Cope

Cope is a combination medicine used in adults and children who are at least 12 years old to temporarily relieve minor aches and pains like headaches, muscle pain, cold symptoms, minor arthritis pain, menstrual cramps, and fever or body aches. This medicine is sometimes used in adults to help with symptoms related to hangover.

Cope should not be used instead of sleep.

Cope may also be used for other reasons not mentioned in this medication guide.

Use exactly as directed on the label, or as prescribed by your doctor.

Cope is usually taken every 6 hours with a full glass of water.

Taking more than your recommended dose will not make Cope more effective, and may cause serious side effects.

Take with food if Cope upsets your stomach.

Limit the use of caffeine-containing medications, coffee, tea, cola, energy drinks or other sources of caffeine while taking this product.

Call your doctor if your symptoms do not improve, or if they get worse.

If you need surgery, tell the surgeon ahead of time that you are using Cope. You may need to stop using the medicine for a short time.

Store at room temperature away from moisture and heat.

Aspirin may lead to bleeding in the stomach or intestines, which can be life-threatening.

Aspirin can also trigger a severe allergic reaction. Seek emergency medical help if you notice signs of an allergic reaction: hives, trouble breathing, or swelling in your face, lips, tongue, or throat.

While taking Cope, limit your intake of caffeine-containing medications, coffee, tea, cola, energy drinks, or other sources of caffeine. Consuming too much caffeine may result in nervousness, irritability, trouble sleeping, and fast heartbeats.

Giving this medicine to a child or teenager who has flu symptoms or chickenpox can result in a serious or fatal condition known as Reye's syndrome.

You should not use Cope if you are allergic to it, or if you have:

• an allergy to an NSAID (nonsteroidal anti-inflammatory drug) such as Advil, Motrin, Aleve, naproxen, ibuprofen, celecoxib, diclofenac, indomethacin, meloxicam, and others.

Do not give this medication to a child or teenager with a fever, flu symptoms, or chicken pox. Cope can cause a condition called Reye's syndrome, which can be serious and sometimes fatal in children.

Ask a doctor or pharmacist if this medicine is safe to use if you have or have ever had:

• stomach ulcers or bleeding problems;
• heartburn;
• if you are age 60 or older;
• a habit of drinking more than 3 alcoholic beverages per day;
• heart disease, high blood pressure;
• asthma;
• gout;
• diabetes;
• if you are on a low-salt diet; or
• liver or kidney disease.

This medicine may contain phenylalanine and could be harmful if you have phenylketonuria (PKU).

Do not use Cope during pregnancy unless your doctor tells you to. Using an NSAID in the last 20 weeks can harm the unborn baby or cause pregnancy complications.

Ask a doctor before using this medicine if you are breastfeeding.

Get emergency medical help if you have signs of an allergic reaction: hives, difficulty breathing, swelling of your face, lips, tongue, or throat.

Cope may cause serious side effects. Stop using Cope and call your doctor immediately if you have:

• hearing loss or a ringing in your ears;
• redness or swelling;
• severe nausea, vomiting, or stomach pain;
• nervousness, irritability, rapid heartbeat;
• sleep problems (insomnia);
• fever lasting longer than 3 days;
• pain lasting longer than 10 days; or
• stomach bleeding—bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds.

Less serious side effects may happen more often, or you may have none at all.

This is not a complete list of side effects, and others may occur. Call your doctor for medical advice about side effects. You can report side effects to the FDA at 1-800-FDA-1088.

Cope is taken as needed. If you are following a dosing schedule and miss a dose, just skip it. Do not take two doses at the same time.

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

Drinking alcohol may raise your chances of stomach bleeding.

Talk to a doctor or pharmacist before using other medicines for pain, fever, swelling, or cold/flu symptoms. They might have ingredients similar to Cope (like ibuprofen, ketoprofen, or naproxen).

Ask a doctor or pharmacist before using Cope with any other medicines, especially:

• gout medication;
• a diuretic or "water pill";
• arthritis medication;
• diabetes medications;
• steroids;
• a blood thinner--warfarin, Coumadin, Jantoven; or
• NSAIDs (nonsteroidal anti-inflammatory drugs)--aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others.

This list is not complete. Other drugs may affect Cope, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible drug interactions are listed here.