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Package not child-resistant. Easy to open. Acetaminophen Caffeine Pyrilamine Maleate Pain Reliever Diuretic Antihistamine Maximum Strength Relief Of: Cramps Bloating Fatigue Backache Headache For the temporary relief of these symptoms associated with menstrual periods: cramps, bloating, water-weight gain, breast tenderness, headache, backache, muscle aches and fatigue.