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Leader Vapor Ice Cold and Flu
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- Active ingredients
- Acetaminophen 325 mg
- Dextromethorphan Hydrobromide 10 mg
- 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)
- Cvs Severe Tussin Cf Max (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.)
- 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
- Tablet, Film Coated
- Route
- Oral
- Prescription status
- OTC (over the counter)
- Pregnancy
- See Pregnancy Use Section
- Lactation
- See Lactation Use Section
- Marketed in the U.S.
- Since 2026
- Label revision date
- January 14, 2026
- Drug Information (PDF)
- Prescribing information, PDF file
- Active ingredients
- Acetaminophen 325 mg
- Dextromethorphan Hydrobromide 10 mg
- 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)
- Cvs Severe Tussin Cf Max (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.)
- 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
- Tablet, Film Coated
- 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 2026
- Label revision date
- January 14, 2026
- Manufacturer
- Cardinal Health 110, LLC. dba Leader
- Registration number
- M012
- NDC root
- 70000-0747
- 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
Vapor Ice Cold & Flu is a medication designed to help relieve symptoms associated with the common cold and flu. It contains two active ingredients: acetaminophen (a pain reliever and fever reducer) and dextromethorphan HBr (a cough suppressant). This product temporarily alleviates symptoms such as sore throat, headache, minor aches and pains, cough due to throat and bronchial irritation, and fever.
This non-drowsy formula is intended to provide comfort when you're feeling under the weather, helping you manage those pesky cold and flu symptoms effectively.
Uses
You can use this medication to temporarily relieve symptoms associated with the common cold and flu. It helps ease a cough caused by minor irritation in your throat and bronchial tubes, soothes a sore throat, alleviates headaches, and reduces minor aches and pains. Additionally, it can help lower a fever, making you feel more comfortable while you recover.
Rest assured, this medication does not have any teratogenic effects, meaning it does not cause harm to a developing fetus.
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 a full glass of water every 4 hours, but make sure not to exceed 8 caplets in a 24-hour period.
If your child is between 4 and 12 years old, 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 serious side effects, so it's important to be aware of them. You should avoid exceeding 4,000 mg of acetaminophen in a 24-hour period, taking it with other acetaminophen-containing products, or consuming three or more alcoholic drinks daily, as these can cause 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, stop using the medication and seek medical help immediately.
If your pain or cough worsens or lasts longer than seven days, or if you have a fever that persists for more than three days, consult a doctor. It's also important to seek medical advice if you have a severe sore throat that lasts more than two days or is accompanied by other symptoms like fever or rash. Always talk to your doctor if you have liver disease, a chronic cough, or if you're taking blood thinners like warfarin. In case of an overdose, contact a medical professional or Poison Control Center right away, as prompt attention is crucial.
Warnings and Precautions
This product contains acetaminophen, which can lead to severe liver damage if you take more than 4,000 mg in 24 hours, use it with other acetaminophen-containing medications, 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 issues, 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 your doctor promptly.
Before using this product, talk to your doctor if you have liver disease, a cough with excessive mucus, or a chronic cough due to smoking, asthma, or emphysema. If you are taking the blood thinner warfarin, check with your doctor or pharmacist before use. In case of an overdose, seek emergency medical help or contact a Poison Control Center at 1-800-222-1222, as quick attention is crucial for both adults and children.
You should stop taking this product and call your doctor if your pain or cough worsens or lasts more than seven days, if your fever worsens or lasts more than three days, if you notice redness or swelling, if new symptoms develop, or if your cough returns with a rash or headache that persists. These could indicate a more serious condition.
Overdose
If you suspect an overdose, it’s important to seek medical help immediately. You can contact a Poison Control Center at 1-800-222-1222 for guidance. 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 seek assistance if you have any concerns about an overdose.
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 medication for your child, it's important to know the guidelines. For children aged 4 to under 12 years, you should consult a doctor before use. However, this medication is not safe for children under 4 years old, so please avoid giving it to them.
For adults and children aged 12 years and older, the recommended dosage is 2 caplets with water every 4 hours, but do not exceed 8 caplets in a 24-hour period. Be aware that if an overdose occurs, it is crucial to seek medical help immediately, even if there are no noticeable signs or symptoms. Your child's safety is the top priority, so always follow these guidelines closely.
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, it’s important to consult with a healthcare provider before starting the medication. 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 know that the drug insert does not provide specific information about dosage adjustments, special monitoring, or safety considerations for your condition. This means that there are no tailored guidelines for how this medication should be used if you have renal impairment (kidney issues).
Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your health situation. They can help you understand how to manage your treatment effectively while considering your kidney health.
Hepatic Impairment
If you have liver disease, it’s important to consult your doctor before using this 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 may also be required to ensure your safety while using this treatment. Always prioritize open communication with your healthcare team regarding your liver health.
Drug Interactions
It's important to talk to your doctor or pharmacist before using this medication, especially if you are taking warfarin, a blood-thinning drug. Acetaminophen can interact with warfarin and may affect your INR levels, which is a measure of how well your blood is clotting.
Always discuss any medications you are taking with your healthcare provider to ensure your safety and the effectiveness of your treatment. This helps prevent any potential interactions that could impact your health.
Storage and Handling
To ensure the safety and effectiveness of your product, store it at room temperature, ideally between 20°C to 25°C (68°F to 77°F). It's important to protect it from light and keep the container tightly closed when not in use. Always keep the product out of reach of children to prevent accidental ingestion or misuse. Once you open the container, remember to discard any remaining product, as it should not be reused. Following these guidelines will help maintain the product's integrity and safety.
Additional Information
You should take this medication orally, with adults and children aged 12 years and older advised to take 2 caplets with water every 4 hours. If your child is between 4 and 12 years old, consult a doctor for the appropriate dosage. This medication is not recommended for children under 4 years old.
If you are pregnant or breastfeeding, it's important to consult a healthcare professional before using this medication. Be aware of the overdose warning: if an overdose occurs, seek medical help or contact a Poison Control Center immediately at 1-800-222-1222. Quick medical attention is crucial for both adults and children, even if no symptoms are present.
FAQ
What is Vapor Ice Cold & Flu used for?
Vapor Ice Cold & Flu temporarily relieves common cold and flu symptoms, including cough due to minor throat and bronchial irritation, sore throat, headache, minor aches and pains, and fever.
What are the active ingredients in Vapor Ice Cold & Flu?
The active ingredients are 325 mg of acetaminophen and 10 mg of dextromethorphan HBr.
How should I take Vapor Ice Cold & Flu?
Adults and children 12 years and over should take 2 caplets with water every 4 hours, not exceeding 8 caplets in 24 hours. For children 4 to under 12 years, consult a doctor.
Are there any warnings associated with Vapor Ice Cold & Flu?
Yes, do not use it with other drugs containing acetaminophen, if you are taking a monoamine oxidase inhibitor (MAOI), or if you have had an allergic reaction to it. Severe liver damage may occur if you exceed the recommended dosage.
What should I do in case of an overdose?
In case of overdose, seek medical help or contact a Poison Control Center immediately at 1-800-222-1222.
Can I use Vapor Ice Cold & Flu if I am pregnant or breastfeeding?
If you are pregnant or breastfeeding, you should ask a health professional before using this product.
What are the side effects of Vapor Ice Cold & Flu?
Acetaminophen may cause severe skin reactions, including skin reddening, blisters, or rash. If any of these occur, stop use and seek medical help.
How should I store Vapor Ice Cold & Flu?
Store at room temperature, between 20°C to 25°C (68°F to 77°F), protect from light, and keep the container tightly closed.
Packaging Info
Below are the non-prescription pack sizes of Leader Vapor Ice Cold and Flu (acetaminophen, dextromethorphan hydrobromide). Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Tablet, Film Coated |
| ||
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 Leader Vapor Ice Cold and Flu, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.
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 cough due to minor throat and bronchial irritation, sore throat, headache, minor aches and pains, and fever.
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. Verification of MAOI status with a healthcare provider is recommended if there is any doubt.
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 for liver damage. Healthcare professionals should advise patients that severe liver injury may occur if they exceed 4,000 mg of acetaminophen within a 24-hour period, use other medications containing acetaminophen concurrently, or consume three or more alcoholic beverages daily while using this product.
Patients should be informed of the potential for severe skin reactions associated with acetaminophen. Symptoms may include skin reddening, blisters, and rash. In the event of a skin reaction, patients must 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 when considering the use of this product. Patients should be instructed to consult a healthcare provider prior to use if they have liver disease, a cough that produces excessive phlegm, or a persistent or chronic cough associated with smoking, asthma, or emphysema. Additionally, it is essential to seek advice from a doctor or pharmacist if the patient is currently taking the anticoagulant warfarin.
In the event of an overdose, immediate medical attention is crucial. Patients should be directed to contact a Poison Control Center at 1-800-222-1222 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 any of the following occur: pain or cough worsens or persists beyond seven days; fever worsens or lasts more than three days; redness or swelling is observed; new symptoms develop; or if a cough recurs or is accompanied by a rash or headache that lasts. These symptoms may indicate a serious underlying condition that requires further evaluation.
Side Effects
Severe liver damage may occur in patients who exceed 4,000 mg of acetaminophen within a 24-hour period, use other medications containing acetaminophen concurrently, 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 where a sore throat is severe, 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.
Patients should discontinue use and consult a doctor if pain or cough worsens or lasts longer than seven days, if fever worsens or persists for more than three days, if redness or swelling is present, if new symptoms arise, or if a cough recurs with a rash or headache that lasts. These symptoms may indicate a serious condition.
Before using this product, patients with liver disease, a cough that produces excessive phlegm, or a persistent or chronic cough (such as that associated with smoking, asthma, or emphysema) should seek medical advice. Additionally, patients taking the blood-thinning medication warfarin should consult a doctor or pharmacist prior to use.
In the event of an overdose, it is crucial for patients to seek medical help or contact a Poison Control Center immediately at 1-800-222-1222. Prompt medical attention is essential for both adults and children, even if no signs or symptoms are immediately apparent.
Drug Interactions
Patients taking acetaminophen should consult with a healthcare professional prior to use if they are concurrently using warfarin, a blood-thinning medication. The combination may influence International Normalized Ratio (INR) levels, necessitating careful monitoring and potential dosage adjustments of warfarin to maintain therapeutic efficacy and safety.
No additional drug interactions or laboratory test interactions have been identified for acetaminophen.
Packaging & NDC
Below are the non-prescription pack sizes of Leader Vapor Ice Cold and Flu (acetaminophen, dextromethorphan hydrobromide). Columns show Packaging, Formulation Type, and Active Ingredient Strength.
Details | ||||
|---|---|---|---|---|
| Tablet, Film Coated |
| ||
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
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 adults and children aged 12 years and older, the recommended dosage is 2 caplets with water every 4 hours, not to exceed 8 caplets in a 24-hour period.
In the event of an overdose, prompt medical attention is essential for both adults and pediatric patients, even if no signs or symptoms are immediately apparent.
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 they may have altered pharmacokinetics and pharmacodynamics. Close monitoring is recommended to ensure safety and efficacy 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 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 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 drug insert 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 absence of detailed guidance necessitates careful clinical judgment. Regular monitoring of renal function may be advisable in these patients to ensure safety and efficacy.
Hepatic Impairment
Patients with hepatic impairment should consult a healthcare professional prior to using this 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 metabolism and clearance of the medication. Monitoring of liver function may be necessary to ensure safety and efficacy in this patient population.
Overdosage
In the event of an overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222. 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 adverse effects. Therefore, vigilance and timely action are essential in managing overdose situations effectively.
Nonclinical Toxicology
No teratogenic effects have been reported in the available data. Additionally, there is no information regarding non-teratogenic effects. The nonclinical toxicology section does not provide any specific details. Furthermore, there is no information available concerning animal pharmacology and toxicology.
Postmarketing Experience
Postmarketing experience has indicated that acetaminophen may be associated with severe skin reactions. Reported symptoms include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised that users discontinue use and seek medical assistance promptly.
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 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 with 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 verify with their healthcare provider or pharmacist if they are unsure whether their prescription includes an MAOI.
Patients with a history of allergic reactions to this product or any of its ingredients should be cautioned against its use. Additionally, they should be instructed to discontinue use and consult a doctor if their pain or cough worsens or persists for more than seven days, if fever intensifies or lasts longer than three days, or if they notice any redness or swelling. New symptoms that arise should also prompt a consultation with a healthcare provider.
Patients should be made aware that a returning cough, especially if accompanied by a rash or persistent headache, may indicate a serious condition, warranting immediate medical attention.
Before using this product, patients with liver disease should be advised to consult their healthcare provider. Furthermore, those experiencing a cough with excessive phlegm, a persistent or chronic cough related to smoking, asthma, or emphysema, or those taking the blood-thinning medication warfarin should also seek guidance from their doctor or pharmacist prior to use.
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, specifically within the range of 20°C to 25°C (68°F to 77°F). It is essential to protect the product from light exposure to ensure its stability. Additionally, the product should be kept out of reach of children, and any unused portion should be discarded after opening to prevent potential misuse or degradation.
Additional Clinical Information
The medication is administered orally, with the recommended dosage for adults and children aged 12 years and older being 2 caplets taken with water every 4 hours. For children aged 4 to under 12 years, it is advised to consult a doctor before use, while the medication is not recommended for children under 4 years of age.
Clinicians should counsel patients to seek advice from a health professional if they are pregnant or breastfeeding. Additionally, patients should be informed of the overdose warning, emphasizing the importance of obtaining medical help or contacting a Poison Control Center (1-800-222-1222) immediately in the event of an overdose, as prompt medical attention is crucial for both adults and children, regardless of the presence of symptoms.
Drug Information (PDF)
This file contains official product information for Leader Vapor Ice Cold and Flu, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.