Label: MEDI FIRST PAIN RELIEF- acetaminophen, aspirin, salicylamide and caffeine tablet
MEDI FIRST PLUS PAIN ZAPPER- acetaminophen, aspirin, salicylamide and caffeine tablet

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 and Salicylamide may cause a severe allergic reaction which may include:

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

Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms may include:

■ skin reddening ■ blisters ■ rash

If a skin or allergic reaction occurs, stop use and seek medical help right away.

Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take:

• more than 4,000 mg of acetaminophen in 24 hours which is the maximum daily amount
• with other drugs containing acetaminophen
• 3 or more alcoholic drinks every day while using this product

Stomach bleeding warning: This product contains nonsteroidal anti-inflammatory drugs (NSAIDs), 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

Caffeine warning: The recommended dose of this product contains about as much caffeine as a cup of coffee. Limit the use of caffeine- containing medications, foods, or beverages while taking this product because too much caffeine may cause nervousness, irritability, sleeplessness, and, occasionally, rapid heart beat.

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.
• for pain for more than 10 days unless directed by a doctor
• for more than 3 days for fever unless directed by a doctor
• with any other pain releiver/fever reducer

Ask a doctor before use if

• stomach bleeding warning applies to you
• you have a history of stomach problems (such as heartburn, upset stomach or stomach pain)
• you have heart disease, liver cirrhosis, or kidney disease
• you have asthma or high blood pressure
• you are taking a diuretic

Ask a doctor or pharmacist before use if you are taking a prescription drug for

• anticoagulation
• diabetes
• gout
• arthritis

Ask a doctor or pharmacist before use if you have

• liver disease

When using this product do not exceed recommended dose

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
• symptoms do not improve
• pain or fever gets worse
• ringing in the ears or hearing loss occurs
• new symptoms appear

If pregnant or breast-feeding, ask a health care professional before use. It is especially important not to use aspirin or salicyamide 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.

Overdose warning:

Taking more than the recommended dose (overdose) may cause liver damage.

In case of overdose, get medical help or contact a Poison Control Center right away. Prompt medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.