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Vicks Nyquil Vapocool

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Active ingredients
  • Doxylamine Succinate 6.25 mg
  • Acetaminophen 325 mg
  • Dextromethorphan Hydrobromide 10 mg
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist
Dosage form
Tablet, Coated
Route
Oral
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2025
Label revision date
January 22, 2026
Active ingredients
  • Doxylamine Succinate 6.25 mg
  • Acetaminophen 325 mg
  • Dextromethorphan Hydrobromide 10 mg
Other brand names
Drug classes
Antihistamine, Sigma-1 Agonist, Uncompetitive N-methyl-D-aspartate Receptor Antagonist
Dosage form
Tablet, Coated
Route
Oral
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2025
Label revision date
January 22, 2026
Manufacturer
The Procter & Gamble Manufacturing Company
Registration number
M012
NDC root
84126-353

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Drug Overview

VICKS® NyQuil™ VapoCOOL™ COLD & FLU is a nighttime relief medication designed to help you feel better when you're suffering from common cold and flu symptoms. It contains a combination of Acetaminophen (a pain reliever and fever reducer), Doxylamine Succinate (an antihistamine that helps with sleep), and Dextromethorphan HBr (a cough suppressant). This formulation temporarily alleviates symptoms such as cough, sore throat, headache, minor aches and pains, fever, runny nose, and sneezing, making it easier for you to rest and recover.

This product is specifically designed for nighttime use, providing relief from discomfort so you can get the sleep you need while battling a cold or flu.

Uses

You can use this medication to temporarily relieve symptoms associated with the common cold and flu. It helps ease a cough caused by minor throat and bronchial irritation, making it easier for you to sleep. Additionally, it can soothe a sore throat, alleviate headaches, and reduce minor aches and pains. If you're experiencing a fever, runny nose, or sneezing, this medication can also provide relief from those symptoms.

Rest assured, there are no teratogenic effects (which means it doesn't cause birth defects) associated with this medication, making it a safer option for those concerned about such risks.

Dosage and Administration

It's important to take this medication exactly as directed. For adults and children aged 12 years and older, you should take 2 caplets with a full glass of water every 4 hours. However, make sure not to exceed 8 caplets in a 24-hour period to avoid any potential risks.

If you have children between the ages of 4 and under 12, it's best to consult a doctor before giving them this medication. For children under 4 years old, you should not use this medication at all. Always follow these guidelines to ensure safe and effective use.

What to Avoid

You should avoid using this medication if you are currently taking any other drug that contains acetaminophen, whether it's a prescription or over-the-counter product. If you're unsure whether a medication contains acetaminophen, please consult your doctor or pharmacist for clarification. Additionally, do not use this medication if you are taking a prescription monoamine oxidase inhibitor (MAOI), which is a type of drug used for depression, psychiatric conditions, or Parkinson's disease, or for two weeks after stopping an MAOI. Again, if you're uncertain about your medications, it's best to ask a healthcare professional.

Side Effects

Taking this product may lead to some side effects, including severe liver damage if you exceed the maximum daily dose of 8 caplets, combine it with other acetaminophen-containing medications, or consume three or more alcoholic drinks daily. You should also be aware that acetaminophen can cause serious skin reactions, such as skin reddening, blisters, or rashes. If you notice any of these symptoms, stop using the product and seek medical help immediately.

While using this medication, you might experience excitability, especially in children, and marked drowsiness. Be cautious with alcohol, sedatives, or tranquilizers, as they can increase drowsiness. If your pain, nasal congestion, or cough worsens or lasts more than a week, or if you develop new symptoms, consult a doctor. Additionally, avoid using this product if you are taking other medications containing acetaminophen or certain antidepressants known as monoamine oxidase inhibitors (MAOIs). Always check with a healthcare professional if you have liver disease, glaucoma, or other specific health concerns before using this product.

Warnings and Precautions

This product contains acetaminophen, which can lead to severe liver damage if you exceed 8 caplets 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 reddening, blisters, or rash. If you experience any skin reactions, stop using the product and seek medical help immediately. Additionally, if you have a severe sore throat that lasts more than 2 days or is accompanied by fever, headache, rash, nausea, or vomiting, consult a doctor promptly.

Before using this product, talk to your doctor if you have liver disease, glaucoma, a cough with excessive mucus, breathing problems, or difficulty urinating due to an enlarged prostate. It's also important to consult a doctor or pharmacist if you are taking sedatives, tranquilizers, or the blood thinner warfarin. If you suspect an overdose, seek emergency medical help or contact a Poison Control Center right away, even if no symptoms are present. Finally, stop using the product and call your doctor if your pain, nasal congestion, or cough worsens or lasts more than 7 days, if your fever worsens or lasts more than 3 days, or if you notice any new symptoms.

Overdose

If you suspect an overdose, it’s important to seek medical help immediately or contact a Poison Control Center. Quick action 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, it’s always better to be safe and get checked out by a medical professional.

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

If you are considering this product for your child, it's important to know the age guidelines. For children aged 4 to under 12 years, you should consult with a doctor before using it. However, this product is not recommended for children under 4 years old.

While using this product, be aware that it may cause excitability, particularly in children. Keeping an eye on your child for any unusual behavior is a good practice. Always prioritize their safety and well-being by following these recommendations.

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 healthcare providers may not have tailored guidelines for elderly patients, which can be important given the unique health considerations that often come with aging.

If you or a caregiver are considering this medication for an older adult, it’s essential to consult with a healthcare professional. They can provide personalized advice and monitor for any potential side effects or interactions with other medications that may be more relevant for older individuals. Always prioritize open communication with your healthcare team to ensure safe and effective treatment.

Renal Impairment

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

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

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 exceed 8 caplets in a 24-hour period, and be careful not to take other medications that also contain acetaminophen. Additionally, limit your alcohol intake to fewer than 3 drinks per day while using this product, as drinking more can increase the risk of liver damage.

Before using this product, please consult your doctor 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 lab tests you may be undergoing. This way, you can receive the best possible care tailored to your needs.

Storage and Handling

To ensure the best performance and safety of your product, store it at a temperature not exceeding 25ºC (77°F). Keeping it within this range helps maintain its effectiveness and integrity.

When handling the product, always do so with clean hands and in a clean environment to avoid contamination. If you have any specific disposal instructions, be sure to follow them carefully to ensure safe and responsible disposal.

Additional Information

You should take this medication orally. If you are pregnant or breastfeeding, it's important to consult a healthcare professional before using it. Always keep this medication out of reach of children. In the event of an overdose, seek medical help or contact a Poison Control Center immediately, as prompt attention is crucial for both adults and children, even if no symptoms are apparent.

FAQ

What is VICKS® NyQuil™ VapoCOOL™ COLD & FLU used for?

It temporarily relieves common cold and flu symptoms, including cough, sore throat, headache, minor aches and pains, fever, runny nose, and sneezing.

How should I take VICKS® NyQuil™ VapoCOOL™ COLD & FLU?

Adults and children 12 years and over should take 2 caplets with water every 4 hours, not exceeding 8 caplets in 24 hours. For children 4 to under 12 years, consult a doctor.

Are there any contraindications for using this product?

Do not use it with any other drug containing acetaminophen or if you are taking a prescription monoamine oxidase inhibitor (MAOI).

What should I do if I experience severe skin reactions?

If you notice symptoms like skin reddening, blisters, or rash, stop using the product and seek medical help immediately.

What are the liver warnings associated with this product?

Severe liver damage may occur if you take more than 8 caplets in 24 hours, use it with other acetaminophen-containing drugs, or consume 3 or more alcoholic drinks daily while using it.

What should I do if my symptoms worsen or do not improve?

Stop use and consult a doctor if pain, nasal congestion, or cough worsens or lasts more than 7 days, or if fever lasts more than 3 days.

Is it safe to use VICKS® NyQuil™ VapoCOOL™ COLD & FLU if I am pregnant or breastfeeding?

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

What precautions should I take when using this product?

Be cautious of drowsiness, especially if using alcohol, sedatives, or tranquilizers, and avoid driving or operating machinery until you know how it affects you.

Packaging Info

Below are the non-prescription pack sizes of Vicks Nyquil Vapocool (acetaminophen, doxylamine succinate, dextromethorphan hydrobromide). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Vicks Nyquil Vapocool.
Details

Drug Information (PDF)

This file contains official product information for Vicks Nyquil Vapocool, 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 and influenza. Specifically, it addresses the following symptoms: cough due to minor throat and bronchial irritation, cough to facilitate sleep, sore throat, headache, minor aches and pains, fever, and runny nose with sneezing.

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

Dosage and Administration

Patients should take the medication only as directed. For adults and children aged 12 years and older, the recommended dosage is 2 caplets taken with water every 4 hours, not to exceed 8 caplets in a 24-hour period.

For children aged 4 to under 12 years, it is advised to consult a physician for appropriate dosing. The medication is not recommended for children under 4 years of age.

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.

  • Concurrent use with prescription monoamine oxidase inhibitors (MAOIs), which are utilized for the treatment of depression, psychiatric or emotional conditions, or Parkinson's disease, is contraindicated. Additionally, use is prohibited for 2 weeks following the discontinuation of an MAOI. 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

This product contains acetaminophen, which poses a risk of severe liver damage if the following conditions are met: exceeding 8 caplets within a 24-hour period, concurrent use with other medications containing acetaminophen, or consumption of 3 or more alcoholic drinks daily while using this product.

Allergy Alert Acetaminophen may lead to severe skin reactions. Symptoms indicative of such reactions include skin reddening, blisters, and rash. In the event of a skin reaction, it is imperative to discontinue use immediately and seek medical assistance.

Sore Throat Warning Healthcare professionals should advise patients to consult a doctor promptly if a sore throat is severe, persists for more than 2 days, or is accompanied or followed by fever, headache, rash, nausea, or vomiting.

General Precautions Patients should be instructed to consult a doctor prior to use if they have any of the following conditions: liver disease, glaucoma, a cough associated with excessive phlegm, breathing problems or chronic cough related to smoking, asthma, chronic bronchitis, or emphysema, or difficulty urinating due to an enlarged prostate gland. Additionally, patients should seek guidance from a doctor or pharmacist if they are currently taking sedatives, tranquilizers, or the blood-thinning medication warfarin.

Emergency Medical Help In the event of an overdose, immediate medical attention is crucial. Patients should be advised to contact a Poison Control Center or seek emergency medical help without delay, as prompt intervention is essential for both adults and children, even in the absence of noticeable signs or symptoms.

Discontinuation of Use Patients should stop taking this product and consult a doctor if any of the following occur: worsening pain, nasal congestion, or cough lasting more than 7 days; fever worsening or lasting more than 3 days; presence of redness or swelling; emergence of new symptoms; or recurrence of cough accompanied by rash or headache lasting. These symptoms may indicate a serious condition requiring medical evaluation.

Side Effects

Severe liver damage may occur in patients who exceed the maximum daily dosage of 8 caplets within a 24-hour period, take this product in conjunction with other medications containing acetaminophen, or consume three or more alcoholic drinks daily while using this product.

Patients should be aware that acetaminophen may cause severe skin reactions, which can 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 are advised to stop use and consult a healthcare professional if pain, nasal congestion, or cough worsens or persists beyond 7 days, if fever worsens or lasts more than 3 days, if redness or swelling occurs, if new symptoms develop, or if a cough recurs alongside a rash or headache that lasts. These symptoms may indicate a serious underlying condition.

While using this product, excitability may occur, particularly in children, and marked drowsiness may be experienced. The concurrent use of alcohol, sedatives, and tranquilizers may exacerbate drowsiness. Patients are advised to avoid alcoholic beverages and to exercise caution when driving or operating machinery.

Additional precautions include consulting a healthcare provider prior to use if the patient has liver disease, glaucoma, a cough associated with excessive phlegm, a chronic cough related to smoking, asthma, chronic bronchitis, emphysema, or difficulty urinating due to an enlarged prostate gland. It is also recommended to seek advice from a doctor or pharmacist if the patient is taking sedatives, tranquilizers, or the blood-thinning medication warfarin.

Patients should not use this product in conjunction with any other drug containing acetaminophen, whether prescription or nonprescription. If there is uncertainty regarding the presence of acetaminophen in another medication, it is advisable to consult a healthcare professional. Additionally, this product should not be used by individuals currently taking a prescription monoamine oxidase inhibitor (MAOI) or within 2 weeks of discontinuing such medication. If there is any doubt regarding the presence of an MAOI in a prescription drug, patients should seek guidance from a healthcare provider before using this product.

Drug Interactions

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

Packaging & NDC

Below are the non-prescription pack sizes of Vicks Nyquil Vapocool (acetaminophen, doxylamine succinate, dextromethorphan hydrobromide). Columns show Packaging, Formulation Type, and Active Ingredient Strength.

Packaging configurations for Vicks Nyquil Vapocool.
Details

Pediatric Use

Pediatric patients aged 4 to under 12 years should consult a healthcare professional before using this product. It is contraindicated in children under 4 years of age. Caution is advised as excitability may occur, particularly in pediatric patients.

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 no specific data available regarding the excretion of this drug in human breast milk or its effects on breastfed infants. Therefore, caution is recommended when administering this medication to lactating individuals.

Renal Impairment

Patients with renal impairment have not been specifically addressed in the drug insert regarding dosage adjustments, special monitoring, or safety considerations. Therefore, healthcare professionals should exercise caution when prescribing this medication to individuals with reduced kidney function, as the absence of detailed guidance 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. It is important to note that severe liver damage may occur if patients exceed the maximum daily dosage of 8 caplets within a 24-hour period. Additionally, the risk of liver damage increases if acetaminophen is taken concurrently with other medications that also contain acetaminophen or if patients consume three or more alcoholic drinks daily while using this product.

Patients with known liver disease are advised to consult a healthcare professional prior to using this product. Monitoring of liver function may be warranted in these individuals to prevent potential adverse effects associated with acetaminophen use.

Overdosage

In the event of an overdose, it is imperative to seek immediate medical assistance or contact a Poison Control Center without delay. Prompt medical intervention is crucial for both adults and children, even in the absence of observable signs or symptoms.

Healthcare professionals should be aware that the lack of immediate symptoms does not preclude the potential for serious health consequences. Therefore, it is essential to monitor the patient closely and provide appropriate care as needed.

Nonclinical Toxicology

No relevant information regarding teratogenic or non-teratogenic effects has been identified. Additionally, there are no findings related to nonclinical toxicology, animal pharmacology, or toxicology.

Postmarketing Experience

Postmarketing experience has identified the potential for severe skin reactions associated with acetaminophen use. Reports indicate that symptoms may include skin reddening, blisters, and rash. In the event of a skin reaction, it is advised to discontinue use immediately and seek medical assistance.

Patient Counseling

Healthcare providers should advise patients to keep this medication out of reach of children to prevent accidental ingestion. Patients should be instructed 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 they should not use this product if they are currently taking a prescription monoamine oxidase inhibitor (MAOI) or have stopped taking an MAOI within the last 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 their pain, nasal congestion, or cough worsens or persists for more than seven days. Additionally, they should be advised to discontinue use and consult a doctor if their fever worsens or lasts more than three days, if they notice any redness or swelling, or if new symptoms arise. Patients should also be informed that if their cough returns or occurs with a rash or persistent headache, they should seek medical attention, as these may indicate a serious condition.

When using this product, patients may experience excitability, particularly in children, and marked drowsiness may occur. Healthcare providers should caution patients that the use of alcohol, sedatives, and tranquilizers may enhance drowsiness, and patients should be advised to avoid alcoholic beverages while using this product. Patients should also be warned to exercise caution when driving or operating machinery.

Patients with liver disease, glaucoma, or a cough that produces excessive phlegm should be advised to consult a doctor before using this product. Additionally, those with breathing problems or chronic coughs related to smoking, asthma, chronic bronchitis, or emphysema should seek medical advice prior to use. Patients experiencing difficulty urinating due to an enlarged prostate gland should also consult their healthcare provider. Lastly, patients taking sedatives, tranquilizers, or the blood-thinning medication warfarin should be encouraged to discuss their use of this product with a doctor or pharmacist.

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 temperature not exceeding 25ºC (77°F) to maintain its integrity and efficacy. Proper storage conditions should be observed to ensure optimal performance and safety.

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. It is essential to keep the medication out of reach of children. In the event of an overdose, patients should seek immediate medical assistance or contact a Poison Control Center, 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 Vicks Nyquil Vapocool, 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 Vicks Nyquil Vapocool, 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.