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Multi Symptom Wal Flu Severe Cold

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Active ingredients
  • Acetaminophen 500 mg
  • Dextromethorphan Hydrobromide 20 mg
  • Phenylephrine Hydrochloride 10 mg
Other brand names
Drug classes
Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Powder, for Solution
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2018
Label revision date
November 25, 2025
Active ingredients
  • Acetaminophen 500 mg
  • Dextromethorphan Hydrobromide 20 mg
  • Phenylephrine Hydrochloride 10 mg
Other brand names
Drug classes
Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Powder, for Solution
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2018
Label revision date
November 25, 2025
Manufacturer
WALGREEN CO.
Registration number
M012
NDC root
0363-5470

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Drug Overview

Wal-Flu is a medication designed to provide temporary relief from the symptoms of a severe cold. It contains three active ingredients: acetaminophen, which helps reduce pain and fever; dextromethorphan HBr, a cough suppressant that alleviates coughing; and phenylephrine HCl, a nasal decongestant that helps relieve nasal and sinus congestion.

This combination works to ease discomfort caused by minor aches, sore throat pain, headaches, and cough due to throat and bronchial irritation, while also helping to lower fever. Wal-Flu is available in flavors like green tea and honey lemon, and is packaged in convenient packets for easy use.

Uses

This medication is designed to help you feel better when you're dealing with a cold. It can temporarily relieve minor aches and pains, soothe a sore throat, ease headaches, and reduce nasal and sinus congestion. If you're experiencing a cough due to irritation in your throat or bronchial tubes, this medication can also help with that.

In addition to alleviating these symptoms, it can temporarily lower a fever, making you more comfortable as you recover. Remember, while this medication can help with these cold symptoms, it’s always a good idea to consult with a healthcare professional if you have any concerns.

Dosage and Administration

When using this medication, it’s important to follow the directions carefully. You should not exceed the recommended amount. For adults and children aged 12 and older, take one packet every four hours as long as your symptoms continue, but do not take more than six packets in a 24-hour period unless your doctor advises otherwise. If you are under 12 years old, you should not use this medication.

To prepare your drink, dissolve the contents of one packet in 8 ounces of hot water. Make sure to sip it while it’s hot and finish the entire drink within 10 to 15 minutes for the best effect. If you prefer to use a microwave, mix the packet with 8 ounces of cool water, stir it well before and after heating, and be careful not to overheat it.

What to Avoid

You should avoid using this medication if you are a child under 12 years old or if you are allergic to acetaminophen. It's also important not to take it alongside any other medications that contain acetaminophen, whether they are prescription or over-the-counter. If you're unsure whether a medication contains acetaminophen, please consult with a doctor or pharmacist. Additionally, do not use this product if you are currently taking a monoamine oxidase inhibitor (MAOI) for depression or other conditions, or for two weeks after stopping an MAOI.

Always follow the recommended dosage and never exceed it, as doing so can lead to serious health risks. If you have any questions or concerns about using this medication, reach out to a healthcare professional for guidance.

Side Effects

You should be aware of some important side effects and warnings associated with this product. It contains acetaminophen, which can lead to severe liver damage if you exceed 4,000 mg in 24 hours, take it with other acetaminophen-containing medications, 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.

You should also consult a doctor if you experience nervousness, dizziness, sleeplessness, or if your sore throat is severe, lasts more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting. It's important to stop using the product and seek medical advice if new symptoms arise, if your condition worsens, or if you have a cough that lasts more than seven days or returns with other concerning symptoms. If you have certain health conditions, such as liver disease, heart disease, or diabetes, or if you are taking blood thinners like warfarin, consult your doctor before using this product. In case of overdose, seek medical help immediately.

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, high blood pressure, thyroid disease, diabetes, trouble urinating due to an enlarged prostate, or a chronic cough. If you are taking the blood thinner warfarin, consult 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, even if you do not notice any symptoms.

You should stop using this product and call your doctor if you experience nervousness, dizziness, or sleeplessness; if your fever worsens or lasts more than three days; if you notice redness or swelling; if new symptoms develop; or if your symptoms do not improve or worsen. Additionally, if pain, cough, or nasal congestion lasts more than seven days, or if a cough returns with fever, rash, or headache, these could indicate a serious condition that requires medical attention.

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. This is crucial for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Be aware that taking more than 4,000 mg of acetaminophen in a 24-hour period can lead to severe liver damage. If you or someone you know has taken too much, don’t wait for symptoms to appear—get help right away.

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 professional 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 healthcare provider regarding your breastfeeding journey.

Pediatric Use

It’s important to be cautious when considering this medication for children. You should not use it in children under 12 years of age. For those who are 12 years and older, the recommended dosage is one packet. 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 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 your kidney health and any medications you are considering.

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

Storage and Handling

To ensure the best performance of your product, store it at room temperature. It's important to keep it away from excessive heat and moisture, as these conditions can affect its quality and effectiveness.

When handling the product, always do so with clean hands and in a clean environment to maintain its integrity. Following these simple guidelines will help you use the product safely and effectively.

Additional Information

You should take this medication orally every 4 hours as long as your symptoms persist, but do not exceed 6 packets in a 24-hour period unless your doctor advises otherwise. If you are pregnant or breastfeeding, consult a healthcare professional before using this medication.

In the event of an overdose, it is crucial to seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. Quick medical attention is important for both adults and children, even if there are no noticeable signs or symptoms.

FAQ

What is Wal-Flu used for?

Wal-Flu is used to temporarily relieve symptoms due to a severe cold, including minor aches and pains, sore throat pain, headache, nasal and sinus congestion, and cough.

What are the active ingredients in Wal-Flu?

The active ingredients in Wal-Flu are acetaminophen (a pain reliever and fever reducer), dextromethorphan HBr (a cough suppressant), and phenylephrine HCl (a nasal decongestant).

How should I take Wal-Flu?

Dissolve the contents of one packet into 8 oz. of hot water and sip while hot. Consume the entire drink within 10-15 minutes.

What is the recommended dosage for adults?

Adults and children 12 years of age and over should take one packet every 4 hours while symptoms persist, not exceeding 6 packets in 24 hours unless directed by a doctor.

Are there any contraindications for using Wal-Flu?

Do not use Wal-Flu in children under 12 years of age, if you are allergic to acetaminophen, or if you are taking a prescription monoamine oxidase inhibitor (MAOI).

What should I do in case of an overdose?

In case of overdose, get medical help or contact a Poison Control Center immediately at 1-800-222-1222.

What are the warnings associated with Wal-Flu?

Warnings include the risk of severe liver damage if you exceed 4,000 mg of acetaminophen in 24 hours, take with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using this product.

Can I use Wal-Flu if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, ask a healthcare professional before using Wal-Flu.

What flavors does Wal-Flu come in?

Wal-Flu is available in green tea and honey lemon flavors.

Is Wal-Flu free from certain additives?

Yes, Wal-Flu is aspartame free and sodium free.

Packaging Info

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

Packaging configurations for Multi Symptom Wal Flu Severe Cold.
Details

Drug Information (PDF)

This file contains official product information for Multi Symptom Wal Flu 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 drug.

Uses and Indications

This drug is indicated for the temporary relief of symptoms associated with the common cold, including minor aches and pains, minor sore throat pain, headache, nasal and sinus congestion, and cough due to minor throat and bronchial irritation. Additionally, it is indicated for the temporary reduction of 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 appropriate dosage is one packet every four hours as needed, with a maximum of six packets within a 24-hour period unless otherwise directed by a healthcare professional.

Children under 12 years of age should not use this product.

To prepare the dosage, the contents of one packet should be dissolved in 8 ounces of hot water. The solution should be sipped while hot, and the entire drink should be consumed within 10 to 15 minutes for optimal effectiveness.

If utilizing a microwave for preparation, the contents of one packet should be added to 8 ounces of cool water. It is essential to stir the mixture briskly both before and after heating to ensure proper dissolution. Care should be taken to avoid overheating the solution.

Contraindications

Use of this product is contraindicated in the following situations:

  • In children under 12 years of age.

  • In individuals with a known allergy to acetaminophen.

  • In conjunction with any other medication containing acetaminophen, whether prescription or nonprescription. If uncertain about the presence of acetaminophen in a medication, consult a healthcare professional.

  • In patients currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing such treatment. For clarification regarding the presence of an MAOI in a prescription, consult a healthcare professional.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should advise patients that the risk of liver injury increases significantly 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.

Acetaminophen may also lead to severe skin reactions. Symptoms indicative of such reactions include skin reddening, blisters, and rash. Should any of these symptoms manifest, patients must be instructed to discontinue use immediately and seek medical assistance.

In cases of severe sore throat, particularly if it persists for more than two days or is accompanied by fever, headache, rash, nausea, or vomiting, patients should be advised to consult a physician without delay.

General precautions are warranted for patients with specific health conditions. Prior to use, individuals should consult a healthcare provider if they have liver disease, heart disease, high blood pressure, thyroid disease, diabetes, difficulty urinating due to an enlarged prostate, or a cough associated with excessive phlegm or chronic conditions such as smoking, asthma, or emphysema. Additionally, patients taking the anticoagulant warfarin should seek guidance 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 at 1-800-222-1222 or seek emergency medical help right away, regardless of whether symptoms are present.

Patients should discontinue use and contact a healthcare professional if they experience nervousness, dizziness, or sleeplessness; if fever worsens or persists beyond three days; if redness or swelling occurs; if new symptoms arise; if symptoms do not improve or worsen; or if pain, cough, or nasal congestion persists beyond seven days. A return of cough accompanied by fever, rash, or headache that lasts may indicate a serious condition requiring medical evaluation.

Side Effects

Severe liver damage may occur in patients taking this product containing acetaminophen if they exceed 4,000 mg in 24 hours, 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, patients are advised to discontinue use and seek medical assistance immediately.

Patients experiencing a severe sore throat that persists for more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting, should consult a healthcare professional promptly. Additionally, patients should stop use and contact a doctor if they experience nervousness, dizziness, or sleeplessness; if fever worsens or lasts more than three days; if redness or swelling occurs; if new symptoms arise; if symptoms do not improve or worsen; or if pain, cough, or nasal congestion persists for more than seven days. A return of cough accompanied by fever, rash, or headache that lasts may indicate a serious condition requiring medical evaluation.

Patients with pre-existing conditions such as liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or urinary difficulties due to an enlarged prostate gland should consult a doctor before using this product. Those with a cough that produces excessive phlegm or a chronic cough, such as that associated with smoking, asthma, or emphysema, should also seek medical advice prior to use. Furthermore, patients taking the blood-thinning medication warfarin should consult a doctor or pharmacist before using this product.

In the case of an overdose, it is critical for patients to seek medical help or contact a Poison Control Center immediately at 1-800-222-1222, as prompt medical attention is essential for both adults and children, even if no signs or symptoms are initially apparent.

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 warranted at this time.

Packaging & NDC

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

Packaging configurations for Multi Symptom Wal Flu 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 one packet. 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 potential 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 healthcare 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 should consult a healthcare professional prior to use if they experience difficulty urinating due to an enlarged prostate gland. This precaution is essential to ensure appropriate management and monitoring of potential complications associated with reduced kidney function.

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 for patients to adhere to the following guidelines to minimize the risk of hepatotoxicity:

  • Patients should not exceed a maximum dosage of 4,000 mg of acetaminophen within a 24-hour period.

  • Concurrent use of other medications containing acetaminophen should be avoided to prevent unintentional overdose.

  • Consumption of three or more alcoholic drinks per day while using this product is contraindicated, as it may significantly increase the risk of liver damage.

Additionally, patients with a known history of liver disease are advised to consult a healthcare professional prior to using this product. Monitoring of liver function may be warranted in patients with compromised liver function to ensure safety and efficacy.

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 attention is crucial for both adults and children, even in the absence of noticeable signs or symptoms.

Potential Symptoms and Risks An overdose of acetaminophen can lead to severe liver damage, particularly when the dosage exceeds 4,000 mg within a 24-hour period. Healthcare professionals should be vigilant in monitoring for signs of liver impairment, which may not manifest until several hours after ingestion.

Management Procedures Upon recognition of an overdose, healthcare providers should initiate appropriate management protocols. This may include the administration of activated charcoal if the patient presents within a suitable timeframe, as well as the consideration of N-acetylcysteine as an antidote to mitigate liver damage. Continuous monitoring of liver function tests is recommended to assess the extent of any hepatic injury.

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 in these areas limits the understanding of the compound's safety profile in nonclinical settings.

Postmarketing Experience

Postmarketing experience has identified the following adverse reactions: severe skin reactions, which may manifest as skin reddening, blisters, and rash. In the event of a skin reaction, it is advised that the use of the product be discontinued immediately and medical assistance be sought.

Patient Counseling

Healthcare providers should advise patients to seek immediate medical help or contact a Poison Control Center at 1-800-222-1222 in the event of an overdose. It is crucial to obtain prompt medical attention for both adults and children, even if no signs or symptoms are apparent.

Patients should be informed that this product is not intended for use in children under 12 years of age. Additionally, they must not use the product if they have a known allergy to acetaminophen or if they are currently taking any other medication that contains acetaminophen, whether prescription or nonprescription. If patients are uncertain about the contents of their medications, they should be encouraged to consult a doctor or pharmacist.

It is important to caution patients against using this product if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have taken one within the last two weeks. Patients should be advised to inquire with their healthcare provider if they are unsure whether their prescription includes an MAOI.

Patients should be instructed to discontinue use and consult a doctor if they experience nervousness, dizziness, or sleeplessness. They should also seek medical advice if their fever worsens or persists for more than three days, if they notice any redness or swelling, or if new symptoms arise. Furthermore, patients should be advised to stop using the product if their symptoms do not improve or if they worsen, particularly if pain, cough, or nasal congestion lasts more than seven days. They should also be informed to seek medical attention if a cough returns or occurs alongside fever, rash, or a persistent headache, 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: liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland. Patients should also be advised to seek medical advice if they have a cough that produces excessive phlegm or if they have a chronic cough associated with smoking, asthma, or emphysema. Lastly, patients taking the blood-thinning medication warfarin should be instructed to consult a doctor or pharmacist before using this product.

Storage and Handling

The product is supplied in various package configurations, with specific NDC numbers available for identification. It should be stored at room temperature, ensuring that it is protected from excessive heat and moisture to maintain its integrity and efficacy. Proper storage conditions are essential for optimal product performance.

Additional Clinical Information

Patients should be advised that the medication is administered orally, with a recommended frequency of every 4 hours while symptoms persist. It is important not to exceed 6 packets in a 24-hour period unless directed by a healthcare professional.

Clinicians should counsel patients who are pregnant or breastfeeding to consult a healthcare professional prior to use. In the event of an overdose, immediate medical assistance should be sought, or the Poison Control Center contacted at 1-800-222-1222, as prompt attention is crucial for both adults and children, even in the absence of noticeable symptoms.

Drug Information (PDF)

This file contains official product information for Multi Symptom Wal Flu 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 Multi Symptom Wal Flu 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.