SIDE EFFECTS: Stomach upset, drowsiness, sleepiness, dizziness, lightheadedness, blurred vision and constipation may occur. If any of these effects persist or worsen, inform your doctor promptly. Notify your doctor immediately if you develop: vomiting, easy bruising or bleeding, dark urine, yellowing eyes or skin, black stools, mental confusion, ringing in the ears, mood changes, depression. In the unlikely event you have an allergic reaction to this drug, seek immediate medical attention. Symptoms of an allergic reaction include: rash, itching, swelling, dizziness, breathing trouble. If you notice other effects not listed above, contact your doctor or pharmacist.

PRECAUTIONS: Tell your doctor your medical history, especially of: kidney disease, liver disease, blood disorders, asthma, nasal polyps, ulcers, thyroid disease, diabetes, drug dependency, any allergies. Because this medication contains aspirin, children and teenagers should not take this drug if they have chickenpox, influenza or any undiagnosed illness without first consulting a doctor about Reye's syndrome, a rare but serious illness. Use caution performing tasks requiring alertness if this medication makes you drowsy. Limit alcohol intake. To avoid dizziness and lightheadedness when rising from a seated or lying position, get up slowly. This medicine may cause stomach bleeding. Daily use of alcohol, especially when combined with this medicine, may increase your risk for stomach bleeding. Check with your doctor or pharmacist for more information. Aspirin is not recommended for use during pregnancy. Consult your doctor before using this medication. This medication is excreted into breast milk and may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: Tell your doctor of all over-the-counter and prescription medication you may use including: medication for depression, anti-anxiety drugs (e.g., diazepam), anti-seizure drugs, other narcotic pain relievers (e.g., morphine), St John's wort, non-narcotic pain medicine (e.g., ibuprofen, naproxen), sleeping pills, sedatives, "blood thinners" (e.g., heparin, warfarin), methotrexate, corticosteroids (e.g., prednisone), cimetidine. Aspirin is an ingredient in many over-the-counter products. To prevent an overdose of aspirin, read the labels carefully before taking other pain relievers or cold products to be sure they do not contain aspirin. Consult your pharmacist if you are uncertain your over-the-counter products contain aspirin. This drug may interfere with the effectiveness of birth control pills. Discuss using other methods of birth control with your doctor. Do not start or stop any medicine without doctor or pharmacist approval.

Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.

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