When This Medicine Should Not Be Used:
You should not use this medicine if you have had an allergic reaction to aspirin, citric acid, or sodium bicarbonate. You should not use this medicine during the last 3 months of pregnancy. This medicine should not be given to children or teenagers with fever, chickenpox, or symptoms of the flu or viral infection. Aspirin can cause a serious disease called Reye's syndrome in children or teenagers. You should not use this medicine if you have an active stomach ulcer or any kind of bleeding problem.

How to Use This Medicine:
Fizzy Tablet, Tablet

• Your doctor will tell you how much medicine to use. Do not use more than directed.
• Follow the instructions on the medicine label if you are using this medicine without a prescription.
• If you are using the effervescent tablet form of this medicine, dissolve the tablets fully in 4 ounces of water. Drink all of this mixture right away.
• It is best to take this medicine with food or milk.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• There are many other medicines that should not be taken together with an antacid, such as sodium bicarbonate. Tell your doctor about all other medicines you are using.
• Make sure your doctor knows if you are also using a blood thinner such as warfarin (Coumadin®).
• Make sure that none of the other medicines you are using also contain aspirin.
• Aspirin can cause stomach bleeding. Drinking alcohol can make this worse. If you have 3 or more drinks of alcohol every day, ask your doctor if you should use this medicine. One drink of alcohol is the same as 4 ounces of wine, 12 ounces of beer, or 1 ounce of hard liquor (gin, whiskey, and others).

Warnings While Using This Medicine:

• Make sure your doctor knows if you are pregnant or breast feeding. Tell your doctor if you have arthritis, asthma, diabetes, gout, or a bleeding disorder such as hemophilia. Make sure your doctor knows if you have a stomach disorder such as an ulcer, heartburn that last or come back frequently, or GERD (reflux disease).
• Tell your doctor if your symptoms get worse or last longer than 10 days.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Bloody or black, tarry stools.
• Bloody vomit or vomit that looks like coffee grounds.
• Fever, chills, lightheadedness, fainting.
• Dark urine, yellowing of your skin or the whites of your eyes.
• Pain that lasts longer than 10 days.
• Pale skin, unusual bleeding, bruising, or weakness.
• Redness or swelling.
• Severe stomach pain.
• Ringing in your ears that will not stop.
• Worsening pain or new symptoms.

If you notice these less serious side effects, talk with your doctor:

• Mild stomach pain, nausea, heartburn.
• Slight ringing in your ears, problems with hearing.
• Trouble sleeping.

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088