What is Apap/Pamabrom/Pyrilamine?

Acetaminophen is a pain reliever and fever reducer.

Pamabrom is a diuretic (water pill).

Pyrilamine is an antihistamine.

The combination of acetaminophen, pamabrom, and pyrilamine is used to treat the symptoms of premenstrual syndrome, such as tension, bloating, water weight gain, headache, back pain, cramps, aches, and irritability.

Acetaminophen, pamabrom, and pyrilamine may also be used for other purposes not listed in this medication guide.

What should I discuss with my healthcare provider before taking Apap/Pamabrom/Pyrilamine?

Do not take this medication if you are allergic to acetaminophen, pamabrom, or pyrilamine.

If you have certain conditions, you may need a dose adjustment or special tests to safely use this medication. Before you take acetaminophen, pamabrom, and pyrilamine, tell your doctor if you have:

• liver disease (especially cirrhosis)
• kidney disease
• asthma, bronchitis, emphysema, or other breathing problem
• glaucoma
• a blockage in your stomach or intestines
• enlarged prostate or urination problems; or
• if you drink more than three alcoholic beverages per day

It is not known whether acetaminophen, pamabrom, and pyrilamine is harmful to an unborn baby. Before taking this medication, tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether acetaminophen, pamabrom, and pyrilamine passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

Do not give this medication to a child younger than 12 years old without the advice of a doctor. Children younger than 3 years old should not take acetaminophen, pamabrom, and pyrilamine.

Apap/Pamabrom/Pyrilamine Side Effects

What are the possible side effects of Apap/Pamabrom/Pyrilamine?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using acetaminophen, pamabrom, and pyrilamine and call your doctor at once if you have a serious side effect such as:

• hot, dry skin with decreased sweating, headache, and increased thirst
• fast, pounding, or uneven heartbeat
• urinating less than usual or not at all
• easy bruising or bleeding, unusual weakness, fever, chills, body aches, flu symptoms; or
• nausea, stomach pain, low fever, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes)

Less serious side effects may include:

• dizziness, drowsiness
• feeling restless, excited, or nervous
• dry mouth
• blurred vision
• constipation

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Apap/Pamabrom/Pyrilamine Interactions

What other drugs affect Apap/Pamabrom/Pyrilamine?

Before using acetaminophen, pamabrom, and pyrilamine, tell your doctor if you regularly use other medicines that make you sleepy (such as cold or allergy medicine, sedatives, narcotic pain medicine, sleeping pills, muscle relaxers, and medicine for seizures, depression, or anxiety). They can add to sleepiness caused by acetaminophen, pamabrom, and pyrilamine.

The following drugs may interact with acetaminophen, pamabrom, and pyrilamine. Tell your doctor if you are using any of these:

• atropine (Atreza, Sal-Tropine)
• cholestyramine (Questran)
• isoniazid
• warfarin (Coumadin)
• zidovudine (Retrovir, AZT)
• a bronchodilator
• diabetes medications you take by mouth
• gout medications such as probenecid (Benemid)
• medications to treat or prevent nausea, vomiting, or motion sickness; or
• medicine to treat stomach ulcers, incontinence, or irritable bowel syndrome

Acetaminophen can be harmful to the liver, and these effects may be increased when acetaminophen, pamabrom, and pyrilamine is used together with other medicines that can harm the liver. Before taking this medication, tell your doctor if you are also using:

• cancer medications
• tuberculosis medications
• birth control pills or hormone replacement therapy
• methotrexate (Rheumatrex, Trexall)
• arthritis medications such as auranofin (Ridaura)
• an ACE inhibitor such as benazepril (Lotensin), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), lisinopril (Prinivil, Zestril), quinapril (Accupril), and others
• an antibiotic such as dapsone, erythromycin (E.E.S., EryPed, Ery-Tab, Erythrocin), or rifampin (Rifadin, Rifamate)
• an antifungal medication such as fluconazole (Diflucan), itraconazole (Sporanox), or ketoconazole (Nizoral)
• cholesterol medications such as niacin (Advicor), atorvastatin (Lipitor), lovastatin (Altocor, Mevacor), simvastatin (Zocor), and others
• HIV/AIDS medications such as abacavir/lamivudine/zidovudine (Trizivir), lamivudine (Combivir, Epivir), nevirapine (Viramune), tenofovir (Viread), or zidovudine (Retrovir)
• an NSAID (non-steroidal anti-inflammatory drug) such as ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Cataflam, Voltaren), etodolac (Lodine), indomethacin (Indocin), ketoprofen (Orudis), and others; or
• seizure medications such as carbamazepine (Carbatrol, Tegretol), phenytoin (Dilantin), and others

This list is not complete and there may be other drugs that can interact with acetaminophen, pamabrom, and pyrilamine. Tell your doctor about all your prescription and over-the-counter medications, vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start a new medication without telling your doctor.

What should I avoid while taking Apap/Pamabrom/Pyrilamine?

Do not use any other cough, cold, allergy, pain, or sleep medication without first asking your doctor or pharmacist. Acetaminophen (sometimes abbreviated as “APAP”), pamabrom, and pyrilamine are contained in many combination medicines. If you take certain products together you may accidentally take too much of a certain drug. Read the label of any other medicine you are using to see if it contains acetaminophen, APAP, pamabrom, or pyrilamine.

Avoid drinking alcohol. It can increase drowsiness caused by pyrilamine, and can increase the risk of liver damage while you are taking acetaminophen. If you drink more than three alcoholic beverages per day, do not take acetaminophen, pamabrom, and pyrilamine without your doctor’s advice, and never take more than 2 grams (2000 mg) of acetaminophen per day.

This medication can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Apap/Pamabrom/Pyrilamine Dosage

How should I take Apap/Pamabrom/Pyrilamine?

Use this medication exactly as directed on the label, or as prescribed by your doctor. Do not use it in larger amounts or for longer than recommended.

Take this medicine with a full glass of water.

An overdose of acetaminophen can cause serious harm. The maximum amount of acetaminophen for adults is 1 gram (1000 mg) per dose and 4 grams (4000 mg) per day. Taking more acetaminophen could cause damage to your liver. One acetaminophen, pamabrom, and pyrilamine tablet contains 500 mg of acetaminophen. Know the amount of acetaminophen in the specific product you are taking.

If you drink more than three alcoholic beverages per day, do not take this medication without your doctor’s advice, and never take more than 2 grams (2000 mg) per day.

Call your doctor if your symptoms do not improve after 10 days of treatment with acetaminophen, pamabrom, and pyrilamine.

Store acetaminophen, pamabrom, and pyrilamine at room temperature away from moisture and heat.

What happens if I overdose on Apap/Pamabrom/Pyrilamine?

Seek emergency medical attention if you think you have used too much of this medicine. An overdose of acetaminophen can cause serious harm.

Overdose symptoms may include dizziness, drowsiness, feeling restless or nervous, nausea, vomiting, diarrhea, stomach pain, loss of appetite, dry mouth, increased sweating, warmth or tingly feeling, jaundice (yellowing of your skin or eyes), feeling irritable, seizure (convulsions), and coma.

What happens if I miss a dose of Apap/Pamabrom/Pyrilamine?

Since this medication is often taken only when needed, you may not be on a dosing schedule. If you are taking the medication regularly, take the missed dose as soon as you remember. If it is almost time for your next dose, wait until then to take the medicine and skip the missed dose. Do not take extra medicine to make up the missed dose.

Never take more than 8 tablets in one 24-hour period.

Edited from everydayhealth.com