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Head Congestion and Flu Severe

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Active ingredients
  • Acetaminophen 325 mg
  • Guaifenesin 100 mg
  • Dextromethorphan Hydrobromide 10 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Expectorant, 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 2021
Label revision date
February 20, 2026
Active ingredients
  • Acetaminophen 325 mg
  • Guaifenesin 100 mg
  • Dextromethorphan Hydrobromide 10 mg
  • Phenylephrine Hydrochloride 5 mg
Other brand names
Drug classes
Expectorant, 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 2021
Label revision date
February 20, 2026
Manufacturer
Rite Aid Corporation
Registration number
M012
NDC root
11822-5462

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Drug Overview

HEAD CONGESTION & FLU SEVERE RELIEF PE is a combination medication designed to temporarily relieve symptoms associated with the common cold and flu. It contains four active ingredients: acetaminophen (a pain reliever and fever reducer), dextromethorphan HBr (a cough suppressant), guaifenesin (an expectorant that helps loosen mucus), and phenylephrine HCl (a nasal decongestant). This medication can help alleviate headaches, nasal congestion, cough, sore throat, minor aches and pains, and sinus pressure, while also reducing fever.

By working together, these ingredients help make coughs more productive by thinning bronchial secretions and relieving sinus pressure. If you're experiencing symptoms like a sore throat, chest congestion, or sinus headache, this medication may provide the relief you need.

Uses

This medication is designed to help you feel better when you're suffering from the common cold. It temporarily relieves symptoms such as headache, nasal congestion, cough, sore throat, minor aches and pains, as well as sinus congestion and pressure.

In addition to easing these discomforts, it helps loosen phlegm (a thick substance produced in your lungs) and thin bronchial secretions, making it easier for you to cough and clear your airways. If you have a fever, this medication can also help reduce it temporarily, providing you with some relief as you recover.

Dosage and Administration

When using this medication, it's important to follow the dosage instructions carefully. For adults and children aged 12 years and older, you should take 2 caplets every 4 hours. However, make sure not to exceed 10 caplets in a 24-hour period. If you are giving this medication to a child under 12 years old, it's best to consult a doctor first to determine the appropriate dosage.

You will take the caplets by mouth, which is referred to as oral administration. Remember to stick to the recommended dosage and frequency to ensure safe and effective use of the medication.

What to Avoid

You should avoid using this product if you are currently taking any other medication that contains acetaminophen, whether it's a prescription or over-the-counter drug. If you're unsure about a medication, it's best to consult with your doctor or pharmacist. Additionally, do not use this product if you are taking a prescription monoamine oxidase inhibitor (MAOI) for conditions like depression or Parkinson’s disease, or if you have stopped taking an MAOI within the last two weeks. If you have a history of allergic reactions to this product or any of its ingredients, you should also refrain from using it. Always prioritize your safety by checking with a healthcare professional if you have any questions.

Side Effects

You should be aware of some important warnings and potential side effects when using this product, which contains acetaminophen. Taking more than 4,000 mg of acetaminophen in 24 hours, using it with other acetaminophen-containing medications, or consuming three or more alcoholic drinks daily while using this product can lead to severe liver damage. Additionally, acetaminophen may cause serious skin reactions, such as blisters, rash, or skin reddening. If you experience any of these symptoms, stop using the product and seek medical help immediately.

It's also important to consult a doctor if you have a severe sore throat that lasts more than two days or is accompanied by fever, headache, rash, nausea, or vomiting. You should stop using the product and contact a doctor if you experience nervousness, dizziness, sleeplessness, worsening pain, cough, nasal congestion, or if new symptoms develop. If you have certain health conditions, such as diabetes, liver disease, or heart disease, or if you are taking blood thinners like warfarin, consult a doctor or pharmacist before using this product.

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 blisters or rashes. If you notice any skin issues, stop using the product and seek medical help immediately. If you have a severe sore throat that lasts more than 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: diabetes, liver disease, heart disease, thyroid disease, high blood pressure, difficulty urinating due to prostate enlargement, or a persistent cough. If you are taking the blood thinner warfarin, consult your doctor or pharmacist before use. If you experience nervousness, dizziness, sleeplessness, worsening pain, cough, nasal congestion, or fever lasting more than three days, stop taking the product and call your doctor. In case of overdose, seek emergency medical help or contact a Poison Control Center immediately, even if you do not notice any symptoms.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. This is crucial for both adults and children, even if you don’t see any signs or symptoms of 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 wait—get help right away. Remember, acting quickly can make a significant difference in the outcome.

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 that you should consult a doctor before using it for children under 12 years old. For those aged 12 and older, the recommended dosage is 2 caplets every 4 hours, but make sure not to exceed 10 caplets in a 24-hour period. Always follow these guidelines to ensure the safety and well-being of your child.

Geriatric Use

When it comes to using this medication in older adults, there is no specific information available about dosage adjustments, safety concerns, or special precautions. This means that if you or a loved one is an older adult considering this medication, it’s important to consult with a healthcare provider. They can help determine the best approach based on individual health needs and any other medications being taken. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

Renal Impairment

If you have kidney problems, it's important to 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 kidney function. Always prioritize open communication with your doctor regarding any concerns related to your kidney health.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using products that contain acetaminophen. Taking more than 4,000 mg of acetaminophen in a 24-hour period, using it alongside other medications that also contain acetaminophen, or consuming three or more alcoholic drinks daily while using this product can lead to severe liver damage.

Before using this product, you should consult with your doctor, especially if you have liver disease. They can provide guidance on safe usage and any necessary adjustments to your dosage. Your health and safety are the top priority, so don’t hesitate to seek professional advice.

Drug Interactions

It's important to have open conversations with your healthcare provider about any medications or tests you may be taking. While there are no specific drug interactions or laboratory test interactions noted for this medication, your healthcare provider can help ensure that everything you are taking works well together and is safe for you. Always share your complete list of medications and any health conditions you have to receive the best care possible.

Storage and Handling

To ensure the best performance of your product, store it at room temperature, ideally around 25°C (77°F). It can safely be kept in a range between 15°C and 30°C (59°F to 86°F). Always check the packaging before use; if the outer package is opened or if the blister (the sealed compartment holding the product) is torn or broken, do not use it, as this indicates that the product may have been tampered with.

When handling the product, make sure to do so in a clean environment to maintain its integrity and safety. Following these guidelines will help ensure that you use the product effectively and safely.

Additional Information

If you are considering using this medication, it's important to know how to take it safely. For adults and children aged 12 and over, the recommended dose is 2 caplets every 4 hours, but you should not exceed 10 caplets in a 24-hour period. If the patient is under 12 years old, consult a doctor for the appropriate dosage.

Additionally, if you are pregnant or breastfeeding, it's crucial to speak with a healthcare professional before using this medication. For information on the potential for medicine abuse, especially among teens, you can visit www.StopMedicineAbuse.org.

FAQ

What is HEAD CONGESTION & FLU SEVERE RELIEF PE used for?

It temporarily relieves symptoms due to the common cold, including headache, nasal congestion, cough, sore throat, minor aches and pains, and sinus congestion and pressure.

What are the active ingredients in HEAD CONGESTION & FLU SEVERE RELIEF PE?

The active ingredients include Acetaminophen (325 mg), Dextromethorphan HBr (10 mg), Guaifenesin (100 mg), and Phenylephrine HCl (5 mg).

How should I take HEAD CONGESTION & FLU SEVERE RELIEF PE?

Adults and children 12 years and over should take 2 caplets every 4 hours, not exceeding 10 caplets in 24 hours. Children under 12 years should ask a doctor.

Are there any warnings associated with this medication?

Yes, it contains acetaminophen, which can cause severe liver damage if taken in excess of 4,000 mg in 24 hours or with other acetaminophen-containing drugs.

What should I do if I experience severe skin reactions?

If you notice symptoms like blisters, rash, or skin reddening, stop use immediately and seek medical help.

Can I use HEAD CONGESTION & FLU SEVERE RELIEF PE if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, you should ask a health professional before use.

What should I do in case of an overdose?

In case of overdose, get medical help or contact a Poison Control Center right away.

What are the storage instructions for this medication?

Store at 25 ̊C (77 ̊F); excursions are permitted between 15 ̊-30 ̊C (59 ̊-86 ̊F).

Is there a satisfaction guarantee for this product?

Yes, if you're not satisfied, a refund will be provided.

Packaging Info

Below are the non-prescription pack sizes of Head Congestion and Flu Severe (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Head Congestion and Flu Severe.
Details

Drug Information (PDF)

This file contains official product information for Head Congestion and Flu Severe, 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, including headache, nasal congestion, cough, sore throat, minor aches and pains, and sinus congestion and pressure. Additionally, it aids in loosening phlegm (mucus) and thinning bronchial secretions, facilitating drainage of the bronchial tubes and enhancing the productivity of coughs. This drug also temporarily reduces fever.

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

Dosage and Administration

Patients should adhere strictly to the recommended dosage. For adults and children aged 12 years and older, the prescribed dosage is 2 caplets taken orally every 4 hours. It is imperative that patients do not exceed a total of 10 caplets within a 24-hour period.

For children under the age of 12, it is advised to consult a physician for appropriate dosing recommendations.

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. Patients should verify with a healthcare professional if their current medications include an MAOI.

  • History of allergic reactions to this product or any of its ingredients, as this may lead to severe adverse reactions.

Warnings and Precautions

This product contains acetaminophen, which carries a significant risk of severe liver damage if not used according to the guidelines. Healthcare professionals should advise patients that the maximum recommended dosage is 4,000 mg of acetaminophen within a 24-hour period. Caution is also warranted when this product is used in conjunction with other medications containing acetaminophen or when patients consume three or more alcoholic drinks daily while using this product.

Severe skin reactions have been reported in patients taking acetaminophen. Symptoms may include blisters, rash, and skin reddening. If any of these symptoms occur, patients should be instructed to discontinue use immediately and seek medical assistance.

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

General precautions should be taken for patients with specific medical conditions. Healthcare professionals should recommend that patients consult a doctor before using this product if they have diabetes, liver disease, heart disease, thyroid disease, high blood pressure, difficulty urinating due to prostate enlargement, or a cough associated with excessive phlegm. Additionally, patients with a persistent or chronic cough, such as those with smoking history, asthma, chronic bronchitis, or emphysema, should seek medical advice prior to use. It is also important to consult a doctor or pharmacist if the patient is taking warfarin, a blood-thinning medication.

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

Patients should be advised to discontinue use and contact their healthcare provider if they experience nervousness, dizziness, or sleeplessness. Additionally, if pain, cough, or nasal congestion worsens or persists beyond seven days, or if fever worsens or lasts more than three days, medical consultation is necessary. 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, warranting immediate medical 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 4,000 mg of acetaminophen in a 24-hour period, use other medications containing acetaminophen concurrently, or consume three or more alcoholic drinks daily while using this product.

Additionally, acetaminophen may cause severe skin reactions, which can manifest as blisters, rash, or skin reddening. If 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 two days or is accompanied by fever, headache, rash, nausea, or vomiting, patients should consult a healthcare professional promptly.

Patients should also stop use and consult a doctor if they experience nervousness, dizziness, or sleeplessness; if pain, cough, or nasal congestion worsens or lasts more than seven days; if fever worsens or lasts more than three days; if redness or swelling is present; 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.

Before using this product, patients with certain medical conditions should seek medical advice. These conditions include diabetes, liver disease, heart disease, thyroid disease, high blood pressure, difficulty urinating due to prostate enlargement, and persistent or chronic coughs associated with smoking, asthma, chronic bronchitis, or emphysema.

Furthermore, patients taking the blood-thinning medication warfarin should consult a doctor or pharmacist prior to use.

Drug Interactions

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

Packaging & NDC

Below are the non-prescription pack sizes of Head Congestion and Flu Severe (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Head Congestion and Flu Severe.
Details

Pediatric Use

Pediatric patients under 12 years of age should consult a healthcare professional before use. For adolescents aged 12 years and older, the recommended dosing is 2 caplets every 4 hours, with a maximum of 10 caplets in a 24-hour period.

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 adverse effects or changes in therapeutic response, 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 safe use during pregnancy and lactation.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data on 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 should consult a healthcare professional prior to use, particularly if they experience difficulty in urination due to enlargement of the 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 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 a maximum dosage of 4,000 mg of acetaminophen within a 24-hour period. Additionally, patients should avoid concurrent use with other medications that contain acetaminophen, as this may further increase the risk of liver injury.

Patients with compromised liver function are advised to consult a healthcare professional prior to using this product, particularly if they have a history of liver disease. Furthermore, consumption of three or more alcoholic drinks per day while using this product is not recommended, as it may exacerbate the risk of liver damage. Regular monitoring of liver function may be warranted in patients with existing liver conditions 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 noticeable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, it is essential to monitor the patient closely and provide appropriate care as needed.

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 revealed reports of severe skin reactions associated with acetaminophen. These reactions include symptoms such as blisters, rash, and skin reddening. These events have been reported voluntarily or identified through surveillance programs.

Patient Counseling

Healthcare providers should advise patients to seek immediate medical assistance or contact a Poison Control Center in the event of an overdose, as prompt medical attention is critical for both adults and children, even if no signs or symptoms are apparent.

Patients should be informed not to use this product in conjunction with any other medications containing acetaminophen, whether prescription or nonprescription. If patients are uncertain about the presence of acetaminophen in their medications, they should be encouraged to consult a doctor or pharmacist.

It is important to instruct patients 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. Patients should be advised to check with a healthcare professional 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. Healthcare providers should also inform patients to discontinue use and consult a doctor if they experience nervousness, dizziness, or sleeplessness.

Patients should be advised to stop using the product and seek medical advice if their pain, cough, or nasal congestion worsens or persists for more than seven days, if fever worsens or lasts more than three days, or if they notice any redness or swelling. Additionally, patients should be instructed to consult a doctor if new symptoms arise or if a cough returns or occurs alongside a rash or headache that lasts, as these may indicate a serious condition.

While 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 any of the following conditions: diabetes, liver disease, heart disease, thyroid disease, high blood pressure, difficulty urinating due to prostate gland enlargement, or a cough that produces excessive phlegm. Patients with a persistent or chronic cough, such as those associated with smoking, asthma, chronic bronchitis, or emphysema, should also seek medical advice prior to use.

Lastly, patients taking the blood-thinning medication warfarin should be advised to consult a doctor or pharmacist before using this product.

Storage and Handling

The product is supplied in a tamper-evident package. It is essential to avoid using the product if the outer package is opened or if the blister is torn or broken.

Storage conditions require the product to be maintained at a temperature of 25 ̊C (77 ̊F), with permissible excursions between 15 ̊C and 30 ̊C (59 ̊F to 86 ̊F). Proper handling and storage are crucial to ensure the integrity and efficacy of the product.

Additional Clinical Information

No additional information is available regarding laboratory tests or postmarketing experience.

Clinicians should advise patients on the appropriate route and method of administration. For adults and children aged 12 years and older, the recommended dosage is 2 caplets every 4 hours, with a maximum of 10 caplets in a 24-hour period. For children under 12 years, consultation with a doctor is necessary. Additionally, patients who are pregnant or breastfeeding should seek guidance from a health professional before use. For information on medicine abuse, resources are available at www.StopMedicineAbuse.org.

Drug Information (PDF)

This file contains official product information for Head Congestion and Flu Severe, 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 Head Congestion and Flu Severe, 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.