Ask a doctor before use if you have - liver disease, heart disease, thyroid disease, diabetes, high blood pressure, glaucoma, a breathing problem such as emphysema or chronic bronchitis, trouble urinating due to enlarged prostate gland. Ask a doctor or pharmacist before use if you are taking sedatives or tranquilizers, taking the blood thinning drug warfarin. Stop use and ask a doctor if - pain or nasal congestion gets worse or lasts more than 7 days, fever gets worse or lasts more than 3 days, redness or swelling is present, new symptoms occur, you get nervous, dizzy or sleepless. If pregnant or breast-feeding, ask a health professional before use. Keep out of reach of children. In case of overdose, get medical help or contact a poison control center right away. Quick medical attention is critical for adults & for children even if you do not notice any signs or symptoms. Liver warning: this product contains acetaminophen. Severe liver damage may occur if you take, more than 4 doses in 24 hours, which is the maximum daily amount for this product, with other drugs containing acetaminophen, 3 or more alcoholic drinks every day while using this product. Allergy alert: acetaminophen may cause severe skin reactions. Symptoms may include: skin reddening, blisters, rash, if a skin reaction occurs, stop use and seek medical help right away. Do not use - with any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist. If you are now taking a prescription monoamine oxidase inhibitor (maoi) (certain drugs for depression, psychiatric or emotional conditions, or parkinson's disease), or for 2 weeks after stopping the maoi drug. If you do not know if your prescription drug contains an maoi, ask a doctor or pharmacist before taking this product. To make a child sleep. When using this product - do not use more than directed, excitability may occur, especially in children, marked drowsiness may occur, avoid alcoholic drinks, be careful when driving a motor vehicle or operating machinery, alcohol, sedatives & tranquilizers may increase drowsiness.