Alka-Seltzer XS Pain Relief, 20 Tablets (Pack of 1)

Product Information

There have been reports of blood dyscrasis including thrombocytopenia and agranulocytosis, but these were not necessarily causally related to paracetamol.

whose renal or hepatic function is impaired. The hazards of overdose are greater in those with non-cirrhotic alcoholic liver disease. The intake of acetylsalicylic acid by breast-feeding patients should be avoided as there is a risk of Reye's syndrome. Regular use of high doses could impair platelet function and produce hypoprothrombinaemia in the infant if neonatal vitamin K stores are low.Active ingredients: Aspirin (Acetylsalicylic acid) 324mg per tablet, Sodium hydrogen carbonate 1774mg per tablet, Citric acid 965mg per tablet. There is a possible association between aspirin and Reyes syndrome when given to children. Reyessyndrome is a very rare disease, which can be fatal.For this reason aspirin should not be given tochildren under 16 years, unless on the advice of adoctor. Follow the directions below closely. You should ask your doctor or pharmacist if you are unsure how to use this medicine. Are about to have surgery. Before the operationtell the doctor or surgeon that you are takingaspirin. Colestipol (Colestid®) orange and plain 5g granule sachets – both preparations have been discontinued. Other bile-acid sequestrants remain available and can support the uplift in demand.

Do not take Alka-Seltzer XS if you are pregnant, breast-feeding or trying for a baby unless directed by your doctor. Aspirin can prolong labour and affect blood clotting in the mother or baby. Alka-Seltzer XS contains paracetamol and so other paracetamol-containing preparations should be avoided. The maximum dose of paracetamol for adults is 4g daily. Aspirin has also been associated with increased risk of Reye's Syndrome when given to children with a fever. For this reason the use of aspirin is not recommended in children under 16 years of age. Two tablets dissolved in half a glass (100ml) of water may be taken every 4 hours as required. You shouldnot take more than 8 tablets in 24 hours.

The speed of absorption of paracetamol may be increased by metoclopramide or domperidone and absorption reduced by cholestyramine. Do not take Alka-Seltzer XS if you are pregnant, breast-feeding or trying for a baby unless directed byyour doctor. Aspirin can prolong labour and affectblood clotting in the mother or baby. For rapid relief of pain including migraine, headache, period pains, neuralgia, toothache, sore throat. The active substances are aspirin (acetylsalicylic acid) (267mg per tablet), paracetamol (133mg per tablet) and caffeine (40mg per tablet). Please refer to the NHSGGC Central Prescribing Memorandum on StaffNet for advice to support the management of affected patients.

Acetylsalicylate is rapidly absorbed from the small intestine after oral ingestion of Alka-Seltzer XS and rapidly distributed to all body tissues. If you identify any particular product(s) which are not currently classed as special containers but you believe satisfy the criteria (as set out in Part II CLAUSE 10 B of the Drug Tariff), please notify Community Pharmacy England’s Dispensing and Supply Team (0203 1220 810 or [email protected]) who will investigate and assess if it meets the relevant criteria. Where appropriate, Community Pharmacy England will make application to the NHSBSA and DHSC seeking for the special container status of the product(s) to be re-determined. Leaflet warning: Talk to a doctor at once if you take too much of this medicine, even if you feel well. This is because too much paracetamol can cause delayed, serious liver damage. Decreased blood salicylate levels may occur when aspirin is taken concomitantly with glucocorticoids. There is a risk of salicylate overdose when glucocorticoids treatment is stopped. Do not exceed the recommended dose. If symptoms persist consult your doctor. Keep out of the reach of children.Consumers may also report adverse reactions or quality problems experienced with the use of this product to the FDA’s MedWatch Adverse Event Reporting program either online, by regular mail or by fax. Are allergic (hypersensitive) to aspirin, paracetamol, caffeine or any of the ingredients ( listed in Section 6, - Further Information)

High doses of acetylsalicylic acid may result in closure of foetal ductus arteriosus in utero and possibly persistent pulmonary hypertension in the new born. Kernicterus may be a consequence of jaundice in neonates. Make sure you follow the dosage instructions and do not take more than the stated dose. 4. POSSIBLE SIDE EFFECTS Dizziness and tinnitus have also been reported for acetylsalicylic acid but these side effects are more commonly indicative of an overdose. Relief of rheumatic pain (arthritis), muscletenderness and stiffness (including fibrositis),muscular aches and pains.Laminated paper/polyethylene/aluminium surlyn heat sealed foil, or laminated aluminium/polyethylene surlyn heat sealed foil. Fast, double action pain relief Water-soluble tablets with aspirin, paracetamol + caffeine For general pain including headaches & migraines, period pain, rheumatic & muscular pain Relief from cold & flu symptoms Sugar free Suitable for vegetarians & vegans Benefit attributes: "-_--_--_--_--_--_--_-Best match-_-grid-_-search successfull:1>-_--_--_--_--_--_--_-No-_--_--_--_-0-_-0-_--_--_--_--_--_--_--_-Home | Brand: Alka Seltzer-_--_--_--_--_--_--_--_--_--_--_--_--_-1" Health care professionals and consumers should report any adverse events related to this product to FDA’s MedWatch Adverse Event Reporting program by: Symptoms of paracetamol overdosage in the first 24 hours are pallor, nausea, vomiting, anorexia and abdominal pain. Liver damage may become apparent 12 to 48 hours after ingestion. Abnormalities of glucose metabolism and metabolic acidosis may occur. In severe poisoning, hepatic failure may progress to encephalopathy, coma and death. Acute renal failure with acute tubular necrosis may develop even in the absence of severe liver damage. Cardiac arrhythmias and pancreatitis have been reported.