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Combining Medications

Excedrin is committed to your safety. Learn about key ingredients and medication combinations you should be aware of before taking any Excedrin product.

Active ingredients in Excedrin

  • Aspirin
  • Acetaminophen
  • Caffeine
  • Diphenhydramine citrate

How active ingredients work together

Excedrin’s specialized formula contains two pain relievers (acetaminophen and aspirin) plus an amplifier (caffeine) that work together to target head pain. Aspirin is a non-steroidal anti-inflammatory drug or NSAID. Aspirin helps to block the production of pain signaling chemicals called prostaglandins. The way in which acetaminophen works is still not well understood. However, it is believed to elevate the pain threshold. This allows you to tolerate more pain, therefore providing pain relief. Finally, caffeine has been shown to increase the potency of aspirin and acetaminophen by up to 40 percent. This means less acetaminophen and aspirin is needed to relieve your migraine pain when combined with caffeine.

Acetaminophen, aspirin and caffeine, when taken as directed, provide clinically proven headache relief. Excedrin is a combination of these ingredients: two pain relievers, plus an amplifier to enhance the analgesic effect.

Acetaminophen, also known as paracetamol, should not be taken with other medicines that also contain acetaminophen. Acetaminophen is contained in many medicines to treat pain, fever, symptoms of cold and flu, and sleep medicines. Do not take more than recommended dose, as this may be harmful, including serious harm to your liver. If you have liver or kidney disease, talk to your doctor before taking acetaminophen.

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Why caffeine?

You may have heard that caffeine can cause or exacerbate headaches, and if so, you’re probably wondering why there’s caffeine in most Excedrin products.

It’s true that caffeine can be a headache trigger in certain situations, but that’s far from the full story.

Caffeine is referred to as an ‘analgesic adjuvant’. This means that it helps to boost the effects of certain pain relievers. In the case of Excedrin, caffeine boosts the pain-relieving effects of aspirin and acetaminophen – making these medicines up to 40% more effective.

That’s why you’ll find caffeine in almost all Excedrin products. Only Excedrin PM Headache does not contain caffeine, as caffeine consumed too close to bedtime can keep you from getting a good night’s sleep.