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Alka seltzer cold review

alka-seltzer plus maximum strength day & night cold & flu liquid gels

WARNINGS
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Alka-Seltzer Plus® Maximum Strength Day Cold & Flu Liquid Gels

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. Symptoms may include:

  • Skin reddening
  • Blisters
  • Rash
  • Hives
  • Facial swelling
  • Asthma (wheezing)
  • Shock

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

  • 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
  • Heart disease
  • High blood pressure
  • Thyroid disease
  • Diabetes
  • Cough with excessive phlegm (mucus)
  • Difficulty in urination due to enlargement of the prostate gland
  • Persistent or chronic cough such as occurs with smoking, asthma, or emphysema

Ask a doctor or pharmacist before use if you are taking the blood thinning drug warfarin

When using this product do not exceed recommended dosage

Stop use and ask a doctor if

  • Pain, cough, or nasal congestion 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.
  • Nervousness, dizziness, or sleeplessness occurs

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.

Alka-Seltzer Plus® Maximum Strength Night Cold & Flu Liquid Gels

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. Symptoms may include:

  • Skin reddening
  • Blisters
  • Rash
  • Hives
  • Facial swelling
  • Asthma (wheezing)
  • Shock

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
  • Heart disease
  • High blood pressure
  • Thyroid disease
  • Diabetes
  • Glaucoma
  • Cough 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

Ask a doctor or pharmacist before use if you are

  • Taking the blood thinning drug warfarin
  • Taking sedatives or tranquilizers

When using this product

  • Do not exceed recommended dosage
  • May cause marked drowsiness
  • Avoid alcoholic drinks
  • Alcohol, sedatives, and tranquilizers may increase drowsiness
  • Be careful when driving a motor vehicle or operating machinery
  • Excitability may occur, especially in children

Stop use and ask a doctor if

  • Pain, cough, or nasal congestion 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.
  • Nervousness, dizziness, or sleeplessness occurs

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.

Bayer has announced a voluntary recall of Alka-Seltzer Plus products after finding that the ingredients on the front sticker may not represent the actual tablets in the carton.

The affected products are intended to relieve cold and flu symptoms such as cough, congestion, fever, and/or mucus. But because of the mislabeling, users are at risk of allergic, anaphylactic, or other adverse reactions.

Consumers can identify recalled products by checking the logo on the lower left corner on the front of the carton. If the logo’s background is orange or green, it is included in the recall.

FDA

Bayer has began notifying retailers electronically and arranging for the mislabeled packages to be returned. So far, no complaints have been received, but the company is encouraging customers who have purchased this medication to stop using it immediately. They can contact Bayer at 1-800-986-0369 Monday through Friday 9:00 AM – 5:00 PM ET to report any issues and for more information about receiving a refund.

Consumers should contact their healthcare provider immediately if they have experienced any problems that may be a result from taking this drug.

Lindsey Murray Trends & Reviews Editor Lindsey works with the Good Housekeeping Institute to test and review products like appliances, bedding, baby items, and more

Bayer has announced a voluntary recall of some Alka-Seltzer Plus packages, as the ingredients on the front sticker may not match the actual product in the carton. The company noted the ingredients listed on the front sticker of the carton could potentially be different from those listed on the back of the carton. As a result, consumers could accidentally ingest a product to which they may have an allergy or anaphylactic reaction. Bayer said the recall affects Alka-Seltzer Plus packages that were sold only in the United States at Walmart, CVS, Walgreens, and Kroger (including Dillons Food Stores, Fred Meyer, Fry’s Food Stores, Ralphs, King Soopers and Smith’s Food and Drug) after February 9, 2018. The affected products can be identified by checking the Bayer logo on the lower left corner of the front of the carton; if the logo has an orange or green background, the product is included in the recall. Additional information about the recall is available <a href=”https://www.fda.gov/Safety/Recalls/ucm601371.htm&quot; target=”_blank”>here</a>.

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Side Effects & Adverse Reactions

Hypersensitivity reactions have been reported in patients who have exhibited hypersensitivity to other selective 5-HT 3 receptor antagonists.
ECG changes including QT interval prolongation has been seen in patients receiving ondansetron. In addition, postmarketing cases of Torsade de Pointes have been reported in patients using ondansetron. Avoid ondansetron hydrochloride in patients with congenital long QT syndrome. ECG monitoring is recommended in patients with electrolyte abnormalities (e.g., hypokalemia or hypomagnesemia), congestive heart failure, bradyarrhythmias or patients taking other medicinal products that lead to QT prolongation.
The development of serotonin syndrome has been reported with 5-HT3 receptor antagonists alone. Most reports have been associated with concomitant use of serotonergic drugs (e.g., selective serotonin reuptake inhibitors (SSRIs), serotonin and norepinephrine reuptake inhibitors (SNRIs), monoamine oxidase inhibitors, mirtazapine, fentanyl, lithium, tramadol, and intravenous methylene blue). Some of the reported cases were fatal. Serotonin syndrome occurring with overdose of ondansetron hydrochloride alone has also been reported. The majority of reports of serotonin syndrome related to 5-HT3 receptor antagonist use occurred in a post-anesthesia care unit or an infusion center.
Symptoms associated with serotonin syndrome may include the following combination of signs and symptoms: mental status changes (e.g., agitation, hallucinations, delirium, and coma), autonomic instability (e.g., tachycardia, labile blood pressure, dizziness, diaphoresis, flushing, hyperthermia), neuromuscular symptoms (e.g., tremor, rigidity, myoclonus, hyperreflexia, incoordination), seizures, with or without gastrointestinal symptoms (e.g., nausea, vomiting, diarrhea). Patients should be monitored for the emergence of serotonin syndrome, especially with concomitant use of ondansetron hydrochloride and other serotonergic drugs. If symptoms of serotonin syndrome occur, discontinue ondansetron hydrochloride and initiate supportive treatment. Patients should be informed of the increased risk of serotonin syndrome, especially if ondansetron hydrochloride is used concomitantly with other serotonergic drugs (see PRECAUTIONS and OVERDOSAGE).

Legal Issues

There is currently no legal information available for this drug.

FDA Safety Alerts

There are currently no FDA safety alerts available for this drug.

Manufacturer Warnings

There is currently no manufacturer warning information available for this drug.

FDA Labeling Changes

There are currently no FDA labeling changes available for this drug.

Uses

  1. Prevention of nausea and vomiting associated with highly emetogenic cancer chemotherapy, including cisplatin ≥50 mg/m 2.
  2. Prevention of nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy.
  3. Prevention of nausea and vomiting associated with radiotherapy in patients receiving either total body irradiation, single high-dose fraction to the abdomen, or daily fractions to the abdomen.
  4. Prevention of postoperative nausea and/or vomiting. As with other antiemetics, routine prophylaxis is not recommended for patients in whom there is little expectation that nausea and/or vomiting will occur postoperatively. In patients where nausea and/or vomiting must be avoided postoperatively, ondansetron tablets, USP are recommended even where the incidence of postoperative nausea and/or vomiting is low.

History

There is currently no drug history available for this drug.

Other Information

The molecular formula is C 18H 19N 3O•HCl•2H 2O, representing a molecular weight of 365.9. Ondansetron hydrochloride USP (dihydrate) is a white to off-white powder that is soluble in water and normal saline.
Ondansetron tablets, USP for oral administration contain ondansetron hydrochloride USP (dihydrate) equivalent to 4 mg or 8 mg or 24 mg of ondansetron. Each film-coated tablet also contains the inactive ingredients anhydrous lactose, microcrystalline cellulose, pregelatinized starch (maize), magnesium stearate, triacetin, titanium dioxide and hypromellose. In addition 8 mg tablet also contains iron oxide yellow and 24 mg tablet also contains iron oxide red.
Meets USP dissolution test 6.

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