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Vanacof Dm

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Active ingredients
  • Guaifenesin 200 mg/15 mL
  • Dextromethorphan Hydrobromide 18 mg/15 mL
  • Phenylephrine Hydrochloride 10 mg/15 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 2013
Label revision date
November 3, 2025
Active ingredients
  • Guaifenesin 200 mg/15 mL
  • Dextromethorphan Hydrobromide 18 mg/15 mL
  • Phenylephrine Hydrochloride 10 mg/15 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 2013
Label revision date
November 3, 2025
Manufacturer
GM Pharmaceuticals, INC
Registration number
M012
NDC root
58809-555

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Drug Overview

VANACOF DM is a medication designed to help relieve symptoms associated with coughs and colds. It works by loosening phlegm (mucus) and thinning bronchial secretions, which helps clear the bronchial passageways and makes coughs more productive. This can be particularly helpful if you're experiencing a cough due to minor throat and bronchial irritation from the common cold or other irritants.

In addition to easing coughs, VANACOF DM temporarily relieves the intensity of coughing and the urge to cough, which can help you get a better night's sleep. It also addresses nasal congestion caused by colds, making it a supportive option when you're feeling under the weather.

Uses

This medication is designed to help you breathe easier by loosening phlegm (mucus) and thinning bronchial secretions. This action helps clear out bothersome mucus from your airways, making your coughs more productive.

You can use this medication to temporarily relieve coughs caused by minor throat and bronchial irritation, which can happen with the common cold or from inhaling irritants. It also helps reduce the intensity of your cough and the urge to cough, making it easier for you to get a good night's sleep. Additionally, it can relieve nasal congestion associated with a cold, helping you feel more comfortable.

Dosage and Administration

When taking this medication, it's important to follow the correct dosage to ensure your safety and effectiveness. For adults and children aged 12 and older, you should take 15 mL (which is equivalent to 1 tablespoon) every 4 hours. However, make sure you do not exceed 90 mL (or 6 tablespoons) in a 24-hour period.

If you're giving this medication to children aged 6 to under 12 years, the dose is 7.5 mL (or ½ tablespoon) every 4 hours, with a maximum of 45 mL (or 3 tablespoons) in a 24-hour period. For children under 6 years of age, it's best to consult a doctor before administering any dose. Always use the enclosed dosage cup or a tablespoon to measure your dose accurately, and remember not to take more than 6 doses within any 24-hour period.

What to Avoid

You should avoid using this product if you are currently taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of medication used for depression, psychiatric conditions, or Parkinson's disease. Additionally, you should not use this product for at least two weeks after stopping an MAOI. If you're unsure whether your prescription includes an MAOI, please consult your doctor or pharmacist before using this product.

It's also important to follow the dosage instructions carefully. Do not exceed the recommended amount when using this product, as misuse can lead to serious health issues. Always prioritize your safety and well-being by adhering to these guidelines.

Side Effects

If you experience nervousness, dizziness, or trouble sleeping while using this medication, it's important to stop and consult your doctor. Additionally, if your symptoms do not improve within 7 days, or if you develop a fever, rash, or a persistent headache, seek medical advice. A persistent cough could indicate a more serious issue, so be vigilant for any new symptoms.

You should not use this medication if you are currently taking a monoamine oxidase inhibitor (MAOI), which is a type of drug used for certain mental health conditions, or if you have stopped taking an MAOI within the last two weeks. Before using this product, consult your doctor if you have heart disease, high blood pressure, thyroid disease, diabetes, or any chronic cough. In case of an overdose, seek immediate medical assistance or contact a Poison Control Center.

Warnings and Precautions

You should not use this product if you are currently taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of medication for depression or certain other conditions, or if you have stopped taking an MAOI within the last two weeks. If you're unsure whether your medication contains an MAOI, please consult your doctor or pharmacist.

Before using this product, it's important to talk to your doctor if you have any of the following conditions: heart disease, high blood pressure, thyroid disease, diabetes, a chronic cough (like those caused by smoking, asthma, or emphysema), a cough with excessive mucus, or difficulty urinating due to an enlarged prostate.

If you experience an overdose, seek emergency medical help or contact a Poison Control Center immediately. Additionally, stop using the product and call your doctor if you feel nervous, dizzy, or unable to sleep, if your symptoms do not improve within 7 days, or if you develop a fever, rash, or persistent headache. A new cough could indicate a more serious issue, so it's best to consult your doctor in that case as well.

Overdose

If you suspect an overdose, it’s crucial to seek medical help immediately or contact a Poison Control Center. Signs of an overdose can vary, but they may include unusual symptoms that are more severe than what you would typically experience with the medication.

Always err on the side of caution—if you notice anything concerning, don’t hesitate to reach out for assistance. Your health and safety are the top priority.

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

When it comes to giving this medication to children, there are specific guidelines to follow. For children aged 6 to under 12 years, the recommended dose is 7.5 mL (which is about half a tablespoon) every 4 hours. However, it's important not to exceed a total of 45 mL (or 3 tablespoons) in one day.

If your child is under 6 years old, it's crucial to consult a doctor before administering this medication. This ensures their safety and helps determine the appropriate care for their age group. Always prioritize your child's health by following these recommendations closely.

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. Since older adults may have different health needs and responses to medications, you should always consult with a healthcare provider before starting any new medication. They can help determine the right dosage and monitor for any potential side effects, ensuring that the treatment is safe and effective for you or your loved one.

Renal Impairment

If you have kidney problems, it's important to know that the information provided does not include specific guidelines for dosage adjustments, special monitoring, or safety considerations related to renal impairment (kidney issues). This means that there are no tailored recommendations for how your treatment may need to change based on your kidney function.

Always consult your healthcare provider for personalized advice and to ensure that your treatment plan is safe and effective for your specific situation. They can help monitor your kidney health and make any necessary adjustments to your medications.

Hepatic Impairment

If you have liver problems, it's important to know that the drug insert does not provide specific information about dosage adjustments, special monitoring, or precautions for your condition. This means that there are no tailored guidelines for how this medication should be used if you have hepatic impairment (liver issues).

Always consult your healthcare provider for personalized advice and to ensure that any medication you take is safe and appropriate for your liver health. They can help determine the best course of action based on your individual situation.

Drug Interactions

It's crucial to talk to your healthcare provider about any medications you are currently taking, especially if you are on a prescription monoamine oxidase inhibitor (MAOI). Using this medication while taking an MAOI or within two weeks of stopping it can lead to serious interactions that may affect your health.

Always keep your healthcare team informed about all the drugs you are using to ensure your safety and the effectiveness of your treatment. This open communication helps prevent potential complications and ensures you receive the best care possible.

Storage and Handling

To ensure the best performance and safety of your product, store it at a temperature between 20-30°C (68-86°F). This temperature range helps maintain the integrity of the device.

When handling the product, be sure to do so with clean hands and in a clean environment to avoid contamination. Always follow any specific disposal instructions provided to ensure safe and responsible disposal of any components.

Additional Information

No further information is available.

FAQ

What is VANACOF DM used for?

VANACOF DM is used to relieve cough and nasal congestion due to the common cold or inhaled irritants.

How does VANACOF DM work?

It helps loosen phlegm (mucus) and thin bronchial secretions, making coughs more productive.

What is the recommended dosage for adults?

Adults and children 12 years and over should take 15 mL (1 TBSP) every 4 hours, not exceeding 90 mL (6 TBSP) in 24 hours.

What should children aged 6 to under 12 take?

Children aged 6 to under 12 should take 7.5 mL (1/2 TBSP) every 4 hours, not exceeding 45 mL (3 TBSP) in 24 hours.

What should I do if I am taking a monoamine oxidase inhibitor (MAOI)?

Do not use VANACOF DM if you are currently taking an MAOI or for 2 weeks after stopping it, as this may lead to serious interactions.

What are some side effects of VANACOF DM?

Possible side effects include nervousness, dizziness, and sleeplessness. If symptoms do not improve within 7 days or new symptoms occur, consult a doctor.

What should I do in case of overdose?

In case of overdose, seek medical help or contact a Poison Control Center immediately.

Can I use VANACOF DM if I am pregnant or breastfeeding?

If you are pregnant or breastfeeding, consult a health professional before using VANACOF DM.

How should I store VANACOF DM?

Store VANACOF DM at 20-30°C (68-86°F).

Packaging Info

Below are the non-prescription pack sizes of Vanacof Dm (dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Vanacof Dm.
Details

Drug Information (PDF)

This file contains official product information for Vanacof Dm, 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 relief of cough associated with minor throat and bronchial irritation, which may occur due to the common cold or inhaled irritants. It assists in loosening phlegm (mucus) and thinning bronchial secretions, thereby facilitating the expulsion of bothersome mucus and enhancing the productivity of coughs.

Additionally, this drug temporarily relieves the intensity of coughing and the impulse to cough, which may aid in promoting sleep. It also addresses nasal congestion associated with colds.

Limitations of use include the absence of teratogenic or nonteratogenic effects as per the available data.

Dosage and Administration

Adults and children 12 years of age and over are advised to take 15 mL (1 tablespoon) every 4 hours, with a maximum limit of 90 mL (6 tablespoons) within a 24-hour period. For children aged 6 to under 12 years, the recommended dosage is 7.5 mL (1/2 tablespoon) every 4 hours, not to exceed 45 mL (3 tablespoons) in a 24-hour period.

For children under 6 years of age, it is essential to consult a healthcare professional before administration.

Dosing should be measured using the enclosed dosage cup or a tablespoon to ensure accuracy. It is imperative not to exceed the maximum number of doses, which is limited to 6 doses in any 24-hour period.

Contraindications

Use of this product is contraindicated in patients currently taking a prescription monoamine oxidase inhibitor (MAOI), which includes certain medications for depression, psychiatric or emotional conditions, or Parkinson's disease. Additionally, use is contraindicated for a period of 2 weeks following the discontinuation of an MAOI. Patients should consult a healthcare professional if uncertain whether their prescription medication contains an MAOI.

Exceeding the recommended dosage is also contraindicated while using this product.

Warnings and Precautions

It is imperative to adhere to the following warnings and precautions when considering the use of this product.

Warnings The use of this product is contraindicated in individuals currently taking a prescription monoamine oxidase inhibitor (MAOI), which includes certain medications prescribed for depression, psychiatric or emotional conditions, or Parkinson's disease. Additionally, this product should not be used for a period of two weeks following the discontinuation of an MAOI. Healthcare professionals should advise patients to consult with a doctor or pharmacist if there is uncertainty regarding the presence of an MAOI in their prescription medications.

General Precautions Prior to use, patients should seek medical advice if they have any of the following conditions:

  • Heart disease

  • High blood pressure

  • Thyroid disease

  • Diabetes

  • A chronic cough, particularly one associated with smoking, asthma, or emphysema

  • A cough that produces excessive phlegm (mucus)

  • Difficulty urinating due to prostate gland enlargement

Emergency Situations In the event of an overdose, immediate medical assistance should be sought, or the Poison Control Center should be contacted without delay.

Discontinuation of Use Patients are advised to stop taking the product and consult a healthcare provider if they experience any of the following:

  • Nervousness, dizziness, or sleeplessness

  • Symptoms that do not improve within seven days, or are accompanied by fever, rash, or a persistent headache

  • The emergence of new symptoms

A persistent cough may indicate a serious underlying condition and should be evaluated by a healthcare professional.

Side Effects

Patients may experience a range of adverse reactions while using this product. It is important to monitor for serious symptoms that warrant immediate medical attention. Patients should stop use and consult a healthcare professional if they experience nervousness, dizziness, or sleeplessness. Additionally, if symptoms do not improve within 7 days or are accompanied by fever, rash, or persistent headache, medical advice should be sought. A persistent cough may indicate a serious underlying condition and should not be ignored.

Patients are advised against using this product if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have taken one within the past two weeks. MAOIs are commonly prescribed for depression, psychiatric or emotional conditions, and Parkinson's disease. If patients are uncertain whether their prescription includes an MAOI, they should consult a doctor or pharmacist prior to use.

Before using this product, patients should seek medical advice if they have a history of heart disease, high blood pressure, thyroid disease, diabetes, or if they experience a chronic cough associated with smoking, asthma, or emphysema. Furthermore, those with a cough that produces excessive phlegm or who have difficulty urinating due to prostate enlargement should also consult a healthcare professional.

In the event of an overdose, it is critical to seek immediate medical assistance or contact a Poison Control Center.

Drug Interactions

The concomitant use of this medication with prescription monoamine oxidase inhibitors (MAOIs) is contraindicated. Patients should not take this medication while on MAOIs or for a period of two weeks following the discontinuation of MAOI therapy. The combination may result in serious interactions that could pose significant health risks. It is essential to ensure that the patient has completed the appropriate washout period before initiating treatment with this medication.

Packaging & NDC

Below are the non-prescription pack sizes of Vanacof Dm (dextromethorphan hydrobromide, guaifenesin, and phenylephrine hydrochloride). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Vanacof Dm.
Details

Pediatric Use

Pediatric patients aged 6 to under 12 years may be administered 7.5 mL (1/2 tablespoon) every 4 hours, with a maximum dosage not to exceed 45 mL (3 tablespoons) within a 24-hour period. For children under 6 years of age, it is advised to consult a doctor prior to administration.

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 weighed, as the effects on fetal outcomes and lactation are not fully established. It is essential for women of childbearing potential to seek medical advice to ensure safe use during pregnancy and lactation.

Lactation

Lactating mothers are advised to consult a health professional prior to using this medication. There is currently no available data on the excretion of this medication in human breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have not been specifically addressed in the available prescribing information. There are no dosage adjustments, special monitoring requirements, or safety considerations outlined for individuals with reduced kidney function. Healthcare professionals should exercise caution and consider the lack of data when prescribing to this patient population.

Hepatic Impairment

Patients with hepatic impairment have not been specifically studied in relation to the use of this medication. Consequently, there are no dosage adjustments, special monitoring requirements, or precautions outlined for individuals with compromised liver function. It is recommended that healthcare providers exercise caution when prescribing this medication to patients with hepatic impairment, given the lack of data on its safety and efficacy in this population. Regular monitoring of liver function may be prudent in these cases, although specific parameters are not defined in the available information.

Overdosage

In the event of an overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center without delay. Prompt intervention is crucial to mitigate potential adverse effects associated with the overdose.

Healthcare professionals should be vigilant for symptoms that may arise from an overdose, although specific symptoms are not detailed in the provided information. The management of an overdose typically involves supportive care and symptomatic treatment, tailored to the individual patient's needs.

It is essential for healthcare providers to remain informed about the appropriate protocols for managing overdose situations, ensuring that patients receive timely and effective care.

Nonclinical Toxicology

No information is available regarding teratogenic effects. Additionally, there is no information provided concerning non-teratogenic effects. The insert does not contain any details related to nonclinical toxicology. Furthermore, there is no information regarding animal pharmacology and toxicology.

Postmarketing Experience

Postmarketing experience has identified several adverse reactions reported voluntarily or through surveillance programs. These include nervousness, dizziness, and sleeplessness.

Additionally, symptoms that may indicate a serious condition have been noted, such as persistent cough, fever, rash, and persistent headache. It is advised that any new symptoms occurring during the use of this product should prompt consultation with a healthcare professional.

Patient Counseling

Healthcare providers should advise patients to seek immediate medical assistance or contact a Poison Control Center in the event of an overdose. It is crucial to inform patients that this product should not be used concurrently with prescription monoamine oxidase inhibitors (MAOIs), which are medications prescribed for depression, psychiatric or emotional conditions, or Parkinson's disease. Patients should also be cautioned against using this product for two weeks after discontinuing an MAOI. If patients are uncertain whether their prescription includes an MAOI, they should be encouraged to consult their doctor or pharmacist.

Patients should be instructed to discontinue use and consult a healthcare professional if they experience nervousness, dizziness, or sleeplessness. Additionally, they should seek medical advice if their symptoms do not improve within seven days or if they are accompanied by a fever, rash, or persistent headache. A persistent cough may indicate a serious condition, and any new symptoms that arise should also prompt a discussion with a healthcare provider.

When using this product, patients must be reminded to adhere strictly to the recommended dosage and not exceed the directed amount. Furthermore, healthcare providers should encourage patients to consult with them prior to use if they have any of the following conditions: heart disease, high blood pressure, thyroid disease, diabetes, a chronic cough associated with smoking, asthma, or emphysema, a cough that produces excessive phlegm, or difficulty urinating due to an enlarged prostate gland.

Storage and Handling

The product is supplied in various package configurations, with specific NDC numbers available for identification. It is essential to store the product at a controlled temperature range of 20-30°C (68-86°F) to maintain its integrity and efficacy. Proper storage conditions must be adhered to, ensuring that the product is kept within the specified temperature limits to prevent degradation.

Additional Clinical Information

No further data are available.

Drug Information (PDF)

This file contains official product information for Vanacof Dm, 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 Vanacof Dm, 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.