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What the FDA labels say about taking them together

Acetaminophen and nicotine

Nicotine's FDA label of July 25, 2024 names acetaminophen in its drug interactions (prescription label) section; the acetaminophen labels PlainMeds reads (4) do not name nicotine. The nicotine label: “May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; …”

Check it at the source: the acetaminophen FDA label on DailyMed (effective November 13, 2024, Kenvue Brands LLC); the nicotine FDA label on DailyMed (effective July 25, 2024, Dr. Reddys Laboratories Inc.).

What does the acetaminophen label say about nicotine?

Acetaminophen's label (effective November 13, 2024) and its 3 other brand-application labels do not name nicotine in these sections. A label lists what its studies and reports found; it is not a complete list.

Source: FDA drug label (Tylenol 8 HR Arthritis Pain), Kenvue Brands LLC, effective November 13, 2024 (SPL set 3af22fc8-e4e0-4863-8696-6bc1257047cb), via openFDA; the full label on DailyMed

What does the nicotine label say about acetaminophen?

Nicotine label, drug interactions (prescription label)

May Require a Decrease in Dose at Cessation of Smoking: Acetaminophen, caffeine, imipramine, oxazepam, pentazocine, propranolol, or other beta-blockers, theophylline; Possible Mechanism: Deinduction of hepatic enzymes on smoking cessation.

Source: FDA drug label (Nicotine transdermal system), Dr. Reddys Laboratories Inc., effective July 25, 2024 (SPL set e2391b29-9bac-fc09-f2a5-a3370bc4e2c3), via openFDA; the full label on DailyMed

These are the labels' own sentences. PlainMeds does not grade interactions; a pharmacist or prescriber can say what they mean for one person's medicines.

Both medicines on the record

89Acetaminophen generic labelers
69Nicotine generic labelers
AcetaminophenNicotine
Labeled forFever, Cough and cold, PainQuitting smoking
Boxed warningYesNo
Pharmacy cost (NADAC)$0.0339 per unit 500 mg caplet$1.87 per patch 21 mg/24hr patch
Shortage nowNo current entryNo current entry

Source: FDA NDC Directory, CMS NADAC of October 7, 2026 and the FDA Drug Shortage Database (FDA files October 8, 2026)

What next?