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"ANTIHISTAMINE, DECONGESTANT & COUGH SUPPRESSANT"

Recommended Brands: Click on medication for a dosing chart!

With a fever reducer:

When to use:
Frequent cough, runny nose, nasal congestion, chest congestion.

I only use a combination medication like this if my child's symptoms are interfering with sleep, eating or if they are generally miserable with congestion. The antihistamine and decongestant combination will temporarily relieve most symptoms of the common cold. It opens up nasal congestion and dries up nasal secretions. It also helps reduce cough caused by secretions running down the throat. The Dextromethorphan (DM for short) is the cough suppressant part of these medications. It will offer temporary relief to that nagging cough caused by a "tickle" in the throat. The combination of DM and the other ingredients will usually help your child get some much-needed rest for a few hours. The Acetaminophen in some of these cold medications will help relieve the aches and fever that your child may have. If you are using this combination cold medication but still need to do more for the fever, then a dose of Ibuprofen (Motrin or Advil) would be okay to give. Click for a detailed discussion on Acetaminophen, Ibuprofen or Fever.

DR. SEARS HELPFUL TIP FOR TREATING COLDS

When I give my children cold medications, I have found that the nasal passages can become too dry, that's why it is important to use saline nasal spray throughout the day and a humidifier in the bedroom at night (see natural cold treatments).

Safety/Side effects:
These cold medications are safe to use in children six months old and above (the chewable tabs are okay for two years and up). The sedative effects of the antihistamine usually overcome the revving-up effects of the decongestant to produce an overall "calming" effect, which will help your child sleep. Occasionally, the antihistamine has the opposite effect, which may lead to some missed sleep but is not dangerous. Uncommon side effects are headache, upset stomach and dizziness. If your child has a history of seizures, high blood pressure, heart disease, thyroid disease or is taking medications for any of these conditions, consult your doctor before taking cold medications. If your child has Croup, do not use these medications because of its drying effect.

Dosing charts:

Vick's Children's Nyquil

Ingredients: per 15ml (3tsp)

  • Chlorpheniramine maleate 2mg (antihistamine)
  • Pseudoephedrine HCL 30mg (decongestant)
  • Dextromethorphan HBr 15mg (cough suppressant)

All doses are every 6 hours

Under six months Not recommended
6-11 months (17-21lbs) 1 tsp (5ml)
12-23 months (22-27lbs) 1 1/4 tsp (6.25ml)
2-5 years (28-47lbs) 1 1/2 tsp (7.5ml)
6-11 years (48-95lbs) 3 tsp (15ml)
12 years and up (>95lbs) 2 Tablespoon (30ml)

Ingredients: per 15ml (3tsp)

  • Chlorpheniramine maleate 2mg (antihistamine)
  • Pseudoephedrine HCL 30mg (decongestant)
  • Dextromethorphan HBr 15mg (cough suppressant)

All doses are every 6 hours

Under six months Not recommended
6-11 months (17-21lbs) 1 tsp (5ml)
12-23 months (22-27lbs) 1 1/4 tsp (6.25ml)
2-5 years (28-47lbs) 1 1/2 tsp (7.5ml)
6-11 years (48-95lbs) 3 tsp (15ml)
12 years and up (>95lbs) 2 Tablespoon (30ml)

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 7.5mg (cough suppressant)

<6 months(<14lbs) Not recommended
6-11 months (14-17lbs) 1.25 ml (1/4 tsp) every 6 hours
12-23 months (18-23lbs) 2.5 ml (1/2 tsp) every 6 hours
2-6 years (24-47lbs) 5 ml (1 tsp) every 6 hours
6-12 years (48-95lbs) 10ml (2 tsp) every 6 hours
>12 years(>95lbs) 20ml (4 tsp) every 6 hours

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 7.5mg (cough suppressant)

<6 months (>14lbs) Not recommended
6-11 months (14-17lbs) 1.25 ml (1/4 tsp) every 6 hours
12-23 months (18-23lbs) 2.5 ml (1/2 tsp) every 6 hours
2-6 years (24-47lbs) 5 ml (1 tsp) every 6 hours
6-12 years (48-95lbs) 10ml (2 tsp) every 6 hours
>12 years (>95lbs) 20ml (4 tsp) every 6 hours

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 5mg (cough suppressant)

Doses are every 4-6 hours, max 4 doses/day

<6 months (>14lbs) Not recommended
6-11 months (14-17lbs) 1.25ml (1/4 tsp) every 4-6 hours
12-23 months (18-23lbs) 2.5ml (1/2 tsp) every 4-6 hours
2-3 years (24-35lbs) 5ml (1 tsp) every 4-6 hours
4-5 years (36-47lbs) 7.5ml (1 1/2 tsp) every 4-6 hours
6-8 years (48-59lbs) 10ml (2 tsp) every 4-6 hours
9-10 years (60-71lbs) 12.5ml (2 1/2 tsp) every 4-6 hours
11 years (72-95lbs) 15ml (3tsp) every 4-6 hours
>12 years (>95lbs) 20ml (4 tsp) every 4-6 hours

Ingredients: per tablet

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 5mg (cough suppressant)

Doses are every 4-6 hours, max 4 doses/day

Under two years Not recommended (choking hazard)
2-3 years (24-35lbs) 1 tablet every 4-6 hours
4-5 years (36-47lbs) 1 1/2 tablet every 4-6 hours
6-8 years (48-59lbs) 2 tablets every 4-6 hours
9-10 years (60-71lbs) 2 1/2 tablets every 4-6 hours
11 years (72-95lbs) 3 tablets every 4-6 hours
>12 years(>95lbs) 4 tablets every 4-6 hours

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 7.5mg (cough suppressant)

Note: This combination is safe to use in children six months old, however, this particular brand does not recommend it for under two years in the package insert. The other brands listed for this combination of ingredients will give a dose for down to six months, perhaps you should use one of these brands instead.

Doses are every 6-8 hours

Under 2 years Use alternate brand or consult physician
2-3 years (24-35lbs) 5ml (1 tsp) every 6-8 hours
4-5 years (36-47lbs) 7.5ml (1 1/2 tsp) every 6-8 hours
6-8 years (48-59lbs) 10ml (2 tsp) every 6-8 hours
9-10 years (60-71lbs) 12.5ml (2 1/2 tsp) every 6-8 hours
11 years (72-95lbs) 15ml (3tsp) every 6-8 hours
12 years andup(>95lbs) 20ml (4 tsp) every 6-8 hours

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 7.5mg (cough suppressant)
  • Acetaminophen 160mg (fever reducer)

Doses are every 4-6 hours, max 4 doses/day

<6months (<14lbs) Not recommended
6-11 months (12-17lbs) 2.5ml (1/2 tsp) every 4-6 hours
12-23 months (18-23lbs) 3.75ml (3/4 tsp) every 4-6 hours
2-3 years (24-35lbs) 5ml (1 tsp) every 4-6 hours
4-5 years (36-47lbs) 7.5ml (1 1/2 tsp) every 4-6 hours
6-8 years (48-59lbs) 10ml (2 tsp) every 4-6 hours
9-10 years (60-71lbs) 12.5ml (2 1/2 tsp) every 4-6 hours
11 years (72-95lbs) 15ml (3tsp) every 4-6 hours
12 years and up(>95lbs) 20ml (4 tsp) every 4-6 hours

Ingredients: per tablet

  • Chlorpheniramine maleate 0.5mg (antihistamine)
  • Pseudoephedrine HCL 7.5mg (decongestant)
  • Dextromethorphan HBr 2.5mg (cough suppressant)
  • Acetaminophen 80mg (fever reducer)

Doses are every 4-6 hours, max 4 doses/day

Under two years Not recommended (choking hazard)
2-3 years (24-35lbs) 2 tablets every 4-6 hours
4-5 years (36-47lbs) 3 tablets every 4-6 hours
6-8 years (48-59lbs) 4 tablets every 4-6 hours
9-10 years (60-71lbs) 5 tablets every 4-6 hours
11 years (72-95lbs) 6 tablets every 4-6 hours
12 years and up(>95lbs) Dose as adult

Ingredients: per 5ml (1tsp)

  • Chlorpheniramine maleate 1mg (antihistamine)
  • Pseudoephedrine HCL 15mg (decongestant)
  • Dextromethorphan HBr 7.5mg (cough suppressant)
  • Acetaminophen 160mg (fever reducer)

Doses are every 4-6 hours, max 4 doses/day

<6months (<14lbs) Not recommended
6-11 months (12-17lbs) 2.5ml (1/2 tsp) every 4-6 hours
12-23 months (18-23lbs) 3.75ml (3/4 tsp) every 4-6 hours
2-3 years (24-35lbs) 5ml (1 tsp) every 4-6 hours
4-5 years (36-47lbs) 7.5ml (1 1/2 tsp) every 4-6 hours
6-8 years (48-59lbs) 10ml (2 tsp) every 4-6 hours
9-10 years (60-71lbs) 12.5ml (2 1/2 tsp) every 4-6 hours
11 years (72-95lbs) 15ml (3tsp) every 4-6 hours
12 years and up(>95lbs) 20ml (4 tsp) every 4-6 hours

   
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