XL-3 Xtreme

Manufacturer
AptaPharma Inc.
Effective date
2023-12-30
Label type
HUMAN OTC DRUG LABEL
Version
4
Source
full-release
Hydrated at
2026-06-01 00:06:09

Label at a glance#

ProductXL-3 Xtreme
Active ingredientAcetaminophen, DEXTROMETHORPHAN HYDROBROMIDE, DOXYLAMINE SUCCINATE
Label structure18 sections

Dosage and administration

• take only as recommended-see Overdose warning • Use dose cup or tablespoon (TBSP) • do not exceed 4 doses per 24 hours • if taking Night Time at night and Day Time during the day, limit total to 4 doses per 24 hours. adults & children 12 years and over           30 mL (2 TBSP) every 6 hours children 4 to under 12 years                        ask a doctor children under 4 years                                 do ...

Label contents#

Full prescribing information#

SPL UNCLASSIFIED SECTION

Drug Facts

Active Ingredients

OTC - ACTIVE INGREDIENT SECTION

(in each 30 mL dose cup)
Acetaminophen 650 mgr
Dextromethorphan HBr 30 mg
Doxylamine Succinate 12.5 mg

Purpose

OTC - PURPOSE SECTION

Pain reliever/fever reducer
Cough suppressant
Antihistamine

Use

INDICATIONS & USAGE SECTION

temporarily relieves cold/flu symptoms: • sore throat
headache • minor aches and pain • fever • runny nose and
sneezing • cough due to minor throat and bronchial irritation

Warnings

WARNINGS SECTION

Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take • more than 4,000 mg of acetaminophen in 24 hours • with other drugs containing acetaminophen • 3 or more alcoholic drinks every day while using this product
Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms
may include: • skin reddening • blisters • rash. If a skin reaction occurs,
stop use and seek medical help right away.
Sore throat warning: If sore throat is severe, persists for more than two days, is accompanied or followed by fever, headache, rash, nausea, or vomiting, consult a doctor promptly.

Do not use

OTC - DO NOT USE SECTION

• with any other products containing acetaminophen (prescription or nonprescription). lf you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist • for more than10 days for pain unless directed by a doctor • for more than 3 days for fever unless directed by a doctor • 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 drugs. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
• to make a child sleepy.

Ask a doctor before use if you have

OTC - ASK DOCTOR SECTION

• a sodium restricted diet • liver disease • glaucoma • cough that occurs with too much phlegm (mucus) • a breathing problem or chronic cough that lasts or as occurs with smoking, asthma, chronic bronchitis or emphysema
• trouble urinating due to enlarged prostate gland.

Ask a doctor or pharmacist before use

OTC - ASK DOCTOR/PHARMACIST SECTION

• if you are taking sedatives or tranquilizers • if you are taking the blood thinning drug warfarin.

When using this product

OTC - WHEN USING SECTION

• do not use more than directed • avoid alcoholic drinks
• excitability may occur, especially in children • marked
drowsiness may occur • be careful when driving a motor vehicle or
operating machinery • alcohol, sedatives and tranquilizers may increase
drowsiness.

Stop use and ask a doctor if

OTC - STOP USE SECTION

• redness or swelling is present
• symptoms do not get better within 7 days or are accompanied by a fever
• fever gets worse or lasts more than 3 days • new symptoms occur
• cough lasts more than 7 days, comes back, or occurs with fever, rash or headache that lasts. These could be signs of a serious condition.

If pregnant or breast-feeding,

OTC - PREGNANCY OR BREAST FEEDING SECTION

ask a health professional before use.

OTC - KEEP OUT OF REACH OF CHILDREN SECTION

Keep out of reach of children.

Overdose warning:

OVERDOSAGE SECTION

Taking more than the recommended dose
(overdose) may cause serious health problems including liver damage.
In case of accidental overdose, get medical help or contact a Poison
Control Center (1-800-222-1222) right away.
Prompt medical attention is critical for adults as well as children even if
you do not notice any signs or symptoms.

Directions

DOSAGE & ADMINISTRATION SECTION

• take only as recommended-see Overdose warning
• Use dose cup or tablespoon (TBSP) • do not exceed 4 doses per 24 hours • if taking Night Time at night and Day Time during the day, limit total to 4 doses per 24 hours.

adults & children 12 years and over           30 mL (2 TBSP) every 6 hours
children 4 to under 12 years                        ask a doctor
children under 4 years                                 do not use

Other information

OTHER SAFETY INFORMATION

• each 30 mL dose cup contains: sodium 45 mg
• store at 20°-25°C (68°-77° F).

Inactive ingredients

INACTIVE INGREDIENT SECTION

citric acid, FD & C Blue No.1, FD & C Red No. 40, flavor, glycerin, polyethylene glycol, propylene glycol, purified water, saccharin sodium, sodium benzoate, sodium citrate, sucrose.

OTC - QUESTIONS SECTION

Questions or Comments? Call weekdays from 9:30 AM to 4:30 PM EST
1-877-798-5944

XL-3 Xtreme Night Time Cold and Cough

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

XL-3 Night Time XtremeXL-3 Night Time Xtreme

XL-3 Xtreme 2XL-3 Xtreme 2

XL-3* Xtreme
Cherry Flavor
Night Time

Multi-Symptom Cold/Flu relief

Cold and Cough
• Acetaminophen - Pain Reliever/Fever Reducer
• Dextromethorphan HBr - Cough Suppressant
• Doxylamine succinate - Antihistamine

Fast Relief of:
SNEEZING & RUNNY NOSE
FEVER
ACHES & PAINS
COUGH
SORE THROAT

12 FL OZ (354 mL)

XL-3* Xtreme
Cherry Flavor
Night Time

Multi-Symptom Cold/Flu relief

Cold and Cough
• Acetaminophen - Pain Reliever/Fever Reducer
• Dextromethorphan HBr - Cough Suppressant
• Doxylamine succinate - Antihistamine

Fast Relief of:
SNEEZING & RUNNY NOSE
FEVER
ACHES & PAINS
COUGH
SORE THROAT

12 FL OZ (354 mL)

XL-3* Xtreme

Cold and Cough

DO NOT USE IF PRINTED SHRINK BAND IS MISSING OR BROKEN
Failure to follow these warnings could result in serious consequences

Drug Facts

Active ingredients                                                                  Purpose
(in each 30 mL dose cup)
Acetaminophen 650 mg ........................ Pain reliever/fever reducer
Dextromethorphan HBr 30 mg ..........................Cough suppressant
Doxylamine Succinate 12.5 mg ...................................Antihistamine

Uses temporarily relieves cold/flu symptoms: • sore throat
headache • minor aches and pain • fever • runny nose and
sneezing • cough due to minor throat and bronchial irritation

→ DRUG FACTS CONTINUED ON BACK →

Distributed by:
Midway Importing, Inc.
1807 Brittmoore Road,
Houston, TX 77043 1-800-531-3873
Made in USA
                                                     Peel
LR-060 REV 03                          back ►

XL-3* Xtreme

Cold and Cough

Drug Facts (continued)

Warnings
Liver warning: This product contains acetaminophen. Severe liver damage may occur if you take • more than 4,000 mg of acetaminophen in 24 hours • with other drugs containing acetaminophen • 3 or more alcoholic drinks every day while using this product
Allergy alert: Acetaminophen may cause severe skin reactions. Symptoms
may include: • skin reddening • blisters • rash. If a skin reaction occurs,
stop use and seek medical help right away.
Sore throat warning: If sore throat is severe, persists for more than two days, is accompanied or followed by fever, headache, rash, nausea, or vomiting, consult a doctor promptly.

Do not use • with any other products containing acetaminophen (prescription or nonprescription). lf you are not sure whether a drug contains acetaminophen, ask a doctor or pharmacist • for more than10 days for pain unless directed by a doctor • for more than 3 days for fever unless directed by a doctor • 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 drugs. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
• to make a child sleepy.

Ask a doctor before use if you have
• a sodium restricted diet • liver disease • glaucoma • cough that occurs with too much phlegm (mucus) • a breathing problem or chronic cough that lasts or as occurs with smoking, asthma, chronic bronchitis or emphysema
• trouble urinating due to enlarged prostate gland.

Ask a doctor or pharmacist before use • if you are taking sedatives or tranquilizers • if you are taking the blood thinning drug warfarin. ►

Drug Facts (continued)

When using this product • do not use more than directed • avoid
alcoholic drinks • excitability may occur, especially in children • marked
drowsiness may occur • be careful when driving a motor vehicle or
operating machinery • alcohol, sedatives and tranquilizers may increase
drowsiness.

Stop use and ask a doctor if • redness or swelling is present
• symptoms do not get better within 7 days or are accompanied by a fever
• fever gets worse or lasts more than 3 days • new symptoms occur
• cough lasts more than 7 days, 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.

Overdose warning: Taking more than the recommended dose
(overdose) may cause serious health problems including liver damage.
In case of accidental overdose, get medical help or contact a Poison
Control Center (1-800-222-1222) right away.
Prompt medical attention is critical for adults as well as children even if
you do not notice any signs or symptoms.

Directions • take only as recommended-see Overdose warning
• Use dose cup or tablespoon (TBSP) • do not exceed 4 doses per 24 hours • if taking Night Time at night and Day Time during the day, limit total to 4 doses per 24 hours.
adults & children 12 years and over    30 mL (2 TBSP) every 6 hours
children 4 to under 12 years              ask a doctor
children under 4 years                      do not use

Other information • each 30 mL dose cup contains: sodium 45 mg
• store at 20°-25°C (68°-77° F).

Inactive ingredients citric acid, FD & C Blue No.1, FD & C Red No. 40, flavor, glycerin, polyethylene glycol, propylene glycol, purified water, saccharin sodium, sodium benzoate, sodium citrate, sucrose.

Questions or Comments? Call weekdays from 9:30 AM to 4:30 PM EST
1-877-798-5944

XL-3 NighTime 6_OZXL-3 NighTime 6_OZ

XL-3* Xtreme
Cherry Flavor
Night Time

Multi-Symptom Cold/Flu relief

Cold and Cough
• Acetaminophen - Pain Reliever/Fever Reducer
• Dextromethorphan HBr - Cough Suppressant
• Doxylamine succinate - Antihistamine

Fast Relief of:
SNEEZING & RUNNY NOSE
FEVER
ACHES & PAINS
COUGH
SORE THROAT

6 FL OZ (177 mL)

XL-3 Night Time XtremeXL-3 Night Time Xtreme

XL-3 Xtreme 2XL-3 Xtreme 2

XL-3 NighTime 6_OZXL-3 NighTime 6_OZ

res

DailyMed RxNorm Mappings#

RxCUI, RxNorm string, TTY table
RxCUIRxNorm stringTTYSPL version
1043400acetaminophen 650 MG / dextromethorphan HBr 30 MG / doxylamine succinate 12.5 MG in 30 mL Oral SolutionPSN4
1043400acetaminophen 21.7 MG/ML / dextromethorphan hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral SolutionSCD4
1043400acetaminophen 325 MG / dextromethorphan HBr 15 MG / doxylamine succinate 6.25 MG per 15 ML Oral SolutionSY4
1043400acetaminophen 650 MG / dextromethorphan HBr 30 MG / doxylamine succinate 12.5 MG per 30 ML Oral SolutionSY4
1043400APAP 21.7 MG/ML / Dextromethorphan Hydrobromide 1 MG/ML / doxylamine succinate 0.417 MG/ML Oral SolutionSY4

DailyMed Pharmacologic Classes#

Class, Version, Type table
ClassVersionTypeEffective
DEXTROMETHORPHAN Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813
DOXYLAMINE Pharmacologic Class Indexing2Indexing - Pharmacologic Class20180813

DailyMed Product Concepts#

Product concept, Relation, Version table
Product conceptRelationVersionEffective
59361619-24d9-b610-eca6-5a7f25ed5e03Product name520240909
f4368033-af8c-41bf-a84b-ff77392b8522Product name120161229

DailyMed Package Descriptions#

Package NDC, Product, Description table
Package NDCProductDescriptionFormQuantityStrengthSPL version
76281-305-28XL-3 Xtreme354 mL in 1 BOTTLELIQUID3544
76281-307-25XL-3 Xtreme177 mL in 1 BOTTLELIQUID1774

DailyMed Dashboard NDC Coverage#

NDC, Dashboard title, SPL version table
NDCDashboard titleSPL versionValidationDashboard ZIP
76281-305XL-3 XTREME (ACETAMINOPHEN, DEXTROMETHORPHAN HBR, DOXYLAMINE SUCCINATE) LIQUID [APTAPHARMA INC.]4Current NDC, Legacy NDC, 1 package rows20231231_dff79e0b-edf0-4dd3-a722-fd9beecd6293.zip
76281-307XL-3 XTREME (ACETAMINOPHEN, DEXTROMETHORPHAN HBR, DOXYLAMINE SUCCINATE) LIQUID [APTAPHARMA INC.]4Current NDC, Legacy NDC, 1 package rows20231231_dff79e0b-edf0-4dd3-a722-fd9beecd6293.zip

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 18 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
76281-30576281-305-28
76281-30776281-307-25

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 28 matching rows.

Source Document#

Source XML

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
XL-3 XtremeACETAMINOPHEN, DEXTROMETHORPHAN HBR, DOXYLAMINE SUCCINATEAptaPharma Inc.dff79e0b-edf0-4dd3-a722-fd9beecd62932023-12-30WarningsExact identifier
ndc (package): 76281-307-25
ndc (package): 76281-305-28
ndc (product): 76281-305
ndc (product): 76281-307
ndc11 (package): 76281030725
ndc11 (package): 76281030528
spl id: 95f58511-c4d4-4a9d-b8be-ba0b464f2e59
spl set id: dff79e0b-edf0-4dd3-a722-fd9beecd6293

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.