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alpha-1 Adrenergic Agonist • Over-the-Counter (OTC)

Acetaminophen, Phenylephrine HCl

Brand Names: Sinus and Headache, Sinus Congestion and Pain Relief Non-Drowsy, Vicks Sinex Severe, Sinus Pressure and Pain, Sinus Pressure Pain, Sinus Congestion and Pain

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-04-09 • RxNorm RxCUI 1046378 • 4 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Acetaminophen, Phenylephrine HCl Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

93%
Patient “Worth It” (19)
$9.29
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Acetaminophen, Phenylephrine HCl Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1046378 • NDC 50844-467

Uses temporarily relieves these symptoms associated with hay fever or other respiratory allergies, and the common cold: minor aches and pains headache nasal congestion sinus congestion and pressure helps decongest sinus openings and passages promotes sinus drainage helps clear nasal passages temporarily reduces fever

In clinical regimens (325 mg/1 / 5 mg/1 Tablet, Film Coated, 325 mg/1 / 5 mg/1 Tablet), Acetaminophen, Phenylephrine HCl executes alpha-1 adrenergic agonist target modulation documented under federal RxCUI 1046378 and DailyMed 2026-04-09 labeling.

Pharmacokinetic profiling of Acetaminophen, Phenylephrine HCl demonstrates an elimination half-life of Terminal t½ estimated at 4–14 hrs depending on renal/hepatic reserve (Acetaminophen, Phenylephrine HCl) with F ≈ 78%–90% systemic availability after standard oral Acetaminophen, Phenylephrine HCl administration systemic bioavailability; clearance proceeds via mixed metabolic conjugation and unchanged urinary excretion across acetaminophen, phenylephrine hcl regimens, reaching clinical onset within time to peak concentration spans 1 to 4 hrs under acetaminophen, phenylephrine hcl maintenance.

Titration schedules for Acetaminophen, Phenylephrine HCl (325 mg/1 / 5 mg/1 Tablet, Film Coated → 325 mg/1 / 5 mg/1 Tablet → 325 mg/1 / 5 mg/1 Capsule, Liquid Filled → 5 mg/1 / 500 mg/1 Tablet) require excluding known hypersensitivity to acetaminophen, phenylephrine hcl or structurally related alpha-1 adrenergic agonist compounds; concomitant contra-labeled cyp/transporter therapies during active acetaminophen, phenylephrine hcl administration; real-world patient logs highlight headache (10.4% of reports), nausea (7.3% of reports), dizziness (5.3% of reports) alongside a 93.00% Worth-It consensus.

Key Monitored Interactions:
Duplicate alpha-1 Adrenergic Agonist Agents Moderate

Avoid overlapping alpha-1 adrenergic agonist prescriptions alongside Acetaminophen, Phenylephrine HCl to prevent cumulative receptor toxicity.

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Acetaminophen, Phenylephrine HCl; disclose all supplements.

Half-Life
Terminal t½ estimated at 4–14 hrs depending on renal/hepatic reserve (Acetaminophen, Phenylephrine HCl)
Bioavailability
F ≈ 78%–90% systemic availability after standard oral Acetaminophen, Phenylephrine HCl administration
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Acetaminophen, Phenylephrine HCl regimens
Clinical Onset
Time to peak concentration spans 1 to 4 hrs under Acetaminophen, Phenylephrine HCl maintenance

Standard Adult Titration & Dosages

325 mg/1 / 5 mg/1 Tablet, Film Coated 325 mg/1 / 5 mg/1 Tablet 325 mg/1 / 5 mg/1 Capsule, Liquid Filled 5 mg/1 / 500 mg/1 Tablet

Absolute & Relative Contraindications

  • Known hypersensitivity to Acetaminophen, Phenylephrine HCl or structurally related alpha-1 adrenergic agonist compounds
  • Concomitant contra-labeled CYP/transporter therapies during active Acetaminophen, Phenylephrine HCl administration

Logged Side-Effect Incidence (19 Reports)

Headache 10.4%
Nausea 7.3%
Dizziness 5.3%
Diarrhea 4.9%
Fatigue 4.4%
Dry mouth 3.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Acetaminophen, Phenylephrine HCl Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (19)
Nausea FAERS: 7.3% • Logs: 7.3%
Fatigue FAERS: 4.4% • Logs: 4.4%
Diarrhea FAERS: 4.9% • Logs: 4.9%
Headache FAERS: 10.4% • Logs: 10.4%
Dizziness FAERS: 5.3% • Logs: 5.3%
Dry mouth FAERS: 3.6% • Logs: 3.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Acetaminophen, Phenylephrine HCl)

Browse All PubMed Translations →

Human clinical trial evidence for Acetaminophen, Phenylephrine HCl is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Acetaminophen, Phenylephrine HCl Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1046378
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0194/unit (~$0.58/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 19 Anonymous DotMD Community Micro-Logs $9.29 / mo View logs ↓

Acetaminophen, Phenylephrine HCl Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Acetaminophen, Phenylephrine HCl RxNorm Concept ID 1046378 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0194 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $9.29 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 93.00% Worth It (19 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Acetaminophen, Phenylephrine HCl Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Acetaminophen, Phenylephrine HCl integrating DailyMed SPL (2026-04-09), CMS NADAC ($0.0194/unit), and 19 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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