Medicine guide

Tussnex Fm Severe Cough and Congestion

20 mg/20mL + 400 mg/20mL + 10 mg/20mL · Liquid

  • Available without prescription
  • Expectorant
Made by
Guardian Drug Company

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2024-12-19

What it is

Cough suppressant Expectorant Nasal decongestant

Used for
  • Cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the intensity of coughing the impulse to cough to help
How to take it

Adults and children 12 years and older:: 20 mL in dosing cup provided every 4 hours

Full directions ↓
Warning

Do not use for

All warnings ↓
Good to know
  • Sold without a prescription
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
44other products contain Dextromethorphan Hbr, Guaifenesin, Phenylephrine Hcl — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

hepls loosen phelgm (mucus) and thin bronchial secretions to drain bronchial tubes and make coughs more productive temporarily relieves:

  • cough due to minor throat and bronchial irritation as may occur with the common cold or inhaled irritants the intensity of coughing the impulse to cough to help
  • you get to sleep nasal congestion due to a cold

From the official label · 2024-12-19 · DailyMed

How to take it

These directions are for this exact strength and form. Another one is different.

  • do not take more than 6 doses in 24-hour period measure only with dosing coup provided
  • do not use dosing cup with other products dose as follows or as directed by a doctor
  • Adults and children 12 years and older:
  • 20 mL in dosing cup provided every 4 hours
  • Children under 12 years of age:
  • Do not use

Quoted from the official label, section “Dosage & Administration”.

Ask a doctor first if

  • heart disease high blood pressure thyroid disease diabetes trouble urinating due to an enlarged prostate gland persistent or chronic cough such as occurs with smoking, asthma, chronic bronchitis or emphysema cough that occurs with too much phlegm (mucus)
  • When using this product
  • do not use more than directed
  • Stop use and
  • ask a doctor if nervousness, dizziness or sleeplessness occur symptoms do not get better within 7 days or occur with fever cough comes back, or occurs with rash or persistent headache.
  • 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.

Quoted from the official label, section “OTC — Ask Doctor”.

Stop and get help if

  • nervousness, dizziness or sleeplessness occur symptoms do not get better within 7 days or occur with fever cough comes back, or occurs with rash or persistent headache.
  • 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.

Quoted from the official label, section “OTC — Stop Use”.

Other warnings

  • Do not use for
  • if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for 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.
  • Ask a doctor before use
  • if you have heart disease high blood pressure thyroid disease diabetes trouble urinating due to an enlarged prostate gland persistent or chronic cough such as occurs with smoking, asthma, chronic bronchitis or emphysema cough that occurs with too much phlegm (mucus)
  • Stop use and
  • Stop use and

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • 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.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

How to store it

  • each 20 mL contains:
  • sodium 20 mg store between 15-30 o C(59-86 o F) do not refrigerate dosing cup provided

Quoted from the official label, section “Storage and Handling”.

What kind of medicine it is

Cough suppressant Expectorant Nasal decongestant

Quoted from the official label, section “OTC — Purpose”.

Other ingredients

Relevant if you react to a dye, a preservative, lactose or gluten.

citric acid anhydrous, edetate disodium, FDand C blue 1, FD and C red 40, flavors, glycerin, propylene glycol, propyl gallate, purified water, sodium benzoate, sodium citrate, sorbitol, sucralose, xanthan gum

Quoted from the official label, section “Inactive Ingredients”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

  • Sugar alcoholssorbitolSorbitol and similar can upset the stomach and matter with fructose intolerance.

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Every version of this medicine (16)

The same active substance, strength and kind of form, from every company that sells it — with what each label lists.

Hide versions whose label lists:

Showing 16 of 16

Details

Made byGuardian Drug Company
Active substanceDextromethorphan Hbr, Guaifenesin, Phenylephrine Hcl
Used inBreathing, airways, allergies and cough
Strength20 mg/20mL + 400 mg/20mL + 10 mg/20mL
FormLiquid
RouteOral
Packs177 mL in 1 BOTTLE
NDC53041-617

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

Same active substance

These contain the same substance. That does not mean one can replace another — ask a pharmacist.