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Medicine safety reminders during COVID-19

Fever is a common symptom of COVID-19, but most people with COVID-19 have mild illness and are able to recover at home without medical care. If you think you have a fever or other symptoms, ensure you are following CDC guidance.

What is a fever?

A fever is your body’s natural defense against bacterial or viral infection and is actually an indication that your immune system is doing its job. When you’re sick, your body temperature rises in an attempt to kill the temperature-sensitive bacteria causing the infection. Fevers are most commonly associated with colds and the flu.

A normal body temperature is approximately 98.6°F but may fluctuate depending on different factors. While any temperature above your normal temperature range is considered a fever, there are different levels of fever severity.

In adults, fever severity ranges from:

  • Low-grade fever: between 98.6°F – 100.4°F

  • Moderate-grade fever: between 100.4°F – 102.2°F

  • High-grade fever: greater than 102.2°F. A temperature reading at or above 104°F is called hyperpyrexia and requires immediate care. Your healthcare professional should be consulted.

Other symptoms commonly experienced with a fever include overheating, sweating, chills, weakness, achy muscles, and headache.

If you think you have a fever or other symptoms, ensure you are following CDC guidance.

Cold and flu symptoms as well as treatment options may differ in adults versus children. For more information, see our cold and flu checklist here.

Fevers can be scary. But there are several things you can do to safely manage your fever at home and help make you more comfortable.

  • Fluids: Drinking plenty of water can not only prevent dehydration but can also help lower your body temperature.

  • Rest: Your body is working on overdrive to fight off infection. Be sure to get plenty of sleep so you can help your body recover.

  • Light foods: Eat foods that are easy to digest, like crackers and soup. Avoid dairy products like milk and cheese.

  • Cool compress: Apply a damp washcloth to your forehead to help lower your temperature.

  • Over-the-counter (OTC) fever reducers: OTC pain relievers/fever reducers can lower your temperature and help relieve head and body aches. Common OTC pain relievers/fever reducers are acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs). Acetaminophen is the active ingredient in TYLENOL®, while NSAIDs include aspirin (for example, Bayer®), ibuprofen (for example, Advil® and MOTRIN® IB), and naproxen sodium (for example, Aleve®). OTC medicines are safe and effective when used as directed, but they must be used safely in order to avoid harm.

Safely treating with OTCs

If you are treating your symptoms with an OTC pain reliever/fever reducer, there are important safety considerations:

Read the Drug Facts label

Every time you take a medicine, make sure you read the Drug Facts label. OTC pain relievers/fever reducers have differences that could matter to your health–including their ingredients, warnings, and directions–which can all be found on the Drug Facts label. This is important, because with certain pain/fever medicines, your age, health conditions, and other medications you are taking may increase your risk of side effects. Make the right choice for you.

Take the right amount at the right time

With all medicines, it is important to know:

  1. How much medicine to take (also known as the dose)

  2. When to take it, and

  3. Any health warnings associated with the medicine.

Taking too much of a medicine or taking another dose too soon can cause harm. You should never exceed the maximum daily limit of any medicine. For example, severe liver damage can occur if you take more than 4,000 mg of acetaminophen in 24 hours—this is the max daily dose of acetaminophen. Taking more than 4,000 mg in 24 hours can cause acetaminophen overdose. With NSAIDs, you should take the smallest effective dose, and take it for the shortest amount of time needed.

For more information on adult dosing, see acetaminophen dosing here and NSAIDs dosing here. These dosing charts will help you understand how often you can take TYLENOL®, as well as MOTRIN IB®, Advil®, or Aleve®.­­

For dosing information for children and infants, see acetaminophen dosing here and ibuprofen dosing here.

Take only ONE active ingredient at a time

It is very important that you know the active ingredients in your medicines. Many medicines contain the same active ingredients. For example, more than 500 OTC and prescription medicines contain acetaminophen, and many of these products are for cold and flu. If you are taking a cold medicine that contains acetaminophen, you should not also take another medicine that contains acetaminophen. Taking too much can harm your liver. See more examples of these medicines here.

Concerns about ibuprofen

You may have seen or heard of concerns about ibuprofen and COVID-19. To date, we have not seen any scientifically reliable data to support an association between the use of ibuprofen and worsened outcomes from COVID-19. Each person should speak to their healthcare professional about what treatment option may be right for them for their individual condition or needs. And as always, read and follow the Drug Facts label to ensure you are using the medicine correctly.

Safe storage of medicines is always important, but it is especially important when there are kids in the home 24/7. Kids are naturally curious and may find potentially harmful things like medicines if they are kept in places within their reach. Below are some tips to keep you and your family safe at home—and to keep you at home instead of in an emergency room.

  1. Put all medicines, including your own, up and away, out of reach and sight.

  2. Put medicine away after every use. Even if you or your child may need another dose in a few hours, resist the urge to keep the medicine handy. Put it safely away.

  3. Place purses and bags that may contain medicine in high locations and avoid leaving medicines on the kitchen counter, a nightstand, or dresser.

  4. Consider products you might not think about as medicines—health products such as vitamins, diaper-rash creams, eye drops, and even hand sanitizers can be harmful if kids get into them.

  5. Close your medicine caps tightly after each use.

  6. Choose child-resistant caps for medicine bottles when you can. And remember, child-resistant does not mean childproof. So, make sure you close the container tightly after each use and put the medicine up and away, out of reach and out of sight of children. Also remember that many daily pill organizers are not child-resistant.

Taking the above precautions can help limit the chances of a child getting into medicine. But accidents do happen, so save the Poison Help number in your phone and post it visibly at home: 1-800-222-1222. Specialists at poison control centers provide free, confidential, expert medical advice 24/7. They can answer questions about how to give or take medicine and can help with poison emergencies.

For more tips and resources on medicine safety for kids, visit SafeKids.org.

If you are looking for more information or tips on keeping you and your family safe, please see below from some of our partners:

  • For Poison Center questions: In response to COVID-19, Poison Center experts are available to answer questions, alleviate concerns, and provide resources that relate to preventing poison exposures to commonly used products, including hand sanitizers, cleaning products, and medicines. In addition to calling the Poison Help Hotline (1-800-222-1222), Poison Help is available at your fingertips by visiting Poisonhelp.org. Poisonhelp.org is an easy-to-use self-triage tool that provides immediate poison help including resources.

  • For older adults and their caregivers: Guidance from the CDC respiratory viruses and older adults.

  • For parents/caregivers of young children: Preventing child injuries during the pandemic from Safe Kids Worldwide.

  • For parents/caregivers of tweens and teens: Teach your older children about medicine safety using this OTC Medicine Safety program.