Label: DEFENSOL D (MULTI SYMPTOM EFFERVESCENT TABLETS)- acetaminophen 250mg, chlorpheniramine maleate 2mg, dextromethorphan hydrobromide 10mg, phenylephrine hydrochloride 5mg tablet, effervescent

  • Category: HUMAN OTC DRUG LABEL
  • DEA Schedule: None
  • Marketing Status: OTC monograph final

DISCLAIMER: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.

Drug Label Information

Updated January 5, 2016

If you are a consumer or patient please visit this version.

  • Active Ingredients

    Active Ingredients (in each tablet)  Purposes
    Acetaminophen 250 mg…………………………………………………Pain Relieve/fever reducer
    Chlorpheniramine maleate 2mg ……………………………………Antihistamine
    Dextromethorphan hydrobromide 10mg……………………….Cough suppressant
    Phenylephrine hydrochloride 5mg………………………………...Nasal decongestant

  • Purposes

    Active Ingredients (in each tablet) Purposes
    Acetaminophen 250 mg…………………………………………………Pain Relieve/fever reducer
    Chlorpheniramine maleate 2mg ……………………………………Antihistamine
    Dextromethorphan hydrobromide 10mg……………………….Cough suppressant
    Phenylephrine hydrochloride 5mg………………………………...Nasal decongestant

  • Uses: Temporarily relieves these symptoms due to a cold or flu:

    • Minor aches and pains
    • Headache
    • Cough
    • Sore throat
    • Runny nose
    • Nasal and sinus congestion
    • Temporarily reduces fever

  • Warnings:

    Liver Warning: This product contains acetaminophen. Severe liver damage may occur if you take:


    • More than 8 tablets in 24 hours, which is the maximum daily amount for this product
    • With other dugs containing acetaminophen
    • 3 or more alcoholic drinks while using this product

    Sore Throat Warning: If sore throat is severe, persists for more than 2 days, is accompanied by fever, headache, rash, nausea, or vomiting, consult a doctor promptly. Do not use to sedate children.

  • Do not use:

    • With any other drug containing acetaminophen (prescription or nonprescription). If you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist.
    • If you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions), 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.
    • If you have ever had an allergic reaction to this product or any of its ingredients
    • In children under 12 years of age

  • Ask a doctor before use if you have:

    • Liver disease
    • Heart disease
    • High blood pressure
    • Thyroid disease
    • Diabetes
    • Glaucoma
    • Cough with excessive phlegm (mucus)
    • A breathing problem such as emphysema or chronic bronchitis
    • Difficulty in urination due to enlargement of the prostate gland
    • Persistent or chronic cough such as occurs with smoking, asthma, or emphysema
    • A sodium restricted diet

  • Ask a doctor or pharmacist before use if you are:

    • Taking the blood thinning medicine warfarin
    • Taking sedatives or tranquilizers

  • When using this product:

    • Do not exceed the recommended dosage
    • May cause marked drowsiness
    • Avoid alcoholic drinks
    • Alcohol, sedatives, and tranquilizers may increase drowsiness
    • Be careful when driving a motor vehicle or operating machinery
    • Excitability may occur, especially in children

  • Stop use and ask a doctor if:

    • Pain, cough, or nasal congestion gets worse or lasts more than 7 days
    • Fever gets worse or lasts more than 3 days
    • Redness or swelling is present
    • New symptoms occur
    • Cough comes back or occurs with rash or headache that lasts. These could be signs of a serious condition.
    • Nervousness, dizziness, or sleeplessness occurs

  • If pregnant or breast-feeding, ask a health professional before use.

    If pregnant or breast-feeding, ask a health professional before use.

  • Keep out of reach of children

    • Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away. Quick medical attention is critical for adults as well as for children even if you do not notice any signs or symptoms.

  • Directions:

    • Do not take more than the recommended dose
    • Adults and children 12 years and over: take 2 tablets fully dissolved in 4oz. of water every four hours. Do not exceed 8 tablets in 24 hours or as directed by a doctor
    Children under 12 years: do not use

  • Other Information:

    • Store at room temperature. Avoid excessive heat
    Total Sodium: 406.73mg/tablet
    Total Potassium: 3mg/tablet

  • Inactive Ingredients

    Acesulfame potassium, sucralose, citric acid anhydrous, polysorbate 80, mannitol, orange flavor, PVP K-30, simethicone, sodium benzoate, sodium bicarbonate, color FD&C red #40

  • Defensol D Effervescent - Outer Carton.jpg

    Defensol D Effervescent - Outer Carton.jpg

  • Defensol D Effervescent Pouch.jpg

    Defensol D Effervescent Pouch.jpg

  • INGREDIENTS AND APPEARANCE
    DEFENSOL D (MULTI SYMPTOM EFFERVESCENT TABLETS) 
    acetaminophen 250mg, chlorpheniramine maleate 2mg, dextromethorphan hydrobromide 10mg, phenylephrine hydrochloride 5mg tablet, effervescent
    Product Information
    Product TypeHUMAN OTC DRUGItem Code (Source)NDC:53145-320
    Route of AdministrationORAL
    Active Ingredient/Active Moiety
    Ingredient NameBasis of StrengthStrength
    ACETAMINOPHEN (UNII: 362O9ITL9D) (ACETAMINOPHEN - UNII:362O9ITL9D) ACETAMINOPHEN250 mg  in 250 
    CHLORPHENIRAMINE MALEATE (UNII: V1Q0O9OJ9Z) (CHLORPHENIRAMINE - UNII:3U6IO1965U) CHLORPHENIRAMINE MALEATE2 mg  in 250 
    DEXTROMETHORPHAN HYDROBROMIDE (UNII: 9D2RTI9KYH) (DEXTROMETHORPHAN - UNII:7355X3ROTS) DEXTROMETHORPHAN HYDROBROMIDE10 mg  in 250 
    PHENYLEPHRINE HYDROCHLORIDE (UNII: 04JA59TNSJ) (PHENYLEPHRINE - UNII:1WS297W6MV) PHENYLEPHRINE5 mg  in 250 
    Inactive Ingredients
    Ingredient NameStrength
    ACESULFAME POTASSIUM (UNII: 23OV73Q5G9)  
    SUCRALOSE (UNII: 96K6UQ3ZD4)  
    ANHYDROUS CITRIC ACID (UNII: XF417D3PSL)  
    POLYSORBATE 80 (UNII: 6OZP39ZG8H)  
    MANNITOL (UNII: 3OWL53L36A)  
    POVIDONE K30 (UNII: U725QWY32X)  
    PEG-9 POLYDIMETHYLSILOXYETHYL DIMETHICONE (UNII: TYP81E471F)  
    SODIUM BENZOATE (UNII: OJ245FE5EU)  
    SODIUM BICARBONATE (UNII: 8MDF5V39QO)  
    FD&C RED NO. 40 (UNII: WZB9127XOA)  
    Product Characteristics
    ColorwhiteScoreno score
    ShapeROUNDSize30mm
    FlavorORANGEImprint Code
    Contains    
    Packaging
    #Item CodePackage DescriptionMarketing Start DateMarketing End Date
    1NDC:53145-320-066 in 1 BOX12/01/2015
    1NDC:53145-320-022 in 1 POUCH; Type 1: Convenience Kit of Co-Package
    Marketing Information
    Marketing CategoryApplication Number or Monograph CitationMarketing Start DateMarketing End Date
    OTC monograph finalpart34112/01/2015
    Labeler - Menper Distributors Inc. (101947166)