central Nervous System Stimulant
Route
Oral
Manufacturers
2
+ 1 repackager labels

temporarily relieves minor aches and pains

Drug facts

Generic name
acetaminophen, aspirin and caffeine
Active ingredients
Acetaminophen, Aspirin, Caffeine
How it works
Cyclooxygenase Inhibitors
Dosage forms
Capsule, coated, Tablet, film coated
Label holder
Geri-Care Pharmaceutical Corp
FDA application
M013
Label updated
11/17/2025

Active ingredients

(in each caplet) ACETAMINOPHEN 250 MG ASPIRIN 250 MG (nsaid-nonsteroidal anti-inflammatory drug) CAFFEINE 65 MG

Purpose

PAIN RELIEVER - PAIN RELIEVER AID

Uses

Temporarily relieves minor aches and pains

Directions

Do not use more than directed drink a full glass of water with each dose adults and children 12 years and over: take 2 caplets every 6 hours; not more than 8 caplets in 24 hours children under 12: ask a doctor

Warnings

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: Aspirin may cause a severe allergic reaction which may include:

  • Hives
  • Facial swelling
  • Asthma (wheezing)
  • Shock Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms may include:
  • Rash
  • Skin reddening
  • Blisters If a skin reaction occurs, stop use and seek medical help right away. Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take
  • More than 4,000 mg of acetaminophen in 24 hours
  • 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
  • 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)
  • Are age 60 or older
  • Have 3 or more alcoholic drinks every day while using this product
  • Take more or for a longer time than directed 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 heartbeat.

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. if you have ever had an allergic reaction to this product or any of its ingredients Ask a doctor before use if 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 Ask a doctor or pharmacist before use if you are taking a prescription drug for diabetes, gout, or arthritis taking any other drug or are under a doctor’s care for any serious condition 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 ringing in the ears or loss of hearing occurs painful area is red or swollen pain gets worse or lasts for more than 10 days fever gets worse or lasts for more than 3 days new symptoms occur These could be signs of a serious condition. If pregnant or breast-feeding, ask a health professionalbefore 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 accidental overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away. Prompt medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.

Inactive ingredients

Corn starch, crospovidone, hypromellose, microcrystalline cellulose, povidone, propylene glycol, sodium lauryl sulfate, sodium starch glycolate, stearic acid, titanium dioxide

Questions?

1-800-540-3765

Forms and strengths

From the FDA NDC Directory · 3 product codes

Dosage formStrengthRouteNDCs
Capsule, coated250 mg / 250 mg / 65 mgoral1
Tablet, film coated250 mg / 250 mg / 65 mgoral2

Manufacturers and labels

3 FDA labels · 1 from repackagers

  • Geri-Care Pharmaceutical CorpShown hereM013 · Label 11/17/2025 · NDC 57896-216Full label
  • JHK Inc dba American Safety & First AidM013 · Label 04/25/2024 · NDC 73598-1372Full label
Repackager labels (1)
  • Proficient Rx LP11/01/2024

Related recalls

FDA drug recalls that name this drug or its active ingredient

All drug recalls

Extra Strength Pain Reliever: common questions

What is Extra Strength Pain Reliever used for?
temporarily relieves minor aches and pains
Is Extra Strength Pain Reliever a prescription drug?
No. Extra Strength Pain Reliever is sold over the counter (OTC) without a prescription.
Are there other products with the same active ingredient as Extra Strength Pain Reliever?
Yes. Other FDA-listed products with the same active ingredients include Headache Relief Extra Strength, Headache Relief, Acetaminophen, Aspirin and Caffeine, Headache Relief Extra Strength.
Who makes Extra Strength Pain Reliever?
2 manufacturers list Extra Strength Pain Reliever with the FDA, including Geri-Care Pharmaceutical Corp, JHK Inc dba American Safety & First Aid.

Source: U.S. Food and Drug Administration, openFDA drug label (SPL) and NDC Directory · Last updated 11/17/2025 · Label text is shown as published by the manufacturer. Not medical advice