“Are you more or less likely to use Acetaminophen products after becoming aware of the FDA’s
More likely Less likely No change Percentages may not equal 100 due to rounding
“Do you use any of the following products that contain Acetaminophen?”
PRESCRIPTION PRODUCTS CONTAINING ACETAMINOPHEN: NON-PRESCRIPTION PRODUCTS CONTAINING ACETAMINOPHEN:
APAP: Acetaminophen Uniserts/Suppositories
Benadryl®: Allergy Sinus Headache; Severe Allergy & Sinus Headache
Butalbital: Acetaminophen and Caffeine Tablets
Contac®: Severe Cold and Flu Maximum Strength Caplets, Non-Drowsy
Coricidin®: D Cold, Flu & Sinus Tablets, HBP Cold & Flu Tablets
Esgic®: Capsules and Tablets, and Esgic-Plus™: Tablets
Drixoral®: Allergy Sinus, Cold & Flu Excedrin®: All Products
Hydrocodone Bitartrate and Acetaminophen Tablets, Capsules, Elixir
Midol®: Maximum Strength Menstrual Formula, Maximum Strength PMS
Oxycodone and Acetaminophen Tablets and Capsules
NyQuil®/DayQuil®: Cold/Flu Relief Liquid and LiquiCaps
Pentazocine: HCl and Acetaminophen Tablets
Robitussin: Cold, Multi-Symptom Cold & Flu, Multi-Symptom Honey Flu
Propoxyphene: HCl and Acetaminophen Tablets
Propoxyphene: Napsylate and Acetaminophen Tablets
Sinutab® Sinus: Sinus Allergy Medication Maximum Strength Formula
Roxicet™: Tablets, Caplets, Oral Solution
Sudafed®: Cold & Cough Liquid Caps, Cold & Sinus Liquid Caps, Severe
Cold Caplets and Tablets, Sinus Caplets and Tablets
Tylenol® with Codeine: Tablets and Elixir
Tavist®: Sinus Non-Drowsy Coated Caplets
TheraFlu®: All Regular and Maximum Strength Caplets and Hot Liquid
Triaminic®: Cold, Cough & Fever Liquid, Cough & Sore Throat Liquid,
Vicodin®, Vicodin ES®, Vicodin HP®: Tablets
Percentages may not equal 100 due to rounding
“Do you use any of the following products that contain Acetaminophen?”
Percentages may not equal 100 due to rounding
“Please indicate which type of Acetaminophen product you use.”
Prescribed Acetam inophen product(s) Over-the-counter (non-prescription) Acetam inophen product(s) Both prescribed and over-the-counter Acetam inophen products Percentages may not equal 100 due to rounding
“Do you think the FDA should pull Acetaminophen products?”
Yes, both prescription and non-prescription Acetam inophen products Yes, prescription Acetam inophen products only Yes, non-prescription Acetam inophen products only Yes, they should pull only certain products containing Acetam inophen. No, they should not pull any Acetam inophen products Percentages may not equal 100 due to rounding
2012 / 2013 INFLUENZA VACCINE CONSENT FORM & ADMINISTATION RECORD Section 1: Information to Receive Vaccine (please print) * Complete both sides of form. * NAME (Last) BIRTHDATE: DAYTIME PHONE NUMBER: Parent Name: Section 2: Self Screening Checklist: (All questions below pertain to the person named in Section 1.) * Injectable and intranasal forms of 2012 / 201
CONTACT: Joy B. Murawski, [email protected] There will be a Junior and Senior Parent/Student Seminar on Financial Aid on Thursday, November 15 from 7:00 pm - 9:00 pm at Lake Forest High School East Campus in the David Miller Theater. Please join members of the LFHS Counseling Staff as they host Jerry Cebrzynski, Director of Financial Aid at Lake Forest College, who will provide an overv