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Sanatos

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Active ingredients
  • Acetaminophen 650 mg
  • Dextromethorphan Hydrobromide 20 mg
  • Phenylephrine Hydrochloride 10 mg
Other brand names
Drug classes
Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Granule, for Solution
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2024
Label revision date
January 15, 2026
Active ingredients
  • Acetaminophen 650 mg
  • Dextromethorphan Hydrobromide 20 mg
  • Phenylephrine Hydrochloride 10 mg
Other brand names
Drug classes
Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Granule, for Solution
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2024
Label revision date
January 15, 2026
Manufacturer
Pharmadel LLC
Registration number
M012
NDC root
55758-384

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Drug Overview

This medication is designed to temporarily relieve common cold and flu symptoms. It can help ease minor aches and pains, soothe a sore throat, alleviate headaches, and reduce nasal congestion. Additionally, it provides relief from coughs caused by minor throat and bronchial irritation, and it can temporarily lower fever.

If you're feeling under the weather with cold or flu symptoms, this medication may help you feel more comfortable as you recover. Always consult with a healthcare professional if you have any questions or concerns about your symptoms or treatment options.

Uses

If you're dealing with the discomfort of a common cold or flu, this medication can help. It temporarily relieves symptoms such as minor aches and pains, sore throat, headache, nasal congestion, and cough caused by minor throat and bronchial irritation. Additionally, it can help reduce fever, providing you with some much-needed relief while you recover.

Remember, while this medication can ease your symptoms, it’s important to rest and stay hydrated as your body fights off the illness.

Dosage and Administration

To prepare your drink, start by dissolving one packet in an 8 fluid ounce glass of hot water. If you prefer using a microwave, mix the packet with cool water first, then heat it briefly, making sure to stir both before and after heating. Be careful not to overheat the mixture.

Once your drink is ready, sip it while it's hot and aim to finish it within 10 to 15 minutes. For adults and children aged 12 and older, you can take one packet every 4 hours, but make sure not to exceed 6 packets in a 24-hour period. If your child is under 12 years old, this product is not recommended for them.

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 take this medication if you are on a prescription monoamine oxidase inhibitor (MAOI), which is a type of drug used for depression, psychiatric conditions, or Parkinson's disease, or for two weeks after you have stopped taking an MAOI. Always check with a healthcare professional if you have questions about your medications.

Side Effects

This product contains acetaminophen, which can lead to severe liver damage if you exceed 6 packets 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.

You should consult a doctor if you have a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting. Additionally, stop using the product and contact a doctor if you experience nervousness, dizziness, sleeplessness, worsening pain, or new symptoms. If you have liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or a chronic cough, talk to your doctor before using this product. In case of accidental overdose, seek medical help or contact a Poison Control Center right away, as prompt attention is crucial.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 6 packets 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 rashes. If you experience any of these symptoms, stop using the product and seek medical help immediately. Additionally, 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, talk to your doctor if you have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, a cough with excessive mucus, a persistent cough from smoking or other lung conditions, or difficulty urinating due to an enlarged prostate. If you are taking the blood thinner warfarin, consult your doctor or pharmacist before use.

In case of an accidental overdose, seek emergency medical help or contact a Poison Control Center immediately, even if no symptoms are present. You should also stop taking the product and call your doctor if you experience nervousness, dizziness, sleeplessness, worsening pain or nasal congestion lasting more than 7 days, a fever that worsens or lasts more than 3 days, or any new symptoms.

Overdose

If you suspect an accidental overdose, it’s important to seek medical help immediately or contact a Poison Control Center. This is crucial for both adults and children, even if you don’t see any signs or symptoms of overdose.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. Remember, acting quickly can make a significant difference in ensuring safety and health. Always err on the side of caution and get help right away.

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 professional 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 healthcare provider regarding your breastfeeding journey.

Pediatric Use

It’s important to be cautious when considering this medication for children. If your child is under 12 years old, you should not use this medication for them. For those who are 12 years of age and older, the recommended dosage is one packet every four hours, but be sure not to exceed six packets in a 24-hour period. Always follow these guidelines to ensure your child's safety and well-being.

Geriatric Use

While there is no specific information about how this medication should be used by older adults, it’s important to approach any new treatment with caution. If you or a loved one is an older adult, it’s always a good idea to discuss any medications with a healthcare provider. They can help ensure that the treatment is safe and appropriate, considering any unique health needs or conditions that may be present.

Remember, even if there are no specific dosage adjustments or safety concerns mentioned, your healthcare provider can offer personalized advice based on individual health status and any other medications being taken. Always prioritize open communication with your healthcare team to ensure the best care.

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 disease, it’s important to consult your doctor before using this product. There are specific warnings you should be aware of regarding liver health. This product contains acetaminophen, which can lead to severe liver damage if you exceed the maximum daily limit of 6 packets in 24 hours. Additionally, be cautious if you are taking other medications that also contain acetaminophen or if you consume 3 or more alcoholic drinks each day while using this product.

To protect your liver, always follow your healthcare provider's advice and monitor your use of acetaminophen carefully. Your health and safety are the top priority, so don’t hesitate to reach out to your doctor with any questions or concerns.

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 share your complete list of medications and any health conditions you have to receive the best care possible.

Storage and Handling

To ensure the best performance and safety of your product, store it at room temperature, ideally between 68-77°F (20-25°C). It's important to handle the packets carefully; do not use them if they are punctured or torn, as this could compromise their integrity and effectiveness. Always check the packaging before use to ensure everything is intact.

By following these simple storage and handling guidelines, you can help maintain the quality and safety of the product.

Additional Information

You should take this medication orally. For adults and children aged 12 and older, the recommended dose is one packet every four hours, but do not exceed six packets in a 24-hour period. If your child is 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. In the event of an accidental overdose, seek medical help immediately or contact a Poison Control Center, as prompt attention is crucial for both adults and children, even if there are no noticeable symptoms.

FAQ

What symptoms does this drug temporarily relieve?

This drug temporarily relieves common cold and flu symptoms, including minor aches and pains, sore throat, headache, nasal congestion, and cough due to minor throat and bronchial irritation. It also temporarily reduces fever.

How should I take this medication?

Dissolve one packet in an 8 fl oz glass of hot water. Sip while hot and consume the entire drink within 10-15 minutes.

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

Adults and children 12 years of age and older should take one packet every 4 hours, not exceeding 6 packets in 24 hours.

Are there any contraindications for this drug?

Do not use this drug with any other medication containing acetaminophen or if you are currently taking a prescription monoamine oxidase inhibitor (MAOI).

What should I do if I experience severe side effects?

If you experience nervousness, dizziness, sleeplessness, or if symptoms worsen or new symptoms occur, stop use and consult a doctor.

Is this drug safe for children under 12 years of age?

No, this drug should not be used in children under 12 years of age.

What should I do in case of accidental overdose?

In case of accidental overdose, seek medical help or contact a Poison Control Center immediately.

What precautions should I take if I have liver disease?

If you have liver disease, consult a doctor before using this product, as it contains acetaminophen which can cause severe liver damage.

Can I use this drug if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a healthcare professional before using this drug.

What should I do if I have a severe sore throat?

If your sore throat is severe, persists for more than 2 days, or is accompanied by fever, headache, rash, nausea, or vomiting, consult a doctor promptly.

Packaging Info

Below are the non-prescription pack sizes of Sanatos (acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Sanatos.
Details

Drug Information (PDF)

This file contains official product information for Sanatos, 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 alleviates minor aches and pains, sore throat, headache, nasal congestion, and cough due to minor throat and bronchial irritation. Additionally, it temporarily reduces fever.

There are no teratogenic or nonteratogenic effects mentioned in the available data.

Dosage and Administration

To prepare the solution, one packet should be dissolved in an 8 fl oz glass of hot water. If utilizing a microwave for heating, the packet's contents should first be added to a glass of cool water, followed by brisk stirring before and after heating. Care should be taken to avoid overheating the mixture.

The prepared drink should be sipped while hot, and it is recommended that the entire contents be consumed within 10 to 15 minutes.

For adults and children aged 12 years and older, the recommended dosage is one (1) packet every 4 hours, with a maximum limit of 6 packets within a 24-hour period. The use of this product is not recommended for children under 12 years of age.

Contraindications

Use of this product is contraindicated in the following situations:

  • Concurrent use with any other drug containing acetaminophen, whether prescription or nonprescription, due to the risk of acetaminophen overdose.

  • In patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing such treatment, as this may lead to 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 that the risk of liver injury increases if they exceed the maximum daily dosage of 6 packets within a 24-hour period, use other medications containing acetaminophen concurrently, or consume 3 or more alcoholic drinks daily while using this product.

Acetaminophen may also cause severe skin reactions. Symptoms indicative of such reactions include skin reddening, blisters, and rash. Patients should be instructed to discontinue use immediately and seek medical assistance if any of these symptoms occur.

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.

General precautions should be taken for patients with specific health conditions. It is recommended that individuals consult a healthcare provider prior to use if they have liver disease, heart disease, high blood pressure, thyroid disease, diabetes, a cough with excessive phlegm, a persistent or chronic cough (as seen in smoking, asthma, chronic bronchitis, or emphysema), or difficulty urinating due to an enlarged prostate gland. Additionally, patients taking the anticoagulant warfarin should seek advice from a doctor or pharmacist before using this product.

In the event of an accidental overdose, immediate medical attention is crucial. Patients should be instructed to contact a Poison Control Center or seek emergency medical help right away, regardless of whether symptoms are present.

Patients should discontinue use and contact their healthcare provider if they experience nervousness, dizziness, or sleeplessness; if redness or swelling occurs; if pain or nasal congestion worsens or persists beyond 7 days; if fever worsens or lasts more than 3 days; or if any new symptoms arise.

Side Effects

Severe liver damage may occur in patients taking this product containing acetaminophen if they exceed the maximum daily amount of 6 packets within 24 hours, use other drugs containing acetaminophen concurrently, or consume 3 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. Additionally, if a sore throat is severe, persists for more than 2 days, or is accompanied by fever, headache, rash, nausea, or vomiting, patients are advised to consult a doctor promptly.

Patients should stop use and consult a healthcare professional if they experience nervousness, dizziness, or sleeplessness; if redness or swelling occurs; if pain or nasal congestion worsens or lasts more than 7 days; if fever worsens or lasts more than 3 days; or if any new symptoms arise.

Before using this product, patients with liver disease, heart disease, high blood pressure, thyroid disease, diabetes, a cough accompanied by excessive phlegm, a persistent or chronic cough (such as that associated with smoking, asthma, chronic bronchitis, or emphysema), or difficulty urinating due to an enlarged prostate gland should seek medical advice. Furthermore, patients taking the blood-thinning medication warfarin should consult a doctor or pharmacist prior to use.

In cases of accidental overdose, it is crucial for patients to seek medical help or contact a Poison Control Center immediately, as prompt medical attention is essential for both adults and children, even if no signs or symptoms are initially apparent.

Drug Interactions

There are currently no documented drug interactions associated with the use of 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 Sanatos (acetaminophen, dextromethorphan hydrobromide, and phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Sanatos.
Details

Pediatric Use

Pediatric patients under 12 years of age should not use this medication. For adolescents aged 12 years and older, the recommended dosage is one (1) packet every 4 hours, with a maximum of 6 packets in a 24-hour period. Caution is advised to ensure adherence to the dosing guidelines to avoid potential overdose.

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. 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 considered in these populations to ensure maternal and fetal safety.

Lactation

Lactating mothers are advised to consult a healthcare professional prior to using this medication. There is currently no available data regarding the excretion of this drug 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 no specific information regarding dosage adjustments, special monitoring, or safety considerations provided in the drug insert. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the lack of data 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 consult a healthcare professional prior to using this product, particularly if they have a history of liver disease.

This product contains acetaminophen, which carries a risk of severe liver damage. Patients with compromised liver function must be particularly cautious and adhere to the following guidelines to minimize the risk of hepatotoxicity:

  • The maximum daily dosage should not exceed 6 packets within a 24-hour period.

  • Patients should avoid concurrent use with other medications that contain acetaminophen.

  • Consumption of 3 or more alcoholic drinks per day while using this product is contraindicated, as it may exacerbate the risk of liver damage.

Close monitoring of liver function is advised for patients with hepatic impairment who are prescribed this product.

Overdosage

In the event of an accidental overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center without delay. Prompt medical intervention is crucial for both adults and children, regardless of whether any signs or symptoms are initially apparent.

Healthcare professionals should be aware that the absence of symptoms does not preclude the possibility of serious complications arising from an overdose. Therefore, vigilance and timely action are essential in managing such situations effectively.

Nonclinical Toxicology

If pregnant or breast-feeding, it is advised to consult a health care professional before 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

No postmarketing experience details are available in the insert text.

Patient Counseling

Healthcare providers should advise patients on the importance of adhering to the recommended dosage of the medication. Patients must be informed that exceeding the recommended dosage can lead to serious health risks.

In the event of an accidental overdose, it is crucial for patients to seek medical help immediately or contact a Poison Control Center. Healthcare providers should emphasize that prompt medical attention is essential for both adults and children, even if no signs or symptoms of overdose are apparent. This proactive approach can significantly mitigate potential health complications associated with overdose.

Storage and Handling

The product is supplied in packets that must be stored at room temperature, specifically within the range of 68-77°F (20-25°C). It is imperative that the integrity of the packets is maintained; therefore, the product should not be used if any packets are found to be punctured or torn.

Additional Clinical Information

The medication is administered orally, with the recommended dosage for adults and children aged 12 years and older being one packet every four hours, not to exceed six packets within a 24-hour period. It is contraindicated for children under 12 years of age.

Clinicians should advise patients who are pregnant or breastfeeding to consult a healthcare professional prior to use. In the event of an accidental overdose, it is crucial to seek medical assistance or contact a Poison Control Center immediately, as prompt medical attention is essential for both adults and children, regardless of the presence of symptoms.

Drug Information (PDF)

This file contains official product information for Sanatos, 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 Sanatos, 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

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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.