Lots of versions of Alka Seltzer use aspirin instead of acetaminophen, and aspirin in combination with phenylephrine is documented to reduce congestion more than either alone.
Note - avoid the cold & flu versions (the ones with orange bottoms) and the day & night versions (orange and green bottoms), because they're not aspirin, they're acetaminophen. The traditional blue bottom "Alka Seltzer Severe Cold" is the one with aspirin and phenylephrine.
Which is actually supported and documented here: https://pubmed.ncbi.nlm.nih.gov/26097788/
Lots of versions of Alka Seltzer use aspirin instead of acetaminophen, and aspirin in combination with phenylephrine is documented to reduce congestion more than either alone.
Note - avoid the cold & flu versions (the ones with orange bottoms) and the day & night versions (orange and green bottoms), because they're not aspirin, they're acetaminophen. The traditional blue bottom "Alka Seltzer Severe Cold" is the one with aspirin and phenylephrine.