1 Product identity
Ingredient risk
6 ingredients to use with caution
Alka-Seltzer Plus Immunity Complex
BrandBayer→Multi-Vitamin and Mineral (MVM) Tablet or Pill 40 ingredients 6 caution DSLD #9436Net contents: 10 Effervescent Tablet(s)
Target: Adults and Children 4 years and above
DSLD entry: 2012-06-25
2 Ingredients (40)
IngredientGroupSafety
CaloriesCalories—
Total CarbohydratesCarbohydrate—
Anhydrous Citric AcidCitric Acid—
IsomaltIsomalt—
MaltodextrinMaltodextrin—
SucroseSucrose—
StarchStarch—
HypromelloseHypromellose—
Red Beet juice powderBeet—
GelatinGelatin—
AcaciaAcacia—
Natural & Artificial flavorsFlavor—
Ingredient amounts require the full DSLD label. View full label at NIH DSLD →
⚠️ Use with caution — restricted in some markets
Vitamin D — Granulomatous diseases (sarcoidosis, TB) — unregulated extra-renal CYP27B1 can cause life-threatening hypercalcemia even at standard doses [2][21]
Vitamin B6 — Sensory neuropathy from chronic high-dose B6 (>200 mg/day) — presents as numbness, ataxia. Can be irreversible. Often self-prescribed by patients…
Vitamin B12 — Nitrous oxide anesthesia in subclinically B12-deficient patients can precipitate acute combined degeneration — always check B12 before elective p…
Iron — Iron supplementation in iron-replete patients may increase cardiovascular and cancer risk — always document deficiency before prescribing [1].
Zinc — Chronic zinc >40 mg/day without copper causes copper deficiency: anemia, neutropenia, myeloneuropathy [1].
Aspartame 🇪🇺 — e (1981). ADI: 50 mg/kg/day (higher than EU). PKU warning label mandatory [1]. || European Union (EFSA) :: Approved as E
3 Safety cross-reference
Vitamin A — Conditionally Safe
⚠ Teratogenic at high doses
⚠ Hepatotoxic with chronic excess
Vitamin C — Generally Safe
⚠ GI distress at high doses
⚠ Kidney stones risk >1g/day
Vitamin D — Use with Caution
⚠ Hypercalcemia at >10,000 IU/day
⚠ Vascular calcification risk
Vitamin E — Conditionally Safe
⚠ Increased bleeding risk
⚠ All-cause mortality at >400 IU/day
Vitamin B6 — Use with Caution
Folate — Conditionally Safe
⚠ May mask B12 deficiency
⚠ Colorectal cancer risk debated
Vitamin B12 — Use with Caution
Iron — Use with Caution
⚠ GI upset, constipation
⚠ Fatal toxicity in children
Zinc — Use with Caution
⚠ Copper deficiency at >40 mg/day
⚠ Nausea, metallic taste
Selenium — Conditionally Safe
⚠ Selenosis >400 mcg
⚠ Diabetes risk at high doses
Copper — Conditionally Safe
⚠ Hepatotoxicity at high doses
Sodium — Conditionally Safe
⚠ Hypertension
⚠ Fluid retention
Aspartame — Use with Caution
⚠ WHO/IARC 2023: Group 2B (possibly carcinogenic)
⚠ Headache/migraine trigger in sensitive individuals
Potassium — Limited Evidence
⚠ Hyperkalemia risk
⚠ Dangerous with ACE inhibitors
Riboflavin — Generally Safe
⚠ Harmless yellow urine
4 Label claims
• All Other
• Structure/Function
5 Data source
DSLD ID9436
Full labelView at NIH DSLD →
SourceOffice of Dietary Supplements, NIH
Market statusOn market
Entry date2012-06-25
6 More from Bayer
View Bayer Safety Scorecard → 21 products
Alka-Seltzer Extra Strength Heartburn Relief Chews Assorted FruitAlka-Seltzer Mixed FruitArctic Wonder Omega-3 Krill OilCitracal MaximumFergon Ferrous GluconateFlintstones Complete7 Cite this page
Vancouver
Pkhakadze G. Alka-Seltzer Plus Immunity Complex — product analysis [Internet]. Tbilisi: Public Health Institute of Georgia; 2026 [cited 2026 Jul 27]. Available from: https://supplement.ge/products/alka-seltzer-plus-immunity-complex-9436/
CC BY 4.0. Product data from NIH DSLD; safety analysis by SupplementIndex.
GP
Analyzed by SupplementIndex
PHIG · Editor-in-Chief: Prof. Giorgi Pkhakadze, MD, MPH, PhD
Product data sourced from the NIH Dietary Supplement Label Database (DSLD). Safety cross-referencing by SupplementIndex. This analysis is for informational purposes only. For corrections: info@accreditation.ge.
Publisher: PHIG
Publisher: PHIG