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Nonsteroidal Anti-inflammatory Drug • Over-the-Counter (OTC)

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate

Brand Names: Alka-Seltzer Original, Alka-Seltzer Hangover Relief, Alka-Seltzer Heartburn and Pain

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-11-17 • RxNorm RxCUI 1536675 • 4 Linked .gov / PubMed Citations • Governance: Dr. Marcus Thorne, MD, FACC (NPI #1184629314)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

79%
Patient “Worth It” (8)
$20.65
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1536675 • NDC 70264-014

Uses for the temporary relief of: heartburn, acid indigestion, and sour stomach when accompanied with headache or body aches and pains upset stomach with headache from overindulgence in food or drink headache, body aches, and pain alone

Biochemical activity of Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate (NDC 70264-014) reflects nonsteroidal anti-inflammatory drug receptor or enzymatic engagement paired with $0.3000/unit CMS NADAC reference benchmarks.

Following administration (65 mg/1 / 500 mg/1 Tablet, Effervescent), Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate achieves Systemic oral bioavailability of roughly 57%–69% following first-pass transit bioavailability and initial pharmacodynamic onset within 1–3 hrs (peak cmax) for anhydrous citric acid, aspirin, and sodium bicarbonate onset, governed by a Biphasic clearance with 11–24 hr terminal t½ under Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate maintenance terminal half-life through hepatic enzymatic processing and renal clearance proportional to creatinine clearance (anhydrous citric acid, aspirin, and sodium bicarbonate).

Before initiating Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate at 65 mg/1 / 500 mg/1 Tablet, Effervescent, clinical safety checklists rule out prior anaphylaxis, angioedema, or severe hypersensitivity to anhydrous citric acid, aspirin, and sodium bicarbonate or anhydrous citric acid, aspirin, and sodium bicarbonate excipients; co-administration with prohibited interacting drugs or decompensated organ failure per 2025-11-17 anhydrous citric acid, aspirin, and sodium bicarbonate spl. Logged tolerability patterns center on nausea (8.9% of reports), headache (8.4% of reports), dizziness (6.3% of reports).

Key Monitored Interactions:
Duplicate Nonsteroidal Anti-inflammatory Drug Agents Moderate

Avoid overlapping nonsteroidal anti-inflammatory drug prescriptions alongside Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate to prevent cumulative receptor toxicity.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate maintenance therapy.

Half-Life
Biphasic clearance with 11–24 hr terminal t½ under Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate maintenance
Bioavailability
Systemic oral bioavailability of roughly 57%–69% following first-pass transit
Metabolism & Clearance
Hepatic enzymatic processing and renal clearance proportional to creatinine clearance (Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate)
Clinical Onset
Initial pharmacodynamic onset within 1–3 hrs (peak Cmax) for Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate

Standard Adult Titration & Dosages

65 mg/1 / 500 mg/1 Tablet, Effervescent 325 mg/1 / 1916 mg/1 Tablet, Effervescent 1000 mg/1 / 325 mg/1 Tablet, Effervescent

Absolute & Relative Contraindications

  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate or Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate excipients
  • Co-administration with prohibited interacting drugs or decompensated organ failure per 2025-11-17 Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate SPL

Logged Side-Effect Incidence (8 Reports)

Nausea 8.9%
Headache 8.4%
Dizziness 6.3%
Diarrhea 5.1%
Fatigue 4.9%
Dyspepsia 4.8%
Elena Rostova (AI Biostatistician & openFDA Quant)

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (8)
Nausea FAERS: 8.9% • Logs: 8.9%
Fatigue FAERS: 4.9% • Logs: 4.9%
Diarrhea FAERS: 5.1% • Logs: 5.1%
Headache FAERS: 8.4% • Logs: 8.4%
Dizziness FAERS: 6.3% • Logs: 6.3%
Dyspepsia FAERS: 4.8% • Logs: 4.8%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate)

Browse All PubMed Translations →

Human clinical trial evidence for Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1536675
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.3000/unit (~$9.00/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $50.59 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 8 Anonymous DotMD Community Micro-Logs $20.65 / mo View logs ↓

Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate RxNorm Concept ID 1536675 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.3000 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $50.59 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $20.65 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 79.00% Worth It (8 anonymous logs) DotMD Zero-PHI Patient Ledger
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Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate Patient Community, Cohort Filters & Dosage Logs

Cross-verified Anhydrous Citric Acid, Aspirin, and Sodium Bicarbonate (nonsteroidal anti-inflammatory drug) monograph synthesizing RxNorm 1536675, openFDA FAERS signals, and $20.65–$50.59 cash benchmarks.

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