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Extra Fast Coltalin

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Active ingredients
  • Chlorpheniramine Maleate 2 mg
  • Acetaminophen 325 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Histamine-1 Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Tablet
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2026
Label revision date
February 13, 2026
Active ingredients
  • Chlorpheniramine Maleate 2 mg
  • Acetaminophen 325 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Histamine-1 Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Tablet
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2026
Label revision date
February 13, 2026
Manufacturer
FORTUNE PHARMACAL COMPANY LIMITED
Registration number
M012
NDC root
51467-014

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Drug Overview

Extra Fast Coltalin is a combination medication designed to provide relief from multiple symptoms associated with colds, the flu, and hay fever. It contains acetaminophen (a pain reliever and fever reducer), chlorpheniramine maleate (an antihistamine that helps alleviate allergy symptoms), and phenylephrine hydrochloride (a nasal decongestant that helps clear nasal congestion). This medication temporarily relieves minor aches and pains, sore throat, headaches, runny nose, sinus congestion, sneezing, and itchy, watery eyes, while also reducing fever and promoting nasal and sinus drainage.

This product is particularly useful for those experiencing a range of symptoms from colds or allergies, offering a convenient solution in the form of 24 individually sealed tablets. Importantly, Extra Fast Coltalin is aspirin-free, making it a suitable option for individuals who may need to avoid aspirin.

Uses

This medication is designed to help you feel better when you're dealing with symptoms from a cold, the flu, or hay fever. It can temporarily relieve minor aches and pains, soothe a sore throat, and ease headaches. If you're experiencing a runny nose, sinus congestion, or pressure, this medication can help with that too. Additionally, it can alleviate sneezing, itching in the nose or throat, and itchy, watery eyes caused by hay fever.

You can also use this medication to temporarily reduce fever and promote drainage in your nasal passages and sinuses, helping you breathe more easily.

Dosage and Administration

If you are an adult or a child aged 12 years and older, you can take 2 tablets every 4 hours as long as your symptoms continue. However, make sure not to exceed 6 doses, which is a total of 12 tablets in a 24-hour period, unless your doctor advises otherwise.

For children aged 6 to under 12 years, the recommended dosage is 1 tablet every 4 hours while symptoms persist, with a maximum of 5 doses, or 5 tablets, in a 24-hour period. If your child is under 6 years old, it’s important to consult a doctor before giving any medication. Always follow your healthcare provider's instructions for the best results.

What to Avoid

It's important to be cautious when using this medication. You should not use it alongside any other products that contain acetaminophen, whether they are prescription or over-the-counter. If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist. Additionally, avoid this medication if you are currently taking a prescription monoamine oxidase inhibitor (MAOI), which is used for certain mental health conditions, or for two weeks after stopping an MAOI. Again, if you're uncertain about your medications, reach out to a healthcare professional.

While using this product, make sure to not exceed the recommended dosage and avoid consuming alcoholic beverages, as this can increase the risk of side effects. Always prioritize your safety and well-being by following these guidelines.

Side Effects

You should be aware of some important side effects and warnings associated with this medication. Taking more than the recommended dose can lead to severe liver damage, especially if you exceed 12 tablets in 24 hours (for adults) or 5 doses (for children), or if you consume alcohol while using it. Additionally, acetaminophen can cause serious skin reactions, such as redness, blisters, or rashes. If you notice any skin rash, it's crucial to stop using the product and seek medical help immediately.

It's also important to monitor your symptoms. If your pain or nasal congestion worsens or lasts longer than 5 days (for children) or 7 days (for adults), or if you experience a sore throat that persists for more than 2 days, you should consult a doctor. Other signs to watch for include worsening fever lasting more than 3 days, nervousness, dizziness, sleeplessness, or any new symptoms. If you experience severe sore throat accompanied by fever, headache, rash, nausea, or vomiting, seek medical attention promptly.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 12 tablets in 24 hours (the maximum daily amount), if a child takes more than 5 doses in 24 hours, if you combine it with other medications containing acetaminophen, or if you consume 3 or more alcoholic drinks daily while using this product. Additionally, be aware that acetaminophen may cause serious skin reactions, such as skin reddening, blisters, or rash. If you notice any skin rash, stop using the product and seek medical help immediately.

If you suspect an overdose, it’s crucial to get medical assistance or contact a Poison Control Center right away, even if you don’t see any symptoms. You should also stop taking the product and consult your doctor if your pain or nasal congestion worsens or lasts longer than 5 days for children or 7 days for adults, if a sore throat persists for more than 2 days, if fever worsens or lasts more than 3 days, or if you experience nervousness, dizziness, sleeplessness, redness, swelling, or any new symptoms. Be especially cautious if you have a severe sore throat accompanied by fever, headache, rash, nausea, or vomiting, as these could indicate a serious condition.

Overdose

Taking too much of this medication can lead to severe liver damage. For adults, this risk increases if you take more than 12 tablets in a 24-hour period, which is the maximum recommended amount. For children, taking more than 5 doses in the same timeframe can also be dangerous. Additionally, combining this medication with other products that contain acetaminophen (a common pain reliever) or consuming 3 or more alcoholic drinks daily while using it can heighten the risk of liver damage.

If you suspect an overdose, look for signs such as nausea, vomiting, loss of appetite, confusion, or jaundice (yellowing of the skin or eyes). It’s crucial to seek immediate medical help if you notice any of these symptoms or if you believe you have taken too much of the medication. Always prioritize your health and safety by consulting a healthcare professional if you have any concerns.

Pregnancy Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using this medication. They can provide guidance on whether it’s safe for you and your baby. Always prioritize your health and the health of your child by seeking expert advice.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication. This ensures that you understand any potential risks and can make informed decisions about your health and the health of your baby. Always prioritize open communication with your doctor regarding your breastfeeding journey.

Pediatric Use

It's important to be cautious when giving medication to children. For children under 6 years of age, you should consult a doctor before administering this medication. If your child is between 6 and 12 years old, they can take 1 tablet every 4 hours as needed for symptoms, but do not exceed 5 tablets in a 24-hour period unless directed by a doctor.

Be aware that this medication may cause excitability in some children. If your child's pain or nasal congestion worsens or lasts more than 5 days, stop using the medication and consult a doctor. Always prioritize your child's safety and well-being when considering any treatment.

Geriatric Use

When it comes to using this medication in older adults, there is no specific information available about dosage adjustments, safety concerns, or special precautions. This means that if you or a loved one is an older adult, it’s important to consult with a healthcare provider before starting the medication. They can help determine the best approach based on individual health needs and any other medications being taken. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

Renal Impairment

If you have kidney issues, it's important to know that there are no specific guidelines or dosage adjustments mentioned for your condition in the available information. This means that the standard recommendations for the medication do not include special monitoring or safety considerations tailored for patients with renal impairment (kidney problems).

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your kidney health. They can provide guidance based on your individual situation.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using this product, which contains acetaminophen. To avoid severe liver damage, you should not exceed 12 tablets in a 24-hour period, as this is the maximum daily amount for adults. For children, the limit is 5 doses in the same timeframe. Additionally, be aware that taking this product alongside other medications that also contain acetaminophen can increase the risk of liver damage.

If you consume 3 or more alcoholic drinks daily, you should avoid using this product altogether, as it can further strain your liver. Always consult with your healthcare provider for personalized advice and to ensure your safety while using medications.

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. While there are no specific drug interactions or laboratory test interactions noted for this medication, your healthcare provider can help ensure that everything you are taking works well together and is safe for you.

Always feel free to ask questions and share your complete list of medications and any lab tests you may be undergoing. This way, you can receive the best possible care tailored to your needs.

Storage and Handling

To ensure the safety and effectiveness of your product, always keep it tightly sealed when not in use. Store it in a dry place at a temperature below 25°C (77°F) and away from direct sunlight. This will help maintain its quality and prevent any degradation.

When handling the product, make sure to follow these storage guidelines closely. Proper storage not only protects the product but also ensures that it functions as intended when you need it.

Additional Information

You should take this medication orally. If you are pregnant or breastfeeding, it's important to consult a healthcare professional before using it. Always keep this medication out of reach of children. In the event of an overdose, seek medical help or contact a Poison Control Center immediately, as prompt attention is crucial for both adults and children, even if there are no noticeable signs or symptoms.

FAQ

What is Extra Fast Coltalin?

Extra Fast Coltalin is a medication that contains acetaminophen (a pain reliever and fever reducer), chlorpheniramine maleate (an antihistamine), and phenylephrine hydrochloride (a nasal decongestant).

What symptoms does Extra Fast Coltalin relieve?

It temporarily relieves symptoms due to a cold, flu, or hay fever, including minor aches and pains, sore throat, headache, runny nose, sinus congestion, and sneezing.

What is the recommended dosage for adults?

Adults and children 12 years of age and over should take 2 tablets every 4 hours, not exceeding 6 doses (12 tablets) in 24 hours.

What should I do if I have a child under 6 years old?

Consult a doctor before giving Extra Fast Coltalin to children under 6 years of age.

Are there any warnings associated with Extra Fast Coltalin?

Yes, severe liver damage may occur if the maximum dosage is exceeded or if taken with other acetaminophen-containing drugs. It may also cause severe skin reactions.

Can I use Extra Fast Coltalin if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before using Extra Fast Coltalin.

What should I do in case of an overdose?

In case of overdose, get medical help or contact a Poison Control Center immediately, as prompt medical attention is critical.

What precautions should I take while using this product?

Do not exceed the recommended dosage, avoid alcoholic beverages, and be cautious when driving or operating machinery as it may cause drowsiness.

Packaging Info

Below are the non-prescription pack sizes of Extra Fast Coltalin (acetaminophen, chlorpheniramine maleate, phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Extra Fast Coltalin.
Details

Drug Information (PDF)

This file contains official product information for Extra Fast Coltalin, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Description

No description information is available for the specified drug.

Uses and Indications

This drug is indicated for the temporary relief of symptoms associated with the common cold, influenza, or hay fever. Specifically, it alleviates minor aches and pains, sore throat, headache, runny nose, sinus congestion and pressure, nasal congestion due to a cold or hay fever, as well as sneezing, itching of the nose or throat, and itchy, watery eyes resulting from hay fever. Additionally, this drug temporarily reduces fever and promotes nasal and/or sinus drainage.

There are no teratogenic or nonteratogenic effects associated with this drug.

Dosage and Administration

For adults and children aged 12 years and older, the recommended dosage is 2 tablets every 4 hours as needed while symptoms persist. The total daily dosage should not exceed 6 doses (12 tablets) within a 24-hour period, unless otherwise directed by a healthcare professional.

For children aged 6 to under 12 years, the recommended dosage is 1 tablet every 4 hours while symptoms persist, with a maximum of 5 doses (5 tablets) in a 24-hour period, or as directed by a healthcare professional.

For children under 6 years of age, it is advised to consult a healthcare professional for appropriate dosing recommendations.

Contraindications

Use of this product is contraindicated in the following situations:

Co-administration with any other drug containing acetaminophen, whether prescription or nonprescription, is prohibited due to the risk of acetaminophen overdose. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

The product should not be used in patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing such treatment. MAOIs are commonly prescribed for depression, psychiatric or emotional conditions, or Parkinson’s disease. Verification of the presence of an MAOI in any prescription medication should be conducted with a healthcare professional prior to use.

Additionally, while using this product, it is essential to adhere to the recommended dosage and to avoid the consumption of alcoholic beverages.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should be aware of the following critical warnings regarding liver safety:

Liver Warning

  • Adults should not exceed 12 tablets within a 24-hour period, as this is the maximum daily dosage.

  • For children, the maximum is 5 doses in a 24-hour period.

  • Caution is advised when this product is taken in conjunction with other medications containing acetaminophen.

  • Patients who consume three or more alcoholic beverages daily should be closely monitored, as this increases the risk of liver damage.

Allergy Alert Acetaminophen may lead to severe skin reactions. Symptoms indicative of such reactions include skin reddening, blisters, and rash. Should any skin rash develop, it is imperative to discontinue use immediately and seek medical assistance.

General Precautions In the event of an overdose, it is crucial to obtain medical help or contact a Poison Control Center without delay. Prompt medical intervention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Emergency Medical Help In cases of overdose, immediate medical attention is necessary. Healthcare providers should ensure that patients are aware of the importance of seeking help promptly.

Monitoring and Follow-Up Patients should be advised to stop taking the product and consult a healthcare professional if any of the following occur:

  • Pain or nasal congestion worsens or persists beyond 5 days in children or 7 days in adults.

  • Sore throat lasts more than 2 days.

  • Fever worsens or lasts more than 3 days.

  • Nasal congestion is accompanied by fever.

  • Symptoms of nervousness, dizziness, or sleeplessness arise.

  • Redness or swelling is observed.

  • New symptoms develop.

  • Any of the following serious conditions are suspected:

    • Severe sore throat.

    • Sore throat accompanied or followed by fever, headache, rash, nausea, or vomiting.

Healthcare professionals should remain vigilant in monitoring these parameters to ensure patient safety and effective management of potential adverse effects.

Side Effects

Severe liver damage may occur in patients who exceed the recommended dosage of this product. Specifically, adults should not take more than 12 tablets in a 24-hour period, while children should not exceed 5 doses within the same timeframe. The risk of liver damage is heightened if the product is taken in conjunction with other medications containing acetaminophen or if an adult consumes three or more alcoholic drinks daily while using this product.

Patients should be aware of the potential for severe skin reactions associated with acetaminophen. Symptoms may include skin reddening, blisters, and rash. In the event of a skin rash, it is imperative to discontinue use and seek medical assistance immediately.

Additional adverse reactions warranting medical consultation include worsening pain or nasal congestion lasting more than 5 days in children or 7 days in adults, persistent sore throat for more than 2 days, and fever that worsens or lasts more than 3 days. Patients should also seek medical advice if nasal congestion is accompanied by fever, or if they experience nervousness, dizziness, or sleeplessness. Redness or swelling, the emergence of new symptoms, or any of the following serious conditions should prompt immediate medical attention: severe sore throat, sore throat accompanied or followed by fever, headache, rash, nausea, or vomiting.

Drug Interactions

There are currently no documented drug interactions associated with this medication. Additionally, there is no information available regarding interactions with laboratory tests. As such, no specific recommendations for dosage adjustments or monitoring are warranted at this time.

Packaging & NDC

Below are the non-prescription pack sizes of Extra Fast Coltalin (acetaminophen, chlorpheniramine maleate, phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Extra Fast Coltalin.
Details

Pediatric Use

Pediatric patients under 6 years of age should not receive this medication unless directed by a healthcare professional. For children aged 6 to under 12 years, the recommended dosage is 1 tablet every 4 hours as needed for symptom relief, not to exceed 5 tablets in a 24-hour period, unless otherwise directed by a doctor.

Caution is advised as the medication may cause excitability, particularly in children. Parents and caregivers should monitor for worsening pain or nasal congestion; if symptoms persist beyond 5 days, they should discontinue use and consult a healthcare provider.

Geriatric Use

There is no specific information regarding the use of this medication in geriatric patients, including dosage adjustments, safety concerns, or special precautions. Healthcare providers should exercise caution when prescribing this medication to elderly patients, as they may have altered pharmacokinetics and pharmacodynamics. Monitoring for potential adverse effects and therapeutic efficacy is recommended in this population.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to using this medication. The potential risks and benefits must be carefully weighed, as the effects on fetal outcomes and lactation are not fully established. It is essential for women of childbearing potential to seek medical advice to ensure safe use during pregnancy and lactation.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is no specific data available regarding the excretion of this medication in breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have not been specifically addressed in the available prescribing information. There are no dosage adjustments, special monitoring requirements, or safety considerations outlined for individuals with reduced kidney function. Healthcare professionals should exercise caution and consider the lack of data when prescribing to this patient population.

Hepatic Impairment

Patients with hepatic impairment should be closely monitored when using this product, which contains acetaminophen. It is critical to note that severe liver damage may occur under certain conditions.

For adults, the maximum daily dosage should not exceed 12 tablets within a 24-hour period. In pediatric patients, the maximum is limited to 5 doses in a 24-hour period. Additionally, patients must be cautioned against the concurrent use of other medications containing acetaminophen, as this can significantly increase the risk of liver damage.

Furthermore, patients with a history of alcohol consumption should be advised that the risk of liver injury is heightened if they consume 3 or more alcoholic drinks daily while using this product. Given these considerations, healthcare providers should evaluate liver function and consider dosage adjustments or alternative therapies for patients with compromised liver function to mitigate the risk of hepatotoxicity.

Overdosage

In cases of overdosage, significant health risks are associated with the consumption of this product beyond the recommended limits.

Adult Overdosage Risks An adult who ingests more than 12 tablets within a 24-hour period, which exceeds the maximum daily dosage, is at risk of experiencing severe liver damage. Additionally, concurrent use of this product with other medications containing acetaminophen can exacerbate the risk of liver injury. It is also important to note that adults who consume three or more alcoholic beverages daily while using this product may further increase their susceptibility to severe liver damage.

Pediatric Overdosage Risks For children, the threshold for potential severe liver damage is lower; ingestion of more than 5 doses within a 24-hour timeframe poses a significant risk.

Recommended Actions Healthcare professionals should be vigilant in assessing patients for signs of liver damage in cases of suspected overdosage. Immediate medical evaluation is advised, and appropriate management should be initiated based on the severity of the symptoms and the amount ingested. Monitoring liver function tests and providing supportive care are critical components of the management strategy in these situations.

Nonclinical Toxicology

If pregnant or breastfeeding, it is advised to consult a health professional prior to use.

The substance may induce excitability, particularly in children. Additionally, it may lead to drowsiness, which can be exacerbated by the concurrent use of alcohol, sedatives, and tranquilizers.

No specific information regarding nonclinical toxicology or animal pharmacology and toxicology is available in the insert.

Postmarketing Experience

Postmarketing experience has identified that acetaminophen may be associated with severe skin reactions. Reported symptoms of these reactions include skin reddening, blisters, and rash. In the event of a skin rash, it is advised to discontinue use immediately and seek medical assistance. Additionally, serious side effects can be reported through the designated contact number provided.

Patient Counseling

Healthcare providers should advise patients to keep this medication out of reach of children. In the event of an overdose, patients must seek medical help or contact a Poison Control Center immediately, as prompt medical attention is critical for both adults and children, even if no signs or symptoms are apparent.

Patients should be informed not to use this product in conjunction with any other medications containing acetaminophen, whether prescription or nonprescription. If patients are uncertain whether a drug contains acetaminophen, they should consult a doctor or pharmacist for clarification. Additionally, this product should not be used by individuals currently taking a prescription monoamine oxidase inhibitor (MAOI) or within two weeks of stopping such medication. Patients should be encouraged to ask a healthcare professional if they are unsure whether their prescription includes an MAOI.

Patients should be instructed to discontinue use and consult a doctor if their pain or nasal congestion worsens or persists beyond 5 days for children or 7 days for adults. They should also seek medical advice if a sore throat lasts more than 2 days, if a fever worsens or lasts more than 3 days, or if nasal congestion is accompanied by fever. Furthermore, patients should stop use and contact a doctor if they experience nervousness, dizziness, sleeplessness, redness, swelling, or any new symptoms.

Healthcare providers should emphasize the importance of recognizing serious conditions, advising patients to seek medical attention if they experience severe sore throat, sore throat accompanied or followed by fever, headache, rash, nausea, or vomiting. Patients must be reminded not to exceed the recommended dosage while using this product.

It is important to inform patients that this medication may cause excitability, particularly in children, and to exercise caution when driving or operating machinery. Patients should also be advised to avoid alcoholic beverages while using this product, as it may cause drowsiness, which can be exacerbated by alcohol, sedatives, and tranquilizers.

Before using this product, patients should consult a doctor if they have any of the following conditions: heart disease, high blood pressure, diabetes, glaucoma, liver disease, thyroid disease, high fever, breathing problems such as emphysema or chronic bronchitis, or difficulty urinating due to prostate gland enlargement. Additionally, patients should seek advice from a doctor or pharmacist if they are taking tranquilizers, sedatives, or the blood-thinning medication warfarin.

Storage and Handling

The product is supplied in a tightly sealed container to ensure its integrity. It should be stored in a dry place, maintaining a temperature below 25°C (77°F) and protected from direct sunlight to preserve its efficacy. Proper handling and storage conditions are essential to maintain the quality of the product.

Additional Clinical Information

The medication is administered orally. Clinicians should advise patients who are pregnant or breastfeeding to consult a health professional prior to use. It is essential to keep the medication out of reach of children. In the event of an overdose, patients should seek medical assistance or contact a Poison Control Center immediately, as prompt medical attention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.

Drug Information (PDF)

This file contains official product information for Extra Fast Coltalin, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Data Generation & Sources

This page was automatically generated and is maintained by the AllDrugs AI Data-Science Team. It was built from the FDA Structured Product Label (DailyMed) for Extra Fast Coltalin, retrieved by a validated AI data-extraction workflow.

All FDA-listed dosage forms and strengths are shown in the Packaging & NDC Codes section above. Regulatory status appears in the Summary Information panel above and was verified in the FDA National Drug Code directory and the NSDE NDC Directory daily file.

Note: an automated daemon monitors NSDE checksums; when the record for this NDC changes, the new file is pulled instantly and this page is refreshed.

No human clinician has reviewed this version.

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Regulatory data notice: Information on this page is reproduced verbatim from FDA public databases (NSDE, Orange Book, Purple Book, DailyMed SPL). NDA/ANDA drugs are FDA-approved, BLA biologics are FDA-licensed. Inclusion alone does not guarantee current market availability or imply FDA endorsement.

Medical disclaimer: This AI-generated content is provided for educational purposes only and does not constitute medical advice. Always consult a licensed healthcare professional for diagnosis or treatment decisions.