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Acetaminophen/ dextromethorphan/ phenylephrine drops

Generic Name: acetaminophen/dextromethorphan/phenylephrine (a-seet-a-MIN-oh-fen/dex-troe-meth-OR-fan/fen-ill-EF-rin)
Brand Name: Little Colds Multi-Symptom

Acetaminophen/ dextromethorphan/ phenylephrine drops is used for:

Relieving pain, congestion, and cough due to colds, flu, or hay fever. It may also be used for other conditions as determined by your doctor.

Acetaminophen/dextromethorphan/phenylephrine drops is an analgesic, cough suppressant, and decongestant combination. The analgesic and cough suppressant work in the brain to decrease pain and reduce the cough reflex. The decongestant works by constricting blood vessels and reducing swelling in the nasal passages, which helps you breathe more easily.

Do NOT use acetaminophen/ dextromethorphan/ phenylephrine drops if:

  • you are allergic to any ingredient in acetaminophen/dextromethorphan/phenylephrine drops
  • you have severe high blood pressure, rapid heartbeat, or other severe heart problems (eg, heart blood vessel disease)
  • you have taken furazolidone or a monoamine oxidase (MAO) inhibitor (eg, phenelzine) within the last 14 days

Contact your doctor or health care provider right away if any of these apply to you.

Slideshow: OTC Medication Use In Pregnancy: Wise or Worrisome?

Before using acetaminophen/ dextromethorphan/ phenylephrine drops:

Some medical conditions may interact with acetaminophen/dextromethorphan/phenylephrine drops. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have a history of glaucoma, an enlarged prostate gland or other prostate problems, heart problems, diabetes, high blood pressure, blood vessel problems, adrenal gland problems, an overactive thyroid, seizures, stroke, liver problems (eg, hepatitis), or severe kidney problems, or if you drink more than 3 alcohol-containing drinks per day
  • if you have a history of asthma, chronic cough, chronic obstructive pulmonary disease (COPD), or other lung problems (eg, chronic bronchitis, emphysema), or if your cough produces large amounts of mucus

Some MEDICINES MAY INTERACT with acetaminophen/dextromethorphan/phenylephrine drops. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Beta-blockers (eg, propranolol), catechol-O-methyltransferase (COMT) inhibitors (eg, tolcapone), furazolidone, indomethacin, isoniazid, MAO inhibitors (eg, phenelzine), or tricyclic antidepressants (eg, amitriptyline) because the risk of side effects from acetaminophen/dextromethorphan/phenylephrine drops may be increased
  • Anticoagulants (eg, warfarin), digoxin, or droxidopa because the risk of side effects such as bleeding, irregular heartbeat, or heart attack may be increased
  • Bromocriptine because the risk of side effects may be increased by acetaminophen/dextromethorphan/phenylephrine drops
  • Guanadrel, guanethidine, mecamylamine, methyldopa, or reserpine because their effectiveness may be decreased by acetaminophen/dextromethorphan/phenylephrine drops

This may not be a complete list of all interactions that may occur. Ask your health care provider if acetaminophen/dextromethorphan/phenylephrine drops may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use acetaminophen/ dextromethorphan/ phenylephrine drops:

Use acetaminophen/dextromethorphan/phenylephrine drops as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Acetaminophen/dextromethorphan/phenylephrine drops may be taken with or without food.
  • Use the dropper that comes with acetaminophen/dextromethorphan/phenylephrine drops to measure your dose. Ask your pharmacist for help if you are unsure of how to measure your dose.
  • If you miss a dose of acetaminophen/dextromethorphan/phenylephrine drops, take it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.

Ask your health care provider any questions you may have about how to use acetaminophen/dextromethorphan/phenylephrine drops.

Important safety information:

  • Acetaminophen/dextromethorphan/phenylephrine drops may cause dizziness or drowsiness. Do not drive, operate machinery, or do anything else that could be dangerous until you know how you react to acetaminophen/dextromethorphan/phenylephrine drops. Using acetaminophen/dextromethorphan/phenylephrine drops alone, with certain other medicines, or with alcohol may lessen your ability to drive or perform other potentially dangerous tasks.
  • Do not take appetite suppressants while you are taking acetaminophen/dextromethorphan/phenylephrine drops without checking with your doctor.
  • Acetaminophen/dextromethorphan/phenylephrine drops contains acetaminophen, dextromethorphan, and phenylephrine. Before you begin taking any new prescription or nonprescription medicine, read the ingredients to see if it also contains acetaminophen, dextromethorphan, or phenylephrine. If it does or if you are uncertain, contact your doctor or pharmacist.
  • Do NOT exceed the recommended dose or take acetaminophen/dextromethorphan/phenylephrine drops for longer than prescribed without checking with your doctor.
  • If your symptoms do not improve within 5 to 7 days or if they become worse, check with your doctor.
  • Acetaminophen/dextromethorphan/phenylephrine drops may cause liver damage. If you consume 3 or more alcohol-containing drinks every day, ask your doctor if you should take acetaminophen/dextromethorphan/phenylephrine drops or other pain relievers/fever reducers. Alcohol use combined with acetaminophen/dextromethorphan/phenylephrine drops may increase your risk for liver damage.
  • A very bad skin reaction (Stevens-Johnson syndrome/toxic epidermal necrolysis) may happen. It can cause very bad health problems that may not go away and sometimes death. Get medical help right away if you have signs like red, swollen, blistered, or peeling skin (with or without fever); red or irritated eyes; or sores in your mouth, throat, nose, or eyes.
  • Acetaminophen/dextromethorphan/phenylephrine drops may interfere with certain lab test results. Make sure that all of your doctors and lab personnel know that you are taking acetaminophen/dextromethorphan/phenylephrine drops.
  • Before you have any medical or dental treatments, emergency care, or surgery, tell the doctor or dentist that you are using acetaminophen/dextromethorphan/phenylephrine drops.
  • Use acetaminophen/dextromethorphan/phenylephrine drops with caution in the ELDERLY because they may be more sensitive to its effects.
  • Caution is advised when using acetaminophen/dextromethorphan/phenylephrine drops in CHILDREN because they may be more sensitive to its effects.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant while taking acetaminophen/dextromethorphan/phenylephrine drops, discuss with your doctor the benefits and risks of using acetaminophen/dextromethorphan/phenylephrine drops during pregnancy. It is unknown if acetaminophen/dextromethorphan/phenylephrine drops is excreted in breast milk. Do not breast-feed while taking acetaminophen/dextromethorphan/phenylephrine drops.

Possible side effects of acetaminophen/ dextromethorphan/ phenylephrine drops:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Dizziness; excitability; headache; nausea; nervousness or anxiety; trouble sleeping; weakness.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); difficulty urinating; fast or irregular heartbeat; hallucinations; seizures; severe dizziness, lightheadedness, or headache; stomach pain; tremor; yellowing of skin or eyes.

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Symptoms may include blurred vision; confusion; hallucinations; seizures; severe dizziness, lightheadedness, or headache; severe drowsiness; stomach pain; unusually fast, slow, or irregular heartbeat; vomiting; yellowing of skin or eyes.

Proper storage of acetaminophen/dextromethorphan/phenylephrine drops:

Store acetaminophen/dextromethorphan/phenylephrine drops at room temperature, between 59 and 86 degrees F (15 and 30 degrees C). Store away from heat, moisture, and light. Do not store in the bathroom. Keep acetaminophen/dextromethorphan/phenylephrine drops out of the reach of children and away from pets.

General information:

  • If you have any questions about acetaminophen/dextromethorphan/phenylephrine drops, please talk with your doctor, pharmacist, or other health care provider.
  • Acetaminophen/dextromethorphan/phenylephrine drops is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take acetaminophen/dextromethorphan/phenylephrine drops or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about acetaminophen/dextromethorphan/phenylephrine drops. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to acetaminophen/dextromethorphan/phenylephrine drops. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using acetaminophen/dextromethorphan/phenylephrine drops.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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