Does Tylenol (acetaminophen) contain caffeine?

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Last updated: March 18, 2025View editorial policy

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From the Guidelines

No, plain Tylenol (acetaminophen) does not contain caffeine. According to the study published in the Annals of Internal Medicine 1, there is no evidence for the use of acetaminophen alone, but rather a combination agent acetaminophen plus aspirin plus caffeine is recommended for migraine sufferers. This suggests that acetaminophen itself does not contain caffeine, but rather it is often combined with caffeine in certain formulations. Some key points to consider:

  • Regular Tylenol products contain only acetaminophen as the active ingredient
  • Some Tylenol formulations, such as Tylenol Extra Strength with Caffeine, do contain caffeine as an additional ingredient
  • Caffeine can help improve the absorption of pain medications and constrict blood vessels in the brain, which may help reduce headache pain
  • When purchasing Tylenol products, always check the label to confirm the ingredients if you specifically want to avoid caffeine. It's also important to note that the standard dosage for regular strength Tylenol is 325-650 mg every 4-6 hours as needed, not exceeding 3,000 mg in 24 hours, as recommended by the manufacturer and supported by various clinical guidelines 1.

From the Research

Tylenol (Acetaminophen) and Caffeine Content

  • Tylenol, also known as acetaminophen, is a widely used medication for relieving mild to moderate pain and reducing fever 2, 3.
  • The provided studies do not explicitly state that Tylenol (acetaminophen) contains caffeine as an active ingredient.
  • However, some studies suggest that caffeine is often combined with acetaminophen in analgesic preparations to enhance its pain-relieving effects 4, 5, 6.
  • Caffeine has been shown to accelerate the absorption of acetaminophen and enhance its analgesic effect 5.
  • The combination of caffeine and acetaminophen has been found to have a significant reduction in pain-related cortical potentials and pain ratings compared to acetaminophen alone 5.
  • Caffeine is considered an analgesic adjuvant with a favorable risk-benefit balance, and its use in combination with acetaminophen is supported by several studies 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Acetaminophen: beyond pain and Fever-relieving.

Frontiers in pharmacology, 2011

Research

[Caffeine in analgesics--myth or medicine?].

MMW Fortschritte der Medizin, 2013

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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