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Rompe Tos X Children

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Active ingredients
  • Acetaminophen 250 mg/10 mL
  • Guaifenesin 200 mg/10 mL
  • Dextromethorphan Hydrobromide 13.33 mg/10 mL
  • Phenylephrine Hydrochloride 5 mg/10 mL
Other brand names
Drug classes
Expectorant, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Syrup
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2023
Label revision date
March 19, 2025
Active ingredients
  • Acetaminophen 250 mg/10 mL
  • Guaifenesin 200 mg/10 mL
  • Dextromethorphan Hydrobromide 13.33 mg/10 mL
  • Phenylephrine Hydrochloride 5 mg/10 mL
Other brand names
Drug classes
Expectorant, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist, alpha-1 Adrenergic Agonist
Dosage form
Syrup
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2023
Label revision date
March 19, 2025
Manufacturer
OPMX LLC
Registration number
M012
NDC root
69729-784

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Drug Overview

Rompe Tos X is a liquid medication designed to provide temporary relief from various symptoms associated with the common cold and flu. It can help alleviate sinus congestion and pressure, minor aches and pains, nasal congestion, cough due to throat and bronchial irritation, sore throat, headache, and fever. Additionally, it promotes nasal and sinus drainage and helps loosen phlegm (mucus), making coughs more productive by clearing the bronchial passageways.

This medication works by addressing multiple symptoms at once, making it a convenient option for those feeling under the weather. If you're experiencing cold or flu symptoms, Rompe Tos X may help you feel more comfortable as your body fights off the illness.

Uses

If you're dealing with the discomfort of a cold or flu, this medication can help temporarily relieve a variety of symptoms. It works to ease sinus congestion and pressure, minor aches and pains, nasal congestion, and sore throat. You may also find relief from headaches and coughs caused by minor throat and bronchial irritation. Additionally, it can help reduce fever and promote drainage in your nasal and sinus passages.

This medication also aids in loosening phlegm (mucus) and thinning bronchial secretions, making it easier to clear out bothersome mucus and making your coughs more productive. With these benefits, you can feel more comfortable as you recover from your cold or flu symptoms.

Dosage and Administration

It's important to follow the dosage instructions carefully to ensure your safety. You should never take more than the recommended amount, which is a maximum of 6 doses within a 24-hour period. To measure your dose accurately, use only the dosing cup that comes with the medication, and avoid using it for any other products.

For children aged 6 to under 12 years, the recommended dose is 10 mL (which is equivalent to 2 teaspoons) every 4 hours as needed. However, if your child is under 6 years old, this medication should not be used. Always consult with a doctor if you have any questions or concerns about the appropriate dosage for you or your child.

What to Avoid

It's important to be cautious when using this medication. You should not take it if you are currently using any other drug that contains acetaminophen, whether it's a prescription or over-the-counter medication. If you're unsure whether a drug contains acetaminophen, please consult your doctor or pharmacist. Additionally, this medication is not suitable for children under 12 years of age.

You should also avoid using this medication if you are taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of drug used for certain mental health conditions or Parkinson's disease. If you have recently stopped taking an MAOI, wait at least two weeks before using this medication. If you have any questions about your current medications, don't hesitate to ask a healthcare professional for guidance.

Side Effects

You should be aware of some important side effects and warnings associated with this medication. Taking more than six doses in 24 hours, using it with other products containing acetaminophen, or consuming three or more alcoholic drinks daily can lead to severe liver damage. Additionally, acetaminophen may cause serious skin reactions, such as skin reddening, blisters, or rashes. If you experience any of these symptoms, 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 a doctor right away. You should also stop using the medication and contact a healthcare professional if you experience nervousness, dizziness, sleeplessness, worsening pain, nasal congestion, cough, or if new symptoms develop. Overdosing on this medication can be dangerous and may cause liver damage, so if you suspect an overdose, seek medical assistance or contact a Poison Control Center immediately.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 6 doses in 24 hours, take it with other acetaminophen-containing medications, or consume 3 or more alcoholic drinks daily while using it. Be aware that acetaminophen may also cause serious skin reactions, such as skin reddening, blisters, or rash. If you experience any of these symptoms, stop using the product and seek medical help immediately.

If you have a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, consult your doctor right away. It's important to get medical attention if you suspect an overdose, as taking more than the recommended dose can cause liver damage. In such cases, contact a Poison Control Center or seek medical help immediately, even if you don't notice any symptoms.

You should stop using this product and call your doctor if you experience nervousness, dizziness, or sleeplessness; if pain, nasal congestion, or cough worsens or lasts more than 7 days; if fever worsens or lasts more than 3 days; if you notice redness or swelling; or if new symptoms develop. These could indicate a more serious condition that requires medical attention.

Overdose

Taking more than the recommended dose of this medication can lead to serious liver damage. If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. Quick medical attention is crucial, not only for adults but also for children, even if you don’t see any signs or symptoms of an overdose.

Signs of an overdose may not always be obvious, so err on the side of caution and get help right away. Remember, acting quickly can make a significant difference in ensuring safety and health.

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 children under 12 years of age. For children aged 6 to under 12 years, the recommended dose is 10 mL (or 2 teaspoons) every 4 hours. However, if your child is under 6 years old, you should avoid using this medication altogether. Always consult with a healthcare professional if you have any questions or concerns about its use in children.

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 may affect you 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 monitor your kidney function and make any necessary adjustments to your treatment plan.

Hepatic Impairment

If you have liver problems, it's important to be cautious when using this product, which contains acetaminophen. To avoid severe liver damage, do not take more than 6 doses in a 24-hour period, and be careful not to combine it with other medications that also contain acetaminophen. Additionally, limit your alcohol intake to fewer than 3 drinks per day while using this product.

Before using this medication, please consult your doctor if you have liver disease. Taking more than the recommended dose can lead to serious liver damage, so if you suspect an overdose, seek medical help immediately or contact a Poison Control Center. Quick action is essential, even if you don't notice any symptoms.

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 tests you might be undergoing. This way, you can avoid any potential issues and receive the best care possible.

Storage and Handling

To ensure the best performance of your product, store it in a cool, dry place at a temperature between 20-25°C (68-77°F). It's important not to refrigerate the product, as this can affect its effectiveness. Be sure to keep the original carton, as it contains important information about the drug that you may need to reference later.

When handling the product, always do so with clean hands and in a clean environment to maintain its integrity. 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 Rompe Tos X?

Rompe Tos X is a medication available in a 6 fl oz (177 mL) bottle that temporarily relieves common cold and flu symptoms.

What symptoms does Rompe Tos X relieve?

It relieves symptoms such as sinus congestion, minor aches, nasal congestion, cough, sore throat, headache, and temporarily reduces fever.

What is the recommended dosage for children?

For children aged 6 to under 12 years, the recommended dose is 10 mL or 2 teaspoons every 4 hours. Do not use for children under 6 years of age.

Are there any contraindications for using Rompe Tos X?

Yes, do not use it with other drugs containing acetaminophen, for children under 12 years, or if you are taking a prescription monoamine oxidase inhibitor (MAOI).

What should I do in case of an overdose?

In case of overdose, seek medical help or contact a Poison Control Center immediately, as quick medical attention is critical.

What are the liver warnings associated with Rompe Tos X?

Severe liver damage may occur if you take more than 6 doses in 24 hours, use it with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using this product.

Can I use Rompe Tos X if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult a health professional before using Rompe Tos X.

What should I do if I experience severe side effects?

Stop using the product and consult a doctor if you experience nervousness, dizziness, worsening pain, or if symptoms persist.

How should I store Rompe Tos X?

Store Rompe Tos X between 20-25°C (68-77°F) and do not refrigerate.

Packaging Info

Below are the non-prescription pack sizes of Rompe Tos X Children (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Rompe Tos X Children.
Details

Drug Information (PDF)

This file contains official product information for Rompe Tos X Children, including active ingredients, dosage, warnings, and labeling as submitted by the manufacturer for OTC distribution.

View product document (PDF)

Description

No description information is available for the specified drug.

Uses and Indications

This drug is indicated for the temporary relief of symptoms associated with the common cold and influenza. Specifically, it alleviates sinus congestion and pressure, minor aches and pains, nasal congestion, cough due to minor throat and bronchial irritation, sore throat, headache, and fever. Additionally, it promotes nasal and/or sinus drainage and helps to loosen phlegm (mucus) and thin bronchial secretions, facilitating the expulsion of bothersome mucus and enhancing the productivity of coughs.

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

Dosage and Administration

Healthcare professionals should advise patients to adhere strictly to the recommended dosage and administration guidelines. The maximum dosage should not exceed the specified limits, and patients should be cautioned against taking more than six doses within a 24-hour period.

Dosing should be measured exclusively with the dosing cup provided with the product; the use of this dosing cup with other products is not recommended.

For children aged 6 to under 12 years, the recommended dose is 10 mL (equivalent to 2 teaspoons) administered every 4 hours as needed. It is important to note that this product is not indicated for use in children under 6 years of age.

Healthcare professionals should ensure that patients understand these guidelines to promote safe and effective use of the medication.

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 an MAOI. This includes certain medications used for depression, psychiatric or emotional conditions, or Parkinson's disease. If there is uncertainty about the presence of an MAOI in a prescription medication, a healthcare professional should be consulted prior to use.

Warnings and Precautions

Severe liver damage may occur with the use of this product, which contains acetaminophen. Healthcare professionals should advise patients to adhere strictly to the recommended dosage guidelines. Specifically, patients should not exceed 6 doses within a 24-hour period, which is the maximum daily amount for this product. Additionally, caution is warranted when this product is used in conjunction with other medications containing acetaminophen, as this may increase the risk of liver damage. Patients should also be informed that consuming 3 or more alcoholic drinks daily while using this product can further elevate the risk of liver injury.

Acetaminophen has been associated with severe skin reactions. Symptoms indicative of such reactions may include skin reddening, blisters, and rash. In the event of any skin reaction, patients must be instructed to discontinue use immediately and seek medical assistance without delay.

Healthcare professionals should be vigilant regarding patients presenting with a severe sore throat. If the sore throat persists for more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, prompt consultation with a physician is advised.

Overdose of acetaminophen can lead to significant liver damage. In cases of suspected overdose, immediate medical attention is essential. Patients should be advised to contact a Poison Control Center or seek emergency medical help, even if no symptoms are apparent, as timely intervention is critical for both adults and children.

Patients should be instructed to discontinue use and consult a healthcare provider if they experience nervousness, dizziness, or sleeplessness. Additionally, if pain, nasal congestion, or cough worsens or persists beyond 7 days, or if fever worsens or lasts more than 3 days, medical advice should be sought. Signs of redness or swelling, the emergence of new symptoms, or a cough that recurs or is accompanied by a rash or headache warrant immediate medical evaluation, as these may indicate a serious underlying condition.

Side Effects

Severe liver damage may occur in patients who exceed the maximum daily dosage of six doses within a 24-hour period, take the product in conjunction with other medications containing acetaminophen, 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 also stop use and consult a doctor if they experience nervousness, dizziness, or sleeplessness; if pain, nasal congestion, or cough worsens or lasts longer than seven days; if fever worsens or lasts more than three days; if redness or swelling is present; if new symptoms arise; or if a cough recurs or occurs with a rash or headache that persists. These symptoms may indicate a serious condition.

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 for patients to seek medical help or contact a Poison Control Center immediately, 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 necessary at this time.

Packaging & NDC

Below are the non-prescription pack sizes of Rompe Tos X Children (acetaminophen, dextromethorphan hbr, guaifenesin, phenylephrine hcl). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Rompe Tos X Children.
Details

Pediatric Use

Pediatric patients under 12 years of age should not be treated with this medication. For children aged 6 to under 12 years, the recommended dosage is 10 mL (or 2 teaspoons) every 4 hours. There is no established safety or efficacy for use in children under 6 years of age, and therefore, this medication is contraindicated in this population.

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 efficacy, 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 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 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. Regular monitoring of renal function may be advisable in these patients to ensure safety and efficacy.

Hepatic Impairment

Patients with hepatic impairment should exercise caution when using this product, which contains acetaminophen. Severe liver damage may occur if patients exceed the maximum daily amount of 6 doses within a 24-hour period. Additionally, the risk of liver damage increases if this product is taken concurrently with other medications containing acetaminophen or if patients consume 3 or more alcoholic drinks daily while using this product.

Patients with a history of liver disease are advised to consult a healthcare professional prior to use. It is crucial for these patients to adhere strictly to the recommended dosage to avoid the risk of overdose, which may lead to liver damage. In the event of an overdose, immediate medical attention is essential. Patients should seek help or contact a Poison Control Center without delay, as prompt intervention is critical for both adults and children, even in the absence of noticeable signs or symptoms.

Overdosage

In the event of an overdose, defined as the ingestion of a dose exceeding the recommended amount, there is a significant risk of liver damage. This potential complication underscores the importance of prompt medical intervention.

Healthcare professionals are advised to seek immediate medical assistance or contact a Poison Control Center without delay if an overdose is suspected. Quick medical attention is crucial for both adults and children, even in instances where no signs or symptoms are immediately apparent. Early intervention can be vital in mitigating the risks associated with overdose and ensuring appropriate management of the situation.

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 identified several adverse reactions associated with the use of acetaminophen. 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 recommended that the use of acetaminophen be discontinued immediately, and medical assistance should be sought without delay.

Patient Counseling

Healthcare providers should advise patients to keep this medication out of reach of children to prevent accidental ingestion. 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 whether a drug contains acetaminophen, they should be encouraged to consult a doctor or pharmacist.

It is important to inform patients that this product is not recommended for use in children under 12 years of age. Additionally, patients should be cautioned against using this medication if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have taken one within the past two weeks. Patients should be advised to check with their healthcare provider if they are unsure whether their prescription medication contains an MAOI.

Patients should be instructed to stop using the product and seek medical advice if they experience nervousness, dizziness, or sleeplessness. They should also be advised to discontinue use and consult a doctor if pain, nasal congestion, or cough worsens or persists for more than 7 days, if fever worsens or lasts more than 3 days, or if any redness or swelling occurs. Patients should be made aware that new symptoms may indicate a need for medical evaluation.

Healthcare providers should inform patients to seek medical attention if a cough returns or occurs with a rash or headache that lasts, as these may be signs of a serious condition. Patients must be reminded not to exceed the recommended dose, as this could lead to overdose.

Before using this product, patients should be encouraged to consult a doctor if they have any of the following conditions: liver disease, heart disease, diabetes, thyroid disease, high blood pressure, or difficulty urinating due to an enlarged prostate gland. Patients with a persistent or chronic cough, such as those caused by smoking, asthma, chronic bronchitis, or emphysema, should also seek medical advice prior to use. Furthermore, patients should be advised to consult a doctor if they have a cough accompanied by excessive phlegm.

Lastly, patients taking the blood-thinning medication warfarin or those on a sodium-restricted diet should be encouraged to discuss their use of this product with a doctor or pharmacist before proceeding.

Storage and Handling

The product is supplied in a carton that contains essential Drug facts. It is important to store the product at a temperature range of 20-25°C (68-77°F). Refrigeration is not recommended, as the product should not be exposed to lower temperatures. To ensure proper handling and to maintain the integrity of the product, the carton should be retained for reference to the complete Drug facts.

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 experiences.

Drug Information (PDF)

This file contains official product information for Rompe Tos X Children, 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 Rompe Tos X Children, 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.