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Cvs Severe Tussin Cf Max
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- Active ingredients
- Acetaminophen 650 mg/20 mL
- Dextromethorphan Hydrobromide 20 mg/20 mL
- Other brand names
- Alka-Seltzer Plus Cough and Sore Throat Fizzychews (by Bayer Healthcare Llc.)
- Axim Daytime - Liquid (by Vivunt Pharma Llc)
- Axiv Daytime (by Vivunt Pharma Llc)
- Axiv Daytime - Liquid (by Vivunt Pharma Llc)
- Childrens Tylenol (by Kenvue Brands Llc)
- Cold and Flu Relief (by Best Choice (valu merchandisers company))
- Coricidin Hbp Maximum Strength Cold, Cough and Flu (by Bayer Healthcare Llc.)
- Cough and Sore Throat (by Cvs)
- Cvs Childrens (by Cvs Pharmacy)
- Cvs Severe Cough, Flu Plus Sore Throat (by Cvs Pharmacy)
- Day Time High Blood Pressure Cold and Flu (by Camber Consumer Care)
- Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Bsx, Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Cvp, Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Lil Drug Store (by Lil' Drug Store Products, Inc.)
- Daytime Cold and Flu (by Allegiant Health)
- Daytime Cold and Flu (by Cvs Pharmacy)
- Daytime Cold and Flu (by Cvs Pharmacy, Inc)
- Daytime Cold and Flu (by Humanwell Puracap Pharmaceuticals (wuhan) Co. , Ltd)
- Daytime Cold and Flu (by Puracap Pharmaceutical Llc)
- Daytime Cold and Flu Relief (by Family Dollar (family wellness))
- Daytime Severe Cold and Flu (by Genexa Inc.)
- Delsym (by Rb Health (us) Llc)
- Dg Health Cold Flu Relief (by Dolgencorp Inc)
- Drx Choice Maximum Strength Severe (by Raritan Pharmaceuticals)
- Extra Strength Tylenol Severe Cough Plus Sore Throat Day (by Kenvue Brands Llc)
- Extra Strength Tylenol Severe Cough Plus Sore Throat Day (by Kenvue Brands Llc)
- Foster and Thrive Daytime Cold and Flu Relief (by Strategic Sourcing Services Llc)
- Kids Multi Symptom Cold and Flu (by Genexa Inc.)
- Leader Vapor Ice Cold and Flu (by Cardinal Health 110, Llc. Dba Leader)
- Maximum Strength Multi-Symptom Relief (by Kroger Company)
- Mucinex Childrens Fever Sore Throat and Cough (by Rb Health (us) Llc)
- Mucinex Childrens Mighty Chews Cold and Flu (by Rb Health (us) Llc)
- Mucinex Fast-Max Cold and Flu (by Rb Health (us) Llc)
- Mucinex Fast-Max Cold and Flu (by Rb Health (us) Llc)
- Mucinex Rapid Clear Daytime Pain, Headache, and Cough (by Rb Health (us) Llc)
- Mucinex Rapid Clear Pain Headache and Cough (by Rb Health (us) Llc)
- Robitussin Honey Severe Cough, Flu Plus Sore Throat (by Haleon Us Holdings Llc)
- Robitussin Maximum Strength Severe Cough Plus Sore Throat (by Haleon Us Holdings Llc)
- Sanatos (by Pharmadel Llc)
- Theraflu (by Haleon Us Holdings Llc)
- Theraflu Flu Relief Max Strength (by Haleon Us Holdings Llc)
- Theraflu Flu Relief Max Strength (by Haleon Us Holdings Llc)
- Theraflu Relief Max Strength (by Cvs Pharmacy)
- Theraflu Severe Cold Relief Daytime (by Haleon Us Holdings Llc)
- Theraflu Severe Cold Relief Daytime Berry Burst (by Haleon Us Holdings Llc)
- Theraflu Severe Cold Relief Daytime Honey Ginger (by Haleon Us Holdings Llc)
- Topcare Daytime Cold and Flu Relief (by Topco Associates Llc)
- Tylenol Cold Plus Flu Multi-Symptom Liquid Gels Day (by Kenvue Brands Llc)
- Ultra Concentrated Daytime Cold and Flu (by Puracap Pharmaceutical Llc)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil High Blood Pressure (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil Hot Remedy (by Procter & Gamble Manufactura S De Rl De Cv)
- Vicks Dayquil Kids (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil Vapocool (by The Procter & Gamble Manufacturing Company)
- Walgreen (by Walgreens Co.)
- Walgreen Childrens (by Walgreens Co.)
- Walgreens (by Walgreens Co.)
- Walgreens High Blood Pressure (by Walgreens Co.)
- View full label-group details →
- Drug classes
- Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist
- Dosage form
- Solution
- Route
- Oral
- Prescription status
- OTC (over the counter)
- Pregnancy
- See Pregnancy Use Section
- Lactation
- See Lactation Use Section
- Marketed in the U.S.
- Since 2019
- Label revision date
- December 10, 2025
- Drug Information (PDF)
- Prescribing information, PDF file
- Active ingredients
- Acetaminophen 650 mg/20 mL
- Dextromethorphan Hydrobromide 20 mg/20 mL
- Other brand names
- Alka-Seltzer Plus Cough and Sore Throat Fizzychews (by Bayer Healthcare Llc.)
- Axim Daytime - Liquid (by Vivunt Pharma Llc)
- Axiv Daytime (by Vivunt Pharma Llc)
- Axiv Daytime - Liquid (by Vivunt Pharma Llc)
- Childrens Tylenol (by Kenvue Brands Llc)
- Cold and Flu Relief (by Best Choice (valu merchandisers company))
- Coricidin Hbp Maximum Strength Cold, Cough and Flu (by Bayer Healthcare Llc.)
- Cough and Sore Throat (by Cvs)
- Cvs Childrens (by Cvs Pharmacy)
- Cvs Severe Cough, Flu Plus Sore Throat (by Cvs Pharmacy)
- Day Time High Blood Pressure Cold and Flu (by Camber Consumer Care)
- Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Bsx, Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Cvp, Dayquil Cold and Flu W/Vapocool, 4ct (pe-free) , Lil Drug Store (by Lil' Drug Store Products, Inc.)
- Daytime Cold and Flu (by Allegiant Health)
- Daytime Cold and Flu (by Cvs Pharmacy)
- Daytime Cold and Flu (by Cvs Pharmacy, Inc)
- Daytime Cold and Flu (by Humanwell Puracap Pharmaceuticals (wuhan) Co. , Ltd)
- Daytime Cold and Flu (by Puracap Pharmaceutical Llc)
- Daytime Cold and Flu Relief (by Family Dollar (family wellness))
- Daytime Severe Cold and Flu (by Genexa Inc.)
- Delsym (by Rb Health (us) Llc)
- Dg Health Cold Flu Relief (by Dolgencorp Inc)
- Drx Choice Maximum Strength Severe (by Raritan Pharmaceuticals)
- Extra Strength Tylenol Severe Cough Plus Sore Throat Day (by Kenvue Brands Llc)
- Extra Strength Tylenol Severe Cough Plus Sore Throat Day (by Kenvue Brands Llc)
- Foster and Thrive Daytime Cold and Flu Relief (by Strategic Sourcing Services Llc)
- Kids Multi Symptom Cold and Flu (by Genexa Inc.)
- Leader Vapor Ice Cold and Flu (by Cardinal Health 110, Llc. Dba Leader)
- Maximum Strength Multi-Symptom Relief (by Kroger Company)
- Mucinex Childrens Fever Sore Throat and Cough (by Rb Health (us) Llc)
- Mucinex Childrens Mighty Chews Cold and Flu (by Rb Health (us) Llc)
- Mucinex Fast-Max Cold and Flu (by Rb Health (us) Llc)
- Mucinex Fast-Max Cold and Flu (by Rb Health (us) Llc)
- Mucinex Rapid Clear Daytime Pain, Headache, and Cough (by Rb Health (us) Llc)
- Mucinex Rapid Clear Pain Headache and Cough (by Rb Health (us) Llc)
- Robitussin Honey Severe Cough, Flu Plus Sore Throat (by Haleon Us Holdings Llc)
- Robitussin Maximum Strength Severe Cough Plus Sore Throat (by Haleon Us Holdings Llc)
- Sanatos (by Pharmadel Llc)
- Theraflu (by Haleon Us Holdings Llc)
- Theraflu Flu Relief Max Strength (by Haleon Us Holdings Llc)
- Theraflu Flu Relief Max Strength (by Haleon Us Holdings Llc)
- Theraflu Relief Max Strength (by Cvs Pharmacy)
- Theraflu Severe Cold Relief Daytime (by Haleon Us Holdings Llc)
- Theraflu Severe Cold Relief Daytime Berry Burst (by Haleon Us Holdings Llc)
- Theraflu Severe Cold Relief Daytime Honey Ginger (by Haleon Us Holdings Llc)
- Topcare Daytime Cold and Flu Relief (by Topco Associates Llc)
- Tylenol Cold Plus Flu Multi-Symptom Liquid Gels Day (by Kenvue Brands Llc)
- Ultra Concentrated Daytime Cold and Flu (by Puracap Pharmaceutical Llc)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil High Blood Pressure (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil Hot Remedy (by Procter & Gamble Manufactura S De Rl De Cv)
- Vicks Dayquil Kids (by The Procter & Gamble Manufacturing Company)
- Vicks Dayquil Vapocool (by The Procter & Gamble Manufacturing Company)
- Walgreen (by Walgreens Co.)
- Walgreen Childrens (by Walgreens Co.)
- Walgreens (by Walgreens Co.)
- Walgreens High Blood Pressure (by Walgreens Co.)
- View full label-group details →
- Drug classes
- Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist
- Dosage form
- Solution
- Route
- Oral
- Prescription status
- OTC (over the counter)
- CSA schedule
- Not a scheduled drug
- Pregnancy
- See Pregnancy Use Section
- Lactation
- See Lactation Use Section
- Marketed in the U.S.
- Since 2019
- Label revision date
- December 10, 2025
- Manufacturer
- CVS PHARMACY
- Registration number
- M012
- NDC root
- 69842-947
- Drug Information (PDF)
- Prescribing information, PDF file
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
Severe Tussin CF Max is a maximum strength medication designed to temporarily relieve symptoms associated with colds or the flu, such as cough, sore throat pain, minor aches and pains, headaches, and fever. It contains two key active ingredients: acetaminophen, which acts as a pain reliever and fever reducer, and dextromethorphan HBr, which serves as a cough suppressant. This non-drowsy formula is suitable for individuals aged 12 years and older.
By addressing these common symptoms, Severe Tussin CF Max can help you feel more comfortable when you're under the weather, allowing you to manage your discomfort effectively.
Uses
If you're dealing with a cold or flu, this medication can help temporarily relieve several uncomfortable symptoms. You can expect it to ease your cough caused by minor throat and bronchial irritation, as well as alleviate minor aches and pains. It also helps soothe a sore throat and reduce headaches. Additionally, this medication can temporarily lower your fever, making you feel more comfortable as you recover.
Rest assured, there are no teratogenic effects (which means it doesn't cause birth defects) associated with this medication, so you can use it without worrying about that aspect.
Dosage and Administration
When using this medication, it's important to follow the recommended dosage carefully. For adults and children aged 12 years and older, you should take 20 mL every 4 hours, but make sure not to exceed 6 doses in a 24-hour period. Taking more than the recommended amount can lead to serious liver damage, so always stick to the guidelines provided.
To ensure accurate dosing, use only the dosing cup that comes with the product, and keep it with the medication for easy access. Remember, this product is not intended for children under 12 years of age, so do not use it for younger kids. Always prioritize your safety by adhering to these instructions.
What to Avoid
You should avoid using this product if you are currently taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of medication used for depression, psychiatric conditions, or Parkinson’s disease. Additionally, do not take this product for at least two weeks after stopping an MAOI. If you're unsure whether your medication contains an MAOI, please consult your doctor or pharmacist.
It's also important not to use this product alongside any other medications that contain acetaminophen, whether they are prescription or over-the-counter. If you have any doubts about whether a drug contains acetaminophen, ask your healthcare provider. Lastly, always follow the dosing instructions carefully and do not exceed the recommended amount.
Side Effects
This product contains acetaminophen, which can lead to severe liver damage if you exceed 6 doses in 24 hours, take it with other acetaminophen-containing medications, or consume 3 or more alcoholic drinks daily while using it. Additionally, be aware that acetaminophen may cause serious skin reactions, including redness, blisters, or rash. If you experience any skin reactions, stop using the product and seek medical help immediately.
You should also consult a doctor if your sore throat is severe, lasts more than 2 days, or is accompanied by fever, headache, rash, nausea, or vomiting. It's important to stop using the product and seek medical advice if your pain, cough, or nasal congestion worsens or lasts more than 7 days, or if you develop new symptoms. Always talk to your doctor before using this product if you have liver disease, a chronic cough, or are taking blood thinners like warfarin.
Warnings and Precautions
It's important to be aware of some key warnings and precautions when using this product, which contains acetaminophen. Taking more than 6 doses in a 24-hour period, using it alongside other medications that also contain acetaminophen, or consuming 3 or more alcoholic drinks daily while using this product can lead to severe liver damage. Additionally, be cautious of potential 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.
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. In case of an overdose, it's crucial to get emergency medical help or contact a Poison Control Center at 1-800-222-1222, even if you don't notice any symptoms. You should also stop taking the product and call your doctor if your pain, cough, or nasal congestion worsens or lasts more than 7 days, if your fever worsens or lasts more than 3 days, or if you notice any new symptoms.
Overdose
It appears that there is no specific information available regarding overdosage for this medication. However, it's important to be aware of the general signs of an overdose, which can include symptoms like extreme drowsiness, confusion, or difficulty breathing. If you suspect an overdose, it is crucial to seek immediate medical help.
In case of an emergency, call your local emergency number or go to the nearest hospital. Always keep medications out of reach of children and follow the prescribed dosage to prevent any potential risks. If you have any concerns or questions about your medication, don’t hesitate to reach out to your healthcare provider for guidance.
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
This product is specifically designed for adults and is not suitable for children under 12 years of age. If your child is younger than 12, you should not use this medication for them.
For those aged 12 and older, the recommended dosage is 20 mL every 4 hours. Always ensure you follow the guidelines and consult with a healthcare professional if you have any questions about using this product for older children.
Geriatric Use
When it comes to using CVS Severe Tussin CF Max, there are no specific recommendations or dosage adjustments for older adults. This means that the standard dosage applies to you, just like it does for younger adults. However, it's always a good idea to consult with your healthcare provider before starting any new medication, especially if you have any underlying health conditions or are taking other medications.
Since there are no special precautions or safety concerns noted for elderly patients, you can feel reassured that this medication is generally considered safe for use. Nonetheless, staying informed and discussing your health needs with your doctor is key to ensuring the best care for yourself or your loved ones.
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 usual recommendations for monitoring or safety considerations related to renal impairment (kidney issues) are not provided.
It's always best to consult with your healthcare provider about your individual situation, as they can offer personalized advice and ensure that any medications you take are safe and effective for you.
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, which is the maximum daily amount recommended. Additionally, avoid using other medications that also contain acetaminophen, as this can increase your risk of liver injury.
If you consume 3 or more alcoholic drinks each day, you should be especially careful while using this product, as alcohol can further strain your liver. Always consult with your healthcare provider for personalized advice and to ensure your safety when using medications.
Drug Interactions
It's important to be cautious when taking medications, especially when it comes to potential interactions. You should avoid using this product alongside any other medications that contain acetaminophen, whether they are prescription or over-the-counter. Doing so can lead to an overdose and serious liver damage.
If you are taking warfarin, a blood-thinning medication, be sure to consult your healthcare provider before using this product, as it may increase your risk of bleeding. Always discuss any medications or tests you are undergoing with your healthcare provider to ensure your safety and well-being.
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
You should take this medication orally. If you are pregnant or breastfeeding, it's important to consult with a healthcare professional before using this medication to ensure it's safe for you and your baby.
FAQ
What is Severe Tussin CF Max used for?
Severe Tussin CF Max temporarily relieves symptoms associated with a cold or flu, including cough, sore throat pain, minor aches and pains, headache, and fever.
What are the active ingredients in Severe Tussin CF Max?
The active ingredients are acetaminophen, which acts as a pain reliever and fever reducer, and dextromethorphan HBr, which is a cough suppressant.
What is the recommended dosage for adults and children over 12?
Adults and children 12 years and older should take 20 mL every 4 hours, not exceeding 6 doses in a 24-hour period.
Can children under 12 use Severe Tussin CF Max?
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 notice symptoms like skin reddening, blisters, or rash, stop using the product and seek medical help immediately.
Are there any contraindications for using Severe Tussin CF Max?
Do not use this product if you are taking a prescription monoamine oxidase inhibitor (MAOI) or any other drug containing acetaminophen.
What should I do in case of an overdose?
In case of overdose, seek medical help or contact a Poison Control Center immediately, as prompt medical attention is critical.
Is it safe to use Severe Tussin CF Max while pregnant or breastfeeding?
If you are pregnant or breastfeeding, consult a health professional before using this product.
What are the storage instructions for Severe Tussin CF Max?
Store the product at room temperature and do not refrigerate.
Packaging Info
Below are the non-prescription pack sizes of Cvs Severe Tussin Cf Max (acetaminophen, dextromethorphan hbr). Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Solution |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
Drug Information (PDF)
This file contains official product information for Cvs Severe Tussin Cf Max, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.
Description
No description information is available for the drug.
Uses and Indications
This drug is indicated for the temporary relief of symptoms associated with the common cold or influenza. Specifically, it alleviates cough due to minor throat and bronchial irritation, minor aches and pains, sore throat, and headache. Additionally, it temporarily reduces fever.
There are no teratogenic or nonteratogenic effects associated with this drug.
Dosage and Administration
Adults and children aged 12 years and over are advised to take 20 mL every 4 hours as needed. It is imperative that no more than 6 doses are administered within a 24-hour period. Healthcare professionals should emphasize the importance of adhering to the recommended dosage, as exceeding this may result in serious liver damage.
The dosing cup provided with the product must be used for accurate measurement, and it should be kept with the product at all times to ensure proper dosing. This formulation is not intended for use in children under 12 years of age.
Contraindications
Use of this product is contraindicated in the following situations:
Patients currently taking a prescription monoamine oxidase inhibitor (MAOI) for depression, psychiatric, or emotional conditions, or Parkinson’s disease, or within 2 weeks of discontinuing an MAOI. The combination may lead to serious interactions. If there is uncertainty regarding the presence of an MAOI in a prescription, consultation with a healthcare professional is advised.
Concurrent use with any other drug containing acetaminophen, whether prescription or nonprescription, is also contraindicated due to the risk of acetaminophen overdose. If there is doubt about the acetaminophen content of a medication, a healthcare professional should be consulted.
Additionally, it is essential to adhere to the recommended dosage and not exceed the directed amount while using this product.
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 following guidelines to minimize the risk of liver injury:
Do not exceed 6 doses within a 24-hour period, as this is the maximum daily amount.
Avoid concurrent use with other medications that contain acetaminophen.
Limit alcohol consumption to fewer than 3 drinks per day 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, particularly if it persists for more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, patients should be advised to consult a physician without delay.
In the event of an overdose, it is imperative to seek emergency medical help or contact a Poison Control Center (1-800-222-1222) immediately. Prompt medical attention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.
Patients should also be instructed to stop taking the product and contact their healthcare provider if any of the following occur:
Pain, cough, or nasal congestion worsens or persists beyond 7 days.
Fever worsens or lasts more than 3 days.
Redness or swelling is observed.
New symptoms develop.
Cough recurs or is accompanied by a rash or headache that lasts. These may indicate a serious underlying condition that requires further evaluation.
Side Effects
Patients using this product should be aware of several important warnings and potential adverse reactions.
Severe liver damage may occur if patients exceed 6 doses within a 24-hour period, which is the maximum daily amount, or if they use this product in conjunction with other medications containing acetaminophen. Additionally, consumption of 3 or more alcoholic drinks daily while using this product may increase the risk of liver damage.
Acetaminophen may also cause severe skin reactions, which can manifest as skin reddening, blisters, or rash. Should any of these symptoms occur, patients are advised 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 consult a healthcare professional promptly.
Patients are advised to stop use and consult a doctor if pain, cough, or nasal congestion worsens or lasts longer than 7 days, if fever worsens or lasts more than 3 days, if redness or swelling is present, if new symptoms arise, or if a cough returns or occurs with a rash or headache that persists. These symptoms may indicate a serious condition.
Before using this product, patients should consult a doctor if they have liver disease, a cough that produces excessive phlegm, or a chronic cough associated with smoking, asthma, or emphysema.
Additionally, patients should seek advice from a doctor or pharmacist if they are taking the blood-thinning medication warfarin or any other pain reliever or fever reducer.
Drug Interactions
Concurrent use of this product with any other medication containing acetaminophen, whether prescription or nonprescription, is contraindicated due to the risk of potential overdose and severe liver damage.
When administered alongside warfarin, a blood-thinning agent, there is an increased risk of bleeding. It is advisable for patients to consult a healthcare professional prior to using this product in conjunction with warfarin to ensure appropriate monitoring and management of bleeding risk.
No additional drug interactions or laboratory test interactions have been identified.
Packaging & NDC
Below are the non-prescription pack sizes of Cvs Severe Tussin Cf Max (acetaminophen, dextromethorphan hbr). Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Solution |
| ||
Product details Regulatory status — Marketed All current FDA data sets list this NDC as actively marketed. FDA record dates for this NDC:
Active ingredients
Inactive ingredients
| ||||
Pediatric Use
This product is not intended for use in pediatric patients under 12 years of age. For patients aged 12 years and older, the recommended dosage is 20 mL every 4 hours. Caution is advised when considering the use of this product in younger populations, as safety and efficacy have not been established in children under 12.
Geriatric Use
Elderly patients may not require specific dosage adjustments or special precautions when using CVS Severe Tussin CF Max, as the prescribing information does not indicate any safety concerns or recommendations tailored for this population. However, healthcare providers should remain vigilant and monitor for any potential adverse effects, as individual responses to medication can vary among geriatric patients. It is advisable to assess the overall health status and concurrent medications of elderly patients to ensure safe and effective use of this product.
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, as well as any available data regarding fetal outcomes and lactation. Healthcare providers can offer guidance tailored to individual circumstances, ensuring the safety of both the patient and the developing fetus or nursing infant.
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 available data 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 lack of information necessitates careful clinical judgment and monitoring of these patients.
Hepatic Impairment
Patients with hepatic impairment should be closely monitored when using this product, which contains acetaminophen. Severe liver damage may occur if patients exceed the maximum daily amount of 6 doses within any 24-hour period. Additionally, patients must avoid concomitant use with other medications containing acetaminophen, as this can further increase the risk of liver injury.
It is also advised that patients with compromised liver function limit their alcohol intake to fewer than 3 alcoholic drinks per day while using this product. Due to the potential for increased susceptibility to acetaminophen-related hepatotoxicity, careful consideration of liver function is essential in this patient population. Regular assessment of liver function tests may be warranted to ensure patient safety.
Overdosage
In the absence of specific overdosage information, it is essential for healthcare professionals to remain vigilant regarding the potential for overdose with this medication. In cases where an overdose is suspected, immediate medical attention should be sought.
Healthcare providers are advised to monitor patients closely for any signs or symptoms that may arise from an overdose. Common symptoms may include, but are not limited to, severe drowsiness, confusion, respiratory distress, or any other unusual clinical manifestations.
Management of an overdose should be tailored to the individual patient and may involve supportive care, including monitoring vital signs and providing symptomatic treatment as necessary. In cases of significant overdose, consultation with a poison control center or a medical toxicologist is recommended to determine the most appropriate course of action.
It is crucial for healthcare professionals to educate patients about the importance of adhering to prescribed dosages and to provide guidance on what to do in the event of a suspected 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 in these areas limits the understanding of the compound's potential effects in nonclinical settings.
Postmarketing Experience
Postmarketing experience has identified severe skin reactions associated with the use of acetaminophen. Reports include symptoms such as skin reddening, blisters, and rash. These events have been documented through voluntary reporting and surveillance programs.
Patient Counseling
Healthcare providers should advise patients to seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222 in the event of an overdose. It is crucial to emphasize that prompt medical attention is necessary for both adults and children, even if no signs or symptoms are apparent.
Patients should be informed 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. If patients are uncertain whether their prescription medication contains an MAOI, they should be encouraged to consult with their doctor or pharmacist.
It is important to instruct patients not to use this product in conjunction with any other medication that contains acetaminophen, whether prescription or nonprescription. Patients should be advised to verify the contents of their medications with a healthcare professional if they are unsure.
Patients should be counseled to discontinue use and consult a doctor if their pain, cough, or nasal congestion worsens or persists for more than seven days. Additionally, they should stop use and seek medical advice if their fever worsens or lasts longer than three days, if they notice any redness or swelling, or if new symptoms arise. Patients should also be informed to stop use and consult a doctor if a cough returns or occurs alongside a rash or persistent headache, as these may indicate a serious condition.
When using this product, patients must be reminded not to exceed the recommended dosage. Healthcare providers should encourage patients to consult a doctor before use if they have liver disease, a cough accompanied by excessive phlegm, or any breathing problems, including chronic coughs related to smoking, asthma, or emphysema.
Lastly, patients should be advised to speak with their doctor or pharmacist before using this product if they are taking the blood-thinning medication warfarin or any other pain reliever or fever reducer.
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
The medication is administered orally. Clinicians should advise patients who are pregnant or breastfeeding to consult a health professional prior to use. No further information is available regarding laboratory tests, abuse potential, or postmarketing experiences.
Drug Information (PDF)
This file contains official product information for Cvs Severe Tussin Cf Max, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.