Alka-Seltzer Plus Day Cold [OTC]; Comtrex Maximum Strength, Non-Drowsy Cold & Cough [OTC]; GoodSense Daytime Cold & Flu [OTC]; GoodSense Daytime Flu & Severe Cold [OTC]; GoodSense Daytime [OTC]; GoodSense Pressure + Pain PE + Cough [OTC]; Mapap Multi-Symptom Cold [OTC]; Mucinex Fast-Max Congestion & Headache [OTC]; Mucinex Fast-Max Severe Cold & Sinus [OTC]; Sudafed PE Pressure+Pain+Cough [OTC]; Theraflu Daytime Severe Cold & Cough [OTC]; Theraflu ExpressMax Daytime Severe Cold & Cough [OTC]; Theraflu Multi-Symptom Severe Cold [OTC]; Tylenol Cold Max [OTC]; Vicks DayQuil Cold & Flu Multi-Symptom [OTC]; Vicks Nature Fusion Cold & Flu Multi-Symptom Relief [OTC] [DSC]
- It is used to treat nose stuffiness.
- It is used to relieve coughing.
- It is used to ease pain and fever.
- If you have an allergy to acetaminophen, dextromethorphan, phenylephrine, or any other part of this drug.
- If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
- If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson’s disease like selegiline or rasagiline in the last 14 days. Taking this drug within 14 days of those drugs can cause very bad high blood pressure.
- If you have a cough with a lot of mucous.
- If you have a long-term cough caused by smoking or being around smoke, or lung problems like asthma or emphysema.
- Tell all of your health care providers that you take this drug. This includes your doctors, nurses, pharmacists, and dentists.
- Do not take more than what your doctor told you to take. Taking more than you are told may raise your chance of very bad side effects.
- Do not take this drug for longer than you were told by your doctor.
- Avoid other sources of acetaminophen. Check labels closely. Too much acetaminophen may cause problems.
- This drug has acetaminophen in it. Very bad and sometimes deadly liver problems like the need for a liver transplant have happened with acetaminophen use. Most of the time, liver problems have happened in people taking more than 4,000 milligrams of acetaminophen in a day. Also, people who had liver problems were often using more than 1 drug that had acetaminophen in it. Talk with your doctor.
- Call your doctor right away if you take more than 4,000 mg (milligrams) of acetaminophen in a day, even if you feel well.
- Talk with your doctor before you drink alcohol.
- This drug may affect certain lab tests. Tell all of your health care providers and lab workers that you take this drug.
- If you are taking warfarin, talk with your doctor. You may need to have your blood work checked more closely while you are taking it with this drug.
- Different brands of this drug may be for use in different ages of children. Talk with the doctor before giving this drug to a child.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this drug while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
Liquid or powder:
- If you are on a low-sodium or low-potassium diet, talk with your doctor.
- If you have phenylketonuria (PKU), talk with your doctor. Some products have phenylalanine.
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of liver problems like dark urine, feeling tired, not hungry, upset stomach or stomach pain, light-colored stools, throwing up, or yellow skin or eyes.
- Not able to pass urine or change in how much urine is passed.
- A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away, and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
- Feeling nervous and excitable.
- Not able to sleep.
- Take with or without food. Take with food if it causes an upset stomach.
- Measure liquid doses carefully. Use the measuring device that comes with this drug. If there is none, ask the pharmacist for a device to measure this drug.
- Melt 1 packet in hot water. Sip while hot.
- If using a microwave, melt 1 packet in cool water. Microwave until hot. Do not overheat. Stir before and after heating.
- If you take this drug on a regular basis, take a missed dose as soon as you think about it.
- If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
- Do not take 2 doses at the same time or extra doses.
- Many times this drug is taken on an as needed basis. Do not take more often than told by the doctor.
- Store at room temperature.
- Store in a dry place. Do not store in a bathroom.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else’s drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.