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Ascriptin Maximum Strength

Generic Name: aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide (a LOO min um hye DROX ide, ASP rin, KAL cee um KAR bo nate, mag NEE see um hye DROX ide)
Brand Name: Arthritis Pain Formula, Ascriptin, Ascriptin Maximum Strength, Aspirin Buffered

What is Ascriptin Maximum Strength (aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide)?

Aluminum, calcium, and magnesium are naturally occurring minerals that are used antacids.

Aspirin is a salicylate (sa-LIS-il-ate) and a nonsteroidal anti-inflammatory drug (NSAID). Aspirin works by reducing substances in the body that cause pain, fever, and inflammation.

Aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide is a combination medicine used to treat headache, toothache, menstrual pain, and minor aches and pains caused by arthritis or the common cold.

The antacids in this combination medicine help prevent heartburn or stomach discomfort caused by the aspirin contained in the medicine.

This medicine is sometimes used to prevent blood clots that may lead to heart attack or stroke. Aspirin should be used for cardiovascular conditions only under the supervision of a doctor.

Aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide may also be used for purposes not listed in this medication guide.

What is the most important information I should know about this medicine?

You should not use this medication if you have severe active bleeding, a history of stomach or intestinal bleeding, a vitamin K deficiency, a bleeding disorder or low levels of platelets in your blood, an allergy to an NSAID (nonsteroidal anti-inflammatory drug), or if you also take ketorolac (Toradol).

Aspirin may increase your risk of heart attack or stroke, especially if you use it long term or have heart disease. Do not use this medicine just before or after heart bypass surgery (coronary artery bypass graft, or CABG). Aspirin may also cause stomach or intestinal bleeding, which can be fatal. These conditions can occur without warning while you are taking this medicine.

Do not take aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide during the last 3 months of pregnancy. It may harm the unborn baby.

What should I discuss with my healthcare provider before taking this medicine?

You should not use this medication if you are allergic to aluminum hydroxide, aspirin, calcium carbonate, or magnesium hydroxide, or if you have:

  • a recent history of stomach or intestinal bleeding;

  • a bleeding or blood clotting disorder such as hemophilia;

  • vitamin K deficiency;

  • low levels of platelets in your blood;

  • severe active bleeding;

  • an allergy to an NSAID (nonsteroidal anti-inflammatory drug) such as aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve), celecoxib, diclofenac, indomethacin, meloxicam, and others; or

  • if you are also using ketorolac (Toradol).

Ask a doctor or pharmacist if it is safe for you to take this medicine if you have:

  • a history of stomach ulcer, heartburn, or other stomach disorder;

  • asthma, seasonal allergies, or nasal polyps;

  • a head injury, or a headache with fever, vomiting, neck stiffness, and increased sensitivity to light;

  • heart disease, high blood pressure;

  • liver or kidney disease;

  • diabetes;

  • gout or arthritis;

  • high levels of calcium or magnesium in your blood;

  • if you are 60 years or older; or

  • if you drink more than three alcoholic beverages per day.

Do not take aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide during the last 3 months of pregnancy. It may harm the unborn baby. Aspirin may be harmful to an unborn baby's heart, and may also reduce birth weight or have other dangerous effects. Tell your doctor if you are pregnant or plan to become pregnant while using this medication.

Aspirin can pass into breast milk and may harm a nursing baby. You should not breast-feed while you are using this medicine.

This medication should not be given to a child or teenager who has a fever, especially if the child also has flu symptoms or chicken pox. Aspirin can cause a serious and sometimes fatal condition called Reye's syndrome in children.

How should I take this medicine?

Use exactly as directed on the label, or as prescribed by your doctor. Do not use in larger or smaller amounts or for longer than recommended.

Take this medicine with food or milk if it upsets your stomach.

Do not take this medication for longer than 10 days to treat pain, or for longer than 3 days to treat fever. Call your doctor if your symptoms do not improve, or if they get worse while using the medicine.

If you need surgery or medical tests, tell the surgeon or doctor ahead of time that you are using this medicine. You may need to stop using the medicine for a short time.

Store at room temperature away from moisture, heat, and light.

Throw away the medication if you smell a strong vinegar odor in the bottle. The medicine may no longer be effective.

What happens if I miss a dose?

Since this medication is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while taking this medicine?

If you are taking this medicine to prevent heart attack or stroke, avoid also taking ibuprofen (Advil, Motrin). Ibuprofen may make aspirin less effective in protecting your heart and blood vessels. If you must use both medications, take the ibuprofen at least 8 hours before or 30 minutes after you take aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide.

Avoid taking other medicines within 2 hours before or after you take aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide. The antacids contained in this medicine can make it harder for your body to absorb other medicines, especially antibiotics.

Avoid drinking alcohol. It may increase your risk of stomach bleeding.

Ask a doctor or pharmacist before using any cold, allergy, or pain medication. Many medicines available over the counter contain aspirin or other NSAIDs. Taking certain products together can cause you to get too much of this type of medication. Check the label to see if a medicine contains aspirin, ibuprofen, ketoprofen, or naproxen.

This medicine side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have symptoms of stomach bleeding such as black, bloody, or tarry stools, or coughing up blood or vomit that looks like coffee grounds.

Stop using aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide and call your doctor at once if you have:

  • chest pain, weakness, shortness of breath, slurred speech, or problems with vision or balance;

  • little or no urinating;

  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;

  • redness, swelling, or increasing pain;

  • hearing loss, ringing in your ears; or

  • nausea, upper stomach pain, itching, loss of appetite, dark urine, clay-colored stools, jaundice (yellowing of the skin or eyes).

Common side effects may include:

  • mild heartburn, mild nausea, upset stomach; or

  • diarrhea, stomach cramps.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Ascriptin Maximum Strength (aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide)?

Ask your doctor before using aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide if you take an antidepressant such as citalopram, escitalopram, fluoxetine (Prozac), fluvoxamine, paroxetine, sertraline (Zoloft), trazodone, or vilazodone. Taking any of these medicines with an NSAID may cause you to bruise or bleed easily.

Many drugs can interact with aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide. Not all possible interactions are listed here. Tell your doctor about all your medications and any you start or stop using during treatment with aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide, especially:

  • acetazolamide;

  • methotrexate; or

  • a blood thinner (warfarin, Coumadin).

This list is not complete and there are many other drugs that can interact with aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide. Tell your doctor about all medications you use. This includes prescription, over-the-counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. Keep a list of all your medicines and show it to any healthcare provider who treats you.

Where can I get more information?

  • Your pharmacist can provide more information about aluminum hydroxide, aspirin, calcium carbonate, and magnesium hydroxide.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 3.02. Revision Date: 2013-11-22, 11:27:38 AM.

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