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Equate Vapor Ice Cold and Flu

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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
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2020
Label revision date
November 14, 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
Tablet, Film Coated
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2020
Label revision date
November 14, 2025
Manufacturer
Wal-Mart Stores Inc
Registration number
M012
NDC root
49035-708

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Drug Overview

Equate™ Nighttime Severe+ Vapor Ice® Cold & Flu is a medication designed to help you feel better when you're suffering from cold or flu symptoms. It contains several active ingredients: acetaminophen (a pain reliever and fever reducer), phenylephrine HCl (a nasal decongestant), doxylamine succinate (an antihistamine), and dextromethorphan HBr (a cough suppressant). Together, these ingredients work to temporarily relieve a variety of symptoms, including nasal and sinus congestion, cough, minor aches and pains, headaches, fever, sore throat, and runny nose.

This alcohol-free formula is specifically intended to provide relief at night, helping you to sleep better while easing discomfort from common cold and flu symptoms. By reducing swelling in the nasal passages and promoting drainage, it can help restore freer breathing, making it easier for you to rest and recover.

Uses

If you're dealing with the discomfort of a common cold or flu, this medication can help temporarily relieve a variety of symptoms. You can expect relief from nasal and sinus congestion, pressure, and minor aches and pains. It also helps soothe a sore throat, reduce fever, and alleviate headaches. If you're struggling with a cough, this medication can ease throat and bronchial irritation, making it easier for you to sleep.

Additionally, it works to reduce swelling in your nasal passages, promoting easier breathing through your nose and helping with nasal and sinus drainage. Whether you're sneezing or dealing with a runny nose, this medication aims to make you feel more comfortable as you recover.

Dosage and Administration

It's important to take this medication exactly as directed to avoid any risks, including overdose. For adults and children aged 12 years and older, you should take 2 caplets with water every 4 hours, but make sure not to exceed 8 caplets in a 24-hour period.

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

What to Avoid

You should avoid using this medication if you are currently taking any other drug that contains acetaminophen, whether it's a prescription or over-the-counter product. If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist. Additionally, do not take this medication if you are on a prescription monoamine oxidase inhibitor (MAOI), which is used for certain mental health conditions or Parkinson’s disease, or for two weeks after stopping an MAOI. If you are uncertain about your medications, it's important to ask a healthcare professional. Lastly, do not use this product if you have ever experienced an allergic reaction to it or any of its ingredients.

Side Effects

Taking this medication can lead to some side effects, and it's important to be aware of them. You may experience severe skin reactions, which can include symptoms like skin reddening, blisters, or rash. If you notice any of these signs, stop using the product and seek medical help immediately. Additionally, be cautious about liver damage, which can occur if you exceed 4,000 mg of acetaminophen in 24 hours, take it with other acetaminophen-containing drugs, or consume three or more alcoholic drinks daily while using this product.

You should also consult a doctor if you experience nervousness, dizziness, sleeplessness, or if your pain, nasal congestion, or cough worsens or lasts more than a week. If you have a sore throat that is severe or lasts more than two days, especially if accompanied by fever, headache, rash, nausea, or vomiting, seek medical attention. Always talk to your doctor before using this medication if you have liver disease, heart disease, high blood pressure, or other specific health conditions.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you take more than 4,000 mg in 24 hours, use it with other medications containing acetaminophen, or consume three 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 skin reactions, stop using the product and seek medical help immediately. If you have a severe sore throat that lasts more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, consult your doctor promptly.

Before using this product, it's important to talk to your doctor if you have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, or breathing problems like emphysema or chronic bronchitis. You should also consult a doctor or pharmacist if you are taking sedatives, tranquilizers, or the blood-thinning medication warfarin. If you experience nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, or cough lasting more than seven days, or if your fever worsens or lasts more than three days, stop using the product and contact your doctor. New symptoms or a cough that returns with a rash or headache should also prompt a call to your healthcare provider.

Overdose

Taking more than 4,000 mg of acetaminophen in a 24-hour period can lead to severe liver damage. It's important to be cautious and avoid using any other medications that also contain acetaminophen, as this can increase your risk of an overdose.

If you suspect an overdose, look for signs such as nausea, vomiting, loss of appetite, confusion, or jaundice (yellowing of the skin or eyes). If you experience any of these symptoms or believe you have taken too much acetaminophen, seek immediate medical help. Your health and safety are the top priority, so don’t hesitate to reach out to a healthcare 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 this medication 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 a doctor before use. For children under 4 years old, this medication should not be used at all.

For adults and children aged 12 years and older, the recommended dosage is 2 caplets taken with water every 4 hours, but you should not exceed 8 caplets in a 24-hour period. Additionally, be aware that excitability (increased energy or restlessness) may occur, particularly in children. Always prioritize safety and consult with a healthcare professional if you have any concerns.

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, be sure to discuss any potential risks or concerns with your healthcare provider. They can help determine the best approach for your individual health needs, especially if there are existing health conditions or medications involved. Always prioritize safety and open communication with your healthcare team.

Renal Impairment

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

Hepatic Impairment

If you have liver disease, it’s important to consult your doctor before using this medication. Your healthcare provider can help determine if it’s safe for you and whether any adjustments to your dosage are necessary. Monitoring your liver function is crucial to ensure your safety while taking this medication. Always prioritize open communication with your healthcare team regarding your liver health.

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 your overall treatment plan is safe and effective. Always share your complete list of medications and any health conditions you have, as this information is crucial for your safety and well-being.

Storage and Handling

To ensure the safety and effectiveness of your product, store it at room temperature and protect it from light. It's important to keep the container tightly closed when not in use to maintain its integrity. Always keep the product out of reach of children to prevent accidental ingestion or misuse. Once opened, be sure to discard the product to avoid any potential safety risks. Following these guidelines will help you use the product safely and effectively.

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+ VAPOR ICE® Cold & Flu used for?

It temporarily relieves common cold and flu symptoms, including nasal congestion, sinus pressure, cough, minor aches, fever, and sore throat.

What are the active ingredients in this medication?

It contains Acetaminophen (pain reliever/fever reducer), Phenylephrine HCl (nasal decongestant), Doxylamine Succinate (antihistamine), and Dextromethorphan HBr (cough suppressant).

How should I take this medication?

Adults and children 12 years and over should take 2 caplets with water every 4 hours, not exceeding 8 caplets in 24 hours.

Are there any age restrictions for this medication?

Do not use in children under 4 years. For children aged 4 to under 12 years, consult a doctor before use.

What should I do if I experience severe side effects?

Stop use and consult a doctor if you experience nervousness, dizziness, sleeplessness, or if symptoms worsen or persist.

Can I take this medication with other drugs?

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

What are the warnings associated with this medication?

Severe liver damage may occur if you exceed 4,000 mg of acetaminophen in 24 hours or consume 3 or more alcoholic drinks daily while using this product.

Is it safe to use this medication during pregnancy or breastfeeding?

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

What should I do if I have a 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.

How should I store this medication?

Store at room temperature, protect from light, and keep the container tightly closed and out of reach of children.

Packaging Info

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

Packaging configurations for Equate Vapor Ice Cold and Flu.
Details

Drug Information (PDF)

This file contains official product information for Equate Vapor Ice Cold and Flu, 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 nasal congestion, sinus congestion and pressure, cough due to minor throat and bronchial irritation, and cough that may interfere with sleep. Additionally, it provides relief from minor aches and pains, headache, fever, sore throat, runny nose, and sneezing.

The formulation also reduces swelling of the nasal passages, temporarily restores freer breathing through the nose, and promotes nasal and/or sinus drainage.

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

Dosage and Administration

Patients should take the medication only as directed, adhering to the overdose warning. The maximum dosage should not exceed 8 caplets within a 24-hour period.

For adults and children aged 12 years and older, the recommended dosage is 2 caplets taken with water every 4 hours as needed.

For children aged 4 to under 12 years, it is advised to consult a physician for appropriate dosing recommendations.

This medication is not intended for use in children under 4 years of age.

Contraindications

Use of this product is contraindicated in the following situations:

  • Co-administration with any other drug containing acetaminophen, whether prescription or nonprescription, due to the risk of acetaminophen overdose. If there is uncertainty regarding the presence of acetaminophen in other medications, consultation with a healthcare professional is advised.

  • Concurrent use with prescription monoamine oxidase inhibitors (MAOIs) or within 2 weeks of discontinuing an MAOI. This includes certain medications prescribed for depression, psychiatric or emotional conditions, or Parkinson’s disease, as the combination may lead to serious adverse effects. If there is uncertainty about the presence of an MAOI in a prescription, a healthcare professional should be consulted.

  • History of allergic reaction to this product or any of its ingredients, as this may result in severe allergic responses.

Warnings and Precautions

This product contains acetaminophen, which carries significant risks that healthcare professionals must communicate to patients.

Liver Warning Severe liver damage may occur if the patient exceeds 4,000 mg of acetaminophen within a 24-hour period, uses other medications containing acetaminophen concurrently, or consumes three or more alcoholic drinks daily while using this product. It is crucial to monitor patients for signs of liver dysfunction, particularly in those with pre-existing liver conditions.

Allergy Alert Acetaminophen may induce severe skin reactions, which can manifest as skin reddening, blisters, or rash. If any of these symptoms occur, patients should be advised to discontinue use immediately and seek medical assistance.

Sore Throat Warning Patients experiencing a severe sore throat that persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting, should be instructed to consult a physician promptly.

General Precautions Healthcare professionals should advise patients to consult a doctor before using this product if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, a cough associated with excessive phlegm, or a breathing problem such as emphysema or chronic bronchitis. Additionally, patients with a persistent or chronic cough, such as that associated with smoking, asthma, or emphysema, or those experiencing difficulty urinating due to an enlarged prostate gland should also seek medical advice prior to use.

Patients should be cautioned to consult a doctor or pharmacist before using this product if they are currently taking sedatives, tranquilizers, or the blood-thinning medication warfarin.

Monitoring Parameters While no specific laboratory tests are mentioned, healthcare professionals should remain vigilant for any adverse effects and consider appropriate monitoring based on the patient's overall health status and concurrent medications.

When to Stop Use and Seek Medical Attention Patients should be instructed to discontinue use and contact a healthcare provider if they experience nervousness, dizziness, or sleeplessness. Additionally, if pain, nasal congestion, or cough worsens or persists beyond seven days, or if fever worsens or lasts more than three 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 headache lasting longer than expected may indicate a serious condition requiring immediate evaluation.

Side Effects

Severe adverse reactions associated with the use of acetaminophen include the potential for severe liver damage, particularly when exceeding 4,000 mg in a 24-hour period, using other medications containing acetaminophen concurrently, or consuming three or more alcoholic drinks daily while using this product.

Patients may also experience severe skin reactions, which can 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.

Participants should be advised to consult a healthcare professional if they experience a sore throat that is severe, persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting.

Common adverse reactions that warrant discontinuation of use and consultation with a doctor include nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, or cough lasting more than seven days, as well as fever that worsens or lasts more than three days. Additional symptoms such as redness, swelling, or the emergence of new symptoms should also prompt medical consultation. A cough that recurs or occurs with a rash or headache lasting an extended period may indicate a serious condition.

Patients with pre-existing conditions such as liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, or chronic respiratory issues (including emphysema or chronic bronchitis) should seek medical advice before using this product. Furthermore, individuals experiencing persistent coughs, particularly those associated with smoking, asthma, or emphysema, should also consult a healthcare provider prior to use.

It is advisable for patients to inform their doctor or pharmacist if they are taking sedatives, tranquilizers, or the blood-thinning medication warfarin.

During the use of this product, patients should adhere strictly to the recommended dosage to avoid adverse effects. Notably, excitability may occur, particularly in children, and marked drowsiness is a potential side effect. Caution is advised when driving or operating machinery, as the use of alcohol, sedatives, and tranquilizers may exacerbate drowsiness.

Drug Interactions

There are currently no documented drug interactions associated with this medication. Additionally, there is no information available regarding interactions with laboratory tests. As such, no specific recommendations for dosage adjustments or monitoring are warranted at this time.

Packaging & NDC

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

Packaging configurations for Equate Vapor Ice Cold and Flu.
Details

Pediatric Use

Pediatric patients aged 4 to under 12 years should consult a healthcare professional before use. The product is contraindicated in children under 4 years of age. For adolescents and adults aged 12 years and older, the recommended dosage is 2 caplets with water every 4 hours, with a maximum of 8 caplets in a 24-hour period.

Caution is advised as excitability may occur, particularly in pediatric patients.

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

Hepatic Impairment

Patients with hepatic impairment should consult a healthcare professional prior to using this medication. It is essential for individuals with liver disease to receive appropriate guidance regarding the use of this product, as compromised liver function may affect the drug's metabolism and overall safety profile. Monitoring of liver function may be necessary to ensure the safe administration of the medication in this population.

Overdosage

In cases of overdosage, severe liver damage may occur if an individual ingests more than 4,000 mg of acetaminophen within a 24-hour period. It is critical for healthcare professionals to be aware of this threshold to prevent potential toxicity.

To mitigate the risk of overdose, it is imperative that acetaminophen is not used concurrently with any other medication that contains acetaminophen. This precaution helps to avoid the cumulative effects that could lead to an overdose.

In the event of suspected overdosage, immediate medical attention is recommended. Healthcare providers should assess the patient's condition and consider appropriate management strategies, which may include monitoring liver function and administering antidotes as necessary.

Nonclinical Toxicology

No information is available regarding teratogenic effects. Additionally, there is no information provided concerning non-teratogenic effects. The insert does not contain any details related to nonclinical toxicology. Furthermore, there is no information available regarding animal pharmacology and toxicology.

Postmarketing Experience

Acetaminophen has been associated with severe skin reactions reported in postmarketing experience. Symptoms of these reactions may include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use and seek medical assistance immediately.

Patient Counseling

Healthcare providers should advise patients to keep this product out of reach of children to prevent accidental ingestion. Patients should be instructed not to use this product in conjunction with any other medications containing acetaminophen, whether prescription or nonprescription. If patients are uncertain whether a medication contains acetaminophen, they should be encouraged to consult a doctor or pharmacist.

It is important to inform patients that they should not use this product if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have taken one within the past two weeks. Patients should be advised to check with their healthcare provider if they are unsure whether their prescription medication contains an MAOI.

Patients with a history of allergic reactions to this product or any of its ingredients should be cautioned against its use. They should be instructed to stop using the product and seek medical advice if they experience symptoms such as nervousness, dizziness, or sleeplessness. Additionally, patients should be advised to discontinue use and consult a doctor if pain, nasal congestion, or cough worsens or persists for more than seven days, or if fever worsens or lasts more than three days. They should also be informed to seek medical attention if they notice any redness or swelling, if new symptoms arise, or if a cough returns or occurs with a rash or headache that lasts, as these may indicate a serious condition.

When using this product, patients should be reminded to adhere strictly to the recommended dosage and to be aware that excitability may occur, particularly in children. Marked drowsiness is also a potential side effect, and patients should be cautioned against consuming alcoholic beverages while using this product. They should exercise caution when driving or operating machinery, as alcohol, sedatives, and tranquilizers may enhance drowsiness.

Patients should be encouraged to consult a doctor before using this product if they have any of the following conditions: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, glaucoma, a cough associated with excessive phlegm, breathing problems such as emphysema or chronic bronchitis, a persistent or chronic cough related to smoking, asthma, or emphysema, or difficulty urinating due to an enlarged prostate gland. Furthermore, patients should be advised to seek guidance from a doctor or pharmacist if they are taking sedatives or tranquilizers, or if they are using the blood-thinning medication warfarin.

Storage and Handling

The product is supplied in a container that must be kept tightly closed to maintain its integrity. It should be stored at room temperature, away from direct light exposure to protect its efficacy. Additionally, it is essential to keep the product out of reach of children. Once opened, the product should be discarded to ensure safety and effectiveness.

Additional Clinical Information

The medication is administered orally. Clinicians should advise patients who are pregnant or breastfeeding to consult a healthcare 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 Vapor Ice Cold and Flu, 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 Vapor Ice Cold and Flu, 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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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.