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Severe Cold and Cough Daytime

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Active ingredients
  • Acetaminophen 650 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
December 2, 2025
Active ingredients
  • Acetaminophen 650 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
December 2, 2025
Manufacturer
WinCo Foods, LLC
Registration number
M012
NDC root
67091-322

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Drug Overview

WinCo FOODS Severe Cold & Cough is a medication designed to temporarily relieve symptoms associated with the common cold. It contains three active ingredients: acetaminophen (a pain reliever and fever reducer), dextromethorphan HBr (a cough suppressant), and phenylephrine HCl (a nasal decongestant). Together, these ingredients help alleviate minor aches and pains, sore throat, headaches, nasal and sinus congestion, and cough due to throat and bronchial irritation, while also reducing fever.

This product comes in a berry-infused format with menthol and green tea flavors, making it a soothing option for those feeling under the weather. It is important to note that WinCo FOODS Severe Cold & Cough is not manufactured or distributed by GSK Consumer Healthcare, the owner of the THERAFLU® brand.

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 minor throat and bronchial irritation, this medication can also help with that. Additionally, it works to temporarily lower fever, making you more comfortable while you recover.

Rest assured, there are no known teratogenic effects (which means it doesn't cause birth defects) associated with this medication, so it is considered safe in that regard.

Dosage and Administration

When using this medication, it's important to follow the directions carefully. You should only take the amount specified and not exceed five packets in a 24-hour period unless your doctor advises otherwise. For adults and children aged 12 and older, the recommended dose is one packet every four hours as long as symptoms continue. However, this medication is not suitable for children under 12 years of age.

To prepare your drink, dissolve the contents of one packet in 8 ounces of hot water and sip it while it's still warm. Make sure to drink the entire mixture 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 the mixture.

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 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 prescription monoamine oxidase inhibitor (MAOI) for depression, psychiatric conditions, or Parkinson's disease, or for two weeks after stopping an MAOI.

Always follow the recommended dosage and never exceed it. Taking more than the recommended amount 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

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.

You should also consult a doctor if you have a sore throat that is severe, lasts more than two days, or is accompanied by fever, headache, rash, nausea, or vomiting. Other symptoms that warrant a doctor's visit include nervousness, dizziness, sleeplessness, worsening fever, redness or swelling, or if new symptoms develop. If you have certain health conditions, such as liver disease, heart disease, or diabetes, or if you are taking blood thinners like warfarin, it's essential to talk to your doctor before using this medication. In case of an overdose, seek medical help or contact a Poison Control Center immediately, 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 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, difficulty urinating due to an enlarged prostate, or a chronic 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 at 1-800-222-1222 right away, even if you don’t notice any symptoms.

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 pain, cough, or nasal congestion worsens or lasts more than seven days. These could be signs of 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 for guidance. This is crucial for both adults and children, even if you don’t see any signs or symptoms of an overdose.

Signs of an overdose can vary, but they may include unusual drowsiness, confusion, or difficulty breathing. If you notice any of these symptoms, don’t hesitate to get help right away. Remember, acting quickly can make a significant difference in the outcome.

Pregnancy Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using this medication. They can provide guidance on whether it’s safe for you and your baby. Always prioritize your health and the health of your child by seeking expert advice.

Lactation Use

If you are pregnant or breastfeeding, it’s important to consult with a healthcare professional before using any medication. This ensures that you understand any potential risks and can make informed decisions about your health and the health of your baby. Always prioritize open communication with your doctor regarding your breastfeeding journey.

Pediatric Use

It’s important to be cautious when considering this medication for children. You should not use it in anyone under 12 years of age. For those who are 12 years and older, the recommended dose 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

While there is no specific information available about the use of this medication in older adults, it’s important to approach any new treatment with caution. If you or a loved one is an older adult, it’s wise to discuss any potential risks or benefits with a healthcare provider. They can help determine the best course of action based on individual health needs and any other medications being taken.

Always keep in mind that older adults may have different responses to medications, so regular check-ins with your healthcare team are essential to ensure safety and effectiveness.

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 specific kidney function. Always prioritize open communication with your doctor regarding your kidney health and any concerns you may have.

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, 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 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 ensure the best possible care.

Storage and Handling

To ensure the best performance of your product, store it at room temperature, away from excessive heat and moisture. This helps maintain its effectiveness and safety.

When handling the product, be sure to keep it in a clean environment to avoid contamination. Following these simple storage and handling 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 5 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 WinCo FOODS Severe Cold & Cough?

WinCo FOODS Severe Cold & Cough is a medication that compares to the active ingredients in THERAFLU® Daytime Severe Cold & Cough, designed to relieve cold symptoms.

What are the active ingredients in this medication?

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

What symptoms does this medication relieve?

It temporarily relieves symptoms such as minor aches and pains, sore throat pain, headache, nasal and sinus congestion, and cough due to minor throat and bronchial irritation.

How should I take WinCo FOODS Severe Cold & Cough?

Dissolve the contents of one packet in 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 5 packets in 24 hours unless directed by a doctor.

Are there any contraindications for this medication?

Do not use this product 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, seek medical help or contact a Poison Control Center immediately at 1-800-222-1222.

What are the liver warnings associated with this medication?

Severe liver damage may occur if you take more than 4,000 mg of acetaminophen in 24 hours, use with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using this product.

Can I use this medication if I am pregnant or breastfeeding?

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

What should I do if I experience severe side effects?

Stop use and consult a doctor if you experience nervousness, dizziness, sleeplessness, or if symptoms worsen or new symptoms occur.

Packaging Info

Below are the non-prescription pack sizes of Severe Cold and Cough Daytime (acetaminophen, dextromethorphan, phenylephrine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Severe Cold and Cough Daytime.
Details

Drug Information (PDF)

This file contains official product information for Severe Cold and Cough Daytime, 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

The recommended dosage for adults and children aged 12 years and older is one packet every four hours, as needed, while symptoms persist. It is imperative not to exceed five packets within a 24-hour period unless directed by a healthcare professional.

For children under 12 years of age, the use of this product is not recommended.

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 it is advised to consume the entire drink 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. The mixture must be stirred briskly before and after heating, ensuring that it is not overheated.

Healthcare professionals should advise patients to adhere strictly to the recommended dosage and administration guidelines.

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 MAOI content in prescription medications, 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 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 may also lead to severe skin reactions. Symptoms such as skin reddening, blisters, or rash may indicate an allergic reaction. In the event of a skin reaction, 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 their healthcare provider if they have a history of liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or urinary difficulties due to an enlarged prostate gland. Additionally, patients experiencing a cough with excessive phlegm or a chronic cough associated with smoking, asthma, or emphysema should seek medical advice before using this product. It is also important to consult 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 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 their healthcare provider if they experience nervousness, dizziness, or sleeplessness; if fever worsens or lasts longer than three days; if redness or swelling occurs; if new symptoms develop; or if pain, cough, or nasal congestion worsens or persists beyond seven days. A return of cough accompanied by rash or headache that lasts may indicate a serious condition requiring medical 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.

Participants 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.

Patients are advised to 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; or if pain, cough, or nasal congestion worsens or lasts more than seven days. Additionally, if a cough recurs or is accompanied by a rash or headache that persists, these may indicate a serious condition requiring medical evaluation.

Before using this product, patients with liver disease, heart disease, high blood pressure, thyroid disease, diabetes, or difficulty urinating due to an enlarged prostate gland should consult a healthcare provider. 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.

Patients taking the blood-thinning medication warfarin should consult a doctor or pharmacist before using this product.

In the event of an overdose, it is critical 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 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 Severe Cold and Cough Daytime (acetaminophen, dextromethorphan, phenylephrine). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Severe Cold and Cough Daytime.
Details

Pediatric Use

Pediatric patients under 12 years of age should not use this medication. For those 12 years and older, the recommended dosage is one packet. Safety and efficacy have not been established in children younger than 12, 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 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. It is important to assess the potential risks and benefits, as well as any available data regarding fetal outcomes and lactation. Healthcare providers can offer guidance tailored to individual circumstances, ensuring the safety of both the patient and the developing fetus or nursing 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 should consult their healthcare provider prior to use, particularly if they experience difficulty urinating due to an enlarged prostate gland. It is essential to assess renal function and consider potential dosing adjustments or monitoring requirements based on the patient's specific renal status.

Hepatic Impairment

Patients with hepatic impairment should be aware that this product contains acetaminophen, which carries a risk of severe liver damage. It is critical for patients to adhere to the following guidelines to minimize this risk:

  • Patients must not exceed 4,000 mg of acetaminophen in a 24-hour period.

  • Concurrent use with other medications containing acetaminophen is contraindicated.

  • Consumption of three or more alcoholic drinks daily while using this product is not recommended, as it may exacerbate the risk of liver damage.

Additionally, patients with known liver disease should consult their healthcare provider prior to using this product to ensure safety and appropriateness of treatment. Monitoring of liver function may be warranted in patients with compromised liver function to detect any potential adverse effects promptly.

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

Healthcare professionals should be aware that the management of an overdose may vary depending on the specific substance involved and the clinical presentation of the patient. Continuous monitoring and supportive care may be necessary to address any potential complications that arise from the overdose.

It is essential to gather as much information as possible regarding the substance taken, the amount, and the time of ingestion to facilitate appropriate treatment.

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

No postmarketing experience details are available in the insert text.

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 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 medications that contain 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.

Healthcare providers should 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 stop using the product and contact a healthcare professional if pain, cough, or nasal congestion worsens or lasts longer than seven days. They should be particularly vigilant if a cough recurs or is accompanied by a rash or persistent headache, as these may indicate a serious condition.

While using this product, patients must not 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 5 packets in a 24-hour period unless directed by a healthcare professional.

Clinicians should counsel patients who are pregnant or breastfeeding to consult a health 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 Severe Cold and Cough Daytime, 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 Severe Cold and Cough Daytime, 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.