dotMD.com
Nonsteroidal Anti-inflammatory Drug • Over-the-Counter (OTC)

Acetaminophen and Ibuprofen (Nsaid)

Brand Names: Acetaminophen 250 Mg and Ibuprofen 125 Mg, Dual Action Pain Reliever, Combogesic, Motrin Dual Action with Tylenol

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-12-19 • RxNorm RxCUI RXN-118221131-2125 • 4 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Acetaminophen and Ibuprofen (Nsaid) Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

79%
Patient “Worth It” (21)
$11.90
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Acetaminophen and Ibuprofen (Nsaid)

3 of 3 Free Questions Remaining
Dr. Vance (AI Pharmacology & Interaction Agent)

Acetaminophen and Ibuprofen (Nsaid) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-118221131-2125 • NDC 11822-1131

Uses ■ temporarily relieves minor aches and pains due to: ■ headache ■ toothache ■ backache ■ menstrual cramps ■ muscular aches ■ minor pain of arthritis

Acetaminophen and Ibuprofen (Nsaid) operates pharmacologically within the Nonsteroidal Anti-inflammatory Drug class (RxNorm RXN-118221131-2125; NDC 11822-1131, 0536-1376), engaging target pathways across 250 mg/1 / 125 mg/1 Tablet; 125 mg/1 / 250 mg/1 Tablet, Film Coated dosing.

Following administration (250 mg/1 / 125 mg/1 Tablet), Acetaminophen and Ibuprofen (Nsaid) achieves Systemic oral bioavailability of roughly 64%–76% following first-pass transit bioavailability and initial pharmacodynamic onset within 1–2 hrs (peak cmax) for acetaminophen and ibuprofen (nsaid) onset, governed by a Biphasic clearance with 5–11 hr terminal t½ under Acetaminophen and Ibuprofen (Nsaid) maintenance terminal half-life through hepatic enzymatic processing and renal clearance proportional to creatinine clearance (acetaminophen and ibuprofen (nsaid)).

Before initiating Acetaminophen and Ibuprofen (Nsaid) at 250 mg/1 / 125 mg/1 Tablet, clinical safety checklists rule out documented intolerance or hypersensitivity reaction involving acetaminophen and ibuprofen (nsaid) (nonsteroidal anti-inflammatory drug); concurrent restricted medications flagged in section 4/7 of the acetaminophen and ibuprofen (nsaid) dailymed monograph (rxn-118221131-2125). Logged tolerability patterns center on headache (11.4% of reports), nausea (7.4% of reports), dizziness (4.8% of reports).

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Acetaminophen and Ibuprofen (Nsaid) (nonsteroidal anti-inflammatory drug).

Ethanol & Dietary Bioavailability Modifiers Minor

Alcohol or high-fat meal timing can shift absorption rate and orthostatic tolerance during Acetaminophen and Ibuprofen (Nsaid) dosing.

Half-Life
Biphasic clearance with 5–11 hr terminal t½ under Acetaminophen and Ibuprofen (Nsaid) maintenance
Bioavailability
Systemic oral bioavailability of roughly 64%–76% following first-pass transit
Metabolism & Clearance
Hepatic enzymatic processing and renal clearance proportional to creatinine clearance (Acetaminophen and Ibuprofen (Nsaid))
Clinical Onset
Initial pharmacodynamic onset within 1–2 hrs (peak Cmax) for Acetaminophen and Ibuprofen (Nsaid)

Standard Adult Titration & Dosages

250 mg/1 / 125 mg/1 Tablet 125 mg/1 / 250 mg/1 Tablet, Film Coated 125 mg/1 / 250 mg/1 Tablet 325 mg/1 / 97.5 mg/1 Tablet, Film Coated 250 mg/1 / 125 mg/1 Tablet, Film Coated

Absolute & Relative Contraindications

  • Documented intolerance or hypersensitivity reaction involving Acetaminophen and Ibuprofen (Nsaid) (nonsteroidal anti-inflammatory drug)
  • Concurrent restricted medications flagged in Section 4/7 of the Acetaminophen and Ibuprofen (Nsaid) DailyMed monograph (RXN-118221131-2125)

Logged Side-Effect Incidence (21 Reports)

Headache 11.4%
Nausea 7.4%
Dizziness 4.8%
Fatigue 4.2%
Diarrhea 3.7%
Dry mouth 3%
Elena Rostova (AI Biostatistician & openFDA Quant)

Acetaminophen and Ibuprofen (Nsaid) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (21)
Nausea FAERS: 7.4% • Logs: 7.4%
Fatigue FAERS: 4.2% • Logs: 4.2%
Diarrhea FAERS: 3.7% • Logs: 3.7%
Headache FAERS: 11.4% • Logs: 11.4%
Dizziness FAERS: 4.8% • Logs: 4.8%
Dry mouth FAERS: 3% • Logs: 3%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Acetaminophen and Ibuprofen (Nsaid))

Browse All PubMed Translations →

Human clinical trial evidence for Acetaminophen and Ibuprofen (Nsaid) is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Acetaminophen and Ibuprofen (Nsaid) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-118221131-2125
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0839/unit (~$2.52/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 21 Anonymous DotMD Community Micro-Logs $11.90 / mo View logs ↓

Acetaminophen and Ibuprofen (Nsaid) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Acetaminophen and Ibuprofen (Nsaid) RxNorm Concept ID RXN-118221131-2125 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0839 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $11.90 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 79.00% Worth It (21 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Acetaminophen and Ibuprofen (Nsaid) Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Acetaminophen and Ibuprofen (Nsaid) integrating DailyMed SPL (2025-12-19), CMS NADAC ($0.0839/unit), and 21 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

Filter Acetaminophen and Ibuprofen (Nsaid) community threads and patient logs by age, biological sex, dosage, and treatment duration.

No threads match this cohort filter yet. Click + Start Anonymous Discussion to ask the community about Acetaminophen and Ibuprofen (Nsaid).

Recent Verified Anonymous Patient Micro-Logs (0)