ALKA-SELTZER PLUS SEVERE COLD AND COUGH POWERFAST FIZZ- aspirin, chlorpheniramine maleate, dextromethorphan hydrobromide, phenylephrine bitartrate tablet, effervescent 
Bayer Healthcare LLC.

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Alka-Seltzer Plus Severe Cold & Cough PowerFast Fizz Effervescent Tablets UI 1614459

Drug Facts

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

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

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

● store at room temperature. Avoid excessive heat.


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

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)

Revised: 12/2025
Document Id: 4523854a-cb4c-04b8-e063-6294a90a5c88
Set id: dd7d8a8c-0f91-5ef1-e053-2a95a90a3c6a
Version: 13
Effective Time: 20251204
 
Bayer Healthcare LLC.