Alka-Seltzer Plus ® Cold Formula (Orange Zest)

Drug Labeling and Warnings

Drug Details [pdf]

ALKA-SELTZER PLUS COLD FORMULA (ORANGE ZEST)- aspirin, chlorpheniramine maleate, and phenylephrine bitartrate tablet, effervescent 
Bayer HealthCare LLC.

Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

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Alka-Seltzer Plus ® Cold

Formula (Orange Zest)

Drug Facts

Active ingredients (in each tablet)Purposes
  • * nonsteroidal anti-inflammatory drug
  • Aspirin 325 mg (NSAID) *Pain reliever/fever reducer
    Chlorpheniramine maleate 2 mgAntihistamine
    Phenylephrine bitartrate 7.8 mgNasal decongestant

    Uses

    • temporarily relieves these symptoms due to a cold:
      • minor aches and pains
      • headache
      • runny nose
      • nasal and sinus congestion
      • sneezing
      • sore throat
    • temporarily reduces fever

    Warnings

    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
      • 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 occur

    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.

    Directions

    • 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

    Other information

    • each tablet contains: sodium 476 mg
    • Phenylketonurics: Contains Phenylalanine 9 mg Per Tablet
    • store at room temperature. Avoid excessive heat.

    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

    Questions or comments?

    1-800-986-0369 (Mon – Fri 9AM – 5PM EST) or www.alkaseltzerplus.com

    PRINCIPAL DISPLAY PANEL - 26 Tablet Carton

    BONUS 30% MORE
    26 TABLETS FOR THE PRICE OF 20

    Alka-
    Seltzer
    PLUS ®

    Aspirin (NSAID) / Pain reliever-
    fever reducer Chlorpheniramine
    maleate / Antihistamine Phenylephrine
    bitartrate / Nasal decongestant

    COLD
    FORMULA

    ORANGE ZEST

    Nasal Congestion Runny Nose
    Headache & Body Ache
    Sore Throat Sinus Pressure

    26 EFFERVESCENT TABLETS

    Principal Display Panel - 26 Tablet Carton
    ALKA-SELTZER PLUS COLD  FORMULA (ORANGE ZEST)
    aspirin, chlorpheniramine maleate, and phenylephrine bitartrate tablet, effervescent
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC: 0280-1440
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    ASPIRIN (UNII: R16CO5Y76E) (ASPIRIN - UNII:R16CO5Y76E) ASPIRIN325 mg
    CHLORPHENIRAMINE MALEATE (UNII: V1Q0O9OJ9Z) (CHLORPHENIRAMINE - UNII:3U6IO1965U) CHLORPHENIRAMINE MALEATE2 mg
    PHENYLEPHRINE BITARTRATE (UNII: 27O3Q5ML57) (PHENYLEPHRINE - UNII:1WS297W6MV) PHENYLEPHRINE BITARTRATE7.8 mg
    Inactive Ingredients
    Ingredient NameStrength
    ACESULFAME POTASSIUM (UNII: 23OV73Q5G9)  
    ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)  
    ASPARTAME (UNII: Z0H242BBR1)  
    CALCIUM SILICATE (UNII: S4255P4G5M)  
    DIMETHICONE (UNII: 92RU3N3Y1O)  
    DOCUSATE SODIUM (UNII: F05Q2T2JA0)  
    FD&C RED NO. 40 (UNII: WZB9127XOA)  
    FD&C YELLOW NO. 6 (UNII: H77VEI93A8)  
    MANNITOL (UNII: 3OWL53L36A)  
    POVIDONES (UNII: FZ989GH94E)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
    Product Characteristics
    Colorwhite (White with orange and black specks) Scoreno score
    ShapeROUNDSize25mm
    FlavorORANGEImprint Code ALKA;SELTZER;PLUS
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC: 0280-1440-2010 in 1 CARTON04/10/200806/01/2019
    12 in 1 POUCH; Type 0: Not a Combination Product
    2NDC: 0280-1440-2613 in 1 CARTON04/10/200806/01/2013
    22 in 1 POUCH; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph finalpart34104/10/200806/01/2019
    Labeler - Bayer HealthCare LLC. (112117283)

    Revised: 11/2017
     

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