... What is the downside of taking it nightly?
It can be hard on your stomach on a nightly basis. It contains aspirin in some preparations which can cause gastric irritation and bleeding. The preparations are high in sodium. What is helping you sleep in the cold formula is the antihistamine. Have you tried taking 1-2 Benedryl (diphenhydramine) or Tylenol PM (which is diphenhydramine and acetaminophen combo) if you have pain at night as well as sleeplessness. It is best not to take medicines you dont need to and taking alka seltzer cold formula without a cold gives you a lot of chemicals you dont need. You might talk to your Dr about an Rx for AmbienCR to help you sleep.
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