Alka-Seltzer Plus Cold, Orange Zest - 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. Store at room temperature. Avoid excessive heat.

Active Ingredients 1 Tablet: Aspirin (Nonsteroidal Anti-Inflammatory Drug) 325 mg; Chlorpheniramine Maleate 2 mg; Phenylephrine Bitartrate 7.8 mg Inactive Ingredients Acesulfame Potassium; Anhydrous Citric Acid; Aspartame; Calcium Silicate; Dimethylpolysiloxane; Docusate Sodium; FD&C Red #40; FD&C Yellow #6; Flavors; Mannitol; Povidone; Sodium Benzoate; Sodium Bicarbonate. Each tablet contains: Sodium 476 mg.

Reye's syndrome: Children and teenagers should not use this medicine for chicken pox or flu symptoms before a doctor is consulted about 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 bleed 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 warming: 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; 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, difficulty in urination due to enlargement of the prostate gland, a breathing problem such as emphysema or chronic bronchitis, 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; excitability may occur, especially in children; you may get drowsy; avoid alcoholic drinks; 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 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; nervousness, dizziness, or sleeplessness occurs. If pregnant or breast-feeding, ask a healthcare 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. Phenylketonurics: Contains Phenylalanine 9 mg Per Tablet.