Acetaminophen / Dextromethorphan / Guaifenesin / Pseudoephedrine Powder Packs

• It is used to treat nose stuffiness.
• It is used to thin mucus so it can be taken from the body by coughing.
• It is used to relieve coughing.
• It is used to ease pain and fever.

• If you have an allergy to this medicine (acetaminophen/dextromethorphan/guaifenesin/pseudoephedrine powder packs) or any part of this medicine.
• If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.
• If you have taken certain drugs used for low mood (depression) like isocarboxazid, phenelzine, or tranylcypromine or drugs used for Parkinson's disease like selegiline or rasagiline in the last 14 days. Taking this medicine (acetaminophen/dextromethorphan/guaifenesin/pseudoephedrine powder packs) within 14 days of those drugs can cause very bad high blood pressure.
• If you have a cough with a lot of mucous.
• If you have a long-term cough caused by smoking or being around smoke, or lung problems like asthma or emphysema.

This is not a list of all drugs or health problems that interact with this medicine.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine (acetaminophen/dextromethorphan/guaifenesin/pseudoephedrine powder packs) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

Use this medicine as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Take with or without food. Take with food if it causes an upset stomach.
• Drink lots of noncaffeine liquids unless told to drink less liquid by your doctor.
• Melt 1 packet in hot water. Sip while hot.
• If using a microwave, melt 1 packet in cool water. Microwave until hot. Do not overheat. Stir before and after heating.

What do I do if I miss a dose?

• If you take this medicine (acetaminophen/dextromethorphan/guaifenesin/pseudoephedrine powder packs) on a regular basis, take a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not give 2 doses at the same time or extra doses.
• Many times this medicine is taken on an as needed basis. Do not take more often than told by the doctor.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away:

• Dizziness.
• Feeling nervous and excitable.
• Not able to sleep.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.