<p>The present invention relates to water-soluble tablets that dissolve to form clear aqueous solutions, and processes for their preparation. The tablet includes (a) at least one water-soluble active ingredient; (b) one or more water soluble sugar alcohols; (c) one or more water-soluble lubricants; and (d) one or more pH modifiers. The tablet dissolves in less than about three minutes in less than about 30 ml of water to give a clear solution</p>