Parents: Learn about teen medicine abuse. Does not contain aspirin. Do not use if pouch is torn or open. Do not take these products at the same time. Alka-Seltzer Plus Severe Cold + Flu Day. Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take: more than 6 packets in 24-hour, which is the maximum daily amount for this product; 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 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; difficulty in urination due to enlargement of the prostate gland; persistent or chronic cough occurs with smoking, asthma, chronic bronchitis or emphysema; cough with excessive phlegm (mucus). 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 come back or occurs with fever, 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 severe Cold + Flu night. Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take: More than 5 packets in 24-hour, which is the maximum daily amount for this product; 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 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; difficulty in urination due to enlargement of the prostate gland; persistent or chronic cough occurs with smoking, asthma, chronic bronchitis or emphysema; cough with excessive phlegm (mucus). 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's. 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 come back or occurs with fever, 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.