IMPORTANT FLEXTRA-DS NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of Flextra DS is safe, appropriate, or effective for you. Consult your healthcare professional before using Flextra DS.

ACETAMINOPHEN/PHENYLTOLOXAMINE - ORAL (uh-seet-uh-MEE-no-fen/fen-il-toe-LOX-uh-meen)

COMMON FLEXTRA-DS BRAND NAME(S): Dologesic, Flextra-650, Novagesic, Rhinoflex, Staflex

FLEXTRA-DS USES: This combination medication (Flextra-DS) is used to treat the minor aches and pains (e.g., headache, backache, toothache, joint pain, cramps) associated with menstrual periods, colds, flu, dental problems, or arthritis. Flextra DS is also used to reduce fever.

HOW TO USE FLEXTRA-DS : Take Flextra DS by mouth usually every 4 hours as needed; or as directed by your doctor. The Flextra DS dosage is based on your age, medical condition, and response to therapy. Do not exceed the recommended Flextra DS dosage or take Flextra DS for longer than recommended (e.g., 10 days for adults, 5 days for children, or 3 days if used for fever); persistent symptoms of pain or fever may be the sign of a more serious medical condition. Consult your doctor for additional Flextra DS information.

SIDE EFFECTS: Drowsiness or nausea may occur. If either of these effects persist or worsen, notify your doctor promptly. Tell your doctor immediately if any of these unlikely but serious side effects occur: skin redness, swelling, persistent fever, stomach pain, yellowing eyes and skin, dark urine, unusual weakness. If you notice other Flextra DS effects not listed above, contact your doctor or pharmacist.

FLEXTRA-DS PRECAUTIONS: Tell your doctor your medical history, especially of: lung problems (e.g., bronchitis, emphysema), glaucoma, enlarged prostate, any allergies. Flextra DS may make you dizzy or drowsy; use caution engaging in activities requiring alertness such as driving or using machinery. Limit alcoholic beverages. Acetaminophen may cause liver damage. Daily use of alcohol and acetaminophen may increase your risk for liver damage (symptoms include nausea, stomach pain, dark urine). Check with your doctor or pharmacist for more information. Caution is advised when using Flextra DS in children because they may be more sensitive to the effects of Flextra DS (e.g., increased excitability). Tell your doctor if you are pregnant before using Flextra DS. It is unknown if Flextra DS passes into breast milk. Consult your doctor before breast-feeding.

FLEXTRA-DS DRUG INTERACTIONS: Tell your doctor of all prescription and nonprescription medication you may use, especially: other acetaminophen-containing products. Tell your doctor if you take any drugs that cause drowsiness such as: medicine for sleep (e.g., sedatives, tranquilizers), anti-anxiety drugs (e.g., diazepam, lorazepam), narcotic pain relievers (e.g., codeine, morphine), psychiatric medicines (e.g., phenothiazines such as chlorpromazine or tricyclic antidepressants such as amitriptyline), anti-seizure drugs (e.g., carbamazepine, topiramate), muscle relaxants, certain antihistamines (e.g., diphenhydramine). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients or acetaminophen. Ask your pharmacist about the safe use of these products. Do not start or stop Flextra DS or any medicine without doctor or pharmacist approval.

FLEXTRA-DS OVERDOSE: If Flextra DS overdose is suspected, contact your local poison control center or emergency room immediately.

FLEXTRA-DS NOTES: Laboratory and/or medical tests may be performed to monitor your progress.

MISSED FLEXTRA-DS DOSE: Not applicable.

FLEXTRA-DS STORAGE: Store Flextra DS at room temperature between 59 and 86 degrees F (15 and 30 degrees C) away from light and moisture.