Quick answers
- What is Dextromethorphan, guaifenesin and pseudoephedrine used for?
- The Drug Facts label of Tusnel Pediatric (Llorens Pharmaceutical International Division) lists these uses: helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive temporarily relieves these symptoms occurring with a cold: nasal congestions, cough due to minor throat and bronchial irritation.
- Do I need a prescription for Dextromethorphan, guaifenesin and pseudoephedrine?
- No. The products on this page are sold without a prescription (over the counter).
- Is a store brand the same as the name brand?
- Products listed together below have the same active ingredients, in the same amount and the same form, as registered with the FDA. Inactive ingredients (such as colors, flavors and fillers) and package sizes can differ. Compare the “Active ingredient” box on both packages, and ask a pharmacist if you are not sure.
- Has Dextromethorphan, guaifenesin and pseudoephedrine been recalled?
- No recall linked to these products appears in the FDA enforcement reports we use.
Drug Facts label
Every over-the-counter medicine must carry a “Drug Facts” box in the same order, set by FDA rules. Below is the label of one product for each common strength and form, quoted word for word. Your own package can differ (for example, children’s products have other directions): always follow the label on your package.
Tusnel Pediatric · Llorens Pharmaceutical International Division
Dextromethorphan hydrobromide 5 mg/5 mL · Guaifenesin 50 mg/5 mL · Pseudoephedrine hydrochloride 15 mg/5 mL, liquid (oral)
Active ingredient (in each 5 ml tsp.)
Purpose Dextromethorphan HBr........5mg..................................................Cough Suppressant Guaifenesin........................50mg................................................Expectorant Pseudoephedrine HCl..........15mg..................................................Nasal Decongestant
Purpose
Cough Suppressant Expectorant Nasal Decongestant
Uses
helps loosen phlegm (mucus) and thin bronchial secretions to make coughs more productive temporarily relieves these symptoms occurring with a cold: nasal congestions, cough due to minor throat and bronchial irritation.
Warnings
Do not use
if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if
your child has heart disease high blood pressure thyroid disease diabetes a cough that occurs with too much phlegm (mucus) a persistent or chronic cough such as occurs with asthma
When using this product
do not exceed recommended dosage
Stop use and ask a doctor if
nervousness, dizziness or sleeplessness occurs symptoms do not get better within 7 days or accompanied by fever cough last more than 7 days, comes back, or is accompanied by fever, rash or persistent headache. A persistent cough could be a sign of a serious condition.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
Do not exceed more than 4 doses in any 24-hour period or as directed by a doctor.
| Age | Weight | Dose |
| Children 6 to under 12 years of age | 45 lbs to under 95 lbs | Take 2 teaspoonfuls (10 mL) every 4 to 6 hours |
| Children 2 to under 6 years of age | 25 lbs to under 45 lbs | Take 1 teaspoonful (5mL) every 4 to 6 hours |
| Children under 2 years of age | Under 25 lbs | ask a doctor |
Inactive ingredients
astificial and natural flavor, citric acid, methylparaben, propylene glycol, propylparaben, purified water, sodium citrate, and sucralos
Questions?
1-866-595-5598
— FDA label of Tusnel Pediatric, Llorens Pharmaceutical International Division, effective December 31, 2025. See the official label on DailyMed →
Actinel Pediatric · Actipharma, LLC
Dextromethorphan hydrobromide 5 mg/5 mL · Guaifenesin 50 mg/5 mL · Pseudoephedrine hydrochloride 15 mg/5 mL, solution (oral)
Active ingredient (in each 5 mL tsp)
Dextromethorphan HBr, 5 mg Guaifenesin, 50 mg Pseudoephedrine HCl, 15 mg
Purpose
Cough Suppressant Expectorant Nasal Decongestant
Uses
- helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes
- temporarily relieves these symptoms occurring with a cold:
- nasal congestion
- cough due to minor throat and bronchial irritation
Warnings
Do not use
in a child who is taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your child's prescription drug contains an MAOI, ask a doctor or pharmacist before giving this product.
Ask a doctor before use if
your child has
- heart disease
- high blood pressure
- thyroid disease
- diabetes
- cough that occurs with too much phlegm (mucus)
- a persistent or chronic cough such as occurs with asthma
Ask a doctor or pharmacist before use if
your child is taking any other oral nasal decongestant or stimulant.
When using this product
do not use more than directed.
Stop use and ask a doctor if
child
- gets nervous, dizzy, or sleepless
- symptoms do not get better within 7 days or are accompanied by fever
- cough lasts more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache. These could be signs of a serious condition.
If pregnant or breast-feeding
ask a health professional before use.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
do not take more than 4 doses in any 24-hour period.
| AGE | DOSE |
| Children 6 to under 12 years of age | Take 2 teaspoonfuls (10 mL) every 4-6 hours |
| Children 2 to under 6 years of age | Take 1 teaspoonfuls (5 mL) every 4-6 hours |
| Children under 2 years of age | Ask a doctor |
Inactive ingredients
Citric Acid, Flavor, Methylparaben, Potassium Citrate, Propylene Glycol, Propylparaben, Purified Water, Sorbitol, Sucralose
Questions?
call weekdays from 8AM to 4PM AST at 1.787.608.0882
— FDA label of Actinel Pediatric, Actipharma, LLC, effective July 8, 2025. See the official label on DailyMed →
Capmist DM · Capital Pharmaceutical, LLC
Dextromethorphan hydrobromide 15 mg · Guaifenesin 400 mg · Pseudoephedrine hydrochloride 60 mg, tablet (oral)
Active ingredient (in each tablet)
Dextromethorphan HBr 15mg Active ingredients (in each tablet) Guaifenesin 400mg Active ingredients (in each tablet) Pseudoephedrine HCl 60mg
Purpose
Cough Suppressant Purpose Expectorant Purpose Nasal Decongestant
Uses
Temporarily relieves these symptoms due to the common cold, hay fever (allergic rhinitis) or other upper respiratory allergies: cough due to minor throat and bronchial irritation helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive nasal congestion reduces swelling of nasal passages
Warnings
Do not exceed recommended dosage.
Do not use
this product if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if
you have a cough that lasts or is chronic such as occurs with smoking, asthma, chronic bronchitis, or emphysema a cough that occurs with too much phlegm (mucus) heart disease high blood pressure thyroid disease diabetes trouble urinating due to enlargement of the prostate gland
Stop use and ask a doctor if
nervousness, dizziness, or sleeplessness occur cough or nasal congestion persists for more than 1 week, tends to recur, or is accompanied by fever, rash, or persistent headache. A persistent cough may be a sign of a serious condition. new symptoms occur If pregnant or breast feeding, ask a health professional before use.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
| Adults and children 12 years of age and over: | 1 tablet every 4 hours, not to exceed 4 tablets in 24 hours, or as directed by a doctor. |
| Children 6 to under 12 years of age: | 1/2 tablet every 4 hours, not to exceed 2 tablets in 24 hours, or as directed by a doctor. |
| Children 2 to under 6 years of age: | Consult a doctor. |
Inactive ingredients
FD&C Blue #1, FD&C Yellow #5, Magnesium Stearate, Microcrystalline Cellulose, Sodium Starch Glycolate.
— FDA label of Capmist DM, Capital Pharmaceutical, LLC, effective December 3, 2025. See the official label on DailyMed →
Actispec Pse · Actipharma, LLC
Dextromethorphan hydrobromide 10 mg/5 mL · Guaifenesin 187 mg/5 mL · Pseudoephedrine hydrochloride 30 mg/5 mL, solution (oral)
Active ingredient (in each 5 mL tsp)
Dextromethorphan HBr 10 mg Guaifenesin 187 mg Pseudoephedrine HCl 30 mg
Purpose
Cough Suppressant Expectorant Nasal Decongestant
Uses
- temporarily relieves cough due to minor throat and bronchial irritation associated with a cold or inhaled irritants
- helps loosen phlegm and thin bronchial secretions to make coughs more productive
- temporarily relieves nasal congestion
Warnings
Do not use
if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if
you have
- heart disease
- high blood pressure
- thyroid disease
- diabetes
- difficulty in urination due to enlargement of the prostate gland
- cough accompanied by excessive phlegm (mucus)
- persistent or chronic cough such occurs with smoking, asthma, chronic bronchitis or emphysema.
Ask a doctor or pharmacist before use if
you are taking any other oral nasal decongestant or stimulant.
When using this product
do not use more than directed.
Stop use and ask a doctor if
- nervousness, dizziness or sleeplessness occur
- symptoms do not improve within 7 days or are accompanied by fever
- cough persists for more than 1 week, tends to recur, or is accompanied by fever, rash, or a persistent headache. These could be signs of a serious condition.
If pregnant or breast-feeding
ask a health professional before use.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
do not exceed more than 6 doses in any 24-hour period.
| AGE | DOSE |
| Adults and children 12 years of age and over | Take 2 teaspoonfuls (10 mL) every 4 hours |
| Children 6 to under 12 years of age | Take 1 teaspoonful (5 mL) every 4 hours |
| Children under 6 years of age | Ask physician |
Inactive ingredients
citric acid, grape flavor, methylparaben, monoammonium glycyrrhizinate, potassium citrate, propylene glycol, propylparaben, purified water, sorbitol, sucralose
Questions?
call weekdays from 8 AM to 4PM AST at 1.787.608.0882.
— FDA label of Actispec Pse, Actipharma, LLC, effective July 17, 2025. See the official label on DailyMed →
Poly-Vent DM · Poly Pharmaceuticals, Inc.
Dextromethorphan hydrobromide 20 mg · Guaifenesin 380 mg · Pseudoephedrine hydrochloride 60 mg, tablet (oral)
Active ingredient
Dextromethorphan HBr 20mg Guaifenesin 380mg Pseudoephedrine HCl 60mg
Purpose
Cough Suppressant Expectorant Nasal Decongestant
Uses
Temporarily relieves these symptoms due to the common cold, hay fever (allergic rhinitis) or other upper respiratory allergies: cough due to minor throat and bronchial irritation associated with a cold alleviates cough to help you sleep non-narcotic cough suppressant for relief of cough helps loosen phlegm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive itchy, watery eyes nasal congestion runny nose sneezing itching of the nose and throat
Warnings
Do not exceed recommended dosage. a persistent cough may be a sign of a serious condition. If cough persists for more than 1 week, tends to recur, or is accompanied by fever, rash, or persistent headache, consult a doctor.
Ask a doctor or pharmacist before use if
you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if
you have : a persistent or chronic cough such as occurs with smoking, asthma, chronic bronchitis, or emphysema, or where cough is accompanied by excessive phlegm (mucus) heart disease high blood pressure thyroid disease diabetes difficulty in urination due to enlargement of the prostate gland
Stop use and ask a doctor if
nervousness, dizziness, or sleeplessness occur If pregnant or breast feeding, ask a health professional before use.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
| Adults and children 12 years of age and over: | 1 tablet every 4 hours, not to exceed 4 tablets in 24 hours, or as directed by a doctor. |
| Children age 6 to under 12 years of age: | ½ tablet every 4 hours, not to exceed 2 tablets in 24 hours, or as directed by a doctor. |
| Children 2 to under 6 years of age: | Consult a doctor. |
Inactive ingredients
FD&C Yellow #5, Magnesium Stearate, Microcrystalline Cellulose, Sodium Starch Glycolate.
— FDA label of Poly-Vent DM, Poly Pharmaceuticals, Inc., effective December 19, 2025. See the official label on DailyMed →
Actinel · Actipharma, LLC
Dextromethorphan hydrobromide 15 mg/5 mL · Guaifenesin 200 mg/5 mL · Pseudoephedrine hydrochloride 30 mg/5 mL, solution (oral)
Active ingredient (in each 5 mL tsp)
Dextromethorphan HBr, 15 mg Guaifenesin, 200 mg Pseudoephedrine HCl, 30 mg
Purpose
Cough Suppressant Expectorant Nasal Decongestant
Uses
Uses
- temporarily relieves cough due to minor throat and bronchial irritation associated with the common cold
- helps control the cough reflex that causes coughing
- helps loosen phlegm (mucus) and thin bronchial secretions to make cough more productive
- temporarily relieves nasal congestion due to the common cold, hay fever, or other upper respiratory allergies (allergic rhinitis).
Warnings
Do not use
if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if
you have
- heart disease
- high blood pressure
- thyroid disease
- diabetes
- trouble urinating due to an enlarged prostate gland
- cough that occurs with too much phlegm (mucus)
- cough that lasts or is chronic such as occurs with smoking, asthma, chronic bronchitis or emphysema
Ask a doctor or pharmacist before use if
you are taking any other oral nasal decongestant or stimulant.
When using this product
do not use more than directed.
Stop use and ask a doctor if
- you get nervous, dizzy, or sleepless
- symptoms do not get better within 7 days or are accompanied by fever
- cough lasts more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache. These could be signs of a serious condition.
If pregnant or breast-feeding
ask a health professional before use.
Keep out of reach of children
In case of overdose, get medical help or contact a Poison Control Center right away.
Directions
do not take more than 4 doses in any 24-hour period.
| AGE | DOSE |
| Adults and children 12 years of age and over | Take 2 teaspoonfuls (10 mL) every 6 hours |
| Children under 12 years of age | do not use |
Inactive ingredients
Citric Acid, Flavor, Methylparaben, Potassium Citrate, Propylene Glycol, Propylparaben, Purified Water, Sorbitol, Sucralose
Questions?
call weekdays from 8AM to 4PM AST at 1.787.608.0882
— FDA label of Actinel, Actipharma, LLC, effective July 8, 2025. See the official label on DailyMed →
This page is not medical advice. Read the label on your package, and ask a pharmacist or doctor if you are not sure a medicine is right for you, for your child, or with your other medicines.
Same medicine, other brands
Each group lists the products that have exactly the same active ingredients, in the same amount and form, as registered with the FDA (NDC Directory). A store brand in the same group has the same medicine as the name brand; inactive ingredients, flavors and package sizes can differ. Each product links to its own official label.
Dextromethorphan hydrobromide 5 mg/5 mL · Guaifenesin 50 mg/5 mL · Pseudoephedrine hydrochloride 15 mg/5 mL · liquid (oral) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Tusnel Pediatric | Llorens Pharmaceutical International Division | DailyMed |
Dextromethorphan hydrobromide 5 mg/5 mL · Guaifenesin 50 mg/5 mL · Pseudoephedrine hydrochloride 15 mg/5 mL · solution (oral) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Actinel Pediatric | Actipharma, LLC | DailyMed |
Dextromethorphan hydrobromide 15 mg · Guaifenesin 400 mg · Pseudoephedrine hydrochloride 60 mg · tablet (oral) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Capmist DM | Capital Pharmaceutical, LLC | DailyMed |
Dextromethorphan hydrobromide 10 mg/5 mL · Guaifenesin 187 mg/5 mL · Pseudoephedrine hydrochloride 30 mg/5 mL · solution (oral) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Actispec Pse | Actipharma, LLC | DailyMed |
Dextromethorphan hydrobromide 20 mg · Guaifenesin 380 mg · Pseudoephedrine hydrochloride 60 mg · tablet (oral) · 1 product
Drug Facts for this strength and form ↑
| Brand or product name | Company on the label | Label |
|---|---|---|
| Poly-Vent DM | Poly Pharmaceuticals, Inc. | DailyMed |
Dextromethorphan hydrobromide 15 mg/5 mL · Guaifenesin 200 mg/5 mL · Pseudoephedrine hydrochloride 30 mg/5 mL · solution (oral) · 1 product
Dextromethorphan hydrobromide 15 mg/5 mL · Guaifenesin 200 mg/5 mL · Pseudoephedrine hydrochloride 30 mg/5 mL · liquid (oral) · 1 product
| Brand or product name | Company on the label | Label |
|---|---|---|
| Tusnel | Llorens Pharmaceutical International Division | DailyMed |
Dextromethorphan hydrobromide 2.5 mg/mL · Guaifenesin 25 mg/mL · Pseudoephedrine hydrochloride 7.5 mg/mL · solution/ drops (oral) · 1 product
| Brand or product name | Company on the label | Label |
|---|---|---|
| Tusnel DM Pediatric | Llorens Pharmaceutical International Division | DailyMed |
What pharmacies pay (NADAC)
The National Average Drug Acquisition Cost (NADAC) is the average price U.S. retail pharmacies paid to buy one unit of a medicine (one tablet, one mL or one gram), from a monthly survey of pharmacy invoices by the Centers for Medicare & Medicaid Services (CMS). State Medicaid programs use it to pay pharmacies.
This is not the price you pay. What you pay depends on your insurance (copay or coinsurance), your pharmacy and any discounts, and pharmacies also charge for filling a prescription. Ask your pharmacist or your health plan what your price will be.
| Strength and form | Generic or brand | Pharmacies pay |
|---|---|---|
| dextromethorphan hydrobromide 15 mg/5 mL · guaifenesin 200 mg/5 mL · pseudoephedrine hydrochloride 30 mg/5 mL liquid | Generic | $0.0456 per mL |
| dextromethorphan hydrobromide 5 mg/5 mL · guaifenesin 50 mg/5 mL · pseudoephedrine hydrochloride 15 mg/5 mL liquid | Generic | $0.0551 per mL |
NADAC list of November 4, 2026; these prices took effect between September 23, 2026 and October 21, 2026. Shown only where a package’s NDC code matches the NADAC list exactly, and only for that exact strength and form: nothing is averaged across strengths. Strengths and forms not listed here have no NADAC price.
Source: NADAC (National Average Drug Acquisition Cost) 2026, data.medicaid.gov (CMS) →
Companies that sell this medicine
The company named on the package (maker or distributor), as listed in the FDA NDC Directory, with its number of over-the-counter products of this medicine.
- Llorens Pharmaceutical International Division3 products
- Actipharma, LLC3 products
- Capital Pharmaceutical, LLC1 product
- Poly Pharmaceuticals, Inc.1 product
Recalls
No recall linked to these products (by their NDC code or label) appears in the FDA enforcement reports.
Next steps
- Find a pharmacy near youA pharmacist can answer questions about this label
- ActinelBrand page: products, maker and price
- Latest FDA drug recallsPrescription and over-the-counter, newest first
- All over-the-counter medicinesSearch by ingredient, brand or Spanish name
Sources
- Drug labeling (SPL, openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- NDC Directory (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 30, 2026, retrieved October 31, 2026
- Drug recall enforcement reports (openFDA) — U.S. Food and Drug Administration (FDA), FDA data exported October 27, 2026, retrieved October 31, 2026
- FDA rule for the Drug Facts label (21 CFR 201.66)
Only medicines marketed under FDA rules for nonprescription drugs (an FDA monograph or an FDA approval) are listed. Homeopathic products are not listed: the FDA does not evaluate them for safety or effectiveness.