Can You Take NyQuil And Delsym Together?

In our latest question and answer, the pharmacist discusses why you shouldn't take Delsym and NyQuil together.

Question

I never quite know what medications I can combine when I'm dealing with a cold. NyQuil works well at night but I don't know if I can take Delsym at night along with it.

Asked by Adele On Apr 12, 2023

Answered by
Medical Content Reviewed By HelloPharmacist Staff

Published Apr 12, 2023
Last updated Apr 27, 2024

Key points

  • Taking NyQuil and Delsym together is not recommended as they contain the same active ingredient, dextromethorphan.

Answer

NyQuil (and NyQuil Severe) should not be taken with Delsym as they both contain the same ingredient, the cough suppressant dextromethorphan.

Taking NyQuil and Delsym would be considered a therapeutic duplication (as you'd be taking the same drug) and you would be at risk of you taking too much at one time, which could increase the risk of side effects.

Always Check The Label Of Over-The-Counter Products

It is very important to always look at the label of the product you are looking to take to understand the active ingredients(s) it contains.

Although there are several different 'NyQuil' and 'Delsym' products available, most of them contain the cough suppressant dextromethorphan.

For example, below are the drug labels for 'NyQuil' and 'Delsym 12-hour'. You can see they both contain dextromethorphan.

Delsym and nyquil next to each other

Taking too much dextromethorphan increases the risk of side effects, which include:

  • Drowsiness
  • Dizziness
  • Fatigue
  • Nausea
  • Diarrhea
  • Vomiting

Additionally, dextromethorphan is associated with serotonergic effects, especially at high doses.

Excessive dosages have been reported to increase the rare but serious condition known as serotonin syndrome, whose symptoms include:

  • Confusion
  • Nervousness
  • Restlessness
  • Irritability
  • Increased heart rate
  • Increased body temperature
  • Delirium
  • Seizers
  • Muscle spasm

How Long To Separate Doses

NyQuil products have a duration of action of 4 to 6 hours per dose, whereas Delsym products usually last up to 12 hours per dose (although there are some Delsym products that last 4 hours per dose).

If you need to take both NyQuil and Delsym for your symptoms, it is important to separate the doses by the appropriate amount of time to avoid the risk of double dosing.

So, if you take NyQuil first, you can safely take Delsym after 4 to 6 hours.

If you take a 12-hour version of Delsym first, you should wait at least that amount of time before taking NyQuil.

Final Words

Thanks so much for reaching out and please feel free to do so again anytime!

References

  • Dextromethorphan Monograph, PubChem
  • NyQuil Manufacturer Website, Vicks
  • Delsym Manufacturer Website, Delsym.com

About the Pharmacist

Dr. Brian Staiger, PharmD

Dr. Brian has been practicing pharmacy for over 13 years and has wide-ranging experiences in many different areas of the profession. From retail, clinical, program development, and administrative responsibilities, he's your knowledgeable and go-to source for all your pharmacy and medication-related questions! Dr. Brian Staiger also has herbalist training and educational certificates in the field of medical ethnobotany. Feel free to send him an email at [email protected]! You can also connect with Dr. Brian Staiger on LinkedIn.

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