{"active_ingredient":["Active Ingredients in each 1 mL (dropperful) Purpose Dextromethorphan HBr........ 2.5 mg.......................................... Cough suppressant Guaifenesin........................25mg................................................Expectorant Pseudoephedrine HCl..........7.5mg..............................................Nasal Decongestant"],"do_not_use":["Ask a doctor before use if your child has heart disease high blood pressure thyroid disease diabetes a cough that occurs with too much phlegm (mucus) a persistent or chronic cough such as occurs with asthma When using this product do not exceed recommended dosage Stop use and ask a doctor if nervousness, dizziness or sleeplessness occurs symptoms do not get better within 7 days or accompanied by fever cough last more than 7 days, comes back, or is accompanied by fever, rash or persistent headache. A persistent cough could be a sign of a serious condition."],"dosage_and_administration":["Directions Do not exceed more than 4 doses in any 24-hour periodor as directed by a doctor. Age Weight Dose Children 2 to under 6 years of age 24 -47 lbs Take 2 mL (two dropperfuls) every 4 to 6 hours Children under 2 years of age Under 24 lbs ask a doctor"],"dosage_and_administration_table":["<table ID=\"ieeff6f06-0f99-467f-8b57-1c9b1f52ca99\" border=\"2\" width=\"522\"><tbody><tr><td><content styleCode=\"bold\"><content styleCode=\"bold\">Age</content> </content></td><td><content styleCode=\"bold\">Weight</content></td><td><content styleCode=\"bold\">Dose</content></td></tr><tr><td>Children 2 to under   6 years of age </td><td>24 -47 lbs  </td><td> Take 2 mL (two dropperfuls)   every 4 to 6 hours  </td></tr><tr><td>Children under 2 years of age  </td><td>Under 24 lbs  </td><td> ask a doctor  </td></tr></tbody></table>"],"effective_time":"20251231","id":"47463023-1b8c-729b-e063-6394a90a8dce","inactive_ingredient":["Inactive ingredients citric acid, D and C Red Number 33,FD and C Blue #1, flavor, glycerin, propylene glycol, sodium benzoate, sodium saccharin, water."],"indications_and_usage":["Other information store at controlled room temperature 20° - 25° C (68° - 77° F); excursions permitted to 15° - 30° C (59° - 86° F) [See USP Controlled Room Temperature] Tamper evident by imprinted heat seal under cap. Do not use if there is evidence of tampering Oral dosing device enclosed"],"keep_out_of_reach_of_children":["Keep out of reach of children. In case of overdose, get medical help or contact a Poison Control Center right away."],"openfda":{"application_number":["M012"],"brand_name":["Tusnel DM Pediatric"],"generic_name":["DEXTROMETHORPHAN, GUIAFENESIN, PSEUDOEPHEDRINE HCL"],"is_original_packager":[true],"manufacturer_name":["Llorens Pharmaceutical International Division"],"nui":["N0000193956","N0000008867","N0000009560"],"package_ndc":["54859-603-02"],"pharm_class_epc":["Expectorant [EPC]"],"pharm_class_pe":["Decreased Respiratory Secretion Viscosity [PE]","Increased Respiratory Secretions [PE]"],"product_ndc":["54859-603"],"product_type":["HUMAN OTC DRUG"],"route":["ORAL"],"rxcui":["1241674"],"spl_id":["47463023-1b8c-729b-e063-6394a90a8dce"],"spl_set_id":["d915eab8-013e-4ce3-b358-0d531e5ca1ba"],"substance_name":["GUAIFENESIN","PSEUDOEPHEDRINE HYDROCHLORIDE","DEXTROMETHORPHAN HYDROBROMIDE"],"unii":["495W7451VQ","6V9V2RYJ8N","9D2RTI9KYH"]},"package_label_principal_display_panel":["tusnelDMPed"],"purpose":["Uses Temporary relief of cough due to minor throat and bronchial irritation. Temporarily relieves nasal congestion due to the common cold and thin bronchial secretions to make coughs more productive. helps loosen phlegm (mucus) and thin bronchial secretions to make cough more productive."],"questions":["Questions or Comments? 1-866-595-5598"],"set_id":"d915eab8-013e-4ce3-b358-0d531e5ca1ba","spl_product_data_elements":["Tusnel DM Pediatric Dextromethorphan, Guiafenesin, Pseudoephedrine HCl FD&C BLUE NO. 1 CITRIC ACID MONOHYDRATE GLYCERIN SODIUM BENZOATE SACCHARIN SODIUM PROPYLENE GLYCOL WATER D&C RED NO. 33 GUAIFENESIN GUAIFENESIN PSEUDOEPHEDRINE HYDROCHLORIDE PSEUDOEPHEDRINE DEXTROMETHORPHAN HYDROBROMIDE DEXTROMETHORPHAN"],"version":"9","warnings":["Warnings Do not use in child who is taking a prescription monoamine oxidaseinhibitor (MAOI) (certain drugs for depression, psychiatric, or emotionalconditions, or Parkinson’s disease), or for 2 weeks after stopping theMAOI drug. If you do not know if your child's prescription drug contains anMAOI, ask a doctor or pharmacist before giving this product."]}