Active Ingredients: Anhydrous citric acid 1000 mg, Aspirin 325 mg (NSAID), Sodium bicarbonate (heat-treated) 1916 mg.

Directions:

• Fully dissolve tablets in 4 ounces of water before taking

 Adults and children 12 years and over:

• 2 tablets every 4 hours, or as directed by a doctor
• Do not exceed 8 tablets in 24 hours

Adults 60 years and over:

• 2 tablets every 4 hours, or as directed by a doctor
• Do not exceed 4 tablets in 24 hours

Children under 12 years: consult a doctor

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 

Do not use:

• If you are allergic to aspirin or any other pain reliever/fever reducer
• If you have ever had an allergic reaction to this product or any of its ingredients
• Ask a doctor before use if you have:
  • Stomach bleeding warning pplies 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
  • You have a sodium-restricted diet

 Ask a doctor or pharmacist before use if you are:

• Presently taking a prescription drug
  • Antacids may interact with certain prescription drugs

• Taking a prescription drug for anticoagulation (blood thinning), diabetes, gout, or arthritis

When using this product do not exceed recommended dosage.

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
• Symptoms get worse or last more than 10 days
• Redness or swelling is present
• Ringing in the ears or a loss of earing occurs
• New symptoms 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.