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Antihistamine • Over-the-Counter (OTC)

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide)

Brand Names: Cold Flu

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-03-20 • RxNorm RxCUI 2604561 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
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

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Key Takeaways

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

92%
Patient “Worth It” (13)
$9.90
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

Ask our AI Specialists anything about Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide)

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Dr. Vance (AI Pharmacology & Interaction Agent)

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2604561 • NDC 42507-532

Marketed under the trade name Cold Flu (registered by HyVee Inc, RxNorm 2604561), this over-the-counter branded formulation contains Acetaminophen, Dextromethorphan Hydrobromide within the Antihistamine therapeutic class. Per 2026-03-20 DailyMed labeling (42507-532, 42507-598), clinical use centers on Kit; 325 mg/15mL / 10 mg/15mL Solution: Uses ; temporarily relieves common cold/flu symptoms: ; cough due to minor throat and bronchial irritation ; sore throat.

At the receptor and enzymatic level, Cold Flu delivers Acetaminophen, Dextromethorphan Hydrobromide to execute antihistamine modulation with class-characteristic hepatorenal disposition. Specific to the Cold Flu commercial product (NDC 42507-532, 42507-598, RxCUI 2604561), tablet/vehicle compounding registered by HyVee Inc standardizes delivery across Kit; 325 mg/15mL / 10 mg/15mL Solution, contrasting $9.90 discount cash access against $34.50 walk-in retail pricing.

Systemic exposure to Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) reflects Approximately 49% to 61% enteral uptake across labeled Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) strengths absorption kinetics and predominantly hepatic biotransformation with renal elimination of polar cold flu (acetaminophen, dextromethorphan hydrobromide) conjugates, sustaining receptor engagement across a Steady-state plasma equilibrium reached over 3–12 hour t½ intervals for Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) half-life window (maximum serum exposure occurs 2–4 hours after cold flu (acetaminophen, dextromethorphan hydrobromide) dosing response profile).

Dosing protocols (Kit or 325 mg/15mL / 10 mg/15mL Solution) balance efficacy (92.00% patient satisfaction across 13 logs) against headache (8.5% of reports), nausea (7.5% of reports), dizziness (6.5% of reports), with strict avoidance in confirmed ige-mediated allergy or cutaneous reaction to cold flu (acetaminophen, dextromethorphan hydrobromide) (acetaminophen, dextromethorphan hydrobromide) components; uncompensated hepatic or renal insufficiency incompatible with cold flu (acetaminophen, dextromethorphan hydrobromide) (kit) clearance.

Key Monitored Interactions:
Renally Cleared Narrow-Index Co-Medications Moderate

Reconcile eGFR-adjusted medications before escalating Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) in polypharmacy regimens.

High-Dose Botanical & Nutraceutical Extracts Minor

Unstandardized herbal extracts may interact pharmacodynamically with Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) maintenance therapy.

Half-Life
Steady-state plasma equilibrium reached over 3–12 hour t½ intervals for Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide)
Bioavailability
Approximately 49% to 61% enteral uptake across labeled Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) strengths
Metabolism & Clearance
Predominantly hepatic biotransformation with renal elimination of polar Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) conjugates
Clinical Onset
Maximum serum exposure occurs 2–4 hours after Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) dosing

Standard Adult Titration & Dosages

Kit 325 mg/15mL / 10 mg/15mL Solution

Absolute & Relative Contraindications

  • Confirmed IgE-mediated allergy or cutaneous reaction to Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) (Acetaminophen, Dextromethorphan Hydrobromide) components
  • Uncompensated hepatic or renal insufficiency incompatible with Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) (Kit) clearance

Logged Side-Effect Incidence (13 Reports)

Headache 8.5%
Nausea 7.5%
Dizziness 6.5%
Fatigue 6.1%
Cough 5.5%
Application-site irritation 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (13)
Cough FAERS: 5.5% • Logs: 5.5%
Nausea FAERS: 7.5% • Logs: 7.5%
Fatigue FAERS: 6.1% • Logs: 6.1%
Headache FAERS: 8.5% • Logs: 8.5%
Dizziness FAERS: 6.5% • Logs: 6.5%
Application-site irritation FAERS: 4.6% • Logs: 4.6%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide))

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Check Your Medicine Cabinet: HAIFA SMOKED FISH Recalls Cold Smoked Sprats Due to Potential Health Risk

HAIFA SMOKED FISH of QUEENS NY is recalling approximately 560 lbs. of Cold Smoked Sprats, due to potential contamination with Clostridium botulinum, a bacterium which can cause life-threatening illness. Consumers are warned not to use the product even if it do

FDA Drug Recalls • 2026-10-27 • FDA Recall
Multi-cohort 95/100 PMID FDA_RECALLS-1160800238 ↗
New Insights on Benefits and safety of intranasal bencycloquidium bromide in nasal symptoms of: What a 480-Participant Study Found

BCQB nasal spray is effective and safe for treating rhinorrhea, nasal congestion and sneezing associated with common cold.

QJM : monthly journal of the Association of Physicians • 2026-06-01 • Phase III Randomized Trial
N = 480 93/100 PMID 41476148 ↗
New Insights on Benefits and safety of AP-Bio®(KalmCold®) in participants with uncomplicated: What a 331-Participant Study Found

Participants in both the AP-Bio® dose groups showed positive tendency towards resolution of URTI symptoms when compared with placebo on Day-3 but not on Day-5 and Day-7.

Complementary therapies in medicine • 2023-05-15 • Phase III Randomized Trial
N = 331 93/100 PMID 36842634 ↗
Managing Cold agglutinin disease: Can Sutimlimab Make a Real Difference? (What New Research Reveals)

These data demonstrate that sutimlimab has potential to be an important advancement in the treatment of CAD.

Blood • 2022-09-01 • Phase III Randomized Trial
N = 22 88/100 PMID 35687757 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2604561
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 13 Anonymous DotMD Community Micro-Logs $9.90 / mo View logs ↓

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) RxNorm Concept ID 2604561 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 $9.90 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 92.00% Worth It (13 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) Patient Community, Cohort Filters & Dosage Logs

Cross-verified Cold Flu (Acetaminophen, Dextromethorphan Hydrobromide) (antihistamine) monograph synthesizing RxNorm 2604561, openFDA FAERS signals, and $9.90–$34.50 cash benchmarks.

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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