ADD CONDITION

items per page

Daytime Cold and Flu Relief

Last content change checked dailysee data sync status

Active ingredients
  • Acetaminophen 650 mg/30 mL
  • Guaifenesin 400 mg/30 mL
  • Dextromethorphan Hydrobromide 20 mg/30 mL
  • Phenylephrine Hydrochloride 10 mg/30 mL
Other brand names
Drug classes
Expectorant, 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 2021
Label revision date
November 26, 2025
Active ingredients
  • Acetaminophen 650 mg/30 mL
  • Guaifenesin 400 mg/30 mL
  • Dextromethorphan Hydrobromide 20 mg/30 mL
  • Phenylephrine Hydrochloride 10 mg/30 mL
Other brand names
Drug classes
Expectorant, 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 2021
Label revision date
November 26, 2025
Manufacturer
WALGREENS CO.
Registration number
M012
NDC root
0363-7270

If you are a healthcare professional or from the pharmaceutical industry please visit this version.

If you are a consumer or patient please visit this version.

Drug Overview

VICKS® Dayquil™ Severe+ VapoCOOL™ is a daytime cold and flu relief medication designed to help you feel better when you're experiencing symptoms of a cold or flu. It temporarily relieves common symptoms such as nasal and sinus congestion, cough, minor aches and pains, headaches, fever, and sore throat. This product works by reducing swelling in the nasal passages, promoting drainage, and helping to loosen phlegm (mucus) to make coughing more productive.

The formula contains three active ingredients: acetaminophen, which acts as a pain reliever and fever reducer; dextromethorphan HBr, a cough suppressant; and phenylephrine HCl, a nasal decongestant. Together, these ingredients help you breathe easier and alleviate discomfort associated with cold and flu symptoms.

Uses

This medication is designed to temporarily relieve a variety of common cold and flu symptoms. If you're experiencing nasal congestion, sinus pressure, or a cough due to minor throat and bronchial irritation, this product can help. It also addresses minor aches and pains, headaches, fever, and sore throats. By reducing swelling in the nasal passages, it promotes easier breathing and helps with nasal and sinus drainage.

Additionally, this medication aids in loosening phlegm (mucus) and thinning bronchial secretions, making it easier to clear out bothersome mucus and making your cough more productive.

Dosage and Administration

It's important to take this medication exactly as directed. You should only use the dose cup that comes with the medication to ensure you measure the correct amount. For adults and children aged 12 years and older, the recommended dose is 30 mL every 4 hours, but remember not to exceed 4 doses in a 24-hour period.

If you have children between the ages of 4 and 12, it's best to consult a doctor before giving them this medication. For children under 4 years old, you should not use this medication at all. Always follow these guidelines to ensure safe and effective use.

What to Avoid

You should avoid using this medication if you are currently taking any other drug that contains acetaminophen, whether it's a prescription or over-the-counter product. If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist for clarification.

Additionally, do not use this medication if you are taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of drug used for treating depression, certain psychiatric conditions, or Parkinson's disease. You should also refrain from using it for at least two weeks after stopping an MAOI. If you have any questions about your medications, it's important to ask your healthcare provider.

Side Effects

Taking this medication may lead to some serious side effects, so it's important to be aware of them. You should avoid taking more than four doses in a 24-hour period, as exceeding this limit can cause severe liver damage, especially if you also consume alcohol or take other medications containing acetaminophen. Additionally, be cautious of potential severe skin reactions, which can include symptoms like skin reddening, blisters, or rashes. If you experience any of these, stop using the product and seek medical help immediately.

You should also consult a doctor if you have a severe sore throat that lasts more than two days or is accompanied by fever, headache, rash, nausea, or vomiting. Other reasons to stop using the medication and seek medical advice include feeling nervous, dizzy, or sleepless, or if your symptoms worsen or new symptoms develop. If you have certain health conditions, such as liver disease, heart disease, or diabetes, or if you are taking blood thinners like warfarin, it's best to talk to your doctor before using this medication.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 4 doses in 24 hours, take 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 skin reddening, blisters, or rashes. If you experience any of these symptoms, 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 right away. Additionally, you should stop using the product and contact your doctor if you feel nervous, dizzy, or unable to sleep, if your pain or cough worsens or lasts more than 7 days, if your fever worsens or lasts more than 3 days, or if you notice any redness, swelling, or new symptoms.

In case of an overdose, it’s crucial to get medical help or contact a Poison Control Center (1-800-222-1222) immediately, even if you don’t notice any signs or symptoms. Quick medical attention is essential for both adults and children.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately. You can contact a Poison Control Center at 1-800-222-1222 for guidance. Quick action is crucial for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. If you notice any of these symptoms, don’t hesitate to get help right away. Remember, it’s always better to be safe and seek assistance if you have any concerns about an overdose.

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

If you are considering this medication for your child, it's important to know the age guidelines. For children aged 4 to under 12 years, you should consult with a doctor before use. This ensures that the medication is appropriate and safe for your child's specific needs.

For children under 4 years old, it is advised not to use this medication at all. Always prioritize your child's safety by following these recommendations and seeking professional advice when necessary.

Geriatric Use

While there is no specific information available about the use of this medication in older adults, it’s important to approach any new treatment with caution. Since older adults may have different health needs and may be taking multiple medications, it’s always a good idea to consult with a healthcare provider before starting any new medication. They can help ensure that the treatment is safe and appropriate for your individual health situation.

If you or a loved one is an older adult, be sure to discuss any concerns about potential side effects or interactions with other medications you may be taking. Your healthcare provider can provide guidance tailored to your specific needs.

Renal Impairment

If you have kidney problems, it's important to consult your doctor before using this medication, especially if you experience difficulty urinating due to an enlarged prostate gland. Your healthcare provider can help determine if this medication is safe for you and may suggest adjustments to your dosage or monitoring based on your kidney function. Always prioritize open communication with your doctor regarding your kidney health and any medications you are considering.

Hepatic Impairment

If you have liver disease, it’s important to consult your doctor before using this product. It contains acetaminophen, which can be harmful to your liver. Taking more than 4 doses in a 24-hour period—this is the maximum daily amount—can lead to severe liver damage. Additionally, combining this product with other medications that also contain acetaminophen can increase the risk of liver injury.

Be cautious if you consume three or more alcoholic drinks daily while using this product, as this can also result in severe liver damage. Always prioritize your liver health and follow your healthcare provider's advice regarding medication use.

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. Currently, there are no specific drug interactions or laboratory test interactions noted for this medication. However, your healthcare provider can help ensure that your treatment plan is safe and effective, taking into account all the medications and tests you may be using. Always feel free to ask questions and share your complete health history to avoid any potential issues.

Storage and Handling

To ensure the best performance of your product, store it at room temperature. It's important to avoid refrigerating it, as this can affect its effectiveness. When handling the product, make sure to do so in a clean environment to maintain its integrity and safety. Always follow any specific instructions provided for use to ensure optimal results.

Additional Information

No further information is available.

FAQ

What is VICKS® Dayquil™ Severe+ VapoCOOL™ used for?

It is used for daytime cold and flu relief, temporarily relieving symptoms such as nasal congestion, cough, minor aches and pains, headache, fever, and sore throat.

What are the active ingredients in VICKS® Dayquil™ Severe+ VapoCOOL™?

The active ingredients are acetaminophen (pain reliever/fever reducer), dextromethorphan HBr (cough suppressant), and phenylephrine HCl (nasal decongestant).

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

Adults and children 12 years and over should take 30 mL every 4 hours, not exceeding 4 doses in 24 hours.

Can children under 4 years use this product?

No, children under 4 years should not use this product. For children aged 4 to under 12 years, consult a doctor.

What should I do if I experience severe skin reactions?

If you experience symptoms like skin reddening, blisters, or rash, stop use immediately and seek medical help.

What are the liver warnings associated with this product?

Severe liver damage may occur if you take more than 4 doses in 24 hours, take it with other drugs containing acetaminophen, or consume 3 or more alcoholic drinks daily while using this product.

What should I do in case of an overdose?

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

Is it safe to use VICKS® Dayquil™ Severe+ VapoCOOL™ if I am pregnant or breastfeeding?

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

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

Stop use and consult a doctor if you experience worsening symptoms, new symptoms, or if your sore throat is severe and persists for more than 2 days.

Packaging Info

Below are the non-prescription pack sizes of Daytime Cold and Flu Relief (acetaminohpen, dextromethorphan hbr, guaifenesin phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Daytime Cold and Flu Relief.
Details

Drug Information (PDF)

This file contains official product information for Daytime Cold and Flu Relief, 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 and influenza. Specifically, it addresses nasal congestion, sinus congestion and pressure, cough due to minor throat and bronchial irritation, minor aches and pains, headache, fever, and sore throat. Additionally, it reduces swelling of the nasal passages, temporarily restores freer breathing through the nose, and promotes nasal and/or sinus drainage.

Furthermore, this drug aids in loosening phlegm (mucus) and thinning bronchial secretions, facilitating the clearance of bothersome mucus from the bronchial passageways and making coughs more productive.

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

Dosage and Administration

Patients should take the medication only as directed and utilize the dose cup provided for accurate measurement. It is imperative not to exceed four doses within a 24-hour period.

For adults and children aged 12 years and older, the recommended dosage is 30 mL every 4 hours. For children aged 4 to under 12 years, it is advised to consult a physician for appropriate dosing. The medication is not recommended for use in children under 4 years of age.

Contraindications

Use of this product is contraindicated in the following situations:

Co-administration with any other drug containing acetaminophen, whether prescription or non-prescription, 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.

Additionally, this product should not be used in patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing an MAOI. MAOIs are commonly prescribed for depression, psychiatric or emotional conditions, or Parkinson's disease. If there is any doubt about the presence of an MAOI in a prescription medication, a healthcare professional should be consulted prior to use.

Warnings and Precautions

This product contains acetaminophen, which poses a significant risk of severe liver damage under certain conditions. Healthcare professionals should advise patients to adhere strictly to the recommended dosage, which does not exceed four doses within a 24-hour period. Caution is particularly warranted if the product is used concurrently with other medications containing acetaminophen, as this can lead to unintentional overdose. Additionally, patients should be informed that consuming three or more alcoholic drinks daily while using this product may further increase the risk of liver damage.

Acetaminophen may also trigger severe skin reactions. Symptoms indicative of such reactions include skin reddening, blisters, and rash. Should any of these symptoms manifest, patients must discontinue use immediately and seek medical assistance.

In cases of severe sore throat, particularly if it persists for more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, it is imperative to consult a healthcare provider without delay.

Patients should be instructed to stop using the product and consult a physician if they experience any of the following: nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, or cough lasting more than seven days; fever that worsens or persists beyond three days; any signs of redness or swelling; the emergence of new symptoms; or a cough that recurs or is accompanied by a rash or headache lasting longer than usual. These symptoms may indicate a serious underlying condition requiring medical evaluation.

In the event of an overdose, immediate medical attention is crucial. Patients should be advised to contact a Poison Control Center at 1-800-222-1222 or seek emergency medical help right away, regardless of whether they exhibit signs or symptoms of overdose. Prompt intervention is essential for both adults and children.

Side Effects

Severe adverse reactions associated with the use of this product include significant liver damage, which may occur if patients exceed four 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, which may manifest as skin reddening, blisters, or rash. In the event of a skin reaction, it is imperative to discontinue use and seek immediate medical assistance.

Additionally, if a patient experiences a sore throat that is severe, persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting, they should consult a healthcare professional promptly.

Common adverse reactions that warrant discontinuation of use and consultation with a doctor include nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, or cough lasting more than seven days. Patients should also seek medical advice if fever worsens or persists beyond three days, if redness or swelling occurs, if new symptoms arise, or if a cough recurs alongside a rash or headache that lasts, as these may indicate a serious condition.

Patients with pre-existing conditions such as liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or those experiencing difficulty urinating due to an enlarged prostate gland should consult a healthcare provider before using this product. Furthermore, individuals with a cough that produces excessive phlegm or those with persistent or chronic coughs, such as those associated with smoking, asthma, or emphysema, should also seek medical advice prior to use.

It is advisable for patients taking the anticoagulant warfarin to consult a doctor or pharmacist before using this product.

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 Daytime Cold and Flu Relief (acetaminohpen, dextromethorphan hbr, guaifenesin phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Daytime Cold and Flu Relief.
Details

Pediatric Use

Pediatric patients aged 4 to under 12 years should consult a healthcare professional before use. The safety and efficacy of this medication have not been established in children under 4 years of age, and its use is not recommended in this population.

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 individual responses may vary. It is advisable to monitor these patients closely for any 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 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 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

Patients with renal impairment should consult a healthcare professional prior to use, particularly if they experience difficulty urinating due to an enlarged prostate gland. It is essential to assess renal function and consider potential dosing adjustments or monitoring requirements based on the degree of impairment.

Hepatic Impairment

Patients with hepatic impairment should consult a healthcare professional prior to using this product. The presence of liver disease may increase the risk of adverse effects, particularly due to the acetaminophen content.

It is critical to note that severe liver damage may occur if patients exceed the maximum recommended dosage of 4 doses within a 24-hour period. Additionally, the risk of liver damage is heightened when this product is taken concurrently with other medications containing acetaminophen.

Patients who consume three or more alcoholic drinks daily are also at an increased risk for severe liver damage while using this product. Therefore, careful consideration and monitoring of liver function are advised for patients with compromised liver function to prevent potential hepatotoxicity.

Overdosage

In the event of an overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222. Prompt medical intervention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, it is essential to monitor the patient closely and provide appropriate care as needed.

Nonclinical Toxicology

No teratogenic or non-teratogenic effects have been reported in the available nonclinical studies. Additionally, there is no information regarding animal pharmacology and toxicology. The absence of data limits the assessment of potential risks associated with the compound in these areas.

Postmarketing Experience

Postmarketing experience has identified severe skin reactions associated with the use of acetaminophen. These reactions include symptoms such as skin reddening, blisters, and rash. In the event of a skin reaction, it is advised that the use of the product be discontinued immediately and medical assistance be sought.

Patient Counseling

Healthcare providers should advise patients to seek immediate medical assistance or contact a Poison Control Center (1-800-222-1222) in the event of an overdose, as prompt medical attention is crucial 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 non-prescription. If patients are uncertain about the presence of acetaminophen in their medications, they should be encouraged to consult with a doctor or pharmacist.

It is important to instruct patients not to use this product if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have stopped taking an MAOI within the past two weeks. Patients should be advised to verify with a healthcare professional if they are unsure whether their prescription includes an MAOI.

Patients should be counseled to discontinue use and consult a doctor if they experience symptoms such as nervousness, dizziness, or sleeplessness. Additionally, they should be advised to stop use and seek medical advice if pain, nasal congestion, or cough worsens or persists beyond 7 days, if fever worsens or lasts more than 3 days, if redness or swelling occurs, or if new symptoms develop. They should also be informed to stop use and consult a doctor if a cough recurs or is accompanied by a rash or persistent headache, as these may indicate a serious condition.

When using this product, patients must be reminded to adhere strictly to the recommended dosage and not exceed the directed amount.

Healthcare providers should encourage patients to consult a doctor before using this product if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, difficulty urinating due to an enlarged prostate gland, a cough associated with excessive phlegm, a persistent or chronic cough (such as that associated with smoking, asthma, or emphysema), or if they are on a sodium-restricted diet. Furthermore, patients should be advised to seek guidance from a doctor or pharmacist if they are taking the blood-thinning medication warfarin.

Storage and Handling

The product is supplied in various package configurations, with specific NDC numbers available for identification. It is essential to store the product at room temperature, ensuring that it is not refrigerated. Proper storage conditions are crucial to maintain the integrity and efficacy of the product.

Additional Clinical Information

No further data are available.

Drug Information (PDF)

This file contains official product information for Daytime Cold and Flu Relief, 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 Daytime Cold and Flu Relief, 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.

Learn more in our Editorial Policy

Last AI update:

Primary FDA sources:

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.