Acetaminophen, Sodium Bicarbonate, and Citric Acid (Systemic)

Brand Names : Bromo-Seltzer

Proper Use of This Medicine

Unless otherwise directed by your doctor, do not take more of this medicine than is recommended on the package label . If too much is taken, liver damage or other serious side effects may occur.

To use this medicine:

• This medicine must be taken in the form of a liquid that is made from the effervescent granules. Do not swallow the granules themselves.
• To make the liquid, pour the amount of effervescent granules directed on the package into a glass. Then add 1/2 glass (4 ounces) of cool water.
• Drink all of the liquid. You may drink the liquid while it is still fizzing or after the fizzing stops.
• Add a little more water to the glass and drink that, to make sure that you get the full amount of the medicine.

Dosing - The dose of this combination medicine will be different for different people. Follow your doctor's orders or the directions on the label . The following information includes only the average doses of the acetaminophen in this combination medicine. If your dose is different, do not change it unless your doctor tells you to do so.

• For oral dosage form (effervescent granules):
  • For pain and upset stomach:
    • Adults and teenagers - 325 to 650 milligrams (mg) of acetaminophen, dissolved in water, every four hours as needed. The bottle cap can be used to measure the dose. There are 325 mg of acetaminophen in three-fourths of a capful.
    • Children - Use and dose must be determined by your doctor.

Missed dose - If your doctor has directed you to take this medicine according to a regular schedule and you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage - To store this medicine:

• Keep out of the reach of children.
• Store away from heat and direct light.
• Do not store this medicine in the bathroom, near the kitchen sink, or in other damp places. Heat or moisture may cause the medicine to break down.
• Do not keep outdated medicine or medicine no longer needed. Be sure that any discarded medicine is out of the reach of children.