This product contains acetaminophen. Sever liver damage may occur if you take more than 6 doses (12 tablespoonfuls or 180 ml) in 24 hours, with other drugs containing acetaminophen, 3 or more alcoholic drinks every day while using this product. Sore Throat Warning: If sore throat is severe, persists for more than 2 days, is accompanied or followed by fever, headache, rash, nausea, or vomiting consult a doctor promptly. Do not use in a child under 4 years of age, with any other drug containing acetaminophen (prescription or nonprescription) (Ask a doctor or pharmacist before using with other drugs if you are not sure), 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, with any other product containing diphenhydramine, even one used on skin. Ask a doctor before use if you have heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, liver disease, a breathing problem such as emphysema or chronic bronchitis, trouble urinating due to an enlarged prostate gland, cough that occurs with too much phlegm (mucus), cough lasts or is chronic such as occurs with smoking, asthma, chronic bronchitis or emphysema. Ask a doctor or pharmacist before use if you are taking sedatives or tranquilizers. When using this product do not exceed recommended dosage, avoid alcoholic drinks, marked drowsiness may occur, alcohol, sedatives and tranquilizers may increase drowsiness, be careful when driving a motor vehicle or operating machinery, excitability may occur, especially in children. Stop use and ask a doctor if nervousness, dizziness, or sleeplessness occurs, pain, cough 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, cough comes back or occurs with a fever, rash or headache that lasts. These could be signs of a serious condition. 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. Prompt medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms. Do not use if neckband printed with Novartis is torn or missing.