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Equate Maximum Strength Nighttime Severe Cold and Flu Softgels

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Active ingredients
  • Doxylamine Succinate 6.25 mg
  • Acetaminophen 325 mg
  • Dextromethorphan Hydrobromide 10 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Capsule, Liquid Filled
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2025
Label revision date
September 9, 2025
Active ingredients
  • Doxylamine Succinate 6.25 mg
  • Acetaminophen 325 mg
  • Dextromethorphan Hydrobromide 10 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Capsule, Liquid Filled
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2025
Label revision date
September 9, 2025
Manufacturer
WALMART INC.
Registration number
M012
NDC root
79903-387

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Drug Overview

Equate Nighttime Severe Cold & Flu is a medication designed to temporarily relieve symptoms associated with the common cold and flu. If you're experiencing nasal congestion, sinus pressure, cough, minor aches and pains, headache, fever, sore throat, or a runny nose, this product can help alleviate these discomforts, allowing you to rest better at night.

The medication works by reducing swelling in the nasal passages, promoting drainage, and restoring easier breathing through the nose. It also addresses cough caused by minor throat and bronchial irritation, making it easier for you to sleep through the night.

Uses

This medication is designed to help you feel better when you're dealing with common cold or flu symptoms. It can temporarily relieve issues like nasal and sinus congestion, cough from throat and bronchial irritation, and even help you sleep better if you're coughing at night. You may also find relief from minor aches and pains, headaches, fever, sore throat, and a runny nose with sneezing.

In addition to easing these symptoms, this medication works to reduce swelling in your nasal passages, making it easier for you to breathe through your nose. It also promotes drainage in your nasal and sinus areas, helping you feel more comfortable overall.

Dosage and Administration

It's important to take this medication exactly as directed. For adults and children aged 12 years and older, you should take 2 softgels with a glass of water every 4 hours. However, make sure not to exceed 8 softgels in a 24-hour period to avoid any potential side effects.

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

It's important to be aware of certain precautions when using this medication. If you suspect an overdose, seek medical help immediately or contact a Poison Control Center. Quick medical attention is crucial for both adults and children, even if there are no noticeable signs or symptoms of overdose.

Currently, there are no specific contraindications, risks of abuse or misuse, or concerns about dependence associated with this medication. However, always prioritize your safety and consult with a healthcare professional if you have any questions or concerns.

Side Effects

Taking this product can lead to some serious side effects, so it's important to be aware of them. You should avoid taking more than 8 softgels in 24 hours, as exceeding this limit can cause severe liver damage, especially if you also consume alcohol or take other medications containing acetaminophen. Be cautious of potential severe skin reactions, which may include symptoms like skin reddening, blisters, or rash. If you experience any of these, stop using the product and seek medical help immediately.

Additionally, if you have a severe sore throat that lasts more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, consult a doctor. It's also crucial to avoid using this product with other acetaminophen-containing medications or if you are taking certain antidepressants known as monoamine oxidase inhibitors (MAOIs). If you have any pre-existing health conditions, such as liver disease, heart disease, or diabetes, or if you are pregnant or breastfeeding, consult a healthcare professional before use. Always seek medical advice if you notice worsening symptoms or new reactions.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 8 softgels 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 redness, blisters, or rash. If you experience any skin reactions, stop using the product and seek medical help immediately. If you have a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, consult your doctor promptly.

Before using this product, do not combine it with any other medications containing acetaminophen, and avoid it if you are currently taking a monoamine oxidase inhibitor (MAOI) or have certain health conditions like liver disease, heart disease, or diabetes. Always ask your doctor or pharmacist if you are unsure about any medications you are taking. While using this product, do not exceed the recommended dose, as it may cause drowsiness or excitability, especially in children. Avoid alcohol and be cautious when driving or operating machinery.

If you suspect an overdose, seek emergency medical help or contact a Poison Control Center immediately, even if no symptoms are present. Stop taking the product and call your doctor if you experience nervousness, dizziness, sleeplessness, worsening pain or cough, fever lasting more than 3 days, or any new symptoms, as these may indicate a serious condition.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. 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 get checked out by a medical professional.

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 using this product for your child, it's important to know the guidelines for different age groups. For children aged 4 to under 12 years, you should consult with a doctor before use. However, this product should not be used at all in children under 4 years of age.

While using this product, be aware that it may cause excitability, particularly in children. Additionally, if an overdose occurs, it is crucial to seek medical attention immediately for both adults and children, even if there are no noticeable signs or symptoms. Your child's safety is the top priority, so always follow these recommendations closely.

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. 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.

Since there are no dosage adjustments or special precautions mentioned for elderly patients, your healthcare provider will be the best resource for personalized advice. Always keep them informed about any other medications or health issues to ensure safe and effective care.

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.

Always consult your healthcare provider for personalized advice and to ensure that any medications you take are safe and appropriate for your kidney health. They can help you understand how your condition may affect your treatment plan.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using this product, as it contains acetaminophen. Taking more than 8 softgels in a 24-hour period can lead to severe liver damage. This limit also applies if you are using other medications that contain acetaminophen or if you consume 3 or more alcoholic drinks each day while using this product.

Before using this product, please consult your doctor if you have liver disease. They can provide guidance tailored to your specific health needs and help ensure your safety while using this medication.

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 recent lab tests to avoid any potential issues. Your health and safety should always come first.

Storage and Handling

To ensure the best performance of your product, store it at a controlled room temperature between 20-25°C (68-77°F). It's important to keep it away from light, heat, and moisture, as these elements can affect its quality and effectiveness.

When handling the product, make sure to do so in a clean environment to maintain its integrity. Always follow any specific disposal instructions provided to ensure safe and responsible disposal. By following these guidelines, you can help ensure the product remains safe and effective for use.

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 Equate Nighttime Severe Cold & Flu used for?

Equate Nighttime Severe Cold & Flu temporarily relieves common cold and flu symptoms, including nasal congestion, cough, minor aches, headache, fever, sore throat, runny nose, and sneezing.

How should I take Equate Nighttime Severe Cold & Flu?

Adults and children 12 years and over should take 2 softgels with water every 4 hours, not exceeding 8 softgels in 24 hours. For children 4 to under 12 years, consult a doctor.

Are there any warnings associated with this medication?

Yes, severe liver damage may occur if you exceed the recommended dosage or consume alcohol while using this product. Additionally, acetaminophen may cause severe skin reactions.

What should I do in case of an overdose?

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

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

If you are pregnant or breastfeeding, you should ask a health professional before using this product.

What should I do if my symptoms worsen or do not improve?

Stop using the product and consult a doctor if your pain, nasal congestion, or cough worsens or lasts more than 7 days, or if fever lasts more than 3 days.

Are there any contraindications for using this medication?

You should not use this product with any other drug containing acetaminophen or if you are taking a prescription monoamine oxidase inhibitor (MAOI).

What are the potential side effects of this medication?

Possible side effects include marked drowsiness, excitability (especially in children), and severe skin reactions. If you experience any severe reactions, seek medical help immediately.

Packaging Info

Below are the non-prescription pack sizes of Equate Maximum Strength Nighttime Severe Cold and Flu Softgels (acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Equate Maximum Strength Nighttime Severe Cold and Flu Softgels.
Details

Drug Information (PDF)

This file contains official product information for Equate Maximum Strength Nighttime Severe Cold and Flu Softgels, 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 drug.

Uses and Indications

This drug is indicated for the temporary relief of symptoms associated with the common cold and influenza. Specifically, it alleviates nasal congestion, sinus congestion and pressure, cough due to minor throat and bronchial irritation, cough to facilitate sleep, minor aches and pains, headache, fever, sore throat, runny nose, and sneezing.

Additionally, this drug reduces swelling of the nasal passages and temporarily restores freer breathing through the nose. It also promotes nasal and/or sinus drainage.

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

Dosage and Administration

The medication should be taken only as directed. For adults and children aged 12 years and older, the recommended dosage is 2 softgels taken with water every 4 hours, not to exceed 8 softgels within a 24-hour period.

For children aged 4 to under 12 years, it is advised to consult a physician for appropriate dosing. The use of this medication is not recommended for children under 4 years of age.

Contraindications

Use is contraindicated in the event of an overdose. Immediate medical assistance should be sought, or a Poison Control Center should be contacted without delay. Prompt intervention is essential for both adults and children, regardless of the presence of signs or symptoms.

Warnings and Precautions

This product contains acetaminophen, which poses a risk of severe liver damage if the following conditions are met: exceeding 8 softgels within a 24-hour period, concurrent use with other medications containing acetaminophen, or consumption of three or more alcoholic drinks daily while using this product.

Severe skin reactions may occur in individuals allergic to acetaminophen. Symptoms can include skin reddening, blisters, and rash. In the event of a skin reaction, it is imperative to discontinue use immediately and seek medical assistance.

Healthcare professionals should advise patients to consult a doctor if they experience a severe sore throat that persists for more than two days or is accompanied by fever, headache, rash, nausea, or vomiting.

Contraindications This product should not be used in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in other medications, patients should be directed to consult a healthcare provider. Additionally, this product is contraindicated for individuals currently taking a prescription monoamine oxidase inhibitor (MAOI) or within two weeks of discontinuing such medication. Patients should be encouraged to verify with a healthcare professional if they are unsure about their prescription drugs.

Precautions Patients should be advised to seek medical guidance before using this product if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, a cough associated with excessive phlegm, or any breathing issues related to smoking, asthma, chronic bronchitis, or emphysema. Furthermore, individuals experiencing difficulty urinating due to an enlarged prostate gland should also consult a healthcare provider prior to use.

It is essential for patients to inform their healthcare provider or pharmacist if they are taking sedatives, tranquilizers, or the anticoagulant warfarin.

Usage Guidelines Patients must adhere strictly to the recommended dosage and should not exceed the directed amount. Notably, excitability may occur, particularly in children, and marked drowsiness is a potential side effect. Alcoholic beverages should be avoided, as they may exacerbate drowsiness, especially when combined with sedatives or tranquilizers. Caution is advised when driving or operating machinery.

In the event of an overdose, immediate medical attention is crucial. Patients should contact a Poison Control Center or seek emergency medical help without delay, as prompt intervention is vital for both adults and children, even in the absence of noticeable symptoms.

Patients should discontinue use and contact their healthcare provider if they experience nervousness, dizziness, or insomnia; if pain, nasal congestion, or cough worsens or persists beyond seven days; if fever worsens or lasts more than three days; if redness or swelling occurs; if new symptoms develop; or if a cough recurs alongside a rash or headache that lasts. These symptoms may indicate a serious underlying condition requiring medical evaluation.

Side Effects

Severe liver damage may occur in patients who exceed the maximum daily dosage of 8 softgels within a 24-hour period, take the product in conjunction with other medications containing acetaminophen, or consume three or more alcoholic drinks daily while using this product.

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

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

This product should not be used concurrently with any other drug containing acetaminophen, whether prescription or nonprescription. Patients taking a prescription monoamine oxidase inhibitor (MAOI) for depression, psychiatric, or emotional conditions, or Parkinson's disease should avoid this product during treatment and for two weeks following the cessation of the MAOI. If there is uncertainty regarding the presence of an MAOI in a prescription drug, patients should consult a healthcare provider.

Patients with pre-existing conditions such as liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, or chronic respiratory issues should seek medical advice before using this product. Additionally, those taking sedatives, tranquilizers, or the blood-thinning medication warfarin should consult a doctor or pharmacist prior to use.

While using this product, patients should adhere strictly to the recommended dosage. Notable side effects may include excitability, particularly in children, and marked drowsiness. Patients are advised to avoid alcoholic beverages, as well as to exercise caution when driving or operating machinery, given that alcohol, sedatives, and tranquilizers may exacerbate drowsiness.

Patients should discontinue use and consult a healthcare professional if they experience nervousness, dizziness, or insomnia; if pain, nasal congestion, or cough worsens or persists beyond seven days; if fever worsens or lasts more than three days; if redness or swelling occurs; if new symptoms arise; or if a cough recurs with a rash or headache that lasts. These symptoms may indicate a serious condition.

In the event of an 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 in the absence of noticeable signs or symptoms.

Pregnant or breastfeeding patients should consult a healthcare professional before using this product.

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 Equate Maximum Strength Nighttime Severe Cold and Flu Softgels (acetaminophen, dextromethorphan hydrobromide, doxylamine succinate, phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Equate Maximum Strength Nighttime Severe Cold and Flu Softgels.
Details

Pediatric Use

Pediatric patients aged 4 to under 12 years should consult a healthcare professional prior to use. The product is contraindicated in children under 4 years of age.

When using this product, there is a potential for excitability, particularly in pediatric patients.

In cases of overdose, prompt medical attention is essential for both adults and children, even if no signs or symptoms are immediately apparent.

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. 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 the safety of both the mother 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 specific data available regarding the excretion of this medication in breast milk or its effects on breastfed infants. Therefore, caution is recommended when considering the use of this medication during lactation.

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.

Hepatic Impairment

Patients with hepatic impairment should exercise caution when using this product, as it contains acetaminophen, which is associated with the risk of severe liver damage. It is critical that patients do not exceed the maximum daily dosage of 8 softgels within a 24-hour period. Additionally, patients should avoid concurrent use of other medications containing acetaminophen and limit alcohol consumption to fewer than 3 drinks per day while using this product.

Before initiating treatment, patients with liver disease are advised to consult a healthcare professional to assess the appropriateness of this product for their condition. Monitoring of liver function may be warranted in patients with compromised liver function to ensure safety and efficacy during treatment.

Overdosage

In the event of an 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, even in the absence of observable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious adverse effects. Therefore, vigilance and timely action are essential in managing overdose situations effectively.

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 these contexts.

Postmarketing Experience

Postmarketing experience has identified several adverse reactions associated with the use of acetaminophen. 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 recommended that the use of acetaminophen be discontinued immediately, and medical assistance should be sought without delay.

Patient Counseling

Healthcare providers should advise patients to keep the medication out of reach of children to prevent accidental ingestion. It is essential to emphasize the importance of safety in the home environment, particularly for households with young children.

In the event of an overdose, healthcare providers should instruct patients to seek medical help or contact a Poison Control Center immediately. They should stress that quick medical attention is critical for both adults and children, even if no signs or symptoms of overdose are apparent. This proactive approach can significantly impact the outcome in overdose situations.

Storage and Handling

The product is supplied in packaging that ensures its integrity during storage and handling. It should be stored at a controlled room temperature of 20-25°C (68-77°F). Care must be taken to protect the product from light, heat, and moisture to maintain its efficacy and safety.

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 Equate Maximum Strength Nighttime Severe Cold and Flu Softgels, 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 Equate Maximum Strength Nighttime Severe Cold and Flu Softgels, retrieved by a validated AI data-extraction workflow.

All FDA-listed dosage forms and strengths are shown in the Packaging & NDC Codes section above. Regulatory status appears in the Summary Information panel above and was verified in the FDA National Drug Code directory and the NSDE NDC Directory daily file.

Note: an automated daemon monitors NSDE checksums; when the record for this NDC changes, the new file is pulled instantly and this page is refreshed.

No human clinician has reviewed this version.

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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.