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Dextromethorphan

Dextromethorphan is a cough suppressant used to temporarily relieve cough from minor throat and bronchial irritation, such as from a cold or inhaled irritants, in liquid, tablet, capsule and lozenge products.

Brand names Delsym 12-hour CoughRobitussin Cough Long-ActingTriaminic Long-Acting CoughVicks DayQuil CoughMielim y mas +11 more
Drug classes Uncompetitive N-methyl-d-aspartate Receptor Antagonist
OTC Forms 8
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026 Content updated Oct 2, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 145 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

✓No current FDA shortage listed · checked Oct 4, 2026
Dextromethorphan at a glance The quick version — the full detail is in the Patient Information Guide below.
Dr. Brian Staiger, PharmD, BCPS
The Pharmacist’s Take By · Clinical pharmacist · Written

Dextromethorphan, the “DM” on many cough syrups, is a familiar over-the-counter cough suppressant that calms the brain’s cough reflex, meant for short-term relief of cough from a cold or inhaled irritants; it has been on the market since about 1957 and is widely available as a generic. Most people tolerate it well, though nighttime formulas can cause marked drowsiness and children may become excitable. Never take it with an MAOI (certain drugs for depression, psychiatric conditions or Parkinson’s disease) or within 2 weeks of stopping one. See a doctor if the cough lasts more than 7 days, comes back, or brings fever, rash or a lasting headache.

Clinical pearls

  • Many multi-symptom cold and flu products already contain dextromethorphan, so read every label before stacking two cough or cold medicines.
  • Dosing differs by product (Delsym-type suspensions run about every 12 hours), so shake well and use only that product’s dosing cup.
  • Delsym-type 12-hour suspensions are labeled not for children under 4, and every product belongs out of children’s reach.
  • Nighttime versions can cause marked drowsiness, so skip alcohol and check before combining them with sedatives or tranquilizers.
How you get itOver the counter
Comes asOral suspension, Oral solution, Extended-release oral suspension +5
Earliest FDA record1982
Companies listing it with the FDA64
FDA label last updatedMay 27, 2026
FDA’s strongest warning (boxed)None on the label

Patient information guide A plain-language walkthrough of Dextromethorphan, written from its FDA label.

What Dextromethorphan is used for

▾

Dextromethorphan is used for short-term cough relief. Uses vary by product.

  • Temporarily relieves cough from minor throat and bronchial irritation, as with the common cold or inhaled irritants (many oral liquid, suspension and tablet products).
  • Reduces the urge to cough to help you get to sleep (for example, Delsym products and Delsym Cough tablets).
  • Helps reduce the intensity of coughing (for example, Mucinex Instasoothe lozenge and Giltuss DM).
  • Helps loosen phlegm (mucus) and thin bronchial secretions (for example, Honey Works syrup, Premier Value Tussin Cough and CVS Long Acting Cough).

Dextromethorphan dosage

▾

Dextromethorphan is mostly taken by mouth. Dosing depends on the product and the person's age.

  • Extended-release suspensions such as Delsym: shake well, measure with the cup provided, and dose every 12 hours. Not for children under 4.
  • Giltuss Honey DM Cough: dosed every 6 to 8 hours, no more than 4 doses in 24 hours. Consult a doctor for children under 4.
  • Don't use a dosing cup from another product.

Follow the directions on your product or from your prescriber or pharmacist.

Dosing details from the FDA-approved label

From the Dextromethorphan prescribing information (“Dosage and Administration”). Doses are set by your prescriber for your product, condition, kidney function and age — never change a dose on your own.

  • adults and children 12 years of age and over
    • 10 mL every 12 hours
    • Maximum: not to exceed 20 mL in 24 hours
  • children 6 to under 12 years of age
    • 5 mL every 12 hours
    • Maximum: not to exceed 10 mL in 24 hours
  • children 4 to under 6 years of age
    • 2.5 mL every 12 hours
    • Maximum: not to exceed 5 mL in 24 hours
  • children under 4 years of age
    • Do not use
Read the label’s full dosing text

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 • mL = milliliter 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

Read the full Dosage and Administration section on DailyMed →

Dextromethorphan side effects

▾

The label names a few effects with nighttime products.

Common side effects

  • Marked drowsiness (nighttime products)
  • Excitability, especially in children

When to get medical help

  • Cough lasts more than 7 days
  • Cough comes back after improving
  • Cough comes with fever, rash, or a headache that lasts
  • Signs of overdose: get medical help or call Poison Control at 1-800-222-1222 right away

Stop use and see a doctor if your cough lasts over 7 days, returns, or comes with fever, rash or a lasting headache.

Dextromethorphan warnings and precautions

▾
  • Don't use with an MAOI or within 2 weeks of stopping one.
  • Don't use more than directed.
  • Nighttime products can cause marked drowsiness. Use caution driving or operating machinery.
  • A cough lasting more than 7 days or with fever, rash or lasting headache may signal a serious condition.

Dextromethorphan interactions

▾

A few interactions matter most.

  • MAOIs (certain drugs for depression, psychiatric conditions or Parkinson's disease): don't use together or within 2 weeks of stopping.
  • Alcohol: can increase drowsiness with nighttime products.
  • Sedatives and tranquilizers: can increase drowsiness with nighttime products.

Not a complete list. The label covers the interactions the manufacturer studied or reported, and our own interaction database does not cover every medicine either. Bring your full medication list, including vitamins and herbal products, to your pharmacist.

Before taking Dextromethorphan

▾
  • Taking an MAOI, or unsure if your medicine is one
  • Cough with a lot of phlegm
  • Chronic cough from smoking, asthma, chronic bronchitis or emphysema
  • Nighttime products: glaucoma, a breathing problem, or trouble urinating from an enlarged prostate
  • Pregnant or breastfeeding: ask a health professional first
  • Young children: some products aren't for children under 4

Dextromethorphan overdose

▾

If you take too much, get medical help or call Poison Control at 1-800-222-1222 right away. Keep the product out of reach of children.

How to store Dextromethorphan

▾

store at 20° to 25°C (68° to 77°F) • dosing cup provided

Written from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

171

Supplements & herbs that interact with Dextromethorphan

171 supplements and herbal products have documented interactions with Dextromethorphan in the licensed clinical database we use. Most are manageable — but your pharmacist should know about everything you take, including vitamins and herbals.

Severity mix
  • Major · 4
  • Moderate · 125
  • Minor · 42
Every supplement checked against Dextromethorphan — ranked by severity The full interaction hub: 4 major · 125 moderate · 42 minor · every one linked to its full report. Check Dextromethorphan against your exact supplements

Educational information from a licensed clinical database (Natural Medicines) — see our data sources & update cadence. Not medical advice: an interaction being documented does not mean it will happen to you; do not start or stop medications or supplements without professional guidance.

Dextromethorphan: pharmacist answers to common questions

Quick, plain-English answers to the questions patients ask most about Dextromethorphan — the kind of thing our pharmacy team would talk through with you at the counter.

What is this medicine for?

▾
It's a cough suppressant. It temporarily relieves cough from minor throat and bronchial irritation, like with a cold or inhaled irritants. Some products also help you sleep by calming the urge to cough.

How often can I take it?

▾
It depends on the product. Extended-release suspensions like Delsym are labeled for every 12 hours, while Giltuss Honey DM Cough is every 6 to 8 hours with a 4-dose daily limit. Check your label and use the dosing cup that came with it.

Can I take it with my antidepressant?

▾
Be careful. Don't use it if you take a prescription MAOI, or within 2 weeks of stopping one. If you're not sure whether your medicine is an MAOI, ask me or your doctor before taking it.

What side effects should I expect?

▾
Nighttime products can cause marked drowsiness, and children may become excitable. Avoid alcohol and be careful driving.

When should I see a doctor about my cough?

▾
See a doctor if the cough lasts more than 7 days, comes back, or comes with fever, rash or a headache that lasts. Also check first if you have a chronic cough from smoking, asthma or emphysema, or a lot of phlegm.

Is it safe in pregnancy or for kids?

▾
If you're pregnant or breastfeeding, ask a health professional first. For children, some products aren't for kids under 4, so follow the age directions on the label.

Is Dextromethorphan available over the counter?

▾
Yes. The Dextromethorphan products listed with the FDA are sold over the counter, without a prescription (the oral suspension, oral solution, extended-release oral suspension, capsule, tablet and lozenge forms). Follow the package directions. Your pharmacist can tell you which product is right for you.

When was Dextromethorphan first available?

▾
The earliest FDA record we hold for Dextromethorphan is from 1982: its first approval in Drugs@FDA or its earliest product listing in the NDC Directory, whichever is older. Many older medicines were in use before their first formal FDA approval, so this is the earliest date on record, not necessarily when Dextromethorphan was first used.

Who makes Dextromethorphan?

▾
64 companies currently list Dextromethorphan products in the FDA's NDC Directory, including Haleon US Holdings LLC, Reckitt Benckiser LLC, Amazon.com Services LLC. That count includes repackagers and distributors as well as manufacturers (companies that sell only the raw ingredient are not counted), so fewer companies actually make it; the label on your bottle names the one that supplied yours.

Answers drafted from the FDA-approved label with AI and reviewed by our pharmacy team. How we use AI →

More about Dextromethorphan on HelloPharmacist

Detailed data & references for Dextromethorphan Forms & strengths, pricing, billing codes, manufacturers, safety reports and sourcing — the data behind the page. Most people can stop here. Each section below opens on a tap.

Dextromethorphan forms and strengths (how it comes)

Dextromethorphan is available in 8 forms. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Oral suspension

By mouth
Brands Cough DM
Available strengths 2 strengths
71 FDA-listed product records ⓘ

Oral solution

By mouth
Brands Creomulsion Mielim y mas
How this form is used
What it may be used for
  • Childrens Giltuss Honey DM Cough is labeled to relieve cough from minor throat and bronchial irritation and to help your child get to sleep.
  • CVS Long Acting Cough is labeled to relieve cough and help loosen phlegm (mucus).
  • Father Johns Medicine is labeled to temporarily relieve cough from a cold or inhaled irritants.
Important instructions
  • Childrens Giltuss Honey DM Cough: no more than 4 doses in 24 hours, taken every 6 to 8 hours.
  • Childrens Giltuss Honey DM Cough: use the dosing cup provided; consult a doctor for children under 4.
Available strengths 9 strengths
Show 3 more strengths Show fewer strengths
61 FDA-listed product records ⓘ

Extended-release oral suspension

By mouth
Brands Cough DM Delsym
How this form is used
What it may be used for
  • Delsym is labeled to temporarily relieve cough due to minor throat and bronchial irritation from a cold or inhaled irritants.
  • Delsym is also labeled to reduce the urge to cough to help you get to sleep.
Important instructions
  • Delsym: shake the bottle well before use.
  • Delsym: measure only with the dosing cup provided and don't use it with other products.
  • Delsym is labeled for dosing every 12 hours, with a daily maximum by age.
  • Delsym: do not use in children under 4 years.
Available strengths 1 strength
53 FDA-listed product records ⓘ

Capsule

By mouth
Available strengths 1 strength
48 FDA-listed product records ⓘ

Tablet

By mouth
Brands BupropiDex Delsym Cough Dextabs RoboHBr Cough SUPPRESSANT RoboTablets
How this form is used
What it may be used for
  • Delsym Cough tablets are labeled to temporarily relieve cough from minor throat and bronchial irritation and the urge to cough to help you get to sleep.
  • RoboHBr Cough SUPPRESSANT, Dextabs, BupropiDex and RoboTablets are labeled to temporarily relieve cough from minor throat and bronchial irritation with the common cold.
Available strengths 2 strengths
12 FDA-listed product records ⓘ

Lozenge

By mouth
Brands Mucinex Instasoothe Stona
How this form is used
What it may be used for
  • Mucinex Instasoothe is labeled to temporarily relieve cough from minor throat and bronchial irritation and help reduce the intensity of coughing.
  • Stona is labeled to temporarily relieve cough from minor throat and bronchial irritation from a cold or inhaled irritants.
Available strengths 2 strengths
4 FDA-listed product records ⓘ

Chewable tablet

By mouth
Available strengths 2 strengths
3 FDA-listed product records ⓘ

Topical cream, ointment or gel

By mouth
Available strengths 1 strength
2 FDA-listed product records ⓘ

Dextromethorphan on the U.S. market: products, makers and brands

How Dextromethorphan appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

64 companies list 130 Dextromethorphan product records with the FDA, mostly as oral suspension, oral solution, extended-release oral suspension; the earliest marketing or approval year on record is 1982. Brand names on the directory include Delsym 12-hour Cough, Robitussin Cough Long-Acting, Triaminic Long-Acting Cough and 13 more; the rest are generics.

8
Dose forms ⓘ
64
Labelers (makers, repackagers, distributors)
40
Brand names
130
FDA-listed product records ⓘ
1982
Earliest FDA record ⓘ

FDA-listed product records by dose form (tablet variants merged) — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

Also listed with the FDA, not a patient dose form: Powder (25) · Crystal (2) · Kit (1) — bulk drug substance sold to compounders/manufacturers and multi-item kits. These aren’t counted in the dose-form total above.

Haleon US Holdings LLC8%
Reckitt Benckiser LLC5%
Amazon.com Services LLC5%
Aurohealth LLC3%
Gil Pharmaceutical Corp3%
Meijer Distribution Inc3%
Other makers73%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

How widely Dextromethorphan is used (Medicaid data)

A general measure of how commonly Dextromethorphan is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Dextromethorphan is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

60,739
Medicaid prescriptions filled (Q1–Q4 2025)
$879,991 gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Dextromethorphan prescribed? Of the 1,601 medications we measure, Dextromethorphan ranks #595 by Medicaid prescriptions — more than 63% of them.

Where Dextromethorphan ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Dextromethorphan product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

The 6 mg/mL 12 hr extended release suspension is the most-dispensed Dextromethorphan product — about 98% of these Medicaid prescriptions.

12 HR dextromethorphan polistirex 6 MG/ML Extended Release Suspension Most dispensed

59,487 Medicaid prescriptions (Q1–Q4 2025) 98% of Dextromethorphan prescriptions shown $861,349 gross reimbursement (before rebates) ≈ $14 per prescription (gross)

Summed across the 13 of 120 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1373045

dextromethorphan hydrobromide 15 MG Oral Capsule

1,252 Medicaid prescriptions (Q1–Q4 2025) 2% of Dextromethorphan prescriptions shown $18,643 gross reimbursement (before rebates) ≈ $15 per prescription (gross)

Summed across the 1 of 36 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 1090487

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Dextromethorphan, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 14 of 156 listed Dextromethorphan NDCs with Medicaid activity.

Compare Dextromethorphan products

A representative set of FDA-listed product records for Dextromethorphan — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Showing 110 of 130 products — FDA National Drug Code Directory. See every product, package size and price: browse all 130 Dextromethorphan NDCs →

Dextromethorphan recall history

A recall is when a specific batch of a medicine is pulled from the market — usually a manufacturing issue, not a problem with the drug itself. Class I is most serious, Class III least.

The FDA’s enforcement reports list no Dextromethorphan recalls since July 2021.

✅No Dextromethorphan recalls on record since July 2021

Source: FDA enforcement (recall) reports, via openFDA; our copy was last updated Sep 24, 2026.

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Dextromethorphan RxCUI 3289 9 dose forms · 26 strengths
  1. Dose form (SCDF) Disintegrating Oral Tablet RxCUI 1145673 In current FDA listings
    Clinical drug / strength (SCD) hydrobromide 7.5 MG RxCUI 1440908
  2. Dose form (SCDF) Oral Capsule RxCUI 371754 In current FDA listings
    Clinical drug / strength (SCD) hydrobromide 15 MG RxCUI 1090487
  3. Dose form (SCDF) Oral Lozenge RxCUI 371758 In current FDA listings
    Clinical drug / strength (SCD) hydrobromide 10 MG RxCUI 1861935 hydrobromide 2.5 MG RxCUI 2122387 hydrobromide 5 MG RxCUI 1370219 hydrobromide 7.5 MG RxCUI 2167801
  4. Dose form (SCDF) Oral Spray RxCUI 702440 No current FDA listing
    Clinical drug / strength (SCD) hydrobromide 2.2 MG/ACTUAT RxCUI 2122413 hydrobromide 3.3 MG/ACTUAT RxCUI 2122393 hydrobromide 6 MG/ACTUAT RxCUI 1596945
  5. Dose form (SCDF) Oral Suspension RxCUI 438999 In current FDA listings
    Clinical drug / strength (SCD) hydrobromide 2 MG/ML RxCUI 2373441 hydrobromide 2.5 MG/ML RxCUI 1536151

Look up RxCUI 3289 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

Dextromethorphan brand names

Dextromethorphan is sold under 16 brand names in the FDA directory — Delsym 12-hour Cough, Robitussin Cough Long-Acting, Triaminic Long-Acting Cough, Vicks DayQuil Cough and others. A brand and its generic contain the same active ingredient; the brand name belongs to one company's product.

Delsym 12-hour Cough Robitussin Cough Long-Acting Triaminic Long-Acting Cough Vicks DayQuil Cough Mielim y mas Robafen Cough DayQuil Cough Creomulsion Delsym Scot-tussin Diabetic CF Babee Cof Elixsure Cough Buckley's Cough Suppressant Zicam Cough Scot-Tussin DM Cough Chasers Cough DM

Who makes Dextromethorphan: manufacturers and labelers

64 companies list Dextromethorphan products with the FDA. By number of product records, the largest are Haleon US Holdings LLC, Reckitt Benckiser LLC, Amazon.com Services LLC. Labelers include manufacturers and repackagers; the product in your bottle depends on which one your pharmacy stocks.

Haleon US Holdings LLC 10 Reckitt Benckiser LLC 7 Amazon.com Services LLC 6 Aurohealth LLC 4 Gil Pharmaceutical Corp 4 Meijer Distribution Inc 4 Safeway 4 Walgreen Company 4 Cvs Pharmacy, Inc 3 CVS Pharmacy 3 Cvs Woonsocket Prescription Center, Incorporated 3 Cabinet Health P.B.C. 3 Cardinal Health 110, LLC. dba Leader 3 DXM Pharmacuetical, Inc. 3 Amerisource Bergen 2 American Sales Company 2 Amneal Pharmaceuticals LLC 2 Best Choice (Valu Merchandisers Company) 2 Chain Drug Marketing Association, Inc. 2 DXM Pharmaceutical, Inc 2 Dextrum Laboratories Inc 2 HyVee Inc 2 Kroger Company 2 L. Perrigo Company 2

…and 40 more on the FDA NDC directory.

Dextromethorphan drug class (RxNorm)

Dextromethorphan belongs to the Uncompetitive N-methyl-D-aspartate Receptor Antagonist class.

Pharmacologic class Uncompetitive N-methyl-D-aspartate Receptor Antagonist, Sigma-1 Agonist
Drug family (ATC) Other antidepressants, Opium alkaloids and derivatives
How it works Uncompetitive NMDA Receptor Antagonists, Sigma-1 Receptor Agonists

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

Sources for this Dextromethorphan page

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective May 27, 2026
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Dextromethorphan.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Dextromethorphan after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
145
Finished products in the current FDA directory
130
Companies listing them (makers, repackagers, distributors)
64
FDA labeler codes behind them ⓘ
57
Linked representative label ⓘ
RB Health (US) LLC
Linked label effective
May 27, 2026
Composite sections available
7
Linked SPL Set ID
234e6a2c-a280-4a39-8777-9316e9d681fb
Linked SPL Document ID
52d13984-c194-57c2-e063-6294a90a8393
Open the linked representative label on DailyMed ↗

How this page is built

HelloPharmacist combines public FDA and NLM records and does not author the underlying clinical facts. The plain-language sections are written with AI from the FDA-approved label text and reviewed by our pharmacy team before publication. RB Health (US) LLC is the representative DailyMed label linked for verification and dates. This is general education, not medical advice: always talk to your doctor or pharmacist about your own medicines. How we build and review drug pages →