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acetaminophen/doxylamine/dextromethorphan

Brand Name :

Tylenol Sore and Cough Throat Nighttime, Flu Night plus Contac Cold Cooling Relief, Coricidin HBP Nighttime Multi-Symptom Cold, Vicks NyQuil Cold & Flu

Synonyms :

Class :

Cough/Cold, Non-narcotic Combos; Antitussives

Actions and Spectrum:

acetaminophen:

acetaminophen is an analgesic and antipyretic. It is thought to inhibit the synthesis of prostaglandins involved in pain perception and fever.
acetaminophen effectively reduces mild to moderate pain, such as headaches, muscle aches, and toothaches. It is also commonly used to reduce fever.

doxylamine:

doxylamine is an antihistamine that works by blocking the effects of histamine, a chemical involved in allergic reactions. It primarily binds to histamine H1 receptors, reducing the symptoms associated with histamine release, such as sneezing, itching, runny nose, and watery eyes. doxylamine also has soothing properties and can cause drowsiness.
doxylamine is mainly used to temporarily relieve symptoms caused by upper respiratory allergies or the common cold, such as sneezing, runny nose, and itchy/watery eyes.

dextromethorphan:

dextromethorphan is a cough suppressant that acts centrally in the brain to inhibit the cough reflex. It works by binding to and inhibiting NMDA and sigma-1 receptors and influencing serotonin and opioid receptors.
dextromethorphan is primarily used to temporarily relieve cough associated with minor throat and bronchial irritation. It helps suppress the cough reflex, providing temporary relief from coughing.

DRUG INTERACTION

acetaminophen/doxylamine/dextromethorphan

&

opium tincture, squill oxymel
dibrompropamidine
metronidazole/tetracycline/bismuth subsalicylate
agnus- castus
velaglucerase alfa
alendronic acid / colecalciferol
bimatoprost / timolol
efbemalenograstim alfa
dried ferrous sulfate/folic acid
dried ferrous sulfate / sodium ascorbate
nirogacestat
soya-bean oil, medium-chain triglycerides
demeclocycline hydrochloride and triamcinolone acetonide
fusidic acid / hydrocortisone acetate
macrogol
storax, benzoin
nomegestrol acetate/estradiol
flumetasone pivalate/ clioquinol
berdazimer topical (Pending FDA Approval)
buflomedil
butobarbital
andexanet alfa
methoxypolyethylene glycol-epoetin beta
viscum abietis
pramoxine vaginal
bupivacaine implant
cromolyn sodium, inhaled
pneumococcal vaccine 20-valent
bimatoprost ophthalmic implant
tick-borne encephalitis vaccine
chloroprocaine ophthalmic
travoprost intraocular implant (Pending FDA approval)
typhoid polysaccharide vaccine
sodium phosphate rectal
human papillomavirus vaccine, nonavalent
peanut immunotherapy epicutaneous (FDA approval pending)
cromolyn sodium, intranasal
red blood cells(Blood component)
oral mucoadhesive
clindamycin vaginal
whole blood (Blood Component)
fibrinogen/thrombin
levothyroxine/liothyronine
ipratropium intranasal
metronidazole vaginal
cyamemazine
brinase
reviparin
ulinastatin
saruplase
acepromazine
emylcamate
methionine
amino acids and electrolytes in dextrose with calcium
slippery elm
camostat
hemoglobin crosfumaril
moperone
chlormidazole
brilaroxazine
palopegteriparatide
diazepam buccal
benegrastim (pending for FDA approval)
COVID-19 vaccine, adjuvanted-Novavax
vestronidase alfa-vjbk
tebipenem (Pending FDA Approval)
tislelizumab (Pending FDA Approval)
zolbetuximab (Pending FDA Approval)
zoliflodacin (pending FDA approval)
zibotentan and dapagliflozin
fluorine F18 DCFPyL
debamestrocel
givinostat
amubarvimab and romlusevimab(Pending FDA Approval)
sabizabulin(Pending FDA approval)
fexapotide(Phase 3 Clinical trial)
diatrizoic acid
drotaverine
diethyl phthalate
enclomiphene
epalrestat
ethamsylate
flupirtine
imidurea
sodium glycolate
feracrylum
ethacridine
furazolidone/metronidazole
ozagrel hydrochloride
leptazol
l-glutamic acid /vitamin B complex
etizolam
etizolam/propranolol
ethoheptazine citrate
etophylline and theophylline
etophylline
finger millet
drotaverine/mefenamic acid
dichloroxylenol
pneumococcal 7-valent vaccine
diclofenac and metaxalone
dipivefrin ophthalmic
enbucrilate
potassium citrate and citric acid
potassium gluconate
aclarubicin
alfuzosin/dutasteride
adrenochrome monosemicarbazone
selenium sulfide topical
sertaconazole
amorolfine cream
amsacrine
amylmetacresol
sulfonated phenolics in aqueous solution
technetium Tc-99m sulfur colloid
raltitrexed
romiplostim
acediasulfone
azulene
acebrophylline
clonazepam/escitalopram oxalate
allylestrenol
andrographolide
artemotil
technetium Tc-99m sestamibi
rubidium Rb-82
somapacitan
sodium sulfate, magnesium sulfate and potassium sulfate
almitrine
gramicidin
nikethamide
technetium Tc-99m sodium pertechnetate
betiatide
prilocaine/epinephrine
amlexanox
acetaminophen/salicylamide/phenyltoloxamine
neomycin topical
zilucoplan
antazoline and xylometazoline
toripalimab
iron isomaltoside
meningococcal A C Y and W polysaccharide tetanus toxoid conjugate vaccine
meningococcal A C Y and W-135 diphtheria conjugate vaccine
tetradecyl Sulfuric Acid
benzoyl peroxide, clindamycin phosphate, adapalene
ethylephedrine
actarit
pyrantel tartrate
tenofovir disoproxil fumarate or tenofovir DF
melitracen
amitriptylinoxide(Phase 4 Clinical Trials)
threonine
ditiocarb zinc
epicriptine
levallorphan
kinetin
laurocapram
pentagastrin
parthenolide
nicoboxil
protionamide
prulifloxacin
proscillaridin
tizanidine and rofecoxib
tolnaftate, gentamicin, chinoform and betamethasone valerate
pine bark extract
pipenzolate methylbromide
bephenium hydroxynaphthoate
niclosamide
pyrvinium
pipenzolate methylbromide/phenobarbitone
piracetam/ginkgo biloba/vinpocetine
benzyl benzoate/disulfiram
benzyl benzoate
loperamide/simethicone
piroctone olamine
sodium fusidate
piroxicam topical/capsaicin/menthol/methyl salicylate
sodium metabisulfite
sodium lauryl sulfate
taspoglutide
glyclopyramide
tolnaftate, gentamicin, iodochlorohydroxyquinoline, chlorocresol, betamethasone valerate
serratiopeptidase
sodium antimony gluconate
triamterene / benzthiazide
tribenoside / lidocaine
triclocarban
triprolidine/dextromethorphan
vitamins/minerals/omega-3 Fatty acids
soyabean oil
sucralfate/oxethazaine
sucralfate/tinidazole/povidone iodine
sodium cromoglycate
aloe vera/liquid paraffin/white soft paraffin
aloe vera/jojoba oil/vitamin E
allantoin/triclosan/vitamin e/zinc oxide
alpha-Lipoic acid/minerals/multivitamins
alprazolam/paracetamol
alprazolam/melatonin
azithromycin/ambroxol
atorvastatin/clopidogrel/aspirin
aceclofenac, paracetamol and serratiopeptidase
alfacalcidol, vitamin B-complex, minerals and antioxidants
alpha- lipoic acid, vitamin b complex and vitamin c
alpha-galactosidase and simethicone
alpha-galactosidase, amylase, proteases, lipase and lactase
amikacin and cefepime
aminophylline, ephedrine and phenobarbitone
artesunate, sulphadoxine and pyrimethamine
finasteride/tamsulosin
flavoxate/ofloxacin
fenofibrate/metformin
lignocaine, hydrocortisone topical and allantoin
linoleic acid and sodium lactate
troxerutin
meclizine/nicotinic acid
mecobalamin/ginkgo Biloba
spirulina
loperamide and furazolidone
ketoconazole/cetrimide
ketoconazole/zinc pyrithione
lercanidipine/atenolol
levocetirizine/montelukast/ambroxol
levarterenol
levocetirizine/phenylpropanolamine
indapamide/amlodipine
itopride/methyl polysiloxane
mebendazole/levamisole
eberconazole/mometasone
gliclazide/metformin/pioglitazone
fluconazole/tinidazole
haemocoagulase
halometasone
hesperidin
imipramine/chlordiazepoxide
idebenone / l-arginine / zinc sulphate/selenium/proanthocyanidin
mecobalamin and piracetam
mesterolone
mosapride and pantoprazole
atorvastatin, co enzyme q10, vitamin e, zinc, and selenium
azithromycin and benzalkonium chloride
beta carotene, vitamin c, vitamin e, minerals, lutein, eicosapentaenoic acid, docosahexenoic acid and vit b12
alpha-galactosidase
aloe vera gel/vitamin e/lactic acid
aloe vera gel/jojoba/vitamin e/glycerine
famotidine and domperidone
faropenem medoxomil
nedosiran
fluconazole/ornidazole/azithromycin
ebastine/montelukast
eberconazole
dienogest/estradiol valerate
ambroxol/salbutamol
benzoic acid/salicylic acid/ichthammol/ triamcinolone acetonide
desloratadine/ambroxol
dexibuprofen/paracetamol
atorvastatin/ramipril
diastase
diastase and simethicone
diazepam and propranolol
dexrabeprazole / domperidone
dexrabeprazole
dexketoprofen /paracetamol
beta carotene/vitamin C/minerals
aloe vera gel/urea
aloe vera gel/glycerine
alpha-lipoic acid/benfotiamine/chromium/folic acid/mecobalamin / vit b6
alprazolam/propranolol
alprazolam /sertraline
ibuprofen/dextropropoxyphene
ambroxol/cetirizine/phenylephrine/ guaiphenesin/menthol
dextropropoxyphene/dexchlorpheniramine maleate/bromhexine
promegestone
batroxobin
bencyclane
benfluorex
acetylpheneturide
abarelix
abetimus
naftidrofuryl
nalorphine
oxiracetam
letosteine
lafutidine
leuprorelin
levodropropizine
glutaral
losartan/ramipril
gallopamil
lanatoside c
lauromacrogol
gestodene
aceclofenac/methyl salicylate/menthol/linseed oil/capsaicin
aceclofenac/paracetamol/tizanidine
alginic acid/magaldrate/simethicone
aceclofenac/paracetamol
aceclofenac/rabeprazole
alginic acid
pantoprazole and domperidone
urokinase
rimiterol
olanzapine/fluoxetine
normethadone/hydroxyephedrine
myrtol
moxonidine
propylhexedrine
sodium hypochlorite solution
sodium chloride/sodium citrate
Hepatitis B Vaccine (Recombinant [Adjuvanted])
Hepatitis B Vaccine (Recombinant)
aceclofenac and serratiopeptidase
levosulpiride
niaprazine
tromantadine
trimetazidine
vinburnine
mizoribine
molgramostim
mosapride
eugenol
tolperisone
etamsylate
etynodiol
mizolastine
metenolone
reproterol
rebamipide
mephenoxalone
metandienone
furosemide/spironolactone
hydroxycarbamide
tenonitrozole
fenoverine
fenquizone
tiapride
tibolone
furazolidone
furosemide & amiloride
fosfestrol
fluclorolone
flubendazole
tertatolol
tetracosactide
tetryzoline
tolciclate
trapidil
troxipide
temoporfin
telbivudine
teprenone
hexamidine
mebhydrolin
mepartricin
fencamfamin
medazepam
theodrenaline
thiamazole
thiocolchicoside
psilocybin
veralipride
pyritinol
opipramol
oprelvekin
betamethasone + gentamicin
betamethasone + neomycin
betamethasone + salicylic acid
oxedrine
bopindolol
orgotein (investigational)
oxaceprol
ormeloxifene
bevantolol
bifemelane
clebopride
demoxytocin
cicletanine
cefsulodin
chlortalidon
sisomicin
somatrem
carbazochrome
caroverine
cathine
ipriflavone
isepamicin
silymarin
simethicone
sermorelin
diloxanide
dimethindene
diosmin/hesperidin
calamine
canrenone
captodiame
imidapril
cefetamet
cefodizime
cefoperazone + sulbactam
ivermectin + albendazole
serrapeptase
bromisoval
beraprost
pridinol
proglumide
bamipine
barnidipine
bamifylline
benzbromarone
betamethasone/fusidic acid
para-chlorophenol
pantethine
nomifensine
pemoline
parnaparin
pentolinium
nialamide
novobiocin
nicergoline
octocrylene
octisalate
oftasceine
oxolamine
oxyphencyclimine
penfluridol
pentoxyverine
phenoxymethylpenicillin
picloxydine
pilsicainide hydrochloride
piperazine
pirarubicin
policresulen
prifinium bromide
prethcamide
pristinamycin
pirenzepine
piribedil
pimethixene
pargyline
phosphatidyl choline
phthalylsulfathiazole
phytomenadione
pranlukast
pinazepam
oxyphenonium
noxytiolin
periciazine
pethidine
phenindamine
histidine
isoleucine
proline
lauric acid
lymecycline
hypromellose
abiraterone acetate and niraparib
ichthammol
levamisole
naftazone
nefopam
oxprenolol
oxybuprocaine
elranatamab-bcmm
lapyrium
isoaminile
iotrolan
mazindol
masoprocol
lypressin
meradimate
molsidomine
monobenzone
mequinol/gluconolactone/ lactobionic acid/ arbutin
medifoxamine
mebutamate
metergoline
methantheline
methdilazine
metocurine
micronomicin
metaraminol
mephenesin
menadione
medrysone
metixene
levobetaxolol
guaiacol glycerol ether
eucalyptol
sodium tetradecyl sulfate
sugammadex
carbetocin
certoparin
chlorcyclizine/pseudoephedrine
cephapirin
indecainide
iobitridol
iomeprol
chlorphenesin
msud analog
msud maxamum
iceland moss
glutethimide
hexachlorophene
haloprogin
deferoxamine
ethchlorvynol
dexpanthenol topical
etilefrine
deslanoside
carbocromen
diazolidinylurea
dibenzepin
etofamide
guanoxan
halazepam
guanadrel sulfate
dapiprazole
soapwort
debrisoquine
l-tryptophan
chlormerodrin
chlorquinaldol
cetrimonium
carbocisteine
chlorcyclizine/codeine
technetium Tc-99m tetrofosmin
technetium Tc-99m disofenin
technetium Tc-99m gluceptate
technetium Tc-99m labeled red blood cells
amylmetacresol/dextromethorphan hydrobromide
anileridine phosphate
pyrethrins
pyrantel pamoate
quinagolide
spiramycin
standard hyperkalemic cardioplegia solution
technetium tc-99m mertiatide
technetium tc-99m medronate
bemotrizinol / bisoctrizole
benfotiamine
bemotrizinol + titanium dioxide + zinc oxide
technetium Tc-99m oxidronate
technetium Tc-99m pentetate
technetium Tc-99m pyrophosphate
benziodarone
octinoxate/bisoctrizole
bicisate dihydrochloride
technetium Tc-99m bicisate
norelgestromin/ethinyl estradiol
norgestimate/ethinyl estradiol
ximelagatran (investigational)
xamoterol
trioxsalen
poly-urea urethane
rilmenidine
pemirolast
oxitriptan
beclomethasone, intranasal
thimerosal
camphor gel
camphor
mumps virus vaccine, live
rubella virus vaccine, live
aluminum chloride (dental)
alum irrigation
framycetin, phenylephrine, and gramicidin
ombitasvir, paritaprevir, ritonavir, and dasabuvir
olipudase alfa
etonogestrel/ethinyl estradiol
mycophenolate
fluoroestradiol F 18
donor organ cardioplegia solution
fluciclovine F 18
fusidic acid (ophthalmic)
fusidic acid and hydrocortisone
framycetin, dexamethasone, and gramicidin
fludeoxyglucose F-18
fluorouracil/salicylic acid
indium In-111 oxyquinoline
indium In-111 pentetreotide
indium In-111 capromab pendetide
lusutrombopag
mitomycin (ophthalmic)
mifepristone and misoprostol
minoxidil (systemic)
methyl aminolevulinate (topical)
methyl folate, methylcobalamin, and acetylcysteine
ciclesonide/formoterol/tiotropium
nedocromil (Oral Inhalation)
batefenterol (Investigational)
neostigmine and glycopyrrolate
nepafenac ophthalmic
netupitant/palonosetron
meperidine and promethazine
mepivacaine and levonordefrin
maltodextrin
medical cannabis
medium chain triglycerides
mometasone/glycopyrrolate (glycopyrronium)/ indacaterol
moxifloxacin ophthalmic
neomycin/fluocinolone
nadroparin
iodine I-125 iothalamate
amikacin liposome (oral inhalation)
bupivacaine liposome
natamycin
lopinavir and ritonavir
lysine
macitentan and tadalafil
mitomycin pyelocalyceal
moclobemide
mometasone and indacaterol
efinaconazole
blue-green algae
indocyanine green
follitropin beta
lumasiran
glycerin/lidocaine
edrophonium/atropine
indigo carmine
lutropin alfa
instant glucose/intravenous dextrose
iobenguane I-123
ixekizumab
isosulfan blue dye
levofloxacin ophthalmic
levonorgestrel oral/ferrous bisglycinate/ ethinylestradiol
ethinyl estradiol/levonorgestrel transdermal
hydroquinone
hydroxypropyl methylcellulose
icodextrin
lipid emulsion (soybean, medium-chain triglyceride, olive, and fish oils; [SMOF])
iodinated I 125 albumin
iodinated I 131 albumin
lipid emulsion (plant oil-based)
levonorgestrel intrauterine
levonorgestrel oral/ethinyl estradiol
lactic acid and sodium-PCA
lactated Ringer solution
ketotifen (systemic)
lanolin
leuprolide and norethindrone
levodopa and benserazide
gonadorelin acetate
hemodialysis solutions
nirsevimab-alip
gentian violet
gallium ga-68 dotatate
fusidic acid and betamethasone
gallium citrate Ga-67
gadopentetate dimeglumine
gadofosveset
follitropin delta
follitropin alfa and lutropin alfa
follitropin alfa
rocatinlimab
grass pollens allergen extract
flotufolastat F18
fluorescein ophthalmic
barium
balanced salt solution
air polymer type A intrauterine device
clodronate
bentoquatam
clobetasone
alfacalcidol
citric acid/glucono-delta-lactone/magnesium carbonate
benzoin
desirudin
immune globulin IV (IGIV)
dequalinium
pseudoephedrine/desloratadine
clofedanol
cyproterone and ethinyl estradiol
dextranomer and hyaluronic acid or derivatives
diatrizoate meglumine and diatrizoate sodium
glucosamine sulfate, chondroitin sulfate and Msm
squill
gotu kola
blessed thistle
bitter melon
apraclonidine
chlophedianol/dexbrompheniramine/pseudoephedrine
wild jujube
chitosan
cilazapril/hydrochlorothiazide
dexbrompheniramine and phenylephrine
diethylene triamine penta-acetic acid
dexchlorpheniramine and pseudoephedrine
lily of the valley
diflucortolone
corydalis
lemon balm
MSM
calcium polystyrene sulfonate
caprylidene
peppermint oil
efavirenz/lamivudine/tenofovir DF
emtricitabine/tenofovir DF /efavirenz
dutasteride/tamsulosin
milk thistle
centaury
horseweed
lycopus
agrimony
alfalfa
kava
cetrorelix
cetylpyridinium
chlophedianol and dexbrompheniramine
betahistine
choline C-11
boric acid vaginal suppository
aluminum acetate
aluminum chloride hexahydrate
14-C urea breath test
absorbable collagen
valoctocogene roxaparvovec-rvox
amlodipine and celecoxib
aspirin and omeprazole
azilsartan and chlorthalidone
landiolol (Pending FDA approval)
isosorbide dinitrate/hydralazine
losartan/hydrochorothiazide
udenafil
dextromethorphan/quinidine
onasemnogene abeparvovec
orphenadrine/aspirin/caffeine
trace elements
sodium phenylbutyrate/ taurursodiol
fish oil triglycerides
infant formula
glutamine
chloroquine phosphate
afatinib
quinidine gluconate
methylergonovine
prothrombin complex concentrate, human
BCG intravesical live
capivasertib
cedazuridine
carbonyl iron
iron dextran complex
lovotibeglogene autotemcel (FDA Approval Pending)
sodium benzoate/sodium phenylacetate
mineral oil otic
zolmitriptan transdermal
midazolam intranasal
fosinopril/hydrochlorothiazide
caplacizumab
arginine
sodium phenylbutyrate
meloxicam/rizatriptan
manganese
acetaminophen/pamabrom/pyridoxine
varicella zoster immune globulin, human
amitriptyline/perphenazine
narsoplimab (Pending FDA Approval)
amlodipine/perindopril
imiglucerase
canagliflozin/metformin
tafamidis meglumine
somatrogon-ghla
glimepiride/rosiglitazone
becaplermin
lithium
loxapine inhaled
nicotine transdermal
tixagevimab and cilgavimab (Investigational)
muromonab CD3
ansuvimab
coal tar bath products
fibrin sealant
arimoclomol (FDA Approval Pending)
varenicline intranasal
aducanumab
oxycodone/naloxone
ritlecitinib
sodium polystyrene sulfonate
calcipotriene/betamethasone
calcium hydroxylapatite
cantharidin topical
doxepin cream
clocortolone
formaldehyde topical
sodium sulfide topical
collagenase
selegiline transdermal
foscarbidopa/foslevodopa (FDA approval pending)
saxagliptin/metformin
linagliptin/metformin
linzagolix (FDA approval pending)
efgartigimod/hyaluronidase SC
elamipretide (Pending FDA approval)
rozanolixizumab
diazoxide
glimepiride/pioglitazone
cipaglucosidase alfa
dihydroergotamine intranasal
delandistrogene moxeparvovec
beremagene geperpavec
hyaluronic acid and derivatives
hyaluronic acid, non-animal stabilized
eplontersen (FDA Approval Pending)
nitric oxide gas
sodium phenylbutyrate and taurursodiol
treprostinil SC
viltolarsen
albuterol/ipratropium
budesonide inhaled
budesonide rectal
palovarotene (FDA Approval Pending)
sodium sulfate/potassium chloride/magnesium sulfate/polyethylene glycol
amino acids mixture
aminobenzoate potassium
elivaldogene autotemcel
naproxen and sumatriptan
sumatriptan intranasal
alglucerase
metformin/rosiglitazone
ertugliflozin/metformin
elosulfase alfa
calcium carbonate/magnesium hydroxide
starch suppository
abicipar pegol (FDA Approval Pending)
riboflavin 5′-phosphate ophthalmic
povidone ophthalmic
glycerin oropharyngeal
dimethicone topical
menthol topical, dimethicone topical
pramoxine topical, menthol topical and dimethicone topical
phosphorated carbohydrate
brilliant blue G ophthalmic
brolucizumab intravitreal
purified water, ophthalmic
hydroxyethyl cellulose ophthalmic
ranibizumab intravitreal implant
sodium chloride hypertonic, ophthalmic 
cetirizine ophthalmic
phentolamine ophthalmic
ganciclovir ophthalmic
triamcinolone intravitreal
ocriplasmin intravitreal
atoltivimab/maftivimab/odesivimab
pegcetacoplan intravitreal
triamcinolone acetonide extended-release injectable suspension
tobramycin/loteprednol ophthalmic
2-octyl cyanoacrylate
vitamins A & D topical
diphenhydramine/allantoin topical
pyrethrins/piperonyl butoxide
lodoxamide ophthalmic
obeticholic acid
fluocinolone intravitreal implant
sincalide
linaclotide
nedocromil ophthalmic
cysteamine ophthalmic
avacincaptad pegol intravitreal
azelastine ophthalmic
bacitracin ophthalmic
propylene glycol ophthalmic
rimexolone ophthalmic
metoclopramide intranasal
mirikizumab
netarsudil ophthalmic
cenegermin
dexamethasone ophthalmic insert
prednisolone ophthalmic
phenylephrine and cocoa butter rectal
phenylephrine and witch hazel topical
phenylephrine, pramoxine, glycerin and petrolatum rectal
bisacodyl rectal
aluminum hydroxide/magnesium carbonate
aluminum hydroxide/magnesium hydroxide
hyoscyamine spray
methenamine/methylene blue/ hyoscyamine/ sodium phosphate monobasic/ phenyl salicylate
phenylephrine
chlorophyll
castor oil
cholic acid
phenol oropharyngeal
articaine/epinephrine
antithymocyte globulin equine
aluminum hydroxide/magnesium trisilicate
methenamine/hyoscyamine
hydrocortisone topical/pramoxine topical
sodium fluoride topical
mesna
C1 esterase inhibitor recombinant
menthol and pectin
menthol oropharyngeal
pectin oropharyngeal
gepirone
Goldenseal
polyethylene glycol and electrolytes
polyethylene glycol/electrolytes/sodium ascorbate/ascorbic acid
brompheniramine/pseudoephedrine/dextromethorphan
brompheniramine phenylephrine
acetaminophen/doxylamine/phenylephrine
doxylamine/acetaminophen/pseudoephedrine/dextromethorphan
acetaminophen/doxylamine/dextromethorphan
acetaminophen/doxylamine/dextromethorphan/phenylephrine
eslicarbazepine
fluticasone and salmeterol
codeine, acetaminophen, butalbital and caffeine
codeine, chlorpheniramine and phenylephrine
iodine
povidone iodine
butalbital/aspirin/caffeine/codeine
polyethylene glycol 400/propylene glycol ophthalmic 
pegvaliase
amivantamab
iopamidol
codeine and pseudoephedrine
emtricitabine, rilpivirine, tenofovir DF
penicillin G aqueous
miconazole topical
miconazole vaginal
ciprofloxacin inhaled (Pending FDA approval)
ceftazidime/avibactam
ceftolozane/tazobactam
aztreonam inhalation
amphotericin B cholesteryl sulfate
miconazole oral
elvitegravir/cobicistat/emtricitabine/tenofovir DF
isavuconazonium sulfate
dapivirine intravaginal (FDA Approval Pending)
lamivudine/raltegravir
codeine/triprolidine/pseudoephedrine
cadexomer iodine
brompheniramine/pseudoephedrine
codeine/acetaminophen
codeine/guaifenesin
beclomethasone inhaled
epoetin beta/methoxy polyethylene glycol
voreloxin(Orphan Drug)
rociletinib
pitcher plant
phosphatidylserine
telotristat ethyl
copper CU 64 dotatate
urea topical
exenatide subdermal implant
asenapine transdermal
ethiodized oil
urea oral
miglustat
acalisib(Investigational)
acetophenazine
guggul
aceneuramic acid
mestranol/norethindrone
reishi
lactitol
vonoprazan fumarate
motherwort
silver nitrate
salicylic acid/sulfur shampoo
salicylic acid topical
ketorolac ophthalmic
ketoconazole topical
Japanese encephalitis virus vaccine
dibucaine topical ointment
ketorolac intranasal
ketorolac/phenylephrine ophthalmic
rotavirus oral vaccine, live
guarana
hops
krill oil
salicylic acid/coal tar shampoo
sufentanil SL
pancrelipase
passion flower
pepdite one plus
nivolumab and relatlimab
relatlimab (Pending FDA Approval)
benzalkonium chloride/benzocaine
ketotifen, drug-eluting contact lens
calcitriol topical
oxymetazoline topical
alclometasone topical
capsaicin topical
diclofenac/misoprostol
diclofenac ophthalmic
diclofenac topical
pramoxine/calamine topical
veverimer
tolazoline
olopatadine ophthalmic
lutetium lu 177-dota-tate
lutetium lu 177 vipivotide tetraxetan
strontium 89 chloride
interferon alfa n3
lutetium Lu 177- Diethylenetriamine Pentaacetic acid-omburtamab (FDA Approval Pending)
samarium sm 153 lexidronam
cytomegalovirus immune globulin (CMV IG)
antithymocyte globulin rabbit
inolimomab (Pending FDA Approval)
olopatadine intranasal
olopatadine intranasal/mometasone, intranasal
benzocaine/butamben/tetracaine topical
antipyrine/benzocaine/phenylephrine
dyclonine/menthol
surufatinib
fruquintinib
tepotinib 
dostarlimab
hepatitis B immune globulin (HBIG)
remestemcel-L
benzocaine/menthol oropharyngeal
interferon beta 1b
tetracaine/oxymetazoline intranasal
benzocaine oropharyngeal
benzalkonium chloride/menthol/petrolatum topical
inamrinone
alpha 1 proteinase inhibitor
potassium bicarbonate/potassium citrate
potassium phosphate/sodium acid phosphate
asparaginase Erwinia chrysanthemi recombinant
motixafortide
pegloticase
etesevimab
Rho(D) immune globulin
tetanus immune globulin (TIG)
reltecimod (pending FDA approval)
avasopasem
trimethoprim/polymyxin B ophthalmic
naphazoline ophthalmic
sulfacetamide topical
sirolimus intravitreal (pending FDA approval)
sirolimus protein bound
sirolimus topical
glycopyrronium tosylate topical
sofpironium
olmesartan, amlodipine and hydrochlorothiazide
dovitinib (Pending FDA Approval)
epinephrine inhaled
quizartinib (Pending FDA Approval)
ranibizumab intravitreal injection
sodium hyaluronate
bacitracin and lidocaine topical
brimonidine topical
benzoyl peroxide and tretinoin topical
talquetamab
betrixaban
acetaminophen/caffeine/pyrilamine
fentanyl transmucosal
bacitracin topical
buprenorphine,long-acting injection
buprenorphine buccal
nalmefene intranasal
sulbactam/durlobactam
metronidazole topical 
daratumumab/hyaluronidase
glofitamab
rituximab-hyaluronidase
drospirenone/ethinyl estradiol/levomefolate
loncastuximab tesirine
ingenol mebutate topical
momelotinib
trastuzumab/deruxtecan
trastuzumab/hyaluronidase
trastuzumab duocarmazine
lifileucel
umbralisib
eflornithine/sulindac
cytarabine/daunorubicin liposomal
doxorubicin liposomal
epcoritamab
lanadelumab  
esomeprazole/naproxen 
terbinafine topical
ravulizumab
clotrimazole topical
choline magnesium trisalicylate
tacrolimus ointment
mechlorethamine topical
donislecel
pozelimab (Pending FDA Approval)
human rabies immune globulin (HRIG)
melphalan flufenamide
sintilimab (Pending FDA Approval)
oportuzumab monatox (Pending FDA Approval)
sotorasib
irinotecan liposomal
sulfur topical
silver sulfadiazine
capsaicin transdermal
sutimlimab
tretinoin topical
acetaminophen rectal
menthol topical
naftifine
oatmeal, colloidal topical
oxiconazole
methylsalicylate/menthol topical
C1 inhibitor human
lifitegrast ophthalmic
prednisolone/sulfacetamide ophthalmic
mannitol inhalation
ofloxacin otic
petrolatum & mineral oil topical
clascoterone topical
gefapixant (Pending FDA Approval)
colesevelam
technetium Tc 99m succimer
nebivolol/valsartan
ciprofloxacin/fluocinolone acetonide, otic
finafloxacin otic
magnesium hydroxide/mineral oil
phenylephrine/mineral oil/petrolatum rectal
carbamide peroxide oral
atropine ophthalmic
sodium sulfacetamide/sulfur
sulfacetamide ophthalmic
lucinactant
benzonatate
besifloxacin ophthalmic
benzhydrocodone/acetaminophen
beractant
trimagnesium citrate anhydrous
vitamin b2
carbamide peroxide otic
mineral oil topical
ethyl alcohol intranasal
boric acid/alcohol otic
absorbable gelatin compressed sponge, USP
absorbable gelatin sponge, USP
vincristine liposomal
technetium Tc 99m albumin aggregated injection
metaproterenol
budesonide inhaled/formoterol/glycopyrrolate inhaled
epinephrine racemic
umeclidinium bromide/vilanterol inhaled
indacaterol, inhaled/glycopyrrolate inhaled
betaine  
laronidase 
estrogens esterified/methyltestosterone            
cerliponase alfa
ertugliflozin/sitagliptin
hawthorn
shepherd’s purse
thiamine
naphazoline/glycerin ophthalmic
oxymetazoline ophthalmic
dorzolamide
dexamethasone intraocular
dexamethasone/ciprofloxacin
dexamethasone ophthalmic
metipranolol ophthalmic
timolol ophthalmic
boron
fezolinetant
pegunigalsidase alfa-iwxj
biotin
pantothenic acid
silicon
sodium acid phosphate
hypochlorous acid topical
methenamine/sodium acid phosphate
aviptadil 
bremelanotide
glucagon intranasal
metformin and repaglinide
bai ji
pau d’arco
juzentaihoto
mistletoe
quercetin
rosemary
sheng di huang
chasteberry
maitake
grapefruit
lentinan
juniper
nettle
parsley
rose hips
tongkat ali
horny goat weed
damiana
yohimbe
insulin NPH
aprocitentan
noni Juice
sodium iodide I-131
green tea
sea cucumber
wheat germ extract
fenofibrate micronized 
rogisen
danshen
lutein
witch hazel
dextroamphetamine transdermal
amphetamine/dextroamphetamine
hoodia
kolanut
boswellia
opuntia ficus indica
lavender
nadh
tea tree oil
metformin/sitagliptin 
dapagliflozin/ metformin/saxagliptin  
antihemophilic factor recombinant
inclisiran
bempedoic acid/ezetimibe
volanesorsen
omega 3 carboxylic acids
pericyazine
levomepromazine (methotrimeprazine)
betaxolol ophthalmic
respiratory syncytial virus vaccine, adjuvanted
phenylephrine hydrochloride and tropicamide ophthalmic
alirocumab
neomycin/polymyxin B/gramicidin ophthalmic
factor IX
gentamicin topical
ansofaxine (Pending FDA Approval)
zuranolone
factor IX, recombinant
factor IX complex
factor XIII A-subunit, recombinant
factor X, human
mesalamine rectal
etrasimod
anti-inhibitor coagulant complex
factor IX, recombinant/albumin fusion protein
fibrinogen, human
aminocaproic acid
metyrosine
nonoxynol-9 vaginal
progesterone intravaginal gel
ipecac syrup
botulinum antitoxin, heptavalent
pentetate calcium trisodium
crotalidae polyvalent immune FAB (ovine)
dehydrated alcohol injection
gold sodium thiomalate (Discontinued)
lactic acid/citric acid/potassium bitartrate vaginal
von Willebrand factor, recombinant
luspatercept
digoxin immune FAB (Antidote)
crotalidae immune FAB (equine)
magnesium (Antidote)
pyridoxine (Antidote)
edetate calcium disodium
albumin IV
nitroglycerin sublingual
obiltoxaximab
anthrax immune globulin
nitroglycerin topical
dextrose
nesiritide
estradiol vaginal
bazedoxifene/conjugated estrogens
botulism immune globulin iv
amoxicillin/omeprazole/rifabutin
synthetic human angiotensin II
nitroglycerin IV
nitroglycerin translingual
nitroprusside sodium
tetrahydrozoline/zinc sulfate/hypromellose ophthalmic
sodium citrate/citric acid
pemetrexate
methicillin
plasminogen 
acai
american ginseng
cordyceps
tramadol/acetaminophen
belladonna alkaloids/phenobarbital
erythromycin topical/benzoyl peroxide
glucosamine sulfate
panax ginseng (suppl/herb)
tolnaftate
sulopenem etzadroxil/probenecid
sulfur hexafluoride
sotrovimab
arbaclofen
rifampin/isoniazid
clindamycin /tretinoin topical
benzoyl peroxide/clindamycin topical
apremilast
antivenins, centuroides (scorpion)
bamlanivimab and etesevimab
vilobelimab
gadobenate
pentosan polysulfate sodium
methylsalicylate/menthol/camphor topical
antivenin, black widow spider
benzoyl peroxide and hydrocortisone
clindamycin topical
isometheptene, dichloralphenazone and acetaminophen
acetaminophen and phenyltoloxamine
erythromycin topical
erythromycin ophthalmic
alpha hydroxy acids, topical
buprenorphine transdermal
butalbital/acetaminophen/caffeine
buprenorphine/samidorphan
buprenorphine subdermal implant
celecoxib/tramadol
drospirenone/ethinyl estradiol
resorcinol/sulfur
eflornithine
rifampin/isoniazid/pyrazinamide
tofersen
devil’s claw
ticarcillin/clavulanate
atropine/pralidoxime
aprepitant
suramin
phenelzine
artichoke
american dogwood
attapulgite
atlantic cedar
axalimogene filolisbac
sodium thiosulfate & sodium nitrite
ataluren
omidubicel-onlv
capsicum
ginger
cryoprecipitate
bictegravir/emtricitabine/tenofovir DF
emtricitabine/tenofovir DF
fo-ti
siberian ginseng
granulocytes
zinc substituted heme C
zinc trihydroxide
ashwagandha 
cat’s claw
glandular products
SAMe
shark cartilage
altovis
feverfew
horse chestnut
magnesium aspartate
octacosanol
pleurisy root
star anise
butterbur
elderberry
licorice (Suppl/herb)
aconite
pentetate zinc trisodium
menthol topical/zinc oxide topical
corn-starch/kaolin/zinc oxide topical
5-htp
butcher’s broom
articulin
bearberry
goldenrod
progesterone, natural
black cohosh
wild yam
cranberry
dong quai
phytoestrogens
norethindrone
false Unicorn Root
raspberry Leaf
asafoetida
turmeric
dehydroepiandrosterone (DHEA)
hyaluronan
aliskiren/amlodipine
octreotide (Antidote)
tranexamic acid injection
duocal
neocate infant formula
pediatric Eo28
aloe
red clover
propolis
androstenedione
heartsease
comfrey
bilberry
chamomile
eyebright
calendula
sage
yucca
polypody
odevixibat
vinpocetine
olanzapine/samidorphan
creatine
yerba mate
spesolimab
azficel-T
tiludronate
estetrol and drospirenone
pseudoephedrine/fexofenadine
lincomycin
neomycin oral
fluocinolone acetonide, otic
tretinoin/ hydroquinone/ fluocinolone
halobetasol topical
hydrocortisone/iodoquinol
penicillin G procaine /penicillin G benzathine
hydrocortisone probutate topical
colistin/neomycin/hydrocortisone/thonzonium otic
ebola zaire vaccine
hepatitis a/b vaccine
vibegron
lindane
nystatin topical
respiratory syncytial virus (RSV) vaccine
chikungunya vaccine, live
tenecteplase
reteplase
anthrax vaccine adsorbed, adjuvanted
meningococcal ABCWY pentavalent vaccine
eculizumab
cholestyramine
tinzaparin
taurolidine/citrate/heparin
protein C concentrate
antithrombin alfa
antithrombin III
multivitamins, vision
ibuprofen/chlorpheniramine/pseudoephedrine
acetaminophen/ibuprofen
ibuprofen/pseudoephedrine
paclitaxel protein-bound
acetic acid vaginal
acetic acid otic
hydrocodone/ ibuprofen
methyl salicylate / isopropanol/ citronellyl acetate/ citric acid
ibuprofen and phenylephrine
acetylcysteine (Antidote)
iron/folic acid/vitamin/mineral
iobenguane I-131
dolutegravir/rilpivirine
chlorhexidine topical
chlorhexidine oral
thyroid desiccated
proparacaine ophthalmic
podophyllum resin
phendimetrazine
phenoxybenzamine
polidocanol
phentermine and topiramate
piflufolastat F18
piperacillin/tazobactam
prednisolone and gentamicin ophthalmic
promethazine and codeine
poractant alfa
protamine sulfate
aflibercept intravitreal
prednicarbate
promethazine/dextromethorphan
codeine, phenylephrine, and promethazine
potassium phosphate
glatiramer acetate
gentamicin (Ophthalmic)
leniolisib
rezafungin
fluorometholone
dalfampridine
hydrocortisone topical 
empagliflozin and linagliptin
triamcinolone topical
minocycline topical
minocycline dental
ketotifen ophthalmic
darunavir and cobicistat
lidocaine topical
neomycin/polymyxin B/bacitracin/lidocaine (OTC)
lidocaine/ hydrocortisone
lidocaine anesthetic
lidocaine ophthalmic
lidocaine/tetracaine
desonide
dabigatran
fexofenadine
fluoride
decitabine and cedazuridine
dasiglucagon
hydroxypropyl cellulose ophthalmic
epoetin alfa
ibritumomab tiuxetan
trimethobenzamide
dexamethasone/ tobramycin
tafasitamab
valacyclovir
mebendazole
levoleucovorin
flaxseed
germanium
glutathione
lycopene
pygeum
horseradish
ziv-aflibercept
micafungin
trofinetide
taliglucerase alfa
tildrakizumab
sulopenem (Pending FDA Approval)
thyrotropin alfa
birch
thrombin, topical
tivozanib
tafluprost
methohexital
urea and hydrocortisone
unoprostone ophthalmic
trihexyphenidyl
ezetimibe
evolocumab
trifluridine and tipiracil
methenamine
misoprostol
miltefosine
rimantadine
maralixibat
coenzyme Q10
chlorella
garlic
forskolin
zavegepant
menotropins
margetuximab
meprobamate
melarsoprol
evening primrose oil
lemongrass
molindone
fenugreek
phytosterols
red yeast rice
uridine triacetate
tropicamide
incobotulinumtoxinA
Grape Seed Extract
carbachol ophthalmic
cosyntropin
cyclopentolate and phenylephrine
carteolol ophthalmic
pentazocine/naloxone
pentazocine/acetaminophen
casimersen
carisoprodol, aspirin, and codeine
carisoprodol
carboprost tromethamine
flurandrenolide
brinzolamide/brimonidine
betamethasone topical
omaveloxolone
bardoxolone
allogeneic processed thymus tissue
fluocinolone topical
tacrolimus topical
ruxolitinib topical
pimecrolimus topical
sofosbuvir, velpatasvir and voxilaprevir
sofosbuvir/velpatasvir
mitotane
elbasvir/grazoprevir
wheat dextrin
vanadium
iron/folic acid/vitamin/mineral
molybdenum
sparsentan
velmanase alfa-tycv
pegcetacoplan
ferrous sulfate
cyclosporine ophthalmic
ferric pyrophosphate
ammonium lactate
etelcalcetide
iodoquinol
sucroferric oxyhydroxide
doxercalciferol
terconazole vaginal
cortisone
pyronaridine
tetrahydrozoline, ophthalmic
tenapanor
tesamorelin
benazepril/hydrochlorothiazide
nadolol and bendroflumethiazide
spironolactone and hydrochlorothiazide
COVID-19 Vaccine, mRNA
atosiban
bisoprolol and hydrochlorothiazide
ephedrine/guaifenesin
clonidine/chlorthalidone
captopril/hydrochlorothiazide
amlodipine/valsartan/hydrochlorothiazide
hydrochlorothiazide and irbesartan
candesartan/hydrochlorothiazide
ciclesonide intranasal
cromolyn sodium ophthalmic
methyldopa/hydrochlorothiazide
valsartan/hydrochlorothiazide
hydrochlorothiazide and triamterene
moexipril/hydrochlorothiazide
mometasone/intranasal
ofloxacin ophthalmic
cysteamine
metoprolol/hydrochlorothiazide
amlodipine/olmesartan
eprosartan/hydrochlorothiazide
amlodipine/telmisartan
hydrochlorothiazide/aliskiren
betamethasone/clotrimazole
telmisartan/hydrochlorothiazide
benazepril/amlodipine
bezlotoxumab
propranolol/hydrochlorothiazide
bupropion/naltrexone
burosumab
acetylcholine chloride intraocular solution
bupivacaine and meloxicam
budesonide and formoterol (inhalation)
valerian
entacapone/levodopa/carbidopa
carbidopa/levodopa
calaspargase pegol
cabotegravir
cefixime
calfactant
brinzolamide
daprodustat
brimonidine and timolol
brodalumab
buprenorphine and naloxone
hydrocortisone acetic acid otic
butorphanol
butoconazole
adapalene and benzoyl peroxide
acrivastine and pseudoephedrine
neomycin/polymyxin B/bacitracin topical
midodrine
baloxavir marboxil
bacitracin, neomycin, polymyxin B, and hydrocortisone topical
avatrombopag
glucagon
atenolol/chlorthalidone
adefovir
activated charcoal
avalglucosidase alfa
aclidinium and formoterol
iclaprim (Pending FDA Approval)
ampicillin/sulbactam
quinupristin/dalfopristin
lamivudine/zidovudine/abacavir
acetaminophen and caffeine
acetaminophen/pamabrom
abacavir and lamivudine
anifrolumab
elacestrant
anidulafungin
acetohydroxamic acid
alogliptin/pioglitazone
anthralin
pirtobrutinib
gabapentin
galsulfase
gadoterate meglumine
ferric gluconate
ferric derisomaltose
ethanolamine oleate
eteplirsen
vasopressin
desmopressin
meropenem/vaborbactam
ecallantide
econazole topical
dornase alfa
aspirin/dipyridamole
dipyridamole
difenoxin and atropine
diflorasone
difluprednate ophthalmic
eptinezumab
diethylpropion
dexchlorpheniramine
dexmethylphenidate
serdexmethylphenidate/dexmethylphenidate
bexagliflozin
galcanezumab
fremanezumab
tapinarof topical
darifenacin
dalbavancin
darbepoetin alfa
azilsartan
colestipol
corticorelin
crotamiton
crofelemer
allogeneic cultured keratinocytes/fibroblasts in bovine collagen
tapentadol
cyclopentolate
polymyxin B/bacitracin topical
tavaborole
tagraxofusp
crisaborole
crizanlizumab
satralizumab
spinosad
sacubitril/valsartan
sargramostim
sebelipase alfa
regadenoson
ribociclib/letrozole
ragweed allergen extract
radium-223 dichloride
secnidazole
setmelanotide
polycarbophil
plecanatide
sacituzumab govitecan
pertuzumab
pertuzumab/trastuzumab/hyaluronidase
pamidronate
halcinonide
glecaprevir/pibrentasvir
glucarpidase
golodirsen
dextrose (antidote)
hexaminolevulinate
iohexol
ferric citrate
elapegademase
emicizumab
erenumab
danaparoid
dantrolene
eflapegrastim
edaravone
amcinonide
carglumic acid
alcaftadine ophthalmic
agalsidase beta
afamelanotide
fosdenopterin
lidocaine and chlorhexidine
levorphanol
calcifediol
factor VIIa, recombinant
triheptanoin
peanut oral allergen powder
teprotumumab
poly-L-lactic acid/carboxymethylcellulose/mannitol
xenon Xe 129 hyperpolarized
ublituximab
anacaulase
glatiramer
peginterferon beta-1a
interferon beta-1a
onabotulinumtoxinA
cycloserine
ethionamide
cabotegravir and rilpivirine
vericiguat
omidenepag isopropyl
azelastine/fluticasone intranasal
benzyl peroxide
vutrisiran
brimonidine
testosterone topical
lenacapavir
tebentafusp
mosunetuzumab
faricimab
ganirelix
nadofaragene firadenovec
ozenoxacin
guaifenesin
adagrasib
guselkumab
adalimumab-aacf
nonoxynol-9
nifurtimox
nusinersen
nitazoxanide
mavacamten
calcipotriene
bimatoprost
obinutuzumab
amifostine
oxycodone/aspirin
oxycodone/ibuprofen
oteseconazole
oxychlorosene
porfimer
pramoxine /hydrocortisone topical
podofilox
quinapril/hydrochlorothiazide
acetaminophen/pamabrom/pyrilamine
levobunolol
paregoric
idursulfase
lesinurad and allopurinol
latanoprost/netarsudil ophthalmic
lactase enzyme
bioadherent oral
latanoprost and timolol
latanoprostene bunod
ledipasvir/sofosbuvir
imipenem/cilastatin/relebactam
imipenem/cilastatin
hemin
deucravacitinib
house dust mite allergen extract
halobetasol topical/tazarotene
remimazolam
somatropin
remifentanil
ethotoin
etidronate
empagliflozin, linagliptin, and metformin
elvitegravir/cobicistat/emtricitabine/tenofovir AF
empagliflozin/metformin
evinacumab
finasteride and tadalafil
flortaucipir (18F)
proparacaine/ fluorescein ophthalmic
fluorescein/benoxinate ophthalmic
fluphenazine
alogliptin/metformin
alogliptin/pioglitazone
alitretinoin topical
dextrose/ sodium citrate/fructose
dasabuvir
ombitasvir/paritaprevir/ritonavir
hydrocodone/chlorpheniramine/pseudoephedrine
hydroxyamphetamine/tropicamide
acamprosate
gadobutrol
teclistamab
tremelimumab
futibatinib
etranacogene dezaparvovec
olutasidenib
naproxen and diphenhydramine
naratriptan
gadopiclenol
gadoxetate
gadoversetamide
naphazoline/pheniramine
naphazoline
nalbuphine
vosoritide
vitamin K1 (phytonadione)
moxidectin
basiliximab
fecal microbiota, live-jslm
ibuprofen/famotidine
famotidine
raxibacumab
omalizumab
measles, mumps, rubella, and varicella vaccine, live 
senna/docusate
dinoprostone
measles mumps and rubella vaccine, live
immune globulin IM (IGIM)
dyclonine
doravirine, lamivudine, and tenofovir disoproxil fumarate
elexacaftor/tezacaftor/ivacaftor
ivacaftor/tezacaftor
treosulfan
tranexamic acid
norethindrone acetate/estradiol/elagolix
artesunate
trientine
trifarotene
ziconotide
vonoprazan/amoxicillin/clarithromycin
pyrithione zinc
zinc oxide topical
naphazoline/zinc sulfate/glycerin ophthalmic
voretigene neparvovec
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bebetelovimab
sodium chloride
relugolix/estradiol/norethindrone
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haemophilus influenzae type b vaccine/hepatitis b vaccine
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acetaminophen/doxylamine/dextromethorphan +

benzylpenicilloyl polylysine

may decrease the diagnostic effect of Antihistamines

buprenorphine

may increase the CNS depressant effect CNS Depressants

chlormethiazole

may increase the CNS depressant effect CNS Depressants

clozapine

may increase the constipating effect of Anticholinergic Agents

dasatinib

may increase the CNS depressant effect CNS Depressants

dexmedetomidine

may increase the CNS depressant effect CNS Depressants

droperidol

may increase the CNS depressant effect CNS Depressants

hydroxyzine

may increase the CNS depressant effect CNS Depressants

lemborexant

may increase the CNS depressant effect CNS Depressants

remifentanil

may increase the CNS depressant effect CNS Depressants

hydrocodone/pseudoephedrine

may increase the CNS depressant effect CNS Depressants

codeine

may increase the CNS depressant effect CNS Depressants

morphine

may increase the CNS depressant effect CNS Depressants

ropeginterferon alfa 2b

may increase the CNS depressant effect CNS Depressants

sertraline

may increase the serotonergic effect when combined

trazodone

may increase the serotonergic effect when combined

vilazodone

may increase the serotonergic effect when combined

vortioxetine

may increase the serotonergic effect when combined

citalopram

may increase the serotonergic effect when combined

suvorexant

may increase the CNS depressant effect CNS Depressants

respiratory syncytial virus vaccine, adjuvanted

may decrease the therapeutic effect of acetaminophen

respiratory syncytial virus (RSV) vaccine

may decrease the therapeutic effect of acetaminophen

poliovirus vaccine, live, trivalent

may decrease the therapeutic effect of acetaminophen

poliovirus vaccine inactivated

may decrease the therapeutic effect of acetaminophen

zolpidem

may increase the CNS depressant effect CNS Depressants

bromeperidol

may increase the CNS depressant effect CNS Depressants

disulfiram

may increase the anticholinergic effect of Anticholinergic Agents

flunarizine

may increase the CNS depressant effect CNS Depressants

glycopyrrolate

may increase the anticholinergic effect of Anticholinergic Agents

methotrimeprazine

may increase the adverse effect when combined

tranylcypromine

may increase the serotonergic effect of dextromethorphan

isocarboxazid

may increase the serotonergic effect of dextromethorphan

phenelzine

may increase the serotonergic effect of dextromethorphan

rasagiline

may increase the serotonergic effect of dextromethorphan

safinamide

may increase the serotonergic effect of dextromethorphan

orphenadrine

may increase the CNS depressant effect CNS Depressants

paraldehyde

may increase the CNS depressant effect CNS Depressants

revefenacin

may increase the anticholinergic effect of Anticholinergic Agents

donepezil (Rx)

may decrease the therapeutic effect of Anticholinergic Agents

prabotulinumtoxinA

may decrease the therapeutic effect of Anticholinergic Agents

alizapride

may increase the CNS depressant effect of CNS Depressants

neostigmine

may increase the adverse effect of other Anticholinergic Agents

isoflurophate

may increase the adverse effect of other Anticholinergic Agents

memantine/donepezil

may increase the adverse effect of other Anticholinergic Agents

donepezil (Rx)

may increase the adverse effect of other Anticholinergic Agents

donepezil transdermal

may increase the adverse effect of other Anticholinergic Agents

diphenoxylate/atropine

may increase the CNS depressant effect of Doxylamine

phenobarbital

may increase the CNS depressant effect of Doxylamine

diazepam

may increase the CNS depressant effect of Doxylamine

methadone

may increase the CNS depressant effect of Doxylamine

secobarbital

may increase the CNS depressant effect of Doxylamine

curcumin

may enhance the serum concentration when combined

abiraterone

may enhance the serum concentration when combined

mibefradil

may enhance the serum concentration when combined

diacerein

may enhance the serum concentration when combined

tranylcypromine

may enhance the serum concentration when combined

fecal microbiota, live-jslm

may decrease the therapeutic effect of anticholinergic Agents

vedolizumab

may decrease the therapeutic effect of anticholinergic Agents

adalimumab

may decrease the therapeutic effect of anticholinergic Agents

natalizumab

may decrease the therapeutic effect of anticholinergic Agents

bismuth subgallate

may decrease the therapeutic effect of anticholinergic Agents

pembrolizumab

may decrease the therapeutic effect when combined.

nivolumab

may decrease the therapeutic effect when combined.

abatacept

may decrease the therapeutic effect when combined.

levodopa inhaled

may enhance the toxic effect of Methemoglobinemia Associated Agents

bupivacaine

may enhance the toxic effect of Methemoglobinemia Associated Agents

levobupivacaine

may enhance the toxic effect of Methemoglobinemia Associated Agents

lidocaine

may enhance the toxic effect of Methemoglobinemia Associated Agents

procaine benzylpenicillin

may enhance the toxic effect of Methemoglobinemia Associated Agents

brompheniramine phenylephrine

may enhance the serum concentration when combined

perampanel

may enhance the metabolism when combined

Dosage Forms & Strengths

acetaminophen/doxylamine/dextromethorphan

Liquid

(650mg/12.5mg/30mg)/30mL

(500mg/6.25mg/15mg)/15mL

(650mg/7.5mg/30mg)/30mL

(325mg/6.25mg/15mg)/15mL

Liquid capsule

325mg/6.25mg/15mg

Pain

Indicated for Sore Throat, Fever, Minor Aches, Cough, Rhinorrhea, Headache & Pains
:

Administer 1 to 2 Tablespoons (15 to 30mL) orally four times a day;
Do not exceed the total dose of 4 g/day acetaminophen and 120 mg/day dextromethorphan
Administer 2 capsules orally four times a day
Do not exceed 8 capsules/day

Dosage Forms & Strengths

acetaminophen/doxylamine/dextromethorphan

Liquid

(650mg/12.5mg/30mg)/30mL

(500mg/6.25mg/15mg)/15mL

(650mg/7.5mg/30mg)/30mL

(325mg/6.25mg/15mg)/15mL

Liquid capsule

325mg/6.25mg/15mg

Pain

Indicated for Sore Throat, Fever, Minor Aches, Cough, Rhinorrhea, Headache & Pains
:

<12 years: Consult the pediatrician.
>12 years: Administer 2 Tablespoons (30mL) orally four times a day Do not exceed 120ml/day
Administer 2 capsules orally four times a day
Do not exceed 8 capsules/day

Refer adult dosing

Frequency not defined

Laryngeal edema

Drowsiness

Urticaria

Dry mouth, throat, and nose

Leukopenia

Pancytopenia

Thrombocytopenia

Angioedema

Dizziness

Pruritic maculopapular rash

Agranulocytosis

Neutropenia

Black box warning:

None

Contraindications/caution:

Contraindications:

Hypersensitivity
Monoamine oxidase inhibitors: dextromethorphan should be avoided in individuals taking or already taking monoamine oxidase inhibitors (MAOIs) within the past 14 days.

Caution:

acetaminophen:

Maximum Daily Dose: acetaminophen can cause liver damage if taken in excessive doses.
Alcohol Consumption: Consumption of alcohol while taking acetaminophen may increase the risk of liver damage.

doxylamine:

Sedation and Impairment: doxylamine can cause drowsiness and impair your ability to perform tasks that require alertness, such as driving or operating machinery.
Use in Elderly: Elderly individuals may be more susceptible to the sedative effects of doxylamine

dextromethorphan:

Interaction with MAOIs: dextromethorphan should not be used in individuals taking or taking monoamine oxidase inhibitors (MAOIs) within the past 14 days.

Pregnancy consideration: Insufficient data available

Lactation: Excretion of the drug in human breast milk is known

Pregnancy category:

Category A: well-controlled and Satisfactory studies show no risk to the fetus in the first or later trimester.

Category B: there was no evidence of risk to the fetus in animal studies, and there were not enough studies on pregnant women.

Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   

Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.   

Category X: Drugs listed in this category outweigh the risks over benefits. Hence these categories of drugs need to be avoided by pregnant women.   

Category N: There is no data available for the drug under this category

Pharmacology:

acetaminophen works by inhibiting the synthesis of prostaglandins, substances involved in pain and fever. It primarily acts on the central nervous system (CNS) and has minimal anti-inflammatory effects.
doxylamine is a first-generation antihistamine that competitively antagonizes histamine at H1 receptors. By blocking the effects of histamine, doxylamine helps alleviate symptoms such as sneezing, itching, runny nose, and watery eyes.
dextromethorphan is a cough suppressant that acts centrally in the brain to inhibit the cough reflex. It is believed to work by binding to and inhibiting NMDA and sigma-1 receptors and influencing serotonin and opioid receptors.

Pharmacokinetics:

Absorption

After oral administration, acetaminophen/doxylamine/dextromethorphan is readily absorbed from the gastrointestinal tract.

Distribution

acetaminophen/doxylamine/dextromethorphan is widely distributed throughout the body, including the central nervous system.

Metabolism

acetaminophen is primarily metabolized in the liver via microsomal enzyme systems. It undergoes conjugation with glucuronic and sulfuric acids to form inactive metabolites. doxylamine undergoes hepatic metabolism through various pathways, including N-demethylation and hydroxylation. dextromethorphan undergoes extensive hepatic metabolism, primarily via cytochrome P450 enzymes, particularly CYP2D6. It is metabolized to dextrorphan, which has additional activity as an NMDA receptor antagonist.

Elimination and Excretion

acetaminophen/doxylamine/dextromethorphan and its metabolites are mainly excreted in the urine, primarily as glucuronide and sulfate conjugates.

Administration:

acetaminophen/doxylamine/dextromethorphan is available in various forms, including tablets, capsules, liquid suspension, and chewable tablets. It is usually taken orally with a full glass of water.

Patient information leaflet

Generic Name: acetaminophen/doxylamine/dextromethorphan

Why do we use acetaminophen/doxylamine/dextromethorphan?

acetaminophen, doxylamine, and dextromethorphan are commonly combined in over-the-counter medications to relieve various symptoms associated with cold, flu, and cough.

acetaminophen:

Pain Relief: acetaminophen is commonly used to relieve mild to moderate pain, including headaches, muscle aches, toothaches, and menstrual cramps.
Fever Reduction: acetaminophen effectively reduces fever, making it helpful in managing febrile conditions.

doxylamine:

Antihistamine: doxylamine is an antihistamine that is often used for the relief of symptoms associated with allergies, such as sneezing, itching, runny nose, and watery eyes. It can also help with nasal congestion and post-nasal drip.

dextromethorphan:

Cough Suppression: dextromethorphan is a cough suppressant that helps reduce coughing.

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