Effervescent Antacid and Pain Relief ASPIRIN, SODIUM BICARBONATE, CITRIC ACID ASPIRIN ASPIRIN ANHYDROUS CITRIC ACID ANHYDROUS CITRIC ACID SODIUM BICARBONATE BICARBONATE ION L421

Warnings Reye's syndrome: Children and teenagers should not use this drug for chicken pox or flu symptoms before a doctor is consulted about Reye's syndrome, a rare but serious illness reported to be associated with aspirin. Allergy alert: Aspirin may cause a severe allergic reaction which may include: • Hives • facial swelling • asthma (wheezing) • shock Stomach bleeding warning: This product contains a nonsteroidal anti-inflammatory drug (NSAID), which may cause severe stomach bleeding. The chance is higher if you • are age 60 or older • have had stomach ulcers or bleeding problems • take a blood thinning (anticoagulant) or steroid drug • take other drugs containing prescription or nonprescription NSAIDs (aspirin, ibuprofen, naproxen, or others) • have 3 or more alcoholic drinks every day while using this product - take more or for a longer time than directed. Alcohol warning: If you consume 3 or more alcoholic drinks every day, ask your doctor whether you should take aspirin or other pain relievers/fever reducers. Aspirin may cause stomach bleeding. Do Not Use • if you have ever had an allergic reaction to any other pain reliever/fever reducer • if you are allergic to aspirin • if overly full from food or drink. Ask a doctor if sever stomach pain occurs after taking this product. Ask Doctor before use if • stomach bleeding warning applies to you • you have a history of stomach problems, such as heartburn • you have high blood pressure, heart disease, liver cirrhosis, or kidney disease • you are taking a diuretic Ask Doctor/Pharmacist before use if you are • presently taking a prescription drug. Antacids may interact with certain prescription drugs. • taking a prescription drug for anticoagulation (thinning the blood), diabetes, gout or arthritis When Using this product do not take more than 8 tables (adults) and 4 tablets (60 years and over) in a 24-hour period or use the maximum dosage for more than 10 days. Stop Use and ask a doctor if you experience any of the following signs of stomach bleeding • feel faint • vomit blood • have bloody or black stools • have stomach pain that does not get better • an allergic reaction occurs. Seek medical help right away. • pain lasts for more than 10 days or gets worse • new symptoms occur • redness or swelling is present • ringing in the ears or a loss of hearing occurs If pregnancy or breast feeding, ask a health professional before use. It is especially important not to use aspirin during the last 3 months of pregnancy unless definitely directed to do so by a doctor because it may cause problems in the unborn child or complications during delivery. Keep Out of Reach of Children In case of overdose, get medical help or contact a Poison Control Center right away.