Brand name:

Abreva


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Pronounced: Ah-BREE-va

Generic name: Docosanol

What this drug is used for
Abreva speeds the healing of cold sores and fever blisters on the face or lips. It also relieves the accompanying symptoms, including tingling, pain, burning, and itching. Abreva cannot, however, prevent cold sores or fever blisters from appearing.

Abreva should be used at the first sign of a cold sore or fever blister, which is usually felt as a tingling sensation. Early treatment ensures the best results.

How should you take this medication?
Wash your hands and apply Abreva to the affected area on your face or lips. Rub the cream in gently but completely. Wash your hands again when you're done.

* ADULTS

For adults and children 12 years and over, apply the cream 5 times a day until the infection heals.

* CHILDREN

For children under 12 years, consult your doctor.

* STORAGE

Store at room temperature and protect from freezing.

Do not take this medication if...
Avoid using Abreva if you have a known allergy to it. If signs of an allergic reaction--including hives, swelling, or itching--do occur, stop using the product immediately.

Special warnings about this medication
Stop using Abreva and call your doctor if the infection gets worse or does not heal in 10 days.

Do not share this product with anyone, as it could spread the infection.

Abreva is meant for external use only. Do not use it in or near the eyes, and avoid applying it directly inside your mouth. Also avoid using it on healthy skin.


Brand name:

Actifed Cold & Allergy


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Pronounced: AK-tuh-fed

Generic ingredients: Pseudoephedrine hydrochloride, Triprolidine hydrochloride

Other brand name: Sudafed Sinus Nighttime

What this drug is used for
These products temporarily relieves the stuffy nose that often results from a common cold. It can also be used for hay fever and other allergy symptoms such as runny nose, sneezing, itchy nose or throat, and itchy, watery eyes.

How should you take this medication?
Doses may be taken every 4 to 6 hours. Do not take more than 4 doses each 24 hours.

* ADULTS
For adults and children 12 and over, the usual dose is 1 tablet.

* CHILDREN
For children 6 to 12, the usual dose is half a tablet. For children under 6, consult a doctor.

* STORAGE
Store at room temperature in a dry place and protect from light.

Do not take this medication if...
Check with your doctor before taking these products if you have diabetes, heart disease, high blood pressure, thyroid disease, breathing problems such as emphysema or chronic bronchitis, high pressure within the eye (glaucoma), or an enlarged prostate gland.

Special warnings about this medication
If you become nervous or dizzy, or have trouble sleeping while taking this medication, stop using it and call your doctor. Be aware that these products may cause excitability, especially in children.

If you do not feel better in 7 days, or if you have a fever, stop taking this medication and see your doctor.

These products can cause drowsiness. Be especially careful when operating machinery or driving.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, including the antidepressants Nardil and Parnate.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, you may suffer increased drowsiness when taking these products. For the same reason, avoid alcohol while taking this medication.

Brand name:

Advil


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Pronounced: ADD-vill

Generic name: Ibuprofen

Other brand names: Motrin, Nuprin

What this drug is used for
These ibuprofen-based pain relievers can be used by both adults and children for headache, toothache, and the type of minor aches and pains that accompany a cold or flu. Adults can also use them for muscular aches, backache, minor arthritis pain, and menstrual cramps. The products also reduce fever.

The adult formulations are available in tablet, caplet, gelcap, and liquigel form. Advil and Motrin also come in the form of infants' drops, children's liquids and chewable tablets, and junior strength pills and chewable tablets.

Advil and Motrin are also marketed for migraine headaches under the brand names Advil Migraine Liquigels and Motrin Migraine Pain Caplets. The pills contain the same amount of ibuprofen as regular Advil and Motrin.

How should you take this medication?
If you find that this medication causes mild heartburn, upset stomach, or stomach pain, try taking it with food or milk.

* ADULTS
For adults and children 12 years and over, the usual dosage is 1 pill every 4 to 6 hours. If you do not feel better, you may increase the dosage to 2 pills, but do not take more than 6 pills each 24 hours.

For migraine, the usual dosage is 1 or 2 pills. Do not take more than 2 pills in 24 hours. If the headache fails to improve or gets worse, check with your doctor.

* CHILDREN
Doses may be repeated every 6 to 8 hours, up to a maximum of 4 times a day. Shake liquid products well before using. They come with measuring cups for accurate dosing. Infants' drops come with a calibrated dropper. When giving the drops, be sure to use only this dropper and follow dosage instructions carefully. The drops are more concentrated than other liquid formulations and can cause an overdose if used as a substitute.

Children 11 to 12
The usual dosage is 3 teaspoonfuls of children's liquid, three 100-milligram chewable tablets, six 50-milligram chewable tablets, or 3 junior strength pills.

Children 9 to 10
The usual dosage is 2.5 teaspoonfuls of children's liquid, two-and-a-half 100-milligram chewable tablets, five 50-milligram chewable tablets, 2 Junior Strength Advil tablets, or two-and-a-half Junior Strength Motrin caplets.

Children 6 to 8
The usual dosage is 2 teaspoonfuls of children's liquid, two 100-milligram chewable tablets, four 50-milligram chewable tablets, or 2 junior strength pills.

Children 4 to 5
The usual dosage is 1.5 teaspoonfuls of children's liquid or three 50-milligram chewable tablets.

Children 2 to 3
The usual dosage is 1 teaspoonful of children's liquid or two 50-milligram chewable tablets.

Infants 12 to 23 months
The usual dosage is 1.875 milliliters of infants' drops.

Infants 6 to 11 months
The usual dosage is 1.25 milliliters of infants' drops.

* STORAGE
Store at room temperature. Protect from high temperatures.

Do not take this medication if...
If aspirin or acetaminophen has ever given you a severe allergic reaction (asthma, swelling, shock, or hives), do not take these products. They could have a similar effect. Check with your doctor before using these products if you've had any side effects from other over-the-counter pain relievers.

Do not give these products to a child who has not been drinking fluids or has lost a great deal of fluid through vomiting or diarrhea. Unless your doctor approves, do not use these products for stomach pain in a child.

Special warnings about this medication
Stop taking this medication and call your doctor if you develop any unusual or unexpected new symptoms. Do likewise if the drug causes significant or lasting stomach problems, or triggers an allergic reaction.

Do not take this medication for more than 10 days for pain or 3 days for fever without your doctor's approval. (Limit its use in children to 3 days.) If the pain or fever won't go away or gets worse, or if you develop new symptoms or notice any redness or swelling, check with your doctor; you might have a serious condition.

You should also check with your doctor immediately if your child has a severe sore throat that lasts for more than 2 days, or the sore throat is accompanied or followed by fever, headache, rash, nausea, or vomiting. Do not use for sore throat in children under 3.

Do not take this medication during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier during pregnancy, and while nursing a baby, check with your doctor before taking any of these products.

If you consume 3 or more alcoholic drinks per day, check with your doctor before taking this medication. It may cause stomach bleeding.

If you must avoid phenylalanine, check package labeling carefully. Several formulations include it.

Before using this medication for migraine, check with your doctor first if:


You've never been diagnosed with migraine.
The headache is different than usual or exceptionally bad.
You have a fever and stiff neck.
The headache begins after a head injury, exertion, coughing, or bending.
Your headaches developed after age 50.
The headaches occur daily.
The headache is so severe as to require bed rest
The headache is accompanied by vomiting

Possible food and drug interactions when taking this medication
Unless your doctor approves, do not combine this medication with other pain relievers, including aspirin-containing products such as Ecotrin, Empirin, and Excedrin, acetaminophen-containing products such as Tylenol, Panadol, and TheraFlu, and other ibuprofen-containing products such as Advil Cold and Sinus.

Also check with your doctor before combining this medication with prescription drugs, especially the following:

Blood pressure medications known as ACE inhibitors, including Vasotec and Capoten
Blood-thinning drugs such as Coumadin
Diuretics such as Lasix and HydroDIURIL
Lithium (Eskalith)
Methotrexate (Rheumatrex)

Overdosage
Symptoms of ibuprofen overdose may include:
Abdominal pain, breathing difficulties, coma, drowsiness, headache, irregular heartbeat, kidney failure, low blood pressure, nausea, ringing in the ears, seizures, sluggishness, vomiting

If you suspect an overdose, seek medical attention immediately.

Brand name:

Advil Cold and Sinus


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Pronounced: ADD-vill

Generic ingredients: Ibuprofen, Pseudoephedrine hydrochloride

Other brand names: Advil Flu & Body Ache Caplets, Motrin Cold & Flu Caplets, Motrin Sinus Headache Caplets, Motrin IB Sinus Pain Reliever/Fever Reducer/Nasal Decongestant, Vicks Dayquil Sinus Pressure & Pain Relief

What this drug is used for
With a combination of the painkiller ibuprofen and the decongestant pseudoephedrine, all of these sinus products temporarily relieve symptoms of the common cold, sinusitis (swelling and pain in the sinuses), and flu, including stuffy nose, fever, headache, and body aches and pains. A liquid form is available for children (see Children's Motrin Cold).

How should you take this medication?
Take 1 pill every 4 to 6 hours as long as you have symptoms. If you do not feel better, you can take 2 pills, but do not take more than 6 pills in 24 hours unless your doctor tells you to.

If you have occasional mild heartburn, upset stomach, or stomach pain while using one of these products, take it with food or milk. If your stomach problems continue or get worse, call your doctor.

* STORAGE
Store at room temperature. Protect from excessive heat.

Do not take this medication if...
Check with your doctor before using these products if you have high blood pressure, heart disease, diabetes, thyroid disease, stomach pain, or an enlarged prostate gland.

If you are allergic to aspirin or acetaminophen, do not take these products. They could cause a similar reaction. Also avoid these products if you are taking a prescription drug classified as an "MAO inhibitor" (see "Possible food and drug interactions..." below). If you have had serious side effects from any nonprescription pain reliever, or you are taking other drugs on a regular basis, check with your doctor before using any of these products.

Do not give these products to children under 12 without your doctor's approval.

Special warnings about this medication
Avoid these products during the last 3 months of pregnancy. They could harm the unborn child or cause problems during delivery. Check with your doctor before taking these products at any time during pregnancy. Check, too, if you are under a doctor's care for any serious medical problem.

Stop taking these products and check with your doctor if pain or stuffy nose lasts more than 7 days or fever lasts more than 3 days. Do likewise if your symptoms get worse or new ones develop, if you suffer stomach pain, or if the medication triggers an allergic reaction.

If you become nervous or dizzy, or have trouble sleeping while taking one of these products, stop using it and call your doctor. In fact, if you have any symptoms that are unusual or seem to have nothing to do with the condition for which you took the product, talk to your doctor before taking any more of this medicine.

Check with your doctor before using these products if you consume 3 or more alcoholic drinks per day. The ibuprofen in these medications can cause stomach bleeding.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate.

Check with your doctor before combining these products with others containing ibuprofen or pseudoephedrine, other nonprescription pain relievers such as Aspirin or Tylenol, or other nasal decongestants, such as Sudafed or Vicks Sinex.


Brand name:

Afrin 12 Hour


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Pronounced: A-frin

Generic name: Oxymetazoline hydrochloride

Other brand names: 12 Hour Nostrilla, Duration 12 Hour, Neo-Synephrine 12 Hour, Vicks Sinex 12-Hour

What this drug is used for
These products provide temporary relief of stuffy nose caused by colds, inflamed sinuses, or allergies such as hay fever. Two of these products--Neo-Synephrine, and Vicks Sinex--also come in a shorter-acting, 4-hour formulation based on a different active ingredient. (See the profile on Neo-Synephrine.)

How should you use this medication?
Squeeze Bottles: Squeeze the bottle quickly and firmly while you inhale. Do not tilt your head backward while spraying. Wipe the nozzle clean after use.

Pump Spray: Remove the cap and prime the pump by pressing it down firmly several times. Hold the bottle with your thumb at the base and the nozzle between your first and second fingers. With your head held upright, put the nozzle into your nostril, depress the pump 2 or 3 times, and sniff deeply.

* ADULTS

For adults and children 6 and over, the usual dose is 2 or 3 sprays in each nostril. Do not use any of these products more often than every 10 to 12 hours or take more than 2 doses in any 24-hour period. Children need adult supervision.

* CHILDREN

For children under 6, consult your doctor.

* STORAGE

Store at room temperature.

Do not take this medication if...

Unless your doctor approves, do not use any of these products if you have diabetes, heart disease, high blood pressure, thyroid disease, or an enlarged prostate gland.

Special warnings about this medication
These products may cause temporary burning, stinging, sneezing, or runny nose.

Do not take more than the recommended dosage or use for more than 3 days. If you use these products too often or too long, your stuffy nose may come back or get worse. Do not share this medication, since this could spread infection. If your stuffy nose doesn't clear up, call your doctor.

Brand name:

Aleve


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Pronounced: ah-LEEV

Generic name: Naproxen sodium

What this drug is used for
Aleve reduces fever and gives temporary relief from pain. It can be used for:


Aches and pains of the common cold
Headache
Toothache
Muscle aches
Backache
Minor arthritis pain
Menstrual cramps
Aleve is available in tablet, caplet, and gelcap form.

How should you take this medication?
Take each dose with a full glass of liquid. Use the minimum amount needed to provide relief.

* ADULTS
The usual dose is 1 pill every 8 to 12 hours. Some people find the drug works better when they take 2 pills for the first dose followed by 1 pill 12 hours later. Do not take more than 3 pills in 24 hours.

* OLDER ADULTS
If you are over age 65, do not take more than 1 pill every 12 hours.

* CHILDREN
Not for use in children under 12.

* STORAGE
Aleve may be stored at room temperature. Protect from excessive heat.

Do not take this medication if...
Avoid Aleve if any other pain reliever has given you a severe allergic reaction. People who are allergic to one type of pain reliever are often allergic to others.

Special warnings about this medication
Symptoms of an allergic reaction to Aleve include hives, facial swelling, wheezing, and shock. If you suspect an allergic reaction, seek medical help immediately.

Stop taking this medication and check with your doctor if:


Pain lasts for more than 10 days
Fever lasts for more than 3 days
Your pain or fever gets worse or won't go away
The painful area is red or swollen
You have had serious side effects from any other pain reliever
Any new or unusual symptoms appear
You have difficulty swallowing or it feels like the pill is stuck in your throat
You develop heartburn or stomach pain, or if even mild digestive problems persist

Do not take Aleve during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier in pregnancy, and while nursing, consult your doctor before taking Aleve.

If you generally drink 3 or more alcoholic beverages per day, check with your doctor about taking Aleve. It may cause stomach bleeding.

Possible food and drug interactions when taking this medication
Unless your doctor directs, do not combine Aleve with aspirin (Bayer), ibuprofen (Motrin, Advil), or acetaminophen (Tylenol). Also avoid other products that contain Aleve's active ingredient, naproxen. Medications containing naproxen include the prescription painkillers Anaprox and Naprosyn.

Naproxen can also interact with a number of other prescription drugs. It is especially important to check with your doctor before taking Aleve with the following:

Blood-thinning drugs such as Coumadin
Furosemide (Lasix)
Heart and blood pressure medications classified as "ACE inhibitors," including Capoten, Vasotec, and Zestril
Heart and blood pressure medications known as "beta blockers," including Inderal, Lopressor, and Tenormin
Lithium (Eskalith)
Methotrexate
Oral diabetes drugs such as Diabinese and Micronase
Phenytoin (Dilantin)
Probenecid
Sulfa drugs such as Bactrim and Septra

Brand name:

Aleve Cold & Sinus


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Pronounced: ah-LEEV

Generic ingredients: Naproxen sodium, Pseudoephedrine hydrochloride

Other brand name: Aleve Sinus & Headache

What this drug is used for
These two Aleve products contain exactly the same ingredients. They reduce fever and give temporary relief from such cold, sinus, and flu symptoms as headache, minor body aches and pains, nasal and sinus congestion, and sinus pressure

How should you take this medication?
Take each dose with a full glass of water. Swallow the pills whole. Do not crush or chew them.

* ADULTS
For adults and children 12 years and over, the usual dose is 1 pill every 12 hours. Do not take more than 2 pills in 24 hours.

* CHILDREN
For children under 12, consult your doctor.

* STORAGE
Store at room temperature in a dry place.

Do not take this medication if...
Avoid these products if any other pain reliever or fever reducer has given you a severe allergic reaction with symptoms such as hives, facial swelling, asthma, or shock. People who are allergic to one type of pain reliever are often allergic to others. Also avoid these products if you are taking a prescription drug classified as an "MAO inhibitor" (see "Possible food and drug interactions..." below).

Check with your doctor before using these products if you have heart disease, high blood pressure, thyroid disease, diabetes, or an enlarged prostate gland, or if you've had serious side effects from another type of pain reliever/fever reducer.

Special warnings about this medication
Do not take these products during the last 3 months of pregnancy. They could harm the baby or cause complications during delivery. Earlier in pregnancy, and while breastfeeding, consult your doctor before taking these products.

If you generally drink 3 or more alcoholic beverages per day, check with your doctor about taking these products. The naproxen they contain can cause stomach bleeding.

Stop taking this medication and check with your doctor if:

You feel dizzy or nervous, or have trouble sleeping
You have trouble swallowing, or the pill feels stuck in your throat
Your symptoms get worse or won't go away
Any new or unusual symptoms appear
You develop significant heartburn, upset stomach, or stomach pain, or if even mild digestive problems persist
You have a chronic medical condition
Fever lasts more than 3 days, or nasal congestion continues for more than 7 days

Possible food and drug interactions when taking this medication
Do not use these products while you are taking or within 2 weeks of stopping a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate.

Unless your doctor approves, do not combine these products with other decongestants, pain relievers, or fever reducers, including aspirin (Bayer), ibuprofen (Motrin, Advil), or acetaminophen (Tylenol). Also avoid other products that contain this drug's active ingredients, naproxen and pseudoephedrine. Medications containing naproxen include the prescription painkillers Anaprox and Naprosyn. Medications containing pseudoephedrine include the nonprescription decongestants Contac 12 Hour Cold Caplets, Sudafed, and Tylenol Sinus.

These products can also interact with a number of other drugs. It is especially important to check with your doctor before taking them with the following:

Antidepressants such as Elavil, Norpramin, Paxil, and Prozac
Blood-thinning drugs such as Coumadin
Furosemide (Lasix)
Heart and blood pressure medications classified as ACE inhibitors, including Vasotec and Zestril
Heart and blood pressure medications known as beta blockers, including Inderal, Lopressor, and Tenormin
Lithium
Methotrexate
Oral diabetes drugs such as Diabinese and Micronase
Phenytoin (Dilantin)
Probenecid
Sulfa drugs such as the antibiotics Bactrim and Septra

Brand name:

Alka-Seltzer


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Pronounced: AL-ka-SELL-tser

Generic ingredients: Aspirin, Citric acid, Sodium bicarbonate

What this drug is used for
Alka-Seltzer relieves heartburn, acid indigestion, and sour stomach with headache. It can also be used for pain alone, including headaches and muscular aches and pains.

Alka-Seltzer is available in regular and extra-strength effervescent tablets. Regular strength Alka-Seltzer comes in three flavors: "original," lemon-lime, and cherry.

How should you take this medication?
Do not swallow Alka-Seltzer tablets whole. They must be dissolved in water. For regular-strength tablets, doses can be repeated every 4 hours, up to a maximum of 8 tablets each 24 hours. For extra-strength tablets, doses can be repeated every 6 hours, up to a maximum of 7 tablets each 24 hours. Those over the age of 60 should take no more than 4 tablets a day of either type.

The usual dose is 2 tablets dissolved in 4 ounces of water.

Do not take this medication if...
Do not take this product if you are allergic to aspirin or any other pain reliever/fever reducer. Check with your doctor before using this product if you have asthma, ulcers, persistent stomach problems, or bleeding problems.

Special warnings about this medication
The aspirin in Alka-Seltzer has been known to trigger a serious illness called Reye's syndrome in children and teenagers who catch a virus. If your child gets chickenpox or flu, do not treat the symptoms with this product.

Stop using this product and call your doctor if pain gets worse or lasts more than 10 days. Do likewise if you develop new symptoms, notice redness or swelling, develop ringing in the ears, or suffer a loss of hearing. If you have an allergic reaction to the product, seek medical attention immediately.

Do not take this product during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier during pregnancy, and while nursing a baby, check with your doctor before taking Alka-Seltzer.

If you have 3 or more alcoholic drinks every day, check with your doctor about using this product. The aspirin it contains can cause stomach bleeding.

If you must avoid phenylalanine, do not use the cherry or lemon-lime flavors of Alka-Seltzer, which contain this substance.

Possible food and drug interactions when taking this medication
Aspirin-containing products such as Alka-Seltzer can interact with a number of prescription drugs. Check with your doctor before combining it with any of the following:

Acetazolamide (Diamox)
ACE-inhibitor-type blood pressure medications such as Capoten
Anti-gout drugs such as Anturane, Benemid, and Zyloprim
Arthritis preparations such as Aleve, Anaprox, Ecotrin, Indocin, Motrin, Naprosyn, and Orudis
Blood-thinning drugs such as Coumadin
Certain diuretics (water pills), including Lasix
Diabetes medications, including DiaBeta, Diabinese, Micronase, and Glucotrol
Diltiazem (Cardizem)
Dipyridamole (Persantine)
Seizure medications such as Depakene
Steroids such as prednisone (Deltasone, Orasone)

Brand name:

Alka-Seltzer Heartburn Relief


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Pronounced: AL-kah SELL-tser

Generic ingredients: Citric acid, Sodium bicarbonate

What this drug is used for
Alka-Seltzer Heartburn Relief is used for heartburn, indigestion, and upset stomach. Unlike regular Alka-Seltzer, it contains no aspirin, and therefore will not relieve other types of pain.

Alka-Seltzer Heartburn Relief is available in lemon-lime effervescent tablets.

How should you take this medication?
Do not swallow Alka-Seltzer Heartburn Relief tablets whole. They must be dissolved in 4 ounces of water.

* ADULTS
For adults and children 12 years and over, the usual dose is 2 tablets every 4 hours. Do not take more than 8 tablets in 24 hours.

* CHILDREN
For children under 12, consult your doctor.

* OLDER ADULTS
For people 60 years and over, the usual adult dose applies. However, older adults should not take more than 4 tablets in 24 hours.

Do not take this medication if...
Avoid Alka-Seltzer Heartburn Relief if you are on a sodium-restricted diet.

Special warnings about this medication
If symptoms last more than 2 weeks, stop taking this medication and check with your doctor.

If you must avoid phenylalanine, do not use this product, which contains it.

Possible food and drug interactions when taking this medication
Antacids such as Alka-Seltzer Heartburn Relief can interfere with a number of prescription drugs. It is especially important to check with your doctor before combining this product with the following:

Cellulose sodium phosphate (Calcibind)
Isoniazid (Rifamate)
Ketoconazole (Nizoral)
Mecamylamine (Inversine)
Methenamine (Mandelamine)
Sodium polystyrene sulfonate resin (Kayexalate)
Tetracycline antibiotics (Achromycin, Minocin)

Brand name:

Alka-Seltzer Morning Relief


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Pronounced: AL-ka-SELL-tser

Generic ingredients: Aspirin, Caffeine

What this drug is used for
This variety of Alka-Seltzer is marketed specifically for hangovers. It provides temporary relief of headache, body aches and pains, fatigue, and drowsiness.

How should you take this medication?
Do not swallow these tablets whole. They must be dissolved in water.

* ADULTS
For adults and children 12 and over, the usual dose is 2 tablets dissolved in 4 ounces of water. Doses may be repeated every 6 hours. Do not take more than 8 tablets in 24 hours.

* CHILDREN
Not recommended.

* OLDER ADULTS
The usual adult dose applies, but avoid taking more than 4 tablets in 24 hours.

Do not take this medication if...
Do not take this product if you are allergic to aspirin or any other pain reliever/fever reducer. Check with your doctor before using this product if you have asthma, ulcers, persistent stomach problems, or bleeding problems, or you are on a sodium-restricted diet.

Special warnings about this medication
The aspirin in Alka-Seltzer Morning Relief has been known to trigger a serious illness called Reye's syndrome in children and teenagers who catch a virus. If your child gets chickenpox or flu, do not treat the symptoms with this product.

Stop using this product and call your doctor if pain gets worse or lasts more than 10 days. Do likewise if you develop new symptoms, notice redness or swelling, develop ringing in the ears, or suffer a loss of hearing. If you have an allergic reaction to the product, seek medical attention immediately.

Do not take this product during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier during pregnancy, and while nursing a baby, check with your doctor before taking this product.

If you have 3 or more alcoholic drinks every day, check with your doctor about using this product. The aspirin it contains can cause stomach bleeding.

Large amounts of the caffeine in this product can cause nervousness, irritability, sleeplessness, and rapid heartbeat. Limit your intake of other caffeine-containing medications, foods, and beverages. Do not use this product regularly as a substitute for sleep. If you continue to suffer fatigue or drowsiness, see your doctor.

If you must avoid phenylalanine, do not use this product, which contains it.

Possible food and drug interactions when taking this medication
Aspirin-containing products such as Alka-Seltzer Morning Relief can interact with a number of prescription drugs. Check with your doctor before combining it with any of the following:

Acetazolamide (Diamox)
ACE-inhibitor-type blood pressure medications such as Capoten
Anti-gout drugs such as Anturane, Benemid, and Zyloprim
Arthritis preparations such as Aleve, Anaprox, Ecotrin, Indocin, Motrin, Naprosyn, and Orudis
Blood-thinning drugs such as Coumadin
Certain diuretics (water pills), including Lasix
Diabetes medications, including DiaBeta, Diabinese, Micronase, and Glucotrol
Diltiazem (Cardizem)
Dipyridamole (Persantine)
Seizure medications such as Depakene
Steroids such as prednisone (Deltasone, Orasone)

Alka-Seltzer Plus Cold & Cough Medicine Liqui-gels


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Pronounced: AL-ka SELL-tser

Generic ingredients: Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Pseudoephedrine hydrochloride

Other brand names: Robitussin Flu, Robitussin Nighttime Honey Flu

What this drug is used for
The ingredients in this variety of Alka-Seltzer Plus relieve fever, headache, body aches and pains, stuffy nose and sinuses, runny nose, sneezing, sore throat, cough, watery eyes, and itchy nose or throat.

Robitussin Flu and Nighttime Honey Flu contain the same ingredients found in the Alka Seltzer Plus Cold & Cough liqui-gels. Robitussin Flu is a liquid. Robitussin Nighttime Honey Flu comes in powder form.

How should you take this medication?
Alka-Seltzer Plus liqui-gels should be swallowed with a glass of water. The Robitussin powder should be dissolved in 4 to 6 ounces of a hot beverage such as tea. Doses of all these products may be repeated every 4 hours if needed--but don't take more than 4 doses per day.

* ALKA-SELTZER PLUS COLD & COUGH LIQUI-GELS
Adults
For adults and children 12 years and over, the usual dosage is 2 liqui-gels.

Children
For children 6 to 12, the usual dose is 1 liqui-gel. For children under 6, consult your doctor.

* ROBITUSSIN FLU
Adults
For adults and children 12 years and over, the usual dose is 4 teaspoonfuls.

Children
For children 6 to 12, the usual dose is 2 teaspoonfuls. For children under 6, consult your doctor.

* ROBITUSSIN NIGHTTIME HONEY FLU
Adults
The usual dosage is 1 pouch.

Children
This product is not recommended for children under 12.

* STORAGE
Store at room temperature.

Do not take this medication if...
Unless your doctor approves, do not take these products if you have heart disease, high blood pressure, thyroid disease, diabetes, high pressure within the eye (glaucoma), an enlarged prostate gland, or a breathing problem such as emphysema or chronic bronchitis.

Also check with your doctor before using these products for the type of chronic cough that results from smoking or asthma, or for a cough that brings up lots of phlegm.

Special warnings about this medication
Check with your doctor before using these products if you have 3 or more alcoholic drinks every day. The acetaminophen in these products can cause liver damage.

If you become dizzy or nervous, or have trouble sleeping, stop taking the product and check with your doctor.

These products contain an antihistamine that may cause marked drowsiness. Be especially cautious when driving, and when operating machinery. The antihistamine can also cause excitability, especially in children.

Stop taking the product and check with your doctor if symptoms last 7 days or are accompanied by a fever, the fever gets worse or lasts more than 3 days, you have new symptoms, or you notice redness or swelling.

You should also check with your doctor immediately if you have a severe sore throat that lasts for more than 2 days, or if your sore throat is accompanied or followed by fever, headache, rash, nausea, or vomiting.

Likewise, stop taking the product and call your doctor if you have a cough that lasts for more than 7 days or tends to come back, or a cough accompanied by rash, lasting headache, and fever.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. Do not combine these products with others that contain acetaminophen, such as Tylenol.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, do not take these products without your doctor's approval; the combination could cause extreme drowsiness. For the same reason, avoid alcohol while taking these drugs.

Alka-Seltzer Plus Cold & Cough Medicine Liqui-gels


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Pronounced: AL-ka SELL-tser

Generic ingredients: Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Pseudoephedrine hydrochloride

Other brand names: Robitussin Flu, Robitussin Nighttime Honey Flu

What this drug is used for
The ingredients in this variety of Alka-Seltzer Plus relieve fever, headache, body aches and pains, stuffy nose and sinuses, runny nose, sneezing, sore throat, cough, watery eyes, and itchy nose or throat.

Robitussin Flu and Nighttime Honey Flu contain the same ingredients found in the Alka Seltzer Plus Cold & Cough liqui-gels. Robitussin Flu is a liquid. Robitussin Nighttime Honey Flu comes in powder form.

How should you take this medication?
Alka-Seltzer Plus liqui-gels should be swallowed with a glass of water. The Robitussin powder should be dissolved in 4 to 6 ounces of a hot beverage such as tea. Doses of all these products may be repeated every 4 hours if needed--but don't take more than 4 doses per day.

* ALKA-SELTZER PLUS COLD & COUGH LIQUI-GELS
Adults
For adults and children 12 years and over, the usual dosage is 2 liqui-gels.

Children
For children 6 to 12, the usual dose is 1 liqui-gel. For children under 6, consult your doctor.

* ROBITUSSIN FLU
Adults
For adults and children 12 years and over, the usual dose is 4 teaspoonfuls.

Children
For children 6 to 12, the usual dose is 2 teaspoonfuls. For children under 6, consult your doctor.

* ROBITUSSIN NIGHTTIME HONEY FLU
Adults
The usual dosage is 1 pouch.

Children
This product is not recommended for children under 12.

* STORAGE
Store at room temperature.

Do not take this medication if...
Unless your doctor approves, do not take these products if you have heart disease, high blood pressure, thyroid disease, diabetes, high pressure within the eye (glaucoma), an enlarged prostate gland, or a breathing problem such as emphysema or chronic bronchitis.

Also check with your doctor before using these products for the type of chronic cough that results from smoking or asthma, or for a cough that brings up lots of phlegm.

Special warnings about this medication
Check with your doctor before using these products if you have 3 or more alcoholic drinks every day. The acetaminophen in these products can cause liver damage.

If you become dizzy or nervous, or have trouble sleeping, stop taking the product and check with your doctor.

These products contain an antihistamine that may cause marked drowsiness. Be especially cautious when driving, and when operating machinery. The antihistamine can also cause excitability, especially in children.

Stop taking the product and check with your doctor if symptoms last 7 days or are accompanied by a fever, the fever gets worse or lasts more than 3 days, you have new symptoms, or you notice redness or swelling.

You should also check with your doctor immediately if you have a severe sore throat that lasts for more than 2 days, or if your sore throat is accompanied or followed by fever, headache, rash, nausea, or vomiting.

Likewise, stop taking the product and call your doctor if you have a cough that lasts for more than 7 days or tends to come back, or a cough accompanied by rash, lasting headache, and fever.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. Do not combine these products with others that contain acetaminophen, such as Tylenol.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, do not take these products without your doctor's approval; the combination could cause extreme drowsiness. For the same reason, avoid alcohol while taking these drugs.

Alka-Seltzer Plus Cold & Cough Medicine Liqui-gels


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Pronounced: AL-ka SELL-tser

Generic ingredients: Acetaminophen, Chlorpheniramine maleate, Dextromethorphan hydrobromide, Pseudoephedrine hydrochloride

Other brand names: Robitussin Flu, Robitussin Nighttime Honey Flu

What this drug is used for
The ingredients in this variety of Alka-Seltzer Plus relieve fever, headache, body aches and pains, stuffy nose and sinuses, runny nose, sneezing, sore throat, cough, watery eyes, and itchy nose or throat.

Robitussin Flu and Nighttime Honey Flu contain the same ingredients found in the Alka Seltzer Plus Cold & Cough liqui-gels. Robitussin Flu is a liquid. Robitussin Nighttime Honey Flu comes in powder form.

How should you take this medication?
Alka-Seltzer Plus liqui-gels should be swallowed with a glass of water. The Robitussin powder should be dissolved in 4 to 6 ounces of a hot beverage such as tea. Doses of all these products may be repeated every 4 hours if needed--but don't take more than 4 doses per day.

* ALKA-SELTZER PLUS COLD & COUGH LIQUI-GELS
Adults
For adults and children 12 years and over, the usual dosage is 2 liqui-gels.

Children
For children 6 to 12, the usual dose is 1 liqui-gel. For children under 6, consult your doctor.

* ROBITUSSIN FLU
Adults
For adults and children 12 years and over, the usual dose is 4 teaspoonfuls.

Children
For children 6 to 12, the usual dose is 2 teaspoonfuls. For children under 6, consult your doctor.

* ROBITUSSIN NIGHTTIME HONEY FLU
Adults
The usual dosage is 1 pouch.

Children
This product is not recommended for children under 12.

* STORAGE
Store at room temperature.

Do not take this medication if...
Unless your doctor approves, do not take these products if you have heart disease, high blood pressure, thyroid disease, diabetes, high pressure within the eye (glaucoma), an enlarged prostate gland, or a breathing problem such as emphysema or chronic bronchitis.

Also check with your doctor before using these products for the type of chronic cough that results from smoking or asthma, or for a cough that brings up lots of phlegm.

Special warnings about this medication
Check with your doctor before using these products if you have 3 or more alcoholic drinks every day. The acetaminophen in these products can cause liver damage.

If you become dizzy or nervous, or have trouble sleeping, stop taking the product and check with your doctor.

These products contain an antihistamine that may cause marked drowsiness. Be especially cautious when driving, and when operating machinery. The antihistamine can also cause excitability, especially in children.

Stop taking the product and check with your doctor if symptoms last 7 days or are accompanied by a fever, the fever gets worse or lasts more than 3 days, you have new symptoms, or you notice redness or swelling.

You should also check with your doctor immediately if you have a severe sore throat that lasts for more than 2 days, or if your sore throat is accompanied or followed by fever, headache, rash, nausea, or vomiting.

Likewise, stop taking the product and call your doctor if you have a cough that lasts for more than 7 days or tends to come back, or a cough accompanied by rash, lasting headache, and fever.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. Do not combine these products with others that contain acetaminophen, such as Tylenol.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, do not take these products without your doctor's approval; the combination could cause extreme drowsiness. For the same reason, avoid alcohol while taking these drugs.

Brand name:

Alka-Seltzer Plus Cold Medicine Liqui-gels


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Pronounced: AL-ka SELL-tser

Generic ingredients: Acetaminophen, Chlorpheniramine maleate, Pseudoephedrine hydrochloride

Other brand name: Actifed Cold & Sinus Caplets, Comtrex Sinus & Nasal Decongestant

What this drug is used for
The ingredients in this variety of Alka-Seltzer Plus relieve fever, headache, body aches and pains, stuffy nose and sinuses, runny nose, sneezing, and sore throat. The same combination of ingredients is found in Actifed Cold & Sinus Caplets and Comtrex Sinus and Nasal Decongestant.

How should you take this medication?
Alka-Seltzer Plus liqui-gels should be swallowed with a glass of water. Doses of the Alka-Seltzer product may be repeated every 4 hours if needed--but don't take more than 4 doses per day. Doses of the other products may be repeated every 6 hours up to 4 times per day.

* ADULTS
For adults and children 12 years and over, the usual dose is 2 pills.

* CHILDREN
For children under 12, consult your doctor.

* STORAGE
Store at room temperature in a dry place. Avoid excessive heat.

Do not take this medication if...
Unless your doctor approves, do not take these products if you have heart disease, high blood pressure, thyroid disease, diabetes, high pressure within the eye (glaucoma), an enlarged prostate gland, or a breathing problem such as emphysema or chronic bronchitis.

Special warnings about this medication
Check with your doctor before using these products if you have 3 or more alcoholic drinks every day. The acetaminophen in these products can cause liver damage.

If you become dizzy or nervous, or have trouble sleeping, stop taking the product and check with your doctor.

These products contain an antihistamine that may cause drowsiness. Be especially cautious when driving, and when operating machinery. The antihistamine can also cause excitability, especially in children.

Do not take these products for more than 7 days. If your symptoms do not improve, get worse, or include a fever that lasts for more than 3 days, stop taking the product and call your doctor. Do likewise if you notice redness or swelling.

You should also check with your doctor immediately if you have a severe sore throat for more than 2 days, accompanied or followed by fever, headache, rash, nausea, or vomiting.

Possible food and drug interactions when taking this medication
Do not use these products within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. Do not combine these products with others that contain acetaminophen, such as Tylenol.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, do not take these products without your doctor's approval; the combination could cause extreme drowsiness. For the same reason, avoid alcohol while taking these drugs.

Alka-Seltzer Plus Flu Medicine Tablets


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Pronounced: AL-ka SELL-tser

Generic ingredients: Aspirin, Chlorpheniramine maleate, Dextromethorphan hydrobromide

What this drug is used for
This form of Alka-Seltzer Plus is marketed for relief of body aches and pains, headache, coughing, fever, runny nose, sneezing, and sore throat.

How should you take this medication?
For adults and children 12 years and over, the recommended dose is 2 tablets dissolved in 4 ounces of water every 6 hours. Do not take more than 8 tablets in 24 hours unless your doctor approves. For children under 12, consult your doctor.

* STORAGE
Protect from excessive heat.

Do not take this medication if...
Avoid this product if you are taking a prescription drug classified as an "MAO inhibitor" (see "Possible food and drug interactions..." below). Also avoid it if you are allergic to aspirin or any other medication that relieves pain and reduces fever.

Check with your doctor before using this product if you have persistent stomach problems, high pressure in the eye (glaucoma), an enlarged prostate gland, the type of nagging cough that can accompany smoking or asthma, a cough that brings up too much phlegm, or breathing problems such as emphysema, chronic bronchitis, or asthma.

Special warnings about this medication
This variety of Alka-Seltzer Plus can cause marked drowsiness. Be especially cautious when operating machinery or driving. This product can also cause excitability, especially in children.

The aspirin in the product has been linked with cases of a serious illness called Reye's syndrome in children with severe viral infections such as chickenpox and flu. Check with your doctor before giving this medicine to a child or teenager.

The aspirin in this product can cause stomach bleeding. Check with your doctor before using this product if you have 3 or more alcoholic drinks every day. Also check with your doctor before using this product if you are on a sodium-restricted diet.

If you have a severe sore throat for more than 2 days, accompanied or followed by fever, headache, rash, nausea, or vomiting, see your doctor immediately.

Stop taking this product and check with your doctor if:

You become nervous or dizzy, or have trouble sleeping
You notice ringing in the ears or a loss of hearing
Your symptoms do not improve within 7 days or are accompanied by a fever
Fever gets worse or lasts more than 3 days
You have redness or swelling
New symptoms develop
Your cough won't go away
Your cough lasts for more than 7 days, tends to come back, or is accompanied by a fever, rash, or lasting headache. These may be signs of a serious condition.

Possible food and drug interactions when taking this medication
Do not use this product within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate.

The aspirin in this product can interact with a number of prescription drugs. Check with your doctor before combining it with any of the following:

Acetazolamide (Diamox)
ACE-inhibitor-type blood pressure medications such as Capoten
Antacids such as Rolaids, Tums, and Titralac
Anti-gout drugs such as Anturane, Benemid, and Zyloprim
Arthritis preparations such as Aleve, Anaprox, Indocin, Motrin, Naprosyn, and Orudis
Blood-thinning drugs such as Coumadin
Certain diuretics (water pills), including Lasix
Diabetes medications, including DiaBeta, Diabinese, Micronase, and Glucotrol
Diltiazem (Cardizem)
Dipyridamole (Persantine)
Seizure medications such as Depakene
Steroids such as prednisone (Deltasone)

Also check with your doctor if you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal. You may suffer increased drowsiness. For the same reason, avoid alcohol while using this product.

Alka-Seltzer Plus Night-Time Cold Medicine Liqui-gels


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Pronounced: AL-ka SELL-tser

Generic ingredients: Acetaminophen, Dextromethorphan hydrobromide, Doxylamine succinate, Pseudoephedrine hydrochloride

What this drug is used for
This member of the Alka-Seltzer Plus family of products relieves fever, headache, body aches and pains, stuffy nose and sinuses, runny nose, sneezing, sore throat, and coughing.

How should you take this medication?
The usual dose for adults and children 12 years and over is 2 liqui-gels swallowed with a glass of water at bedtime. This dose may be repeated every 6 hours. Do not take more than 8 liqui-gels a day unless your doctor approves. For children under 12, consult your doctor.

Do not take this medication if...
Unless your doctor approves, do not take this product if you have heart disease, high blood pressure, thyroid disease, diabetes, high pressure within the eye (glaucoma), an enlarged prostate gland, or a breathing problem such as emphysema or chronic bronchitis.

Also check with your doctor before using the Night-Time liqui-gels for the type of chronic cough that results from smoking or asthma, or for a cough that brings up lots of phlegm.

Special warnings about this medication
Check with your doctor before using this product if you have 3 or more alcoholic drinks every day. The acetaminophen in this product can cause liver damage.

If you become dizzy or nervous, or have trouble sleeping, stop taking this product and check with your doctor.

The antihistamine in this product is likely to cause marked drowsiness. Be especially cautious when driving, and when operating machinery. The antihistamine can also cause excitability, especially in children.

Stop taking the product and check with your doctor if symptoms last 7 days or are accompanied by a fever, the fever gets worse or lasts more than 3 days, you have new symptoms, or you notice redness or swelling.

You should also check with your doctor immediately if you have a severe sore throat for more than 2 days, accompanied or followed by fever, headache, rash, nausea, or vomiting.

Likewise, stop taking the product and call your doctor if you have a cough that lasts for more than 7 days or tends to come back, or a cough accompanied by rash, lasting headache, and fever.

Possible food and drug interactions when taking this medication
Do not use this product within 2 weeks of taking a drug classified as an MAO inhibitor, such as the antidepressants Nardil and Parnate. Do not combine these products with others that contain acetaminophen, such as Tylenol.

If you are taking a tranquilizer such as Valium or Xanax, or a sleep aid such as Halcion or Seconal, do not take the Night-Time liqui-gels without your doctor's approval; the combination could cause extreme drowsiness. For the same reason, avoid alcohol while taking this product.

ALternaGEL


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Pronounced: all-TERN-uh-jel

Generic name: Aluminum hydroxide

Other brand name: Amphojel

What this drug is used for
These products relieve symptoms caused by excess stomach acid, including heartburn, upset stomach, sour stomach, and acid indigestion.

ALternaGEL is available only as a liquid. Amphojel is available in liquid or tablet form.

How should you take this medication?
Take doses between meals and at bedtime. Do not use the maximum dosage of either product for more than 2 weeks.

Shake liquids well before using. You may wish to follow liquid doses with a sip of water.

* ALTERNAGEL

The usual dose is 1 or 2 teaspoonfuls. Do not take more than 18 teaspoonfuls in a 24-hour period.

* AMPHOJEL

Liquid

The usual dosage is 2 teaspoonfuls 5 or 6 times a day. Do not take more than 12 teaspoonfuls in a 24-hour period.

Tablets

For the 0.3-gram tablets, the usual dose is 2 tablets 5 or 6 times a day. Swallow the tablets with water; it is not necessary to chew them. Do not take more than 12 tablets in a 24-hour period.

For the 0.6-gram tablets, the usual dose is 1 tablet 5 or 6 times a day. Chew the tablet and then sip about half a glass of water. Do not take more than 6 tablets in a 24-hour period.

* STORAGE

These products may be stored at room temperature. Keep the bottle tightly closed. Protect liquid forms from freezing.

Special warnings about this medication
These products may cause constipation.

Possible food and drug interactions when taking this medication
Antacids interact with a variety of prescription drugs when taken at the same time. An interaction is unlikely, however, if you keep doses of the two at least 2 or 3 hours apart. Drugs that may interact include the following:

Alendronate (Fosamax)
llopurinol (Zyloprim)
Antibiotics classified as "quinolones," such as Cipro, Floxin, and
Noroxin
Aspirin
Atenolol (Tenormin)
Captopril (Capoten)
Chlordiazepoxide (Librium)
Cimetidine (Tagamet)
Digoxin (Lanoxin)
Doxycycline (Vibramycin)
Fosfomycin (Monurol)
Gabapentin (Neurontin)
Glipizide (Glucotrol)
Glyburide (Micronase, DiaBeta)
Isoniazid (Rifamate)
Ketoconazole (Nizoral)
Levothyroxine (Synthroid)
Methenamine (Urised)
Metronidazole (Flagyl)
Misoprostol (Cytotec)
Mycophenolate mofetil (CellCept)
Nonsteroidal anti-inflammatory drugs such as Dolobid, Motrin,
Naprosyn, and Voltaren
Penicillamine (Cuprimine)
Phenytoin (Dilantin)
Quinidine (Quinidex)
Sodium polystyrene sulfonate (Kayexalate)
Sucralfate (Carafate)
Tetracycline antibiotics such as Achromycin V and Minocin
Tilodronate (Skelid)
Ursodiol (Actigall)

A high-protein meal, such as a steak dinner, can reduce the effectiveness of aluminum-containing antacids such as ALternaGEL and Amphojel.

Overdosage
Heavy long-term use of aluminum antacids can lead to symptoms such as loss of appetite, a general feeling of uneasiness, muscle weakness, and bone pain. If you suspect an overdose, call your doctor immediately.

Arco-Lase


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Pronounced: AHR-koh-lais

Generic ingredients: Lipase, Trizyme

What this drug is used for
Arco-Lase is taken for symptoms of poor digestion such as gas, bloating, fullness, sour stomach, and heartburn.

How should you take this medication?
Take 1 tablet with or immediately after meals. The tablet may swallowed or chewed.

Special warnings about this medication
With digestive enzymes as its active ingredients, Arco-Lase has no side effects.

Ascriptin


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Pronounced: a-SKRIP-tin

Generic ingredients: Aspirin, Calcium carbonate, Maalox (Alumina-magnesia)

What this drug is used for
Ascriptin provides temporary relief from minor aches and pains, including headaches, muscle aches, toothaches, menstrual cramps, and arthritis pain. It can also be used to reduce fever and to combat the discomforts of the common cold.

The product comes in three varieties. Regular Strength and Arthritis Pain Ascriptin both contain 325 milligrams of aspirin. Maximum Strength Ascriptin contains 500 milligrams.

How should you take this medication?
Drink a full glass of water with each dose.

* REGULAR STRENGTH AND ARTHRITIS PAIN ASCRIPTIN

For adults and children 12 years and over, the usual dose is 2 pills every 4 hours as needed. Do not take more than 12 pills each 24 hours. For children under 12, consult your doctor.

* MAXIMUM STRENGTH ASCRIPTIN

For adults and children 12 years and over, the usual dose is 2 caplets every 6 hours as needed. Do not take more than 8 caplets in 24 hours. For children under 12, consult your doctor.

Do not take this medication if...
Unless your doctor approves, avoid Ascriptin if you are allergic to aspirin; have asthma, ulcers, or bleeding problems; or suffer from stomach problems--heartburn, upset stomach, or stomach pain--that continue a long time or that go away and come back.

Special warnings about this medication
The aspirin in Ascriptin has been known to trigger a serious illness called Reye's syndrome in children and teenagers who've come down with a virus. If your child gets chickenpox or flu, do not treat the symptoms with Ascriptin.

Do not take Ascriptin for more than 10 days for pain or 3 days for fever, unless your doctor recommends. Call your doctor if you develop new symptoms, your pain or fever continues or gets worse, or you notice redness or swelling.

Do not take Ascriptin during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier during pregnancy, and while nursing a baby, check with your doctor before taking Ascriptin.

If you develop ringing in the ears or loss of hearing, consult your doctor before taking any more Ascriptin.

Possible food and drug interactions when taking this medication
Aspirin-containing products such as Ascriptin can interact with a number of prescription drugs. Check with your doctor before combining with any of the following:

Acetazolamide (Diamox)
ACE-inhibitor-type blood pressure medications such as Capoten
Anti-gout drugs such as Anturane, Benemid, and Zyloprim
Arthritis preparations such as Aleve, Anaprox, Ecotrin, Indocin,
Motrin, Naprosyn, and Orudis
Blood-thinning drugs such as Coumadin
Certain diuretics (water pills), including Lasix
Diabetes medications, including DiaBeta, Diabinese, Micronase,
and Glucotrol
Diltiazem (Cardizem)
Dipyridamole (Persantine)
Seizure medications such as Depakene
Steroids such as prednisone (Deltasone, Orasone)

Also avoid combining Ascriptin with tetracycline antibiotics such as Sumycin.

Aspirin


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Pronounced: ASS-pih-rin

Brand names: Ascriptin Enteric, Bayer, Ecotrin, Halfprin, St. Joseph

What this drug is used for
Aspirin relieves pain and reduces fever. It is used for headaches, toothaches, and the minor aches and pains of arthritis, colds, and flu. It can also be used for muscle aches, menstrual discomfort, and teething pain; and it is often prescribed for the long-term treatment of various forms of arthritis and related diseases.

Small daily doses of aspirin have proven effective in reducing the chances of mini-strokes (in which clogged blood vessels prevent sufficient oxygen from reaching the brain). Aspirin is also used to reduce the risk of heart attack in people with clogged coronary arteries, and in those who've already had an attack.

Aspirin comes in several strengths and varieties, including chewable tablets. Several brands have a special "enteric" coating to protect the stomachs of people who are sensitive to other forms of the medication. One brand has calcium to help strengthen bones.

How should you take this medication?
Do not chew or crush sustained-release brands, such as Bayer time-release aspirin, or pills coated to delay breakdown of the drug, such as Ecotrin. To make them easier to swallow, take them with a full glass of water. The usual dosages are as follows.

* ADULTS AND CHILDREN 12 YEARS AND OVER
Relief of minor pain and fever
*Ascriptin Enteric Regular Strength: 2 pills every 4 hours; no more than 12 pills a day
*Ascriptin Enteric Low Strength: 4 to 8 pills every 4 hours, no more than 48 pills a day
*Genuine Bayer: 1 or 2 pills every 4 hours; no more than 12 pills a day
*Extra Strength Bayer and Bayer Plus: 1 or 2 pills every 4 hours; no more than 8 pills a day
*Extended Release Bayer: 2 pills every 8 hours, no more than 6 pills a day
*Aspirin Regimen Bayer (81-milligram tablets): 4 to 8 pills every 4 hours; no more than 4,000 milligrams in 24 hours.
*Aspirin Regimen Bayer (325-milligram caplets): 1 or 2 pills every 4 hours; no more than 4,000 milligrams in 24 hours.
*Aspirin Regimen Bayer with Calcium: 4 to 8 pills every 4 hours; no more than 32 pills a day
*Aspirin Regimen Bayer Children's Chewable Tablets: 4 to 8 pills every 4 hours; no more than 5 doses in 24 hours.
*Bayer Women's Aspirin plus Calcium: 4 pills; no more than 4 pills a day.
*Ecotrin: Up to 650 milligrams every 4 hours, or 1,000 milligrams every 6 hours

Treatment of arthritis
*Extra Strength Bayer Arthritis Pain Regimen Formula: 2 caplets every 6 hours; no more than 8 caplets a day

Prevention of heart attack
The usual daily dosage ranges from one-half to one conventional 325-milligram aspirin tablet, one 162-milligram tablet, or two to four 81-milligram aspirin tablets. Your doctor may recommend a larger dose.

Prevention of mini-strokes (transient ischemic attacks)
The usual dose is 1 conventional 325-milligram tablet 4 times daily, or 2 tablets 2 times a day.

* CHILDREN
All doses are for Bayer Children's Chewable Tablets. Doses may be given every 4 hours. Give with water. Do not give more than 5 doses a day.

11 to 12 years: 4 to 6 tablets
9 to 11 years: 4 to 5 tablets
6 to 9 years: 4 tablets
4 to 6 years: 3 tablets
2 to 4 years: 2 tablets
Under 2 years: Consult your doctor

For dosage of other brands in children under 12, check with your doctor.

* STORAGE
Store at room temperature in a dry place. Keep container tightly closed. Protect from heat.

Do not take this medication if...
Unless your doctor approves, do not take aspirin if it has ever given you an allergic reaction, or if you have asthma, ulcers, bleeding problems, or stomach complaints--heartburn, upset stomach, or stomach pain--that fail to get better or keep coming back.

Special warnings about this medication
Aspirin has been known to trigger a serious illness called Reye's syndrome in children and teenagers who catch a virus. If your child gets chickenpox or flu, do not treat the symptoms with aspirin.

When taken for long periods, as it is for arthritis and prevention of mini-strokes and heart attacks, aspirin sometimes causes stomach problems, including pain, heartburn, nausea, vomiting, and bleeding. It can also cause ringing in the ears or a loss of hearing. If you notice any hearing changes, check with your doctor before taking any more aspirin.

Due to the risk of stomach bleeding, you should also check with your doctor before taking aspirin if you consume 3 or more alcoholic drinks a day.

Do not take aspirin for more than 10 days for pain or 3 days for fever without your doctor's approval. Stop taking aspirin and call your doctor if you develop new symptoms, your pain or fever continues or gets worse, or you notice redness or swelling. (In children, do not use aspirin for pain relief for more than 5 days.)

Do not take aspirin during the last 3 months of pregnancy. It could harm the baby or cause complications during delivery. Earlier during pregnancy, and while nursing a baby, check with your doctor before taking aspirin.

Bayer Children's Chewable Tablets should not be given for arthritis pain without your doctor's approval. Also, wait at least 7 days after a tonsillectomy or oral surgery before giving the tablets. Check with your doctor immediately if the child has a severe sore throat that lasts for more than 2 days, or has a sore throat accompanied or followed by fever, headache, rash, nausea, or vomiting.

Possible food and drug interactions when taking this medication
Aspirin can interact with a number of prescription drugs. Check with your doctor before combining it with any of the following:

Acetazolamide (Diamox)
ACE-inhibitor-type blood pressure medications such as Capoten
Antacids such as Rolaids, Tums, and Titrilac
Anti-gout drugs such as Anturane, probenecid, and Zyloprim
Arthritis preparations such as Aleve, Anaprox, Indocin, Motrin, Naprosyn, and Orudis
Blood-thinning drugs such as Coumadin
Certain diuretics (water pills), including Lasix
Diabetes medications, including DiaBeta, Diabinese, Micronase, and Glucotrol
Diltiazem (Cardizem)
Dipyridamole (Persantine)
Seizure medications such as Depakene
Steroids such as prednisone (Deltasone, Orasone)

Axid AR


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Pronounced: AK-sid

Generic name: Nizatidine

What this drug is used for
When taken before eating, Axid AR prevents heartburn, acid indigestion, and sour stomach caused by food and beverages.

Axid AR is part of a family of acid-blocking prescription drugs recently released in over-the-counter formulations. Others in the family are Mylanta AR, Pepcid AC, Tagamet HB, and Zantac 75.

How should you take this medication?
Swallow 1 tablet with water one-half to 1 hour before enjoying food or beverages that might cause you trouble. Take no more than 2 tablets a day.

* STORAGE

Store at room temperature and protect from light. Keep the bottle tightly closed.

Do not take this medication if...
Not for children under 12, unless your doctor approves.

Special warnings about this medication
See your doctor promptly if you have trouble swallowing or develop stomach pain that won't go away. You might have a serious problem. Also check with your doctor if you find you need 2 tablets every day continuously for 2 weeks.

Possible food and drug interactions when taking this medication
Unless your doctor approves, do not combine Axid AR with aspirin, especially in high doses.