Immediate medical advice should be sought in the event of an overdose, even if you feel well, because ofthe risk of delayed, serious liver damage. Uncommon features include haematemesis, hyperpyrexia, hypoglycaemia, hypokalaemia, thrombocytopaenia, increased INR/PTR, intravascular coagulation, renal failure and non-cardiac pulmonary oedema. The speed of absorption of paracetamol may be increased by metoclopramide or domperidone and absorption reduced by cholestyramine. Each Alka-Seltzer XS tablet contains 472mg of sodium. This should be taken into consideration bypeople on a controlled sodium diet.

This is a medicine; Consult your doctor or pharmacist if you have an underlying medical condition, are taking any other medication or complementary therapy, or if symptoms persist. Salicylate poisoning is usually associated with plasma concentrations >350 mg/L (2.5 mmol/L). Most adult deaths occur in patients whose concentrations exceed 700 mg/L (5.1 mmol/L). Single doses less than 100 mg/kg are unlikely to cause serious poisoning.If you experience any of the following side effects, stop taking Alka-Seltzer XS and go to your nearestAccident and Emergency Department or doctorimmediately: Administration of aspirin at doses greater than 300mg/day, shortly before birth can lead to intra-cranial haemorrhages, particularly in premature babies.

Always ask your doctor or pharmacist for advice before taking any medicine. 3. HOW TO TAKE ALKA-SELTZER® XS Part II CLAUSE 10 B of the Drug Tariff ‘Drugs and Chemical Reagents in Special Containers’ states the following: Acetylsalicylic acid has the ability to alter platelet function and, therefore, there may be a risk of haemorrhage in infants whose mothers have consumed acetylsalicylic acid during pregnancy. The onset of labour may be delayed and the duration increased, with an increase in maternal blood loss. Therefore, analgesic doses should be avoided during the last trimester of pregnancy.Do not exceed the recommended dose. If symptoms persist consult your doctor. Keep out of the reach of children.