Aspirin, Sodium Bicarbonate and Citric Acid - Systemic
Brand Names
Alka-Seltzer Effervescent Pain Reliever and Antacid, Flavored Alka-Seltzer Effervescent Pain Reliever and Antacid, acetylsalicylic acid, ASA
Aspirin, Sodium Bicarbonate and Citric Acid *** Before Using *** How to Use *** Fore Safe Use *** Side Effects
Before Using
If you are taking this drug
without a prescription, carefully read and follow any precautions on the label.
For aspirin, sodium bicarbonate and citric acid combination, the following
must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to aspirin or other salicylates, including methyl salicylate
- oil of wintergreen, or to any of the following medication:
-
Diclofenac - Voltaren
-
Diflunisal - Dolobid
-
Etodolac - Lodine
-
Fenoprofen - Nalfon
-
Floctafenine - Idarac
-
Flurbiprofen, oral - Ansaid
-
Ibuprofen - Motrin
-
Indomethacin - Indocin
-
Ketoprofen - Orudis
-
Ketorolac - Toradol
-
Meclofenamate - Meclomen
-
Mefenamic acid - Ponstel
-
Nabumetone - Relafen
-
Naproxen - Naprosyn
-
Oxaprozin - Daypro
-
Oxyphenbutazone - Tandearil
-
Phenylbutazone - Butazolidin
-
Piroxicam - Feldene
-
Sulindac - Clinoril
-
Suprofen - Suprol
-
Tenoxicam - Mobiflex
-
Tiaprofenic acid - Surgam
-
Tolmetin - Tolectin
-
Zomepirac - Zomax
Also tell your health care professional if you are allergic to any other
substances, such as foods, preservatives, or dyes.
Diet Make certain your health care professional
knows if you are on any special diet, such as a low-sodium or low-sugar diet.
This drug contains a large amount of sodium - more than 500 mg in each
tablet.
Pregnancy care
Studies have not shown that aspirin causes
birth defects. However, it has been shown to cause birth defects
in animal studies.Do not take aspirin during the last 3 months of pregnancy
unless it has been ordered by your family doctor
. Some reports have suggested
that too much use of aspirin late in pregnancy may cause a decrease in the
newborn's weight and possible death of the fetus or newborn infant. However,
the mothers in these reports had been taking much larger amounts of aspirin
than are usually recommended. Studies of mothers taking aspirin in the doses
that are usually recommended did not show these unwanted effects. However,
there is a risk that regular use of aspirin late in pregnancy may cause
unwanted effects on the heart or blood flow in the fetus or in the newborn
infant.
Use of aspirin during the last 2 weeks of pregnancy may cause bleeding
problems in the fetus before or during delivery or in the newborn infant.
Always too much use of aspirin during the last 3 months of pregnancy may increase
the length of pregnancy, prolong labor, cause other problems during delivery,
or cause severe bleeding in the mother before, during, or after delivery.
The sodium in this combination drug can cause your body to hold water.
This may result in swelling and weight gain. Therefore, you must not use
this combination drug if you tend to hold body water.
Breast-feeding problem
Aspirin passes into the breast milk. However, aspirin
- in the amounts using to relieve pain or prevent blood clots, sodium bicarbonate,
and citric acid have not been reported to cause problems in nursing babies.
Use for Children
Do not give any drug containing
aspirin to a child with fever or other symptoms of a virus infection, especially
flu or chickenpox, without first discussing its use with your child's family doctor
. This is very important because aspirin may cause a serious illness
called Reye's syndrome in child with fever causing by a virus infection,
especially flu or chickenpox. Children who do not have a virus infection may
also be more sensitive to the effects of aspirin, especially if they have
a fever or have lost large amounts of body fluid because of vomiting, diarrhea,
or sweating. This may increase the risk of side effects during treat.
Adolescents Teenagers with fever or other
symptoms of a virus infection, especially flu or chickenpox, must check
with a family doctor before taking this drug
. The aspirin in this combination
drug may cause a serious illness called Reye's syndrome in teenagers with
fever causing by a virus infection, especially flu or chickenpox.
Elderly care
People 60 years of age and older are especially sensitive
to the effects of aspirin. This may increase the risk of side effects during
treat. Always the sodium in this combination drug can be harmful to
some elderly people, especially if large amounts of the drug are taken
regularly. Therefore, it is best that elderly people not use this drug for
more than 5 days in a row, unless otherwise directed by their family doctor.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. When you are taking
this combination drug, it is especially important that your health care
professional know if you are taking any of the following:
-
Anticoagulants - blood thinners
-
Carbenicillin by injection - Geopen
-
Cefamandole - Mandol
-
Cefoperazone - Cefobid
-
Cefotetan - Cefotan
-
Dipyridamole - Persantine
-
Divalproex - Depakote
-
Heparin
-
Pentoxifylline - Trental
-
Plicamycin - Mithracin
-
Ticarcillin - Ticar
-
Valproic acid - Depakene Use of these medication together
with aspirin may increase the risk of bleeding
-
Antidiabetics, oral - diabetes drug you take by mouth Aspirin
may increase the side effects of medication; a change in dose may be needed
-
Ciprofloxacin - Cipro
-
Enoxacin - Penetrex
-
Itraconazole - Sporanox
-
Ketoconazole - Nizoral
-
Lomefloxacin - Maxaquin
-
Methenamine - Mandelamine
-
Norfloxacin - Noroxin
-
Ofloxacin - Floxin
-
Tetracyclines - drug for infection, taken by mouth Sodium
bicarbonate can keep these medication from help you
-
Mecamylamine - Inversine Sodium bicarbonate may increase
the risk of unwanted effects by causing mecamylamine to stay in your body
longer than usual
-
Medicine for pain andinflammation - except narcotics
-
Methotrexate - Mexate
-
Vancomycin - Vancocin The risk of serious side effects
may be increased
-
Probenecid - Benemid
-
Sulfinpyrazone - Anturane Aspirin can keep these medication
from help you when they are using to treat gout
Other Information for using
The presence of other medical
problems may effect the use of this combination drug. Make sure you tell
your family doctor if you have any other medical problems, especially:
-
Anemia
-
Stomach ulcer or other stomach problems Aspirin can make these
conditions worse
-
Appendicitis - symptoms of, such as stomach or lower abdominal pain,
cramping, bloating, soreness, nausea, or vomiting Sodium bicarbonate
can make your condition worse; also, people who may have appendicitis need
medical attention and must not try to treat themselves
-
Asthma, allergies and nasal polyps - history of
-
Kidney disease
-
Liver disease The risk of serious side effects may be increased
-
Edema - swelling of face, fingers, feet, or lower legs causing by too
much water in the body
-
Heart disease
-
High blood pressure
-
Toxemia of pregnancy The sodium in this combination drug
can make these conditions worse
-
Gout Aspirin can make this condition worse and can also keep
some medication using to treat gout from help you
-
Hemophilia or other bleeding problems Aspirin increases the
risk of serious bleeding
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