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APAP/dextromethorphan/guaifenesin/PPA
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(a seet a MIN oh fen/dex troe meth OR fan/gwye FEN e sin/fen ill proe pa NOLE ah meen)

What is the most important information I should know about acetaminophen/ dextromethorphan/ guaifenesin/ phenylpropanolamine?

Phenylpropanolamine, an ingredient in this product, has been associated with an increased risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk. Although the risk of hemorrhagic stroke is low, the U.S. Food and Drug Administration (FDA) recommends that consumers not use any products that contain phenylpropanolamine.

Use caution when driving, operating machinery, or performing other hazardous activities. Acetaminophen/dextromethorphan/guaifenesin/phenylpropanolamine may cause dizziness or drowsiness. If you experience dizziness or drowsiness, avoid these activities. Use alcohol cautiously. Alcohol may increase drowsiness and dizziness while taking acetaminophen/dextromethorphan/guaifenesin/phenylpropanolamine. Alcohol may also cause damage to the liver when it is taken with acetaminophen.

What is acetaminophen/ dextromethorphan/ guaifenesin/ phenylpropanolamine?

Acetaminophen is a pain reliever and a fever reducer. It is used to treat many conditions, such as headache, muscle aches, arthritis, backache, toothaches, colds, and fevers.

Dextromethorphan is a cough suppressant. It suppresses an area in the brain that causes coughing.

Guaifenesin is an expectorant. It thins mucous, increases the lubrication of the respiratory tract (lungs, nose, and throat), and improves the removal of mucous. It is used to break up congestion and mucous to make breathing easier.

Phenylpropanolamine is a decongestant. It constricts (shrinks) blood vessels (veins and arteries). This reduces the blood flow to certain areas and allows nasal passages to open up.

Acetaminophen/dextromethorphan/guaifenesin/phenylpropanolamine is used to treat nasal and chest congestion, sinusitis (inflammation of the sinuses), headache, body aches, and coughs associated with allergies, hay fever, flu, and the common cold.

Phenylpropanolamine, an ingredient in this product, has been associated with an increased risk of hemorrhagic stroke (bleeding into the brain or into tissue surrounding the brain) in women. Men may also be at risk. Although the risk of hemorrhagic stroke is low, the U.S. Food and Drug Administration (FDA) recommends that consumers not use any products that contain phenylpropanolamine.

Acetaminophen/dextromethorphan/guaifenesin/phenylpropanolamine may also be used for purposes other than those listed in this medication guide.

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