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What is the most important information I should know about choline magnesium trisalicylate?

Take choline magnesium trisalicylate with milk, food, or an antacid to lessen stomach upset. Enteric-coated choline magnesium trisalicylate is specially formulated to be gentle on your stomach. Enteric-coated a choline magnesium trisalicylate can be, but does not have to be, taken with milk or food and should not be taken with an antacid. Do not break, chew, or crush the enteric-coated tablets. These have a special coating to protect your stomach. Swallow them whole. Avoid alcohol or use it in moderation while taking choline magnesium trisalicylate. If you drink more than three alcoholic beverages a day, the risk of stomach bleeding may increase.

What is choline magnesium trisalicylate?

Choline magnesium trisalicylate is in a class of drugs called salicylates. It works by reducing substances in the body that cause pain and inflammation.

Choline magnesium trisalicylate is used to reduce pain and inflammation caused by conditions such as osteoarthritis, rheumatoid arthritis, other arthritic conditions, and acute painful shoulder.

Choline magnesium trisalicylate may also be used for purposes other than those listed in this medication guide.

Who should not take choline magnesium trisalicylate?

Before taking this medication, tell your doctor if you

• have an allergy to aspirin or any other nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Motrin, Advil, others), naproxen (Aleve, Naprosyn, Anaprox, others), indomethacin (Indocin), ketoprofen (Orudis KT, Orudis, Oruvail), nabumetone (Relafen), oxaprozin (Daypro), and others;

• have an ulcer or bleeding in your stomach;

• drink more than three alcoholic beverages a day;

• have liver disease;
• have kidney disease;

• have gout;

• have a coagulation (bleeding) disorder;

• have congestive heart failure;

• have fluid retention;

• have heart disease; or

• have high blood pressure.

You may not be able to take choline magnesium trisalicylate, or you may require a dosage adjustment or special monitoring during treatment if you have any of the conditions listed above.

Choline magnesium trisalicylate is in the FDA pregnancy category C. This means that it is not known whether choline magnesium trisalicylate will harm an unborn baby. Do not take this medication without first talking to your doctor if you are pregnant. Choline magnesium trisalicylate passes into breast milk and may harm a nursing infant. Do not take this medication without first talking to your doctor if you are breast-feeding a baby. Do not use choline magnesium trisalicylate to treat a child or teenager who has a fever, flu symptoms, or chicken pox without first talking to a doctor. In children younger than 18 years of age, this medication may increase the risk of Reye's syndrome, a rare but often fatal condition.

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