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Mucus Relief Severe Cold

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Active ingredients
  • Acetaminophen 650 mg/20 mL
  • Guaifenesin 400 mg/20 mL
  • Dextromethorphan Hydrobromide 20 mg/20 mL
  • Phenylephrine Hydrochloride 10 mg/20 mL
Other brand names
Drug classes
Expectorant, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Liquid
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2016
Label revision date
March 23, 2026
Active ingredients
  • Acetaminophen 650 mg/20 mL
  • Guaifenesin 400 mg/20 mL
  • Dextromethorphan Hydrobromide 20 mg/20 mL
  • Phenylephrine Hydrochloride 10 mg/20 mL
Other brand names
Drug classes
Expectorant, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Liquid
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2016
Label revision date
March 23, 2026
Manufacturer
TARGET Corporation
Registration number
M012
NDC root
11673-410

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Drug Overview

This product is a maximum strength daytime formulation designed to temporarily relieve symptoms associated with the common cold and flu. It contains several active ingredients: acetaminophen, which helps reduce pain and fever; dextromethorphan HBr, a cough suppressant; guaifenesin, an expectorant that helps loosen mucus; and phenylephrine HCl, a nasal decongestant. Together, these ingredients work to alleviate symptoms such as cough, nasal congestion, minor aches and pains, sore throat, headache, and fever, while also making coughs more productive by thinning bronchial secretions.

This medication is suitable for individuals aged 12 years and older and is intended to provide relief from the discomfort of cold and flu symptoms during the day.

Uses

This medication is designed to help you feel better when you're dealing with common cold and flu symptoms. It can temporarily relieve a variety of discomforts, including cough, nasal congestion, minor aches and pains, sore throat, and headache. If you're experiencing a fever, this medication can also help reduce it.

Additionally, it works to loosen phlegm (a thick mucus) and thin out bronchial secretions, making it easier for you to clear your airways and have more productive coughs. This can be particularly helpful if you're struggling with mucus buildup in your chest.

Dosage and Administration

It's important to follow the dosage instructions carefully when using this medication. For adults and children aged 12 years and older, you should take 20 milliliters (mL) every 4 hours, but make sure not to exceed 6 doses in a 24-hour period. If you are under 12 years old, you should not use this medication at all.

To ensure accurate dosing, always use the dosing cup that comes with the product. Avoid using any other measuring devices, as this can lead to incorrect amounts being taken. Keep the dosing cup with the product so you have it handy each time you need to measure your dose. Remember, never take more than directed, and be aware of the overdose warning to stay safe.

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 about a medication's ingredients, please consult your doctor or pharmacist. This medication is not suitable for children under 12 years of age. Additionally, do not use it if you are taking a prescription monoamine oxidase inhibitor (MAOI) for conditions like depression or Parkinson's disease, or for two weeks after stopping an MAOI. Again, if you're uncertain about your medications, it's best to ask a healthcare professional.

It's also important to follow the dosing instructions carefully and not exceed the recommended amount. Always prioritize your safety by checking with a healthcare provider if you have any questions or concerns about your medications.

Side Effects

You should be aware of some important warnings and potential side effects when using this product. It 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 products, or consume three or more alcoholic drinks daily while using it. Additionally, acetaminophen may 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.

It's also important to consult a doctor if you have severe or persistent sore throat, nervousness, dizziness, sleeplessness, or if your symptoms worsen or last longer than expected. Be cautious if you have certain health conditions, such as liver disease, heart disease, or diabetes, and consult a healthcare professional if you're taking blood thinners like warfarin. Remember, taking more than the recommended dose can lead to liver damage, so seek medical assistance right away in case of an overdose.

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, talk to your doctor if you have any of the following conditions: liver disease, heart disease, diabetes, thyroid disease, high blood pressure, trouble urinating due to an enlarged prostate, or a persistent cough. If you are taking the blood thinner warfarin, check with your doctor or pharmacist before use. If you suspect an overdose, seek emergency medical help or contact a Poison Control Center (1-800-222-1222) right away, even if you don’t notice any symptoms.

You should stop taking this product and call your doctor if you experience nervousness, dizziness, or sleeplessness; if your pain, nasal congestion, 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 fever, rash, or a headache that lasts. These could indicate a more serious condition.

Overdose

Taking more than the recommended dose of medication can lead to serious health issues, including liver damage. If you suspect an overdose, it’s important to seek medical help immediately, even if you or the person affected do not show any signs or symptoms. You can contact a Poison Control Center at 1-800-222-1222 for guidance.

Remember, quick action is crucial for both adults and children in these situations. Always err on the side of caution and get help right away if you think an overdose has occurred.

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

It's important to be cautious when considering this medication for children. You should not use it for anyone under 12 years of age. For those who are 12 years and older, the recommended dosage is 20 mL every 4 hours. Always consult with a healthcare professional if you have any questions or concerns about using this medication for 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, it’s important to consult with a healthcare provider for personalized advice. 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 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, please consult your doctor if you have liver disease. Additionally, be aware that taking more than the recommended dose can result in an overdose, which may also harm your liver. If you suspect an overdose, seek medical help immediately or contact a Poison Control Center at 1-800-222-1222, even if you don’t notice any symptoms. Quick action is crucial for both adults and children.

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 feel free to ask questions and share your complete list of medications and any lab tests you may be undergoing. This way, you can receive the best possible care tailored to your needs.

Storage and Handling

To ensure the best performance of your product, store it at room temperature, specifically between 20-25ºC (68-77ºF). It's important not to refrigerate it, as this can affect its effectiveness. Always keep the dosing cup with the product for accurate measurement and ease of use.

When handling the product, check the safety seal around or under the cap. If this seal is broken or missing, do not use the product, as it may not be safe. 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 the general description of this drug?

This drug is a maximum strength daytime severe cold formulation.

What symptoms does this drug temporarily relieve?

It temporarily relieves cough, nasal congestion, minor aches and pains, sore throat, headache, and reduces fever.

What are the active ingredients in this drug?

The active ingredients include acetaminophen (pain reliever/fever reducer), dextromethorphan HBr (cough suppressant), guaifenesin (expectorant), and phenylephrine HCl (nasal decongestant).

Who should not use this drug?

Do not use this drug for children under 12 years of age or if you are taking a prescription monoamine oxidase inhibitor (MAOI).

What is the recommended dosage for adults and children 12 years and older?

The recommended dosage is 20 mL every 4 hours, not to exceed 6 doses in any 24-hour period.

What should I do if I experience severe skin reactions?

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

What should I do in case of overdose?

In case of overdose, get medical help or contact a Poison Control Center (1-800-222-1222) right away.

Is it safe to use this drug if I am pregnant or breastfeeding?

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

What are the storage instructions for this drug?

Store between 20-25ºC (68-77ºF) and do not refrigerate.

What should I do if my symptoms worsen or new symptoms occur?

Stop taking the drug and call your doctor if symptoms worsen, last more than 7 days, or if new symptoms occur.

Packaging Info

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

Packaging configurations for Mucus Relief Severe Cold.
Details

Drug Information (PDF)

This file contains official product information for Mucus Relief Severe Cold, 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 common cold and flu symptoms, including cough, nasal congestion, minor aches and pains, sore throat, and headache. It also temporarily reduces fever and aids in loosening phlegm (mucus) and thinning bronchial secretions, facilitating the expulsion of mucus from the bronchial passageways and making coughs more productive.

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

Dosage and Administration

Patients should adhere strictly to the recommended dosage and administration guidelines. The maximum dosage should not exceed 6 doses within a 24-hour period. It is imperative to measure the dose using only the dosing cup provided with the product; the use of any other dosing device is not advised. The dosing cup should be kept with the product for convenience.

For adults and children aged 12 years and older, the recommended dose is 20 mL every 4 hours, as needed. For children under 12 years of age, the product is not indicated and should not be used.

Healthcare professionals are reminded to counsel patients on the importance of not exceeding the directed dosage and to refer to the Overdose warning for further information.

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.

  • In children under 12 years of age, as safety and efficacy have not been established in this population.

  • In patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing such treatment. MAOIs are used for certain psychiatric or emotional conditions and Parkinson's disease, and their interaction with this product may lead to serious adverse effects. If there is uncertainty regarding the presence of an MAOI in a prescription medication, a healthcare professional should be consulted.

  • Use should not exceed the recommended dosage.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should advise patients to avoid exceeding 4,000 mg of acetaminophen within a 24-hour period, to refrain from using other medications that also contain acetaminophen, and to limit alcohol consumption to fewer than three drinks per day while using this product.

Acetaminophen has been associated with severe skin reactions. Symptoms may include skin reddening, blisters, and rash. 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 health conditions. Prior to use, patients should be encouraged to consult a healthcare provider if they have liver disease, heart disease, diabetes, thyroid disease, high blood pressure, difficulty urinating due to an enlarged prostate gland, or a persistent or chronic cough associated with smoking, asthma, chronic bronchitis, or emphysema. Additionally, patients taking the anticoagulant warfarin should seek advice from a doctor or pharmacist before using this product.

In the event of an overdose, immediate medical attention is crucial. Patients should be instructed to contact a Poison Control Center (1-800-222-1222) or seek emergency medical help right away, even if no signs or symptoms are apparent.

Patients should discontinue use and contact their healthcare provider if they experience nervousness, dizziness, or sleeplessness; if pain, nasal congestion, or cough worsens or persists beyond seven days; if fever worsens or lasts more than three days; if redness or swelling occurs; if new symptoms develop; or if a cough recurs with fever, rash, or headache lasting longer than expected, as these may indicate a serious condition.

Side Effects

Severe adverse reactions associated with this product include significant liver damage, which may occur if patients 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 aware of the potential for severe skin reactions, 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.

Patients are advised to consult a healthcare professional if they experience nervousness, dizziness, or sleeplessness. Additionally, if pain, nasal congestion, or cough worsens or persists beyond seven days, or if fever intensifies or lasts more than three days, medical advice should be sought. Signs such as redness or swelling, the emergence of new symptoms, or a cough that recurs with fever, rash, or headache warrant prompt medical evaluation, as these may indicate a serious condition.

Patients with pre-existing conditions such as liver disease, heart disease, diabetes, thyroid disease, high blood pressure, or urinary difficulties due to an enlarged prostate gland should consult a doctor prior to use. Those with persistent or chronic coughs, such as those associated with smoking, asthma, chronic bronchitis, or emphysema, as well as coughs accompanied by excessive phlegm, should also seek medical advice before using this product. Furthermore, individuals taking the anticoagulant warfarin should consult a healthcare provider or pharmacist before use.

An overdose warning is in place, as taking more than the recommended dose can lead to liver damage. In the event of an overdose, it is crucial to seek medical help or contact a Poison Control Center (1-800-222-1222) immediately, as prompt medical attention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Drug Interactions

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

Packaging & NDC

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

Packaging configurations for Mucus Relief Severe Cold.
Details

Pediatric Use

Pediatric patients under 12 years of age should not use this medication. For patients aged 12 years and older, the recommended dosage is 20 mL every 4 hours. Safety and efficacy have not been established in children younger than 12 years, and therefore, use in this population is contraindicated.

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 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 on 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 have no specific information regarding dosage adjustments, special monitoring, or safety considerations provided in the drug insert. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the lack of data necessitates careful clinical judgment.

Hepatic Impairment

Patients with hepatic impairment should be closely monitored due to the potential for severe liver damage associated with the use of this product, which contains acetaminophen. It is critical that patients do not exceed 4,000 mg of acetaminophen in a 24-hour period, as exceeding this limit may lead to significant liver injury. Additionally, patients should avoid the concurrent use of other medications containing acetaminophen and limit alcohol consumption to fewer than three alcoholic drinks per day while using this product.

Before initiating treatment, patients with a history of liver disease are advised to consult a healthcare professional. In the event of an overdose, which may occur if the recommended dosage is exceeded, immediate medical assistance should be sought. Patients are encouraged to contact a Poison Control Center at 1-800-222-1222 without delay, as prompt medical intervention is essential for both adults and children, regardless of the presence of symptoms.

Overdosage

In the event of an overdose, it is crucial to recognize the potential for serious health consequences, particularly liver damage, which may occur when the recommended dosage is exceeded. Healthcare professionals should advise patients and caregivers to seek immediate medical assistance or contact a Poison Control Center at 1-800-222-1222 without delay.

Prompt medical intervention is essential for both adults and children, even in the absence of noticeable signs or symptoms of overdose. The lack of immediate symptoms does not preclude the risk of significant harm, underscoring the importance of vigilance and proactive management in cases of suspected overdose.

Nonclinical Toxicology

No teratogenic or non-teratogenic effects have been reported in the available nonclinical studies. Additionally, there is no information regarding animal pharmacology and toxicology. The absence of data limits the assessment of potential risks associated with the use of the compound in these contexts.

Postmarketing Experience

Postmarketing experience has identified several adverse reactions associated with the use of the product. Notably, severe skin reactions have been reported, which include symptoms such as skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use immediately and seek medical assistance.

Patient Counseling

Healthcare providers should advise patients to adhere strictly to the recommended dosage, as taking more than directed may lead to liver damage. In the event of an overdose, it is crucial for patients to seek medical assistance immediately or contact a Poison Control Center at 1-800-222-1222, as prompt medical attention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Patients should be instructed not to exceed the directed dosage. Additionally, healthcare providers should encourage patients to consult with a doctor prior to use if they have any of the following conditions: liver disease, heart disease, diabetes, thyroid disease, high blood pressure, difficulty urinating due to an enlarged prostate gland, or a persistent or chronic cough associated with smoking, asthma, chronic bronchitis, or emphysema. Patients should also be advised to seek medical guidance if they have a cough that produces excessive phlegm (mucus).

Furthermore, it is important for healthcare providers to remind patients to consult with a doctor or pharmacist before using this medication if they are currently taking the blood-thinning medication warfarin.

Storage and Handling

The product is supplied with a dosing cup included in the package. It should be stored at a temperature range of 20-25ºC (68-77ºF) and must not be refrigerated.

To ensure safety and integrity, the product features a tamper-evident seal. It is imperative not to use the product if the printed safety seal around or under the cap is broken or missing.

Additional Clinical Information

The medication is administered orally. Clinicians should advise patients who are pregnant or breastfeeding to consult a health professional prior to use. No further information is available regarding laboratory tests, abuse potential, or postmarketing experience.

Drug Information (PDF)

This file contains official product information for Mucus Relief Severe Cold, 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 Mucus Relief Severe Cold, 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.