Label: ALKA-SELTZER PLUS SEVERE COLD AND COUGH POWERFAST FIZZ- aspirin, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine bitartrate tablet, effervescent

  • NDC Code(s): 0280-0023-01, 0280-0023-02, 0280-0023-03
  • Packager: Bayer Healthcare LLC.
  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None

Drug Label Information

Updated December 4, 2025

If you are a consumer or patient please visit this version.

  • SPL UNCLASSIFIED SECTION

    Drug Facts

  • ACTIVE INGREDIENT

    Active ingredients (in each tablet) Purposes

    Aspirin 325 mg (NSAID)*….……..…………...Pain reliever/fever reducer

    Chlorpheniramine maleate 2 mg……………..…………...…Antihistamine

    Dextromethorphan hydrobromide 10 mg………….…Cough suppressant

    Phenylephrine bitartrate 7.8 mg.......…………….…..Nasal decongestant

    *nonsteroidal anti-inflammatory drug

  • PURPOSE

  • Uses

    Uses

    · temporarily relieves these symptoms due to a cold with cough:

    · minor aches and pains · headache · cough

    · runny nose · nasal and sinus congestion

    · sneezing · sore throat

    · temporarily reduces fever

  • WARNINGS

    Warnings

    Reye’s syndrome: Children and teenagers who have or are recovering from chicken pox or flu-like symptoms should not use this product. When using this product, if changes in behavior with nausea and vomiting occur, consult a doctor because these symptoms could be an early sign of Reye’s syndrome, a rare but serious illness.

    Allergy alert: Aspirin may cause a severe allergic reaction which may include:

    · hives · facial swelling · asthma (wheezing) · shock

    Stomach bleeding warning: This product contains an 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

    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

    ● if you are allergic to aspirin or any other pain reliever/fever reducer

    ● 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

    ● 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

    ● you have

    ● asthma ● diabetes ● thyroid disease ● 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

    ● a sodium-restricted diet

    Ask a doctor or pharmacist before use if you are

    taking a prescription drug for

    · gout · diabetes · arthritis

    ● taking sedatives or tranquilizers

    When using

    When using this product

    ● do not exceed recommended dosage

    · may cause marked drowsiness

    ● avoid alcoholic drinks

    ● excitability may occur, especially in children

    ● alcohol, sedatives, and tranquilizers may increase drowsiness

    ● be careful when driving a motor vehicle or operating machinery

    Stop use

    Stop use and ask a doctor if

    · an allergic reaction occurs. Seek medical help right away.

    ● 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

    · 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

    · ringing in the ears or a loss of hearing occurs

    · 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.

    It is especially important not to use aspirin at 20 weeks or later in 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.

  • Directions

    Directions

    ● adults and children 12 years and over: take 2 tablets fully dissolved

    in 4 oz of water every 4 hours. Do not exceed 8 tablets in 24 hours

    or as directed by a doctor.

    ● children under 12 years: do not use

  • OTHER SAFETY INFORMATION

    Other information
    ● each tablet contains: potassium 80 mg; sodium 356 mg

    ● store at room temperature. Avoid excessive heat.

  • INACTIVE INGREDIENT


    anhydrous citric acid, calcium silicate, dimethicone,
    flavor, mannitol, potassium bicarbonate, povidone, sodium bicarbonate, sucralose

  • Questions or comments

    Questions or comments? 1-800-986-0369 (Mon - Fri 9AM - 5PM EST)

  • Carton 24 count

    Alka-Seltzer®

    PLUS

    SEVERE

    Cold &

    Cough

    Citrus

    POWERFAST FIZZ™

    NEW IMPROVED FLAVOR

    ASPIRIN (NSAID) / Pain Reliever Reducer

    Chlorpheniramine Maleate / Antihistamine

    Dextromethorphan HBr / Cough Suppressant

    Phenyleprine Bitartrate / Nasal Decongestant

    24 EFFERVESCENT TABLETS ASP Severe Cold and Cough Citrus 24ct

  • INGREDIENTS AND APPEARANCE
    ALKA-SELTZER PLUS SEVERE COLD AND COUGH POWERFAST FIZZ 
    aspirin, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine bitartrate tablet, effervescent
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:0280-0023
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    DEXTROMETHORPHAN HYDROBROMIDE (UNII: 9D2RTI9KYH) (DEXTROMETHORPHAN - UNII:7355X3ROTS) DEXTROMETHORPHAN HYDROBROMIDE10 mg
    ASPIRIN (UNII: R16CO5Y76E) (ASPIRIN - UNII:R16CO5Y76E) ASPIRIN325 mg
    CHLORPHENIRAMINE MALEATE (UNII: V1Q0O9OJ9Z) (CHLORPHENIRAMINE - UNII:3U6IO1965U) CHLORPHENIRAMINE MALEATE2 mg
    PHENYLEPHRINE BITARTRATE (UNII: 27O3Q5ML57) (PHENYLEPHRINE - UNII:1WS297W6MV) PHENYLEPHRINE BITARTRATE7.8 mg
    Inactive Ingredients
    Ingredient NameStrength
    CALCIUM SILICATE (UNII: S4255P4G5M)  
    DIMETHICONE (UNII: 92RU3N3Y1O)  
    ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)  
    POVIDONE (UNII: FZ989GH94E)  
    POTASSIUM BICARBONATE (UNII: HM5Z15LEBN)  
    SUCRALOSE (UNII: 96K6UQ3ZD4)  
    SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
    MANNITOL (UNII: 3OWL53L36A)  
    Product Characteristics
    ColorwhiteScoreno score
    ShapeROUNDSize25mm
    FlavorCITRUSImprint Code ASP;CandC
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:0280-0023-0110 in 1 CARTON04/01/2020
    12 in 1 POUCH; Type 0: Not a Combination Product
    2NDC:0280-0023-0224 in 1 CARTON03/09/2022
    22 in 1 POUCH; Type 0: Not a Combination Product
    3NDC:0280-0023-0312 in 1 CARTON03/30/2023
    32 in 1 POUCH; Type 0: Not a Combination Product
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC Monograph DrugM01204/01/2020
    Labeler - Bayer Healthcare LLC. (112117283)