This item has been recalled due to babies having seizures. This product- with this picture on the box is the one that is recalled. Due to the high amount of Belladonna, it was pulled off the shelves. There is a new formulation (with a baby as the picture on the box), that has much less Belladonna. I don't really trust it, so we don't use the product any longer. But, below is my review from when we did use it-- I actually loved it. I am updating this review, and will leave my positive feedback below in case anyone wants to try the new formulation. My son started teething recently and he has been very fussy, sometimes screaming and whining from the pain. A few days ago, when he started screaming, I put three tablets under his tongue. It took a little maneuvering to get three tablets under an 8-month-old's tongue, but once I placed them, they dissolved quickly. Within minutes my son's body relaxed, and he became calm and proceeded to nap peacefully. I have tried Tylenol in the past, and found it was not as effective. Tylenol, too, is full of chemicals, which I don't like to give my son often (unless he has a fever). I am not sure if Hyland's Teething Tablets have any effect on a fever- I don't have any experience with that. For the irritability, wakefulness and pain associated with teething, I feel good about giving my baby Hylands because it is all natural, safe and 100% effective. They are easy to use and work quickly, which makes for a happy baby and a happy mom.