Taking DayQuil With Aleve and Hydrocodone/APAP 7.5/325
In our latest question and answer, our pharmacist discusses the safety of combining Aleve with DayQuil and hydrocodone/APAP.
I took DayQuil earlier today. I have back pain, so I took Aleve, but it hasn't done anything. I have hydrocodone/APAP 7.5/325 mg. Is it safe to take it with everything else I've taken today?
Jan 22, 2023- DayQuil and Aleve are safe to take together since they contain different types of pain relievers with no known interactions.
- DayQuil and hydrocodone/APAP should not be taken together because both contain acetaminophen, and combining them could cause you to exceed safe acetaminophen limits and risk liver damage.
- Keep track of all acetaminophen from all sources and do not exceed 4,000mg per day or 1,000mg per dose, spacing doses at least four to six hours apart.
Answer
Thanks for reaching out!
I discuss the answer in detail below, but here are some quick points:
- Aleve (naproxen) and DayQuil (which contains acetaminophen) are generally considered safe to take together.
- Hydrocodone/APAP 7.5/325 mg contains acetaminophen, and taking it with DayQuil could result in exceeding the maximum recommended dose of acetaminophen, which can lead to serious liver damage. They should generally be separated from one another and you need to be sure you keep track of how much acetaminophen you are taking.
DayQuil Contains Acetaminophen
It is important to note that DayQuil is a multi-ingredient product that contains several drugs. 'Original' DayQuil contains:
- Acetaminophen (analgesic)
- Phenylephrine (decongestant)
- Dextromethorphan (cough suppressant)
Since DayQuil contains several ingredients, it is important to stay on top of all the other medications you are taking to make sure you aren't taking too much of any one drug.
This is especially true with acetaminophen, which is the most commonly used analgesic in over-the-counter products that are used to relieve pain and has a well-documented history of being a drug people accidentally overdose on.
DayQuil With Aleve
DayQuil is considered safe to take with Aleve as there are no known interactions between the two.
Even though Aleve is a pain reliever, it contains naproxen, an NSAID (non-steroidal anti-inflammatory drug), which is not related to Tylenol (acetaminophen). NSAIDs and Tylenol are generally considered safe to take together.
In fact, there is a product on the market that contains an NSAID and acetaminophen in a single pill (Advil Dual Action).
DayQuil With Hydrocodone/APAP
The other drug in your question is where there is some concern.
As mentioned, DayQuil contains acetaminophen. Hydrocodone/APAP 7.5/325 mg also contains acetaminophen (APAP stands for acetaminophen). Therefore, taking both could result in exceeding the maximum recommended dose of acetaminophen. You need to be very careful about combining products that contain acetaminophen.
Now, the amount of acetaminophen in one dose of DayQuil is 650mg. One tablet of hydrocodone/APAP 7.5/325 mg contains 325mg of acetaminophen.
The maximum recommended dose of acetaminophen at one time (for adults) is 1,000mg. The maximum daily dose of acetaminophen is 4,000mg.
So, you need to consider a few things here:
- Do not take more than 1,000mg of acetaminophen at one time.
- Every dose of acetaminophen should be separated by at least four to six hours.
- Do not take more than 4,000mg of acetaminophen per day.
You could take one dose of DayQuil and one tablet of hydrocodone/APAP 7.5/325 mg and still be under the 1,000mg per dose limit of acetaminophen, but again, it is very important to be aware of your overall dosages and total daily dose to be sure you stay within the dosing recommendations to avoid adverse reactions.
Final Words
I hope this was helpful! Thanks for reaching out!
References & sources
Glossary — Terms in This Answer
- Acetaminophen
- A common pain reliever and fever reducer found in many over-the-counter and prescription medications.
- NSAID
- A type of pain reliever and anti-inflammatory drug that reduces swelling and discomfort without containing acetaminophen.
- Naproxen
- A specific NSAID pain reliever and anti-inflammatory medication sold under the brand name Aleve.
- Decongestant
- A medication ingredient that helps relieve nasal congestion and stuffiness.
- Cough suppressant
- A medication ingredient that reduces or stops coughing.
- Analgesic
- A medication that relieves pain.
- Dextromethorphan
- A cough suppressant ingredient found in many over-the-counter cold and cough medicines.
- Overdose
- Taking more of a medication than is safe or recommended, which can cause serious harm or damage to the body.