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Rompe Pecho

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Active ingredients
  • Doxylamine Succinate 12.5 mg/30 mL
  • Acetaminophen 650 mg/30 mL
  • Dextromethorphan Hydrobromide 20 mg/30 mL
  • Phenylephrine Hydrochloride 10 mg/30 mL
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Liquid
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2019
Label revision date
March 11, 2025
Active ingredients
  • Doxylamine Succinate 12.5 mg/30 mL
  • Acetaminophen 650 mg/30 mL
  • Dextromethorphan Hydrobromide 20 mg/30 mL
  • Phenylephrine Hydrochloride 10 mg/30 mL
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Liquid
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2019
Label revision date
March 11, 2025
Manufacturer
EFFICIENT LABORATORIES INC
Registration number
M012
NDC root
58593-830

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Drug Overview

This medication is designed to temporarily relieve common cold and flu symptoms, helping you feel more comfortable when you're not feeling well. It works by alleviating minor aches and pains, reducing headaches, and soothing sore throats. Additionally, it helps clear nasal passages, eases sinus congestion and pressure, and suppresses coughs, which can be particularly helpful for getting a good night's sleep.

You can also expect it to address other symptoms like a runny nose and sneezing, while temporarily reducing fever. Overall, this medication aims to provide relief from the discomfort associated with cold and flu symptoms, allowing you to manage your day-to-day activities more easily.

Uses

If you're dealing with the discomfort of a common cold or flu, this medication can help provide temporary relief from a variety of symptoms. You can expect it to ease minor aches and pains, alleviate headaches, and reduce nasal congestion. It also helps soothe a sore throat, manage a runny nose and sneezing, and relieve cough, making it easier for you to get to sleep. Additionally, it can help clear your nasal passages and reduce sinus congestion and pressure, while temporarily lowering fever.

This medication is designed to help you feel more comfortable while you recover from your cold or flu symptoms.

Dosage and Administration

It's important to follow the directions carefully when using this medication. You should not take more than the recommended amount, which is 30 milliliters (mL) every 4 hours for adults and children aged 12 years and older. Make sure not to exceed 6 doses in a 24-hour period. To ensure accurate dosing, always use the dosing cup that comes with the product—other devices may not measure correctly.

Before you take the medication, remember to shake the bottle well. Keep the dosing cup with the product for easy access. If you are considering this medication for a child under 12 years old, please do not use it, as it is not recommended for that age group. Always prioritize safety and adhere to these guidelines for the best results.

What to Avoid

It's important to keep this medication out of reach of children to ensure their safety. There are no specific contraindications, controlled substance classifications, or concerns regarding abuse, misuse, or dependence associated with this medication. Always follow safety guidelines to protect yourself and others.

Side Effects

You should be aware that taking more than the recommended dose of this medication can lead to severe liver damage, especially if you exceed six doses in 24 hours, combine it with other products containing acetaminophen, or consume three or more alcoholic drinks daily while using it. Additionally, acetaminophen may cause serious skin reactions, such as skin reddening, blisters, or rashes. If you experience any of these symptoms, stop using the product and seek medical help immediately.

While using this medication, you might feel drowsy or experience excitability, particularly in children. It's important to avoid alcohol, as it can increase drowsiness. If you notice symptoms like nervousness, dizziness, or sleeplessness, or if your sore throat is severe, lasts more than two days, or is accompanied by fever, headache, or rash, consult a doctor. Always seek medical attention in case of an overdose, even if you don't see any immediate symptoms, as prompt care is crucial.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 6 doses in 24 hours, use it with other acetaminophen-containing medications, or consume 3 or more alcoholic drinks daily while using it. Be aware that acetaminophen may also cause serious skin reactions, such as redness, blisters, or rash. If you experience any skin reactions, stop using the product and seek medical help immediately. If you have a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, consult your doctor promptly.

Before using this product, avoid combining it with any other medications containing acetaminophen, and do not use it if you are currently taking a monoamine oxidase inhibitor (MAOI) or have certain health conditions like liver disease, heart disease, or high blood pressure. If you are taking sedatives, tranquilizers, or blood thinners like warfarin, consult your doctor or pharmacist first. While using this product, do not exceed the recommended dosage, as it may cause drowsiness or excitability, especially in children. Avoid alcohol, as it can increase drowsiness.

If you suspect an overdose, seek emergency medical help or contact a Poison Control Center (1-800-222-1222) immediately, even if no symptoms are present. Stop using the product and call your doctor if you experience nervousness, dizziness, or sleeplessness, if your pain or cough worsens or lasts more than 7 days, or if you develop new symptoms or a fever that lasts more than 3 days.

Overdose

Taking more than the recommended dose of medication can lead to serious health issues, including liver damage. It's important to be aware of this risk and to act quickly if you suspect an overdose.

If you or someone else has taken too much, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. Quick medical attention is crucial for both adults and children, even if there are no noticeable signs or symptoms of an overdose. Remember, it's always better to be safe and get checked out.

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. Additionally, make sure to keep this medication out of reach of children to prevent any accidental ingestion. Your health and safety, as well as that of your child, should always come first.

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

This product is specifically designed for adults and should not be used in children under 12 years of age. If you have a child in this age group, it's important to avoid giving them this medication. Always consult with a healthcare professional if you have questions about appropriate treatments for your child.

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 for personalized advice. 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 problems, 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 issues).

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 and any other health factors you may have.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using products that contain acetaminophen. Taking more than 6 doses in a 24-hour period can lead to severe liver damage. This limit applies not only to this product but also if you are using other medications that contain acetaminophen or if you consume 3 or more alcoholic drinks each day while using it.

Before using this product, please consult your doctor if you have liver disease. Be aware that taking more than the recommended dose can also cause liver damage. If you suspect an overdose, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222, even if you do not notice any symptoms. Quick action is crucial for both adults and children.

Drug Interactions

It's important to be cautious when taking this medication, especially regarding potential interactions with other drugs. You should avoid using it alongside any other products that contain acetaminophen, whether they are prescription or over-the-counter. If you are currently taking a monoamine oxidase inhibitor (MAOI)—a type of medication often used for depression or certain other conditions—or have stopped taking one within the last two weeks, you should not use this medication.

Additionally, if you are taking sedatives, tranquilizers, or the blood thinner warfarin, it's essential to consult with your doctor or pharmacist before using this medication. Be aware that combining this medication with alcohol, sedatives, or tranquilizers can increase drowsiness, which may affect your ability to perform tasks that require alertness. Always discuss your current medications and any lab tests with your healthcare provider to ensure your safety.

Storage and Handling

To ensure the best use of your product, store it in a cool, dry place at a temperature between 20°C to 25°C (68°F to 77°F). It's important to keep the product protected from light to maintain its effectiveness. Before using, make sure to shake the container well. Always measure the product using the dosing cup provided, and keep this cup with the product for convenience. Remember to discard any unused product after opening to ensure safety and effectiveness.

Additional Information

You should take this medication orally, with adults and children aged 12 years and older typically taking 30 mL every 4 hours. If you are under 12 years old, do not use this medication.

If you are pregnant or breastfeeding, it's important to consult a healthcare professional before using this product. Additionally, make sure to keep it out of reach of children to ensure their safety.

FAQ

What symptoms does this drug temporarily relieve?

This drug temporarily relieves common cold and flu symptoms, including minor aches and pains, headache, nasal congestion, sore throat, runny nose, sneezing, cough, sinus congestion, and fever.

What is the recommended dosage for adults and children 12 years and over?

The recommended dosage is 30 mL every 4 hours, but do not take more than 6 doses in any 24-hour period.

Can children under 12 years of age use this product?

No, this product is not intended for use in children under 12 years of age.

What should I do if I experience severe skin reactions?

If you experience severe skin reactions such as reddening, blisters, or rash, stop use and seek medical help immediately.

What should I do in case of an overdose?

In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away, as quick medical attention is critical.

Are there any warnings associated with this drug?

Yes, warnings include the risk of severe liver damage if you take more than the recommended dose, use with other acetaminophen-containing drugs, or consume alcohol while using this product.

What precautions should I take if I have certain health conditions?

Ask a doctor before use if you have liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, or a breathing problem.

What should I do if my symptoms worsen or new symptoms occur?

Stop use and consult a doctor if your pain, nasal congestion, or cough worsens or lasts more than 7 days, or if new symptoms occur.

How should I store this product?

Store at 20°C to 25°C (68°F to 77°F), protect from light, and shake well before use.

Is it safe to use this product while pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a health professional before use.

Packaging Info

Below are the non-prescription pack sizes of Rompe Pecho (acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Rompe Pecho.
Details

Drug Information (PDF)

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

View product document (PDF)

Description

The provided information does not specify the chemical name, physical characteristics, or inactive ingredients of the drug. Therefore, a detailed description cannot be formulated based on the available data. Further information is required to create a comprehensive description.

Uses and Indications

This drug is indicated for the temporary relief of common cold and flu symptoms, including minor aches and pains, headache, nasal congestion, sore throat, runny nose, sneezing, cough, and sinus congestion and pressure. It aids in clearing nasal passages and provides relief from cough to facilitate sleep. Additionally, this drug temporarily reduces fever.

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

Dosage and Administration

Healthcare professionals should advise patients to adhere strictly to the recommended dosage and administration guidelines. The product should not be taken in excess of the directed amount, and a maximum of 6 doses is permitted within a 24-hour period.

Prior to administration, the product must be shaken well. It is essential to measure the dosage using the dosing cup provided; no other dosing device should be utilized. The product's color and flavor may vary due to the natural honey content.

For adults and children aged 12 years and older, the recommended dosage is 30 mL every 4 hours as needed. The product is not indicated for use in children under 12 years of age.

It is important to keep the dosing cup with the product to ensure accurate measurement and administration.

Contraindications

Use is contraindicated in individuals who are unable to keep the product out of reach of children. This precaution is necessary to prevent accidental ingestion or misuse by pediatric patients. No other contraindications have been identified.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should advise patients to adhere strictly to the recommended dosage, which is a maximum of 6 doses in 24 hours. Patients should be cautioned against using this product in conjunction with other medications containing acetaminophen, as well as against consuming 3 or more alcoholic drinks daily while using this product.

Acetaminophen may also cause severe skin reactions, including symptoms such as skin reddening, blisters, and rash. If any of these symptoms occur, patients must be instructed to discontinue use immediately and seek medical assistance.

In cases of severe sore throat that persists for more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, patients should be advised to consult a physician promptly.

This product should not be used in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription. If patients are uncertain whether a drug contains acetaminophen, they should be encouraged to consult a healthcare professional. Additionally, this product should not be used by individuals currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of stopping such medication. Patients should be advised to inquire with their doctor or pharmacist if they are unsure about the presence of an MAOI in their prescription drugs. Furthermore, this product is not intended to induce sleep in children.

Patients should seek medical advice before using this product if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, difficulty urinating due to an enlarged prostate gland, a cough that produces excessive phlegm, or a chronic cough associated with smoking, asthma, chronic bronchitis, or emphysema. Those on a sodium-restricted diet should also consult a healthcare professional prior to use.

It is essential for patients to consult a doctor or pharmacist before using this product if they are taking sedatives, tranquilizers, or the blood-thinning medication warfarin. While using this product, patients should be advised to follow the dosing instructions carefully, as excitability may occur, particularly in children. Marked drowsiness may also be experienced, and patients should be cautioned to avoid alcoholic beverages, as alcohol, sedatives, and tranquilizers can exacerbate drowsiness. Caution is advised when driving or operating machinery.

In the event of an overdose, patients should seek emergency medical help or contact a Poison Control Center (1-800-222-1222) immediately, as prompt medical attention is critical for both adults and children, even in the absence of noticeable signs or symptoms.

Patients should discontinue use and contact a healthcare provider if they experience nervousness, dizziness, or sleeplessness; if pain, nasal congestion, or cough worsens or persists beyond 7 days; if new symptoms arise; if fever worsens or lasts more than 3 days; if redness or swelling is observed; or if a cough recurs or is accompanied by a rash or headache that lasts. These symptoms may indicate a serious condition requiring medical evaluation.

Side Effects

Severe liver damage may occur in patients who exceed the maximum daily dosage of six doses within a 24-hour period, take the product in conjunction with other medications containing acetaminophen, or consume three or more alcoholic drinks daily while using this product.

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

In cases of severe sore throat that persists for more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, patients are advised to consult a healthcare professional promptly.

While using this product, excitability may occur, particularly in children, and marked drowsiness is also a possibility. Patients are cautioned to avoid alcoholic beverages, as the combination of alcohol, sedatives, and tranquilizers may exacerbate drowsiness. Care should be taken when driving or operating machinery.

Patients should discontinue use and consult a doctor if they experience nervousness, dizziness, or sleeplessness; if pain, nasal congestion, or cough worsens or lasts longer than seven days; if new symptoms arise; if fever worsens or persists for more than three days; if redness or swelling is observed; or if a cough recurs or occurs with a rash or headache lasting longer than usual, as these may indicate a serious condition.

An overdose of this product, defined as taking more than the recommended dose, may lead to liver damage. In the event of an overdose, it is crucial to seek medical help or contact a Poison Control Center (1-800-222-1222) immediately. Prompt medical attention is essential for both adults and children, even if no signs or symptoms are initially apparent.

Drug Interactions

Co-administration of this medication with any other drug containing acetaminophen, whether prescription or nonprescription, is contraindicated due to the risk of acetaminophen overdose and potential hepatotoxicity.

The use of this medication is not recommended 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, and Parkinson's disease. The combination may lead to serious adverse effects.

Patients should consult a healthcare professional prior to using this medication if they are concurrently taking sedatives or tranquilizers, as these substances may enhance drowsiness and sedation.

Additionally, individuals on the anticoagulant warfarin should seek advice from a healthcare provider before using this medication. The interaction may increase the risk of bleeding due to potential alterations in warfarin metabolism or effects.

Caution is advised when consuming alcohol, as it may further increase drowsiness when taken with this medication, particularly in conjunction with sedatives or tranquilizers. Monitoring for increased sedation and potential respiratory depression is recommended in such cases.

Packaging & NDC

Below are the non-prescription pack sizes of Rompe Pecho (acetaminophen, dextromethorphan hbr, doxylamine succinate, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Rompe Pecho.
Details

Pediatric Use

This product is not intended for use in pediatric patients under 12 years of age. Children in this age group should not use this medication.

Geriatric Use

Elderly patients may not have specific information regarding the use of this medication, including dosage adjustments, safety concerns, or special precautions. Therefore, healthcare providers should exercise caution when prescribing this medication to geriatric patients. It is advisable to monitor these patients closely for any potential adverse effects or changes in efficacy, given the lack of targeted data for this population.

Pregnancy

Pregnant patients and those who are breastfeeding should consult a healthcare professional prior to use. It is important to assess the potential risks and benefits associated with the use of this medication during pregnancy and lactation. Additionally, this product should be kept out of reach of children to prevent accidental ingestion or exposure.

Lactation

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

Renal Impairment

There is no specific information available regarding dosage adjustments, special monitoring, or safety considerations for patients with renal impairment. Healthcare professionals should exercise caution when prescribing to patients with reduced kidney function, as the absence of detailed guidance necessitates careful clinical judgment. Regular monitoring of renal function may be advisable in these patients to ensure safety and efficacy.

Hepatic Impairment

Patients with hepatic impairment should be advised of the potential risks associated with the use of this product, which contains acetaminophen. Severe liver damage may occur if patients exceed 6 doses within a 24-hour period, which is the maximum daily amount, or if they concurrently use other medications containing acetaminophen. Additionally, consumption of 3 or more alcoholic drinks daily while using this product may further increase the risk of liver damage.

It is recommended that patients with liver disease consult a healthcare professional prior to using this product. In the event of an overdose, which may result from taking more than the recommended dose, patients should seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222. Prompt medical attention is crucial for both adults and children, even if no signs or symptoms of overdose are apparent.

Overdosage

In the event of an overdose, the potential for liver damage increases significantly when the recommended dose is exceeded. It is imperative that healthcare professionals remain vigilant regarding the signs and symptoms of overdose, as these may not always be immediately apparent.

Recommended Actions In the case of suspected overdose, it is crucial to seek medical assistance promptly. Healthcare providers should advise patients or caregivers to contact a Poison Control Center at 1-800-222-1222 without delay. Quick medical intervention is essential for both adults and children, even in the absence of noticeable symptoms.

Management Procedures Upon recognition of an overdose, immediate evaluation and management by healthcare professionals are necessary. Monitoring liver function and assessing for any signs of hepatic impairment should be prioritized. The management plan may include supportive care and specific interventions based on the clinical presentation and severity of the overdose.

Nonclinical Toxicology

If pregnant or breastfeeding, it is advised to consult a health professional prior to use. No specific non-teratogenic effects have been identified in the available data. Additionally, there are no detailed findings regarding nonclinical toxicology or animal pharmacology and toxicology provided in the current information.

Postmarketing Experience

Acetaminophen has been associated with severe skin reactions reported in postmarketing experience. Symptoms of these reactions may include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use immediately and seek medical assistance.

Patient Counseling

Healthcare providers should advise patients to keep this medication out of reach of children to prevent accidental ingestion or misuse. It is important to emphasize the necessity of proper storage to ensure the safety of young individuals.

Storage and Handling

The product is supplied in a configuration that includes a dosing cup, which must be kept with the product. It is essential to store the product at a temperature range of 20°C to 25°C (68°F to 77°F) and to protect it from light. Prior to use, the product should be shaken well. For accurate dosing, it is important to measure only with the dosing cup provided. The dosing cup should be discarded after the product is opened to ensure safety and efficacy.

Additional Clinical Information

The medication is administered orally, with a recommended dosage of 30 mL every 4 hours for adults and children aged 12 years and older. It is contraindicated for children under 12 years of age. Clinicians should advise patients who are pregnant or breastfeeding to consult a health professional prior to use. Additionally, it is important to keep the medication out of reach of children. No further information is available regarding laboratory tests, abuse potential, or postmarketing experience.

Drug Information (PDF)

This file contains official product information for Rompe Pecho, 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 Rompe Pecho, 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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Orange Book data shown on this page are limited to Regulatory Status (Rx), Established Pharmacologic Class (EPC), and Mechanism of Action (MoA).

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.