Fore Safe Use

Check the labels of all nonprescription - over-the-counter "OTC " and prescription medication you now take. If any contain aspirin or other salicylates - including bismuth subsalicylate " Pepto-Bismol " or any shampoo or skin drug that contains salicylic acid or any other salicylate, check with your health care professional . Taking or using them together with this drug may cause an overdose.

If you will be taking salicylates for a long time - more than 5 days in a row for children or 10 days in a row for adults or in large amounts, your family doctor must check your progress at regular appointments .

Check with your family doctor or dentist:

• If you are taking this drug to relieve pain and the pain lasts for more than 10 days - 5 days for children or if the pain gets worse, if new symptoms occur, or if redness or swelling is present. These could be signs of a serious condition that needs medical or dental treat.
• If you are taking this drug to bring down a fever and the fever lasts for more than 3 days or returns, if the fever gets worse, if new symptoms occur, or if redness or swelling is present. These could be signs of a serious condition that needs treat.
• If you are taking this drug for a sore throat and the sore throat is very painful, lasts for more than 2 days, or occurs together with or is followed by fever, headache, skin rash, nausea, or vomiting.
• If you are taking this drug regularly, as for arthritis - rheumatism, and you notice a ringing or buzzing in your ears or severe or continuing headaches. These are often the first signs that too much salicylate is being taken. Your family doctor may want to change the amount of drug you are taking every day.

For diseaseds taking aspirin to lessen the risk of heart attack, stroke, or other problems causing by blood clots :

• Take only the amount of aspirin ordered by your family doctor . If you need a drug to relieve pain, a fever, or arthritis, your family doctor may not want you to take extra aspirin. It is a good idea to discuss this with your family doctor, so that you will know ahead of time what drug to take.
• Do not stop taking this drug for any reason without first checking with the family doctor who directed you to take it .

Taking certain other medication together with a salicylate may increase the risk of unwanted effects. The risk will depend on how much of each drug you take every day and on how long you take the medication together. If your family doctor directs you to take these medication together on a regular basis, follow his or her directions carefully. However, do not take any of the following medication together with a salicylate for more than a few days, unless your family doctor has directed you to do so and is following your progress :

• Acetaminophen - Tylenol
• 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
• Phenylbutazone - Butazolidin
• Piroxicam - Feldene
• Sulindac - Clinoril
• Tenoxicam - Mobiflex
• Tiaprofenic acid - Surgam
• Tolmetin - Tolectin

For diabetic diseaseds :

• False urine sugar test results may occur if you are regularly taking large amounts of salicylates, such as:
  • Aspirin : 8 or more 325-mg - 5-grain, or 4 or more 500-mg or 650-mg - 10-grain, or 3 or more 800-mg - or higher strength, doses a day.
  • Buffered aspirin or
  • Sodium salicylate : 8 or more 325-mg - 5-grain, or 4 or more 500-mg or 650-mg - 10-grain, doses a day.
  • Choline salicylate : 4 or more teaspoonfuls - each teaspoonful containing 870 mg a day.
  • Choline and magnesium salicylates : 5 or more 500-mg tablets or teaspoonfuls, 4 or more 750-mg tablets, or 2 or more 1000-mg tablets, a day.
  • Magnesium salicylate : 7 or more regular-strength, or 4 or more extra-strength, tablets a day.
  • Salsalate : 4 or more 500-mg doses, or 3 or more 750-mg doses, a day.
• Smaller doses or occasional use of salicylates usually will not effect urine sugar tests. However, check with your health care professional - especially if your diabetes is not well-controlled if:
  • you are not sure how much salicylate you are taking every day.
  • you notice any change in your urine sugar test results.
  • you have any other questions about this possible problem.

Do not take aspirin for 5 days before any surgery, including dental surgery, unless otherwise directed by your family doctor or dentist. Taking aspirin during this time may cause bleeding problems.

For diseaseds taking buffered aspirin, choline and magnesium salicylates - Trilisate, or magnesium salicylate - Doan's :

• Buffered aspirin, choline and magnesium salicylates, or magnesium salicylate can keep many other medication, especially some medication using to treat infections, from help you. This problem can be prevented by not taking the 2 medication too close together. Ask your health care professional how long you must wait between taking a drug for infection and taking buffered aspirin, choline and magnesium salicylates, or magnesium salicylate.

If you are taking a laxative containing cellulose, take the salicylate at least 2 hours before or after you take the laxative. Taking these medication too close together may lessen the effects of the salicylate.

For diseaseds taking this drug by mouth:

• Stomach problems may be more likely to occur if you drink alcoholic beverages while being treated with this drug, especially if you are taking it in high doses or for a long time. Check with your family doctor if you have any questions about this.

For diseaseds using aspirin suppositories :

• Aspirin suppositories may cause irritation of the rectum. Check with your family doctor if this occurs.

Salicylates may interfere with the results of some medical tests. Before you have any medical tests, tell the family doctor in charge if you have taken any of these medication within the past week. If possible, it is best to check with the family doctor first, to find out whether the drug may be taken during the week before the test.

For diseaseds taking one of the products that contain caffeine :

• Caffeine may interfere with the result of a test that uses adenosine - Adenocard or dipyridamole - Persantine to help find out how well your blood is flowing through certain blood vessels. Therefore, you must not have any caffeine for at least 8 to 12 hours before the test.

If you think that you or anyone else may have taken an overdose, get emergency help at once . Taking an overdose of these medication may cause unconsciousness or death. Signs of overdose include convulsions - seizures, hearing loss, confusion, ringing or buzzing in the ears, severe drowsiness or tiredness, severe excitement or nervousness and fast or deep breathing.