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Flu medicine has caffeine because often people unknowing go through caffeine withdrawal unknowingly while they have the flu. Excedrin has it because people with headaches often just hadn't had their fix recently enough. Headaches are one of the major things a day or two after stopping.

Caffeine also potentiates the effects of OTC painkillers

http://www.ncbi.nlm.nih.gov/pubmed/2012456

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