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Fall and Winter Box Details

**For non-pregnant adults and children 12 years and older and without heart conditions**

Click pregnancy options or pediatric options

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  1. Ibuprofen 200mg tablets (Advil, Motrin)

    • Use: For minor aches and pains including associated with common cold and flu. Fever associated with common cold and flu, or general body aches or minor headaches. 

    • Directions: Take one to two tablets every 4 to 6 hours as needed with food(max of 6 tables in 24 hours) 

    • Side Effects: Generally well tolerated at directed doses. May increase risk of heart attack, heart failure if used more than directed or longer than directed. Always consult your health care professional. Always take with food to decrease potential for GI upset.

    • Drug Interactions: Avoid use with other NSAID’s (Aleve- naproxen sodium, Celebrex- celecoxib, Toradol- ketorolac). There are certain drugs that can decrease or increase the effects of ibuprofen, check with your doctor or pharmacy where you get your prescriptions if you are unsure. 

  2. Acetaminophen 500mg tablets (Tylenol Extra Strength) 

    • Use: For minor aches and pains including associated with common cold and flu. Fever associated with common cold and flu, or general body aches or minor headaches. 

    • Directions: Take one to two tablets every 4 to 6 hours as needed (max of 6 tablets in 24 hours)

    • Side Effects: Generally well tolerated. Using more than directed may lead to liver damage, always use only as directed and limit to no more than 4 grams per day. 

    • Drug Interactions: Acetaminophen levels may be decreased by barbiturates, carbamazepine, and phenytoin. 

  3. Robitussin DM (Guaifenesin 200mg and Dextromethorphan 20mg per 10mL)

    • Use:  To decrease cough (dextromethorphan) and thin secretions in the lungs (guaifenesin). This product will help with a productive or dry cough and will help loosen up congestion and mucus in the lungs. 

    • Directions: Take 10-20mL (2 to 4 teaspoonfuls) every 4 hours as needed with plenty of water (works best with drinking water throughout the day). Max of 6 DOSES in 24 hours.

    • Side Effects: May cause drowsiness or GI distress 

    • Drug Interactions: Avoid use with Dapoxetine, methylene blue, Monoamine Oxidase Inhibitors (MAOI’s)

  4. Cetirizine (Zyrtec)

    • Use: Second generation antihistamine that will help dry up secretions associated with the common cold and allergy symptoms like runny nose, watery eyes, and sneezing. 

    • Directions: Take one tablet by mouth once daily at bedtime 

    • Side Effects: Drowsiness

    • Drug Interactions: Do not take with other antihistamines (ie. Benadryl)Levels of cetirizine may be decreased by acetylcholinesterase inhibitors; amphetamines; lumacaftor; P-glycoprotein/ABCB1 inducers

  5. Diphenhydramine (Benadryl)

    • Use: First generation antihistamine that will help dry up secretions that cause runny nose, watery eyes and coughing. Fast acting compared to cetirizine. 

    • Directions: May take one to two tablets by mouth every 4 to 6 hours, or at bedtime (max 6 doses in 24 hours)

    • Side Effects: Drowsiness, dry eyes, dry mouth, constipation

    • Drug Interactions: Avoid use with other antihistamines (ie. Cetirizine).Avoid use with any of the following: Aclidinium; Azelastine (Nasal); Bromperidol; Cimetropium; Eluxadoline; Glycopyrrolate (Oral Inhalation); Glycopyrronium (Topical); Ipratropium (Oral Inhalation); Levosulpiride; Orphenadrine; Oxatomide; Oxomemazine; Paraldehyde; Potassium Chloride; Potassium Citrate; Revefenacin; Thalidomide; Tiotropium; Umeclidinium.There are certain drugs that may increase or decrease effects of diphenhydramine, please check with your doctor or pharmacy where you get your prescription medications. 

  6. Oxymetazoline (Afrin Nasal Spray) 

    • Use: For immediate relief of nasal/sinus congestion 

    • Directions: Spray 2 to 3 sprays in each nostril every 12 hours (max of 2 doses/24 hours)

    • Side Effects: Dry nose, rebound congestion. Must limit use to 3 days to prevent rebound congestion. 

    • Drug Interactions: Avoid concomitant use of Oxymetazoline (Nasal) with any of the following: Ergot Derivatives; Iobenguane Radiopharmaceutical Products; Monoamine Oxidase Inhibitors

  7. Generic Tylenol Cough and Cold

    • Use: For body aches and fever (acetaminophen), cough suppression (dextromethorphan), and nasal decongestion (phenylephrine). Great for all in one relief to get through the day, does not cause drowsiness. 

    • Directions: Take 2 tablets by mouth every 4 hours (max of 10 tablets in 24 hours). 

    • Side Effects: See acetaminophen and dextromethorphan above. Phenylephrine: anxiety, dizziness, insomnia. 

    • Drug Interactions: See acetaminophen and dextromethorphan above. Phenylephrine: No interactions for nasal inhalation route. 

  8. Sore Throat Lozenges (benzocaine and menthol)

    • Use: For immediate relief of sore throat associated with common cold and flu. 

    • Directions: Allow 1 lozenge to dissolve slowly in the mouth. May repeat every two hours as needed or directed by your doctor. 

    • Side Effects: Do not use if you have a history of allergy to local anesthetics such as procaine, butacaine, benzocaine or other “caine” anesthetics. 

    • Warning: Stop use and seek medical attention if sore throat is severe or worsens, is accompanied by high fever, headache, nausea, vomiting. Do not use for more than 2 days unless directed by your doctor. 

    • Drug Interactions: No known drug interactions for this indication.

  9. Saline Nasal Spray (Ocean Nasal Spray)

    • Use: For immediate relief of nasal/sinus congestion or dry nasal membranes

    • Directions: Spray two sprays in each nostril as frequently as needed

    • Side Effects: None for this indication 

    • Drug Interactions: None for this indication 

  10. Kleenex tissues Ultra Soft (125ct box) A necessity with every cold.

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