Alka-Seltzer Plus® Fizzy Chews Cold & Flu Fizzy Chews, Orange, 24 ct.

Active Ingredient:1 Chewable Tablet; Dextromethorphan hydrobromide 5 mg

Inactive Ingredient:anhydrous citric acid; betadex; carboxymethylcellulose; colloidal silicon dioxide; ethylcellulose; flavors; magnesium stearate; mannitol; microcrystalline cellulose; polyethylene; sodium bicarbonate; sodium carbonate; sodium starch glycolate; stearic acid; sucralose; xylitol

Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take: more than 4,000 mg of acetaminophen in 24 hours; with other drugs containing acetaminophen; 3 or more alcoholic drinks every day while using this product.

Allergy alert: Acetaminophen may cause severe skin or severe allergic reactions. If a skin or general allergic reaction occurs, stop use and seek medical help right away.

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: with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist; 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 you have: liver disease; glaucoma; cough that occurs with excessive phlegm (mucus); a breathing problem such as emphysema or chronic bronchitis; difficulty in urination due to enlargement of the prostate gland; persistent or chronic cough such as occurs with smoking, asthma, or emphysema; a sodium-restricted diet.

Ask a doctor or pharmacist before use if you are: taking the blood thinning drug warfarin; taking sedatives or tranquilizers. When using this product: marked drowsiness may occur; avoid alcoholic drinks; excitability may occur, especially in children; alcohol, sedatives, and tranquilizers may increase the drowsiness effect; be careful when driving a motor vehicle or operating machinery.

Stop use and ask a doctor if: pain or cough 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; cough comes back or occurs with rash or headache that lasts. These could be signs of a serious condition.

If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.