is it safe to take Alka Seltzer Cold Plus if I am also taking 2 high blood press!
Question:
Answers:
No.
Other Answers:
you should call your local pharmacist and ask him or her. I wouldn't think that all those medications at the same time would be safe.
You need to call your pharmacist or your doctor.
Alka Seltzer Cold Plus
Generic Name: ASPIRIN/SOD/BICARB/CA EFF
Drug Class: NONSTEROIDAL ANTIINFLAMMATORY AGENTS
DESCRIPTION
Aspirin (acetylsalicylic acid) an analgesic, antipyretic, and anti-inflammatory agent is chemically, 2-(Acetyloxy)benzoic acid.
INDICATIONS
Analgesic, antipyretic, anti-inflammatory. For the temporary relief of headache; painful discomfort and fever of colds; muscular aches and pains; temporary relief of minor pains of arthritis; toothache, and pain following dental procedures; menstrual pain.
Antiarthritic Effect
Conditions requiring chronic or long-term aspirin therapy for pain and/or inflammation, e.g., rheumatoid arthritis, juvenile rheumatoid arthritis, systemic lupus erythematosus, osteoarthritis (degenerative joint disease), ankylosing spondylitis, psoriatic arthritis, Reiter's syndrome, and fibrositis
Antiplatelet Effect
In MI Prophylaxis: Aspirin is indicated to reduce the risk of death and/or nonfatal myocardial infarction in patients with a previous infarction or unstable angina pectoris
In Transient Ischemic Attacks: Aspirin is indicated for reducing the risk of recurrent transient ischemic attacks (TIAs) or stroke in men who have transient ischemia of the brain due to fibrin emboli. There is no evidence that aspirin is effective in reducing T.A. in women, or is of benefit in the treatment of completed strokes in men or women.
See More Indications below
DOSAGE AND ADMINISTRATION
Directions: The following dosages are those provided in the packaging, as appropriate for self-medication. Larger or more frequent dosage may be necessary as appropriate to the condition or needs of the patient. The hydroxypropyl methylcellulose coating makes Genuine Bayer Aspirin particularly appropriate for those who have difficulty in swallowing uncoated tablets and caplets.
Usual Adult Dose: Adults and Children 12 years and over: One or two tablets/caplets with water. May be repeated every four hours as necessary up to 12 tablets/caplets a day or as directed by a doctor. Do not give to children under 12 unless directed by a doctor.
The following information is based upon the FDA's Final Rule for professional labeling of aspirin** issued October 1998.
Ischemic Stroke and TIA: 50-325 mg once a day. Continue therapy indefinitely.
Suspected Acute MI: The initial dose of 160-162.5 mg is administered as soon as an MI is suspected. The maintenance dose of 160-162.5 mg a day is continued for 30 days post-infarction. After 30 days, consider further therapy based on dosage and administration for prevention of recurrent MI.
Prevention of Recurrent MI: 75-325 mg once a day. Continue therapy indefinitely.
Unstable Angina Pectoris: 75-325 mg once a day. Continue therapy indefinitely.
Chronic Stable Angina Pectoris: 75-325 mg once a day. Continue therapy indefinitely.
CABG: 325 mg daily starting 6 hours post-procedure. Continue therapy for 1 year post-procedure.
PTCA: The initial dose of 325 mg should be given 2 hours pre- surgery. Maintenance dose is 160-325 mg daily. Continue therapy indefinitely.
Carotid Endarterectomy: Doses of 80 mg once daily to 650 mg twice daily, started presurgery, are recommended. Continue therapy indefinitely.
Rheumatoid Arthritis: The initial dose is 3 g a day in divided doses. Increase as needed for anti-inflammatory efficacy with target plasma salicylate levels of 150-300 g/mL. At high doses (i.e., plasma levels of greater than 200 mg/mL), the incidence of toxicity increases.
Juvenile Rheumatoid Arthritis: Initial dose is 90-130 mg/kg/day in divided doses. Increase as needed for anti-inflammatory efficacy with target plasma salicylate levels of 150-300 g/mL. At high doses (i.e., plasma levels of greater than 200 mg/mL), the incidence of toxicity increases.
Spondyloarthropathies: Up to 4 g per day in divided doses.
Osteoarthritis: Up to 3 g per day in divided doses.
Arthritis and Pleurisy of SLE: The initial dose is 3 g a day in divided doses. Increase as needed for anti-inflammatory efficacy with target plasma salicylate levels of 150-300 g/mL. At high doses (i.e., plasma levels of greater than 200 mg/mL), the incidence of toxicity increases
SIDE EFFECTS
Antiarthritic Effect
In MI Prophylaxis
Gastrointestinal reactions: Doses of 1,000 mg per day of aspirin caused gastrointestinal symptoms and bleeding that, in some cases, were clinically significant. In the largest postinfarction study (the Aspirin Myocardial Infarction Study (AMIS) with 4,500 people), the percentage of incidences of gastrointestinal symptoms for the aspirin (1,000 mg of a standard, solid-tablet formulation) and placebo-treated subjects, respectively, were stomach pain (14.5%, 4.4%), heartburn (11.9%, 4.8%), nausea and/or vomiting (7.6%, 2.1%), hospitalization for GI disorder (4.9%, 3.5%). In the A.I. and other trials, aspirin-treated patients had increased rates of gross gastrointestinal bleeding. Symptoms and signs of gastrointestinal irritation were not significantly increased in subjects treated for unstable angina with buffered aspirin in solution
WARNINGS
Children and teenagers should not use this medicine for chicken pox Or flu symptoms before a doctor is consulted about reye syndrome, a rare But serious illness reported to be associated with aspirin. Do not take this product for pain for more than 10 days or for fever for more than 3 days unless directed by a doctor. If pain or fever persists or gets worse, if new symptoms occur, or if redness or swelling is present consult a doctor because these could be signs of a serious condition. Do not take this product if you are allergic to aspirin, have asthma, stomach problems that persist or recur, gastric ulcers or bleeding problems unless directed by a doctor. If ringing in the ears or loss of hearing occurs, consult a doctor before taking any more of this product. Keep this and all drugs out of the reach of children. In case of accidental overdose, seek professional assistance or contact a poison control center immediately. As with any drug, if you are pregnant or nursing a baby, seek the advice of a health professional before using this product. It is especially important not to use aspirin During the last 3 months of pregnancy unless specifically directed to do So by a doctor because it may cause problems in the unborn child or complications During delivery
Aspirin should be used with caution when anticoagulants are prescribed concurrently, for aspirin may depress the concentration of prothrombin in plasma and thereby increase bleeding time. Large doses of salicylates have a hypoglycemic action and may enhance the effect of the oral hypoglycemics. Consequently, they should not be given concomitantly; if however, this is necessary, the dosage of the hypoglycemic agent must be reduced while the salicylate is given. This hypoglycemic action may also affect the insulin requirements of diabetics. Although salicylates in large doses are uricosuric agents, smaller amounts may decrease the uricosuric effects of probenecid, sulfinpyrazone, and phenylbutazone
PRECAUTIONS
In Transient Ischemic Attacks
Patients presenting with signs and/or symptoms of TIAs should have a complete medical and neurologic evaluation. Consideration should be given to other disorders which may resemble TIAs. It is important to evaluate and treat, if appropriate, diseases associated with TIAs and stroke, such as hypertension and diabetes.
Concurrent administration of absorbable antacids at therapeutic doses may increase the clearance of salicylates in some individuals. The concurrent administration of nonabsorbable antacids may alter the rate of absorption of aspirin, thereby resulting in a decreased acetylsalicylic acid/salicylate ratio in plasma. The clinical significance of these decreases in available aspirin is unknown.
Aspirin at dosages of 1,000 milligrams per day has been associated with small increases in blood pressure, blood urea nitrogen, and serum uric acid levels. It is recommended that patients placed on long-term aspirin treatment be seen at regular intervals to assess changes in these measurements.
Sodium excretion produced by spironolactone may be decreased in the presence of salicylates
CONTRAINDICATIONS
Aspirin should not be used in patients who have previously exhibited hypersensitivity to aspirin and/or nonsteroidal antiinflammatory agents. Aspirin should not be given to patients with a recent history of gastrointestinal bleeding or in patients with bleeding disorders (e.g., hemophilia).
Who should NOT take aspirin?
A Generally, people who have:
allergy to aspirin or other salicylates
asthma
uncontrolled high blood pressure
severe liver or kidney disease
bleeding disorders
Always check first with your doctor to determine whether the benefit of these professional uses of aspirin is greater than the risks to you
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