{"active_ingredient":["Active Ingredients in each (1 mL) Dextromethorphan HBr 2.5 mg Guaifenesin 25 mg Phenylephrine HCl 1.25 mg"],"dosage_and_administration":["Directions Do not exceed more than 4 doses in any 24-hour period or as directed by a doctor. Age Weight Dose Children 2 to under 6 years of age 24-47 lbs Take 2 mL every 4-6 hours Children under 2 years of age Under 24 lbs Ask a doctor"],"dosage_and_administration_table":["<table width=\"100%\"><caption/><tbody><tr><td> Age</td><td> Weight</td><td> Dose</td></tr><tr><td> Children 2 to under 6 years of age</td><td> 24-47 lbs</td><td> Take 2 mL every 4-6 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":"47463023-1b8d-729b-e063-6394a90a8dce","inactive_ingredient":["Inactive ingredients: Artifical and natural flavor, citric acid, glycerin, methylparaben, polyethylene glycol, propylene glycol, propylparaben, purified water, sodium citrate, sucralose."],"indications_and_usage":["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."],"keep_out_of_reach_of_children":["Keep out of reach of children. In case overdose, get medical help or contact a Poison Control Center right away."],"openfda":{"application_number":["M012"],"brand_name":["Tusnel-DM Pediatric"],"generic_name":["DEXTROMETHORPHAN HBR, GUAIFENESIN, PHENYLEPHRINE HCL"],"is_original_packager":[true],"manufacturer_name":["LLORENS PHARMACEUTICALS INTERNATIONAL DIVISION"],"nui":["N0000193956","N0000008867","N0000009560"],"package_ndc":["54859-606-01"],"pharm_class_epc":["Expectorant [EPC]"],"pharm_class_pe":["Decreased Respiratory Secretion Viscosity [PE]","Increased Respiratory Secretions [PE]"],"product_ndc":["54859-606"],"product_type":["HUMAN OTC DRUG"],"route":["ORAL"],"rxcui":["2268062"],"spl_id":["47463023-1b8d-729b-e063-6394a90a8dce"],"spl_set_id":["64e36b02-b5be-4d20-8818-cb5b23596671"],"substance_name":["DEXTROMETHORPHAN HYDROBROMIDE","GUAIFENESIN","PHENYLEPHRINE HYDROCHLORIDE"],"unii":["9D2RTI9KYH","495W7451VQ","04JA59TNSJ"]},"package_label_principal_display_panel":["image description"],"purpose":["Purpose Cough suppressant Expectorant Nasal Decongestant"],"questions":["Questions or Comments? 1-866-595-5598"],"set_id":"64e36b02-b5be-4d20-8818-cb5b23596671","spl_product_data_elements":["Tusnel-DM Pediatric Dextromethorphan HBr, Guaifenesin, Phenylephrine HCl ANHYDROUS CITRIC ACID GLYCERIN METHYLPARABEN POLYETHYLENE GLYCOL, UNSPECIFIED PROPYLENE GLYCOL PROPYLPARABEN WATER SODIUM CITRATE SUCRALOSE DEXTROMETHORPHAN HYDROBROMIDE DEXTROMETHORPHAN GUAIFENESIN GUAIFENESIN PHENYLEPHRINE HYDROCHLORIDE PHENYLEPHRINE"],"version":"4","warnings":["Warnings Do not use in child whos is 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 drug. If you do not know if your child's prescription drug contains an MAOI: ask your doctor or pharmacist before giving this product. 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 a persistent or chronic cough that occurs with asthma, or if cough is accompanied by excessive phlegm (mucus) unless directed by a doctor. When using this product do not exceed the recommended dosage. Stope use and ask doctor if nervousness, dizziness or sleeplessness occurs symptoms do not get better within 7 days or accompanied by fever cough lasts more than 7 days, comes back, or is accompanied by fever, rash or persistent headache. A persistent cough may be a sign of a serious condition."]}