Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Dextromethorphan (Delsym) and acetaminophen / dextromethorphan / doxylamine (Vicks Nyquil Cold and Flu) are both over-the-counter medications used to relieve cough. Dextromethorphan is an antitussive, specifically for short-term relief of cough caused by minor throat or lung irritation, like the common cold. It comes in extended-release and immediate-release forms, taken every 12 hours or every 6 to 8 hours, respectively. On the other hand, Nyquil is a combination medication that includes acetaminophen for pain and fever, dextromethorphan for cough, and doxylamine, an antihistamine, for symptoms like runny nose and sneezing. Nyquil is available as a liquid or capsules and is typically taken every 6 hours. While Delsym is primarily focused on cough relief, Nyquil addresses a broader range of cold and flu symptoms. Both medications can cause drowsiness, but Nyquil is more likely to make you sleepy due to the antihistamine. Additionally, Nyquil carries a risk of liver damage if taken with other acetaminophen-containing products, while Delsym can interact with certain antidepressants, leading to serotonin syndrome.
Summary for Analgesic / Cough suppressant / Antihistamine
Nyquil Cold and Flu is a combination medication containing acetaminophen (a pain reliever), dextromethorphan (a cough suppressant), and doxylamine (an antihistamine). It's used to treat cold and flu symptoms, like sore throat, fever, cough, runny nose, sneezing, and aches, in adults and children. Nyquil Cold and Flu is available as pills and a liquid. This medication can make you feel sleepy and dizzy as side effects.
Indications of Delsym vs. Nyquil
Indications for
•Short-term relief of cough caused by minor throat or lung irritation (e.g., common cold)
Indications for
Temporarily relieves common cold and flu symptoms, including: