MedPath

Cough DM

Meijer Distribution, Inc. Cough DM Drug Facts

Approved
Approval ID

3febf0e0-b587-495a-9608-3a2dfbc32791

Product Type

HUMAN OTC DRUG LABEL

Effective Date

May 7, 2025

Manufacturers
FDA

Meijer Distribution Inc

DUNS: 006959555

Products 1

Detailed information about drug products covered under this FDA approval, including NDC codes, dosage forms, ingredients, and administration routes.

dextromethorphan polistirex

Product Details

FDA regulatory identification and product classification information

FDA Identifiers
NDC Product Code41250-958
Application NumberANDA091135
Product Classification
M
Marketing Category
C73584
G
Generic Name
dextromethorphan polistirex
Product Specifications
Route of AdministrationORAL
Effective DateMay 7, 2025
FDA Product Classification

INGREDIENTS (18)

DEXTROMETHORPHAN HYDROBROMIDEActive
Quantity: 30 mg in 5 mL
Code: 9D2RTI9KYH
Classification: ACTIB
GLYCERINInactive
Code: PDC6A3C0OX
Classification: IACT
POLYSORBATE 80Inactive
Code: 6OZP39ZG8H
Classification: IACT
HIGH FRUCTOSE CORN SYRUPInactive
Code: XY6UN3QB6S
Classification: IACT
METHYLPARABENInactive
Code: A2I8C7HI9T
Classification: IACT
PROPYLPARABENInactive
Code: Z8IX2SC1OH
Classification: IACT
WATERInactive
Code: 059QF0KO0R
Classification: IACT
SODIUM POLYSTYRENE SULFONATEInactive
Code: 1699G8679Z
Classification: IACT
SUCROSEInactive
Code: C151H8M554
Classification: IACT
TARTARIC ACIDInactive
Code: W4888I119H
Classification: IACT
TRAGACANTHInactive
Code: 2944357O2O
Classification: IACT
TRIACETINInactive
Code: XHX3C3X673
Classification: IACT
XANTHAN GUMInactive
Code: TTV12P4NEE
Classification: IACT
D&C YELLOW NO. 10 ALUMINUM LAKEInactive
Code: CQ3XH3DET6
Classification: IACT
D&C RED NO. 30 ALUMINUM LAKEInactive
Code: GE75M6YV5W
Classification: IACT
POVIDONE, UNSPECIFIEDInactive
Code: FZ989GH94E
Classification: IACT
SODIUM METABISULFITEInactive
Code: 4VON5FNS3C
Classification: IACT
POLYVINYL ACETATEInactive
Code: 32K497ZK2U
Classification: IACT

Drug Labeling Information

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

LOINC: 51945-4Updated: 5/7/2025

Package/Label Principal Display Panel

meijer®

CHILDREN’S | 4 Years and Older

cough dm

dextromethorphan polistirex extended-release oral suspension cough suppressant

COMPARE TO CHILDREN’S DELSYM® ACTIVE INGREDIENT

12 HOUR COUGH RELIEF

ORANGE-FLAVORED LIQUID

Alcohol Free

Day or Night

For Children & Adults

Contains sodium metabisulfite, a sulfite that may cause allergic-type reactions

Dosing Cup Included

5 FL OZ (148 mL)

958-6e-cough-dm.jpg

INDICATIONS & USAGE SECTION

LOINC: 34067-9Updated: 11/4/2013

Uses

temporarily relieves

cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants

the impulse to cough to help you get to sleep

OTC - ACTIVE INGREDIENT SECTION

LOINC: 55106-9Updated: 5/7/2025

Active ingredient (in each 5 mL)

Dextromethorphan polistirex equivalent to 30 mg dextromethorphan hydrobromide

OTC - PURPOSE SECTION

LOINC: 55105-1Updated: 11/4/2013

Purpose

Cough suppressant

WARNINGS SECTION

LOINC: 34071-1Updated: 5/7/2025

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.

Allergy Alert: Contains sodium metabisulfite, a sulfite that may cause allergic-type reactions.

Ask a doctor before use if you have

chronic cough that lasts as occurs with smoking, asthma or emphysema

cough that occurs with too much phlegm (mucus)

Stop use and ask a doctor if

side effects occur. You may report side effects to FDA at 1-800-FDA-1088.

cough lasts more than 7 days, cough comes back, or occurs with fever, rash or headache that lasts. 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 (1-800-222-1222).

DOSAGE & ADMINISTRATION SECTION

LOINC: 34068-7Updated: 5/7/2025

Directions

**shake bottle well before use**

measure only with dosing cup provided 

do not use dosing cup with other products

dose as follows or as directed by a doctor  

adults and children 12 years of age and over

10 mL every 12 hours, not to exceed 20 mL in 24 hours

children 6 to under 12 years of age

5 mL every 12 hours, not to exceed 10 mL in 24 hours

children 4 to under 6 years of age

2.5 mL every 12 hours, not to exceed 5 mL in 24 hours

children under 4 years of age

do not use

STORAGE AND HANDLING SECTION

LOINC: 44425-7Updated: 5/7/2025

Other information

**each 5 mL contains:** sodium 5 mg

store at 20° to 25°C (68° to 77°F)

dosing cup provided

INACTIVE INGREDIENT SECTION

LOINC: 51727-6Updated: 5/7/2025

Inactive Ingredients

D&C Red #30 aluminum lake, D&C Yellow #10 aluminum lake, glycerin, high fructose corn syrup, methylparaben, natural and artificial orange flavor, polysorbate 80, polyvinyl acetate, povidone, propylparaben, purified water, sodium metabisulfite, sodium polystyrene sulfonate, sucrose, tartaric acid, tragacanth gum, triacetin, xanthan gum

OTC - QUESTIONS SECTION

LOINC: 53413-1Updated: 5/7/2025

Questions or comments?

1-800-719-9260

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Cough DM - FDA Drug Approval Details