Alka-Seltzer Plus, Power Fast Fizz, Cough & Cold, Severe, Citrus, 20 Effervescent Tablets

Adults and children 12 years and over: take 2 tablets fully dissolved in 4 oz of water every 4 hours. Do not exceed 8 tablets in 24 hours or as directed by a doctor.

Children under 12 years: Do not use.

Reye's syndrome: Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye's syndrome, a rare but serious illness.

Allergy alert: Aspirin may cause a severe allergic reaction which may include:

• Hives
• Facial swelling 
• Asthma (wheezing) 
• Shock

Stomach bleeding warning: This product contains an NSAID, which may cause severe stomach bleeding. The chance is higher if you:

• Are age 60 or older
• Have had stomach ulcers or bleeding problems
• Take a blood thinning (anticoagulant) or steroid drug
• Take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others)
• Have 3 or more alcoholic drinks every day while using this product
• Take more or for a longer time than directed

Sore throat warning: If sore throat is severe, persists for more than 2 days, is accompanied or followed by fever, headache, rash, nausea, or vomiting, consult a doctor promptly. Do not use to sedate children.

Do not use:

• If you are allergic to aspirin or any other pain reliever/fever reducer
• If you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson's disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
• If you have ever had an allergic reaction to this product or any of its ingredients
• In children under 12 years of age

Ask a doctor before use if:

• Stomach bleeding warning applies to you
• You have a history of stomach problems, such as heartburn
• You have high blood pressure, heart disease, liver cirrhosis, or kidney disease
• You are taking a diuretic
• You have
  • Asthma
  • Diabetes
  • Thyroid disease
  • Glaucoma
  • Cough with excessive phlegm (mucus)
  • A breathing problem such as emphysema or chronic bronchitis
  • Difficulty in urination due to enlargement of the prostate gland
  • Persistent or chronic cough such as occurs with smoking, asthma, or emphysema
  • A sodium-restricted diet

Ask a doctor or pharmacist before use if you are:

• Taking a prescription drug for
  • Gout
  • Diabetes
  • Arthritis
• Taking sedatives or tranquilizers

When using this product:

• Do not exceed recommended dosage
• May cause marked drowsiness
• Avoid alcoholic drinks
• Excitability may occur, especially in children
• Alcohol, sedatives, and tranquilizers may increase drowsiness
• Be careful when driving a motor vehicle or operating machinery

Stop use and ask a doctor if

• An allergic reaction occurs. Seek medical help right away.
• You experience any of the following signs of stomach bleeding
  • Feel faint
  • Vomit blood
  • Have bloody or black stools
  • Have stomach pain that does not get better
• Pain, cough, or nasal congestion gets worse or lasts more than 7 days
• Fever gets worse or lasts more than 3 days
• Redness or swelling is present
• New symptoms occur
• Ringing in the ears or a loss of hearing occurs
• Cough comes back or occurs with rash or headache that lasts. These could be signs of a serious condition.
• Nervousness, dizziness, or sleeplessness occurs

If pregnant or breast-feeding, ask a health professional before use. It is especially important not to use aspirin during the last 3 months of pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away.

Store at room temperature. Avoid excessive heat.

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