ADD CONDITION

items per page

Mucus Relief Cold Flu and Sore Throat

Last content change checked dailysee data sync status

Active ingredients
  • Acetaminophen 650 mg/20 mL
  • Guaifenesin 400 mg/20 mL
  • Dextromethorphan Hydrobromide 20 mg/20 mL
  • Phenylephrine Hydrochloride 10 mg/20 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 2019
Label revision date
September 29, 2025
Active ingredients
  • Acetaminophen 650 mg/20 mL
  • Guaifenesin 400 mg/20 mL
  • Dextromethorphan Hydrobromide 20 mg/20 mL
  • Phenylephrine Hydrochloride 10 mg/20 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 2019
Label revision date
September 29, 2025
Manufacturer
Raritan Pharmaceuticals Inc
Registration number
M012
NDC root
68163-737

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

DRx CHOICE® is a medication designed to provide maximum strength relief from common cold and flu symptoms, including nasal and sinus congestion, cough, minor aches and pains, sore throat, and headaches. It contains several active ingredients that work together: acetaminophen, which helps reduce pain and fever; dextromethorphan HBr, a cough suppressant; guaifenesin, an expectorant that helps loosen mucus; and phenylephrine HCl, a nasal decongestant.

This combination temporarily alleviates symptoms by promoting nasal and sinus drainage, thinning bronchial secretions, and making coughs more productive. It is suitable for individuals aged 12 and older, providing a comprehensive approach to managing discomfort associated with colds and flu.

Uses

If you're dealing with the discomfort of a cold or flu, this medication can help you feel better by temporarily relieving a variety of symptoms. It can ease nasal and sinus congestion, reduce pressure in your sinuses, and soothe a sore throat. You may also find relief from minor aches and pains, headaches, and coughs caused by irritation in your throat and bronchial tubes.

In addition to alleviating these symptoms, this medication can help lower your fever and promote drainage from your nasal passages and sinuses. It works by loosening phlegm (mucus) and thinning bronchial secretions, making it easier to clear out bothersome mucus and allowing for more productive coughing.

Dosage and Administration

It's important to follow the dosage instructions carefully to ensure your safety. You should not take more than the recommended amount, which is 20 mL every 4 hours for adults and children aged 12 years and older. Make sure to use the dosing cup that comes with the medication to measure your dose accurately; using any other device could lead to incorrect dosing.

Remember, you should not exceed 6 doses in a 24-hour period. If you are caring for a child under 12 years old, do not use this medication for them. Always consult with your doctor if you have any questions or concerns about how to take this medication safely.

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. Additionally, this medication is not suitable for children under 12 years of age.

It's also important not to use this medication if you are taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of drug used for depression, psychiatric conditions, or Parkinson's disease, or if you have stopped taking an MAOI within the last two weeks. Always check with a healthcare professional if you have any questions about your medications.

Side Effects

You should be aware of some important warnings and potential side effects when using this product. It contains acetaminophen, which can lead to severe liver damage if you take more than six doses in 24 hours, use it with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily while using it. Additionally, be cautious of severe skin reactions, which may include symptoms like skin reddening, blisters, or rash. If you experience any of these skin reactions, stop using the product and seek medical help immediately.

It's also important to 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. You should stop using the product and seek medical advice if you experience nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, cough lasting more than seven days, fever lasting more than three days, redness or swelling, new symptoms, or if your cough returns with a rash or persistent headache, as these could indicate a serious condition.

Warnings and Precautions

It's important to be aware of some key warnings when using this product. First, it contains acetaminophen, which can cause severe liver damage if you take more than 6 doses in 24 hours, use it with other acetaminophen-containing products, or consume 3 or more alcoholic drinks daily while using it. Additionally, be cautious of potential severe skin reactions, such as reddening, blisters, or rash. If you notice any skin issues, 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, it's wise to talk to your doctor if you have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or trouble urinating due to an enlarged prostate. If you're taking the blood thinner warfarin, check with your doctor or pharmacist before use. If you experience nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, or cough lasting more than 7 days, or if you develop new symptoms, stop taking the product and call your doctor.

In case of an overdose, seek emergency medical help or contact a Poison Control Center at 1-800-222-1222 immediately, even if you don't notice any symptoms. Quick action is crucial for both adults and children.

Overdose

Taking more than the recommended dose of medication can lead to serious health issues, including liver damage. 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 essential for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Remember, being proactive can make a significant difference in health outcomes, so don’t hesitate to reach out for help if you think an overdose has occurred.

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 considering this medication for children. You should not use it for anyone under 12 years of age. For those who are 12 years and older, the recommended dosage is 20 mL taken every 4 hours using the dosing cup provided. Always follow these guidelines to ensure the safety and well-being of 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 considering this medication, it’s important to consult with a healthcare provider. 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 the drug insert does not provide specific information about dosage adjustments, special monitoring, or safety considerations for your condition. This means that there are no tailored guidelines for how this medication should be used if you have 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 health situation. They can help you understand how to manage your treatment effectively while considering your kidney health.

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, using other medications that also contain acetaminophen, or consuming 3 or more alcoholic drinks daily while using this product can lead to severe liver damage. Always consult your doctor before using this product if you have liver disease.

Be aware that taking more than the recommended dose can result in an overdose, which may also harm your liver. If you suspect an overdose, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. Quick medical attention is crucial, even if you don’t notice any symptoms.

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 avoid any potential issues and receive the best care possible.

Storage and Handling

To ensure the best use of your product, store it at room temperature and avoid refrigeration, as cold storage can affect its effectiveness. Always measure the product using the dosing cup provided; using any other device may lead to incorrect dosing.

For safety, keep the product out of reach of children. Additionally, check the seal under the cap before use—if it is broken or missing, do not use the product, as this indicates it may have been tampered with. Following these guidelines will help you use the product safely and effectively.

Additional Information

You should take this medication orally, using the dosing cup provided. The recommended dose for adults and children aged 12 years and older is 20 mL every 4 hours, or as directed by your doctor.

If you are pregnant or breastfeeding, consult a healthcare professional before using this medication. It's important to keep it out of reach of children. In the event of an overdose, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222, as prompt attention is crucial for both adults and children, even if no symptoms are apparent.

FAQ

What is DRx CHOICE® used for?

DRx CHOICE® is used to temporarily relieve common cold and flu symptoms such as nasal congestion, cough, sore throat, and minor aches and pains.

What are the active ingredients in DRx CHOICE®?

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

Who should not use DRx CHOICE®?

Do not use DRx CHOICE® if you are under 12 years of age, taking a prescription monoamine oxidase inhibitor (MAOI), or using any other drug containing acetaminophen.

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

The recommended dosage is 20 mL every 4 hours, not to exceed 6 doses in a 24-hour period.

What should I do in case of an overdose?

In case of overdose, seek medical help or contact a Poison Control Center immediately at 1-800-222-1222.

Are there any warnings associated with DRx CHOICE®?

Yes, there are warnings regarding potential liver damage if taken in excess or with alcohol, as well as severe skin reactions from acetaminophen.

Can I use DRx CHOICE® if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult a health professional before using DRx CHOICE®.

How should I store DRx CHOICE®?

Store DRx CHOICE® at room temperature and keep it out of reach of children. Do not refrigerate.

Packaging Info

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

Packaging configurations for Mucus Relief Cold Flu and Sore Throat.
Details

Drug Information (PDF)

This file contains official product information for Mucus Relief Cold Flu and Sore Throat, 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 common cold and flu symptoms, including nasal congestion, sinus congestion and pressure, cough due to minor throat and bronchial irritation, minor aches and pains, sore throat, and headache. Additionally, it temporarily reduces fever and promotes nasal and/or sinus drainage. The drug also aids in loosening phlegm (mucus) and thinning bronchial secretions, facilitating the clearance of 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 adhere strictly to the recommended dosage and administration guidelines to ensure safety and efficacy. The maximum dosage should not exceed the specified limits, and caution is advised to prevent overdose.

For adults and children aged 12 years and older, the recommended dose is 20 mL, to be measured using the dosing cup provided, administered every 4 hours as needed. It is imperative that no more than 6 doses are taken within a 24-hour period.

For children under 12 years of age, the use of this medication is not recommended.

Healthcare professionals should instruct patients to utilize only the dosing cup included with the medication for accurate measurement, and to refrain from using any other dosing devices to avoid dosing errors.

Contraindications

Use of this product is contraindicated in the following situations:

  • Co-administration with any other drug containing acetaminophen, whether prescription or nonprescription, due to the risk of acetaminophen overdose.

  • In children under 12 years of age, as safety and efficacy have not been established in this population.

  • In patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing an MAOI, due to the potential for serious drug interactions. If there is uncertainty regarding the presence of an MAOI in a prescription medication, consultation with a healthcare professional is advised.

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 within a 24-hour period. Patients should be cautioned against using this product in conjunction with other medications containing acetaminophen, as well as against the consumption of three or more alcoholic drinks daily while using this product.

Acetaminophen may also lead to 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 that persists for more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, patients should be advised to consult a physician promptly.

Healthcare professionals should recommend that patients consult a doctor prior to use 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, or persistent or chronic cough associated with smoking, asthma, chronic bronchitis, or emphysema. Additionally, patients should be advised to seek guidance from a doctor or pharmacist if they are currently taking the blood-thinning medication warfarin.

In the event of an overdose, immediate medical attention is crucial. Patients should be instructed to contact a Poison Control Center at 1-800-222-1222 without delay, as prompt intervention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Patients should be advised to discontinue use and consult a physician if they experience nervousness, dizziness, or sleeplessness. Furthermore, if pain, nasal congestion, or cough worsens or persists beyond 7 days, or if fever intensifies or lasts more than 3 days, medical advice should be sought. Redness or swelling, the emergence of new symptoms, or a cough that recurs or is accompanied by a rash or persistent headache may indicate a serious condition, warranting immediate medical evaluation.

Side Effects

Patients using this product should be aware of several potential adverse reactions, which can be categorized by seriousness and frequency.

Severe adverse reactions include significant liver damage, which may occur if patients exceed the maximum daily dosage of six doses within a 24-hour period, use other medications containing acetaminophen concurrently, or consume three or more alcoholic drinks daily while using this product. Additionally, patients may experience severe skin reactions, characterized by symptoms such as skin reddening, blisters, and rash. In the event of a skin reaction, it is imperative that patients discontinue use and seek medical assistance immediately.

Patients are advised to consult a healthcare professional if they experience nervousness, dizziness, or sleeplessness. Other concerning symptoms that warrant medical attention include worsening pain, nasal congestion, or cough lasting more than seven days; fever that worsens or persists beyond three days; the presence of redness or swelling; the emergence of new symptoms; or a cough that recurs or is accompanied by a rash or persistent headache. These symptoms may indicate a serious underlying condition and should not be ignored.

Furthermore, if a sore throat is severe, persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting, patients should seek prompt medical consultation.

Drug Interactions

There are currently no documented drug interactions associated with this medication. Additionally, there are no known 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 Mucus Relief Cold Flu and Sore Throat (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Mucus Relief Cold Flu and Sore Throat.
Details

Pediatric Use

Pediatric patients under 12 years of age should not use this medication. For patients aged 12 years and older, the recommended dosage is 20 mL, administered using the dosing cup provided, every 4 hours. Caution is advised when considering the use of this medication in pediatric populations, as safety and efficacy have not been established in children under 12 years.

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 using this medication. It is important to assess the potential risks and benefits associated with its use during pregnancy and lactation. The safety of this medication in pregnant women has not been established, and caution is advised to ensure the well-being of both the mother and the fetus.

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 have not been specifically addressed in the drug insert regarding dosage adjustments, special monitoring, or safety considerations. Therefore, healthcare professionals should exercise caution when prescribing this medication 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 aware that this product contains acetaminophen, which carries a risk of severe liver damage. It is crucial for these patients to adhere to the following guidelines to minimize the risk of liver injury.

The maximum recommended dosage is 6 doses within a 24-hour period. Patients must not exceed this limit, as doing so significantly increases the risk of liver damage. Additionally, patients should avoid the concurrent use of other medications containing acetaminophen, as this can lead to unintentional overdose. Consumption of three or more alcoholic drinks daily while using this product is also contraindicated, as it may exacerbate the risk of liver damage.

Patients with a history of liver disease are advised to consult a healthcare professional before using this product. In the event of an overdose, which is defined as taking more than the recommended dose, immediate medical assistance should be sought. Patients are encouraged to contact a Poison Control Center at 1-800-222-1222 for guidance. Prompt medical attention is essential for both adults and children, even if no signs or symptoms of overdose are apparent.

Overdosage

In the event of an overdose, it is crucial to recognize the potential for serious health consequences, particularly liver damage, which may occur when the recommended dosage is exceeded. Healthcare professionals should be aware that immediate medical intervention is essential.

Recommended Actions In cases of suspected overdose, it is imperative to seek medical assistance without delay. Healthcare providers should advise patients or caregivers to contact a Poison Control Center at 1-800-222-1222 for guidance. This step is vital for both adults and children, even in the absence of observable symptoms.

Potential Symptoms While specific symptoms of overdose may not always be evident, the risk of liver damage underscores the importance of prompt evaluation and treatment. Healthcare professionals should remain vigilant and consider the possibility of overdose in patients presenting with unexplained symptoms.

Management Procedures Upon confirmation of an overdose, appropriate management should be initiated based on clinical guidelines. This may include supportive care and monitoring of liver function, as well as other interventions as deemed necessary by the medical team. Early recognition and treatment are key to mitigating the risks associated with overdose.

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 use of the compound in question.

Postmarketing Experience

Postmarketing experience has identified several adverse reactions associated with the use of the product. Notably, severe skin reactions have been reported, which include symptoms such as 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 about the potential risks associated with overdose, emphasizing that taking more than the recommended dose may lead to liver damage. In the event of an overdose, patients should seek medical help immediately or contact a Poison Control Center at 1-800-222-1222, as prompt medical attention is crucial for both adults and children, even if no signs or symptoms are present.

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.

It is important to communicate that this product is not intended for use in children under 12 years of age. Additionally, patients should be cautioned against using 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 encouraged to ask their healthcare provider or pharmacist if they are unsure whether their prescription medication contains an MAOI.

Patients should be instructed to discontinue use and consult a doctor if they experience nervousness, dizziness, or sleeplessness. They should also seek medical advice if pain, nasal congestion, or cough worsens or persists for more than 7 days, if fever worsens or lasts more than 3 days, or if any redness or swelling occurs. New symptoms, a returning cough, or a cough accompanied by a rash or persistent headache should also prompt a consultation with a healthcare provider, as these may indicate a serious condition.

When using this product, patients must be reminded not to exceed the directed dosage. Healthcare providers should encourage patients to consult a doctor before use if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland. Patients with a persistent or chronic cough, such as that associated with smoking, asthma, chronic bronchitis, or emphysema, should also seek medical advice prior to use. Furthermore, patients should be advised to consult a doctor or pharmacist if they are taking the blood-thinning medication warfarin.

Storage and Handling

The product is supplied in a configuration that includes a dosing cup specifically designed for accurate measurement. It is essential to store the product at room temperature and to avoid refrigeration, as this may affect its efficacy.

To ensure safety, the product must be kept out of reach of children. Additionally, it is crucial to note that the product features a tamper-evident seal; therefore, it should not be used if the printed seal under the cap is broken or missing. For dosing, only the provided dosing cup should be utilized, as the use of any other dosing device is not recommended.

Additional Clinical Information

The medication is administered orally, with a recommended dose of 20 mL every 4 hours for adults and children aged 12 years and older, or as directed by a healthcare professional.

Clinicians should counsel patients to consult a health professional if they are pregnant or breastfeeding. It is important to keep the medication out of reach of children. In the event of an overdose, patients should seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222, as prompt medical attention is crucial for both adults and children, even if no symptoms are apparent.

Drug Information (PDF)

This file contains official product information for Mucus Relief Cold Flu and Sore Throat, 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 Mucus Relief Cold Flu and Sore Throat, 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.