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Nyquil vs. Melatonin

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Acetaminophen/dextromethorphan/doxylamine (Vicks Nyquil Cold and Flu) and melatonin are both over-the-counter medications that can make you sleepy. But they have some important differences. Nyquil Cold and Flu is a combination medication that treats symptoms of the common cold and flu, such as cough, sore throat, and fever, while melatonin is a dietary supplement used to help with sleep problems like insomnia and jet lag. Nyquil Cold and Flu contains three active ingredients: acetaminophen, dextromethorphan, and doxylamine, which work together to relieve pain, suppress cough, and reduce allergy symptoms. In contrast, melatonin is a synthetic version of a natural hormone that helps regulate sleep. Nyquil Cold and Flu is available in liquid and capsule forms, whereas melatonin comes in various forms, including pills, sprays, patches, and topical creams. Nyquil Cold and Flu can cause side effects like sleepiness and dizziness and should not be taken with other medications containing acetaminophen (Tylenol). Melatonin is generally well-tolerated but can cause daytime drowsiness and headaches. Additionally, melatonin can interact with medications like oral contraceptives, so it's important to check with your provider or pharmacist before starting it.

Nyquil Cold and Flu

 

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Melatonin

 

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Summary for Nyquil

Over-the-counter

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 for Nyquil

Temporarily relieves common cold and flu symptoms, including:

  • Cough
  • Sore throat
  • Headache
  • Minor aches and pains
  • Fever
  • Runny nose
  • Sneezing

Pros and Cons for Nyquil

Pros

  • Available over the counter
  • Works within 30 minutes to relieve cold and flu symptoms
  • Available in capsules and a liquid
  • Combines three medications in one product for convenience
  • Available as a lower-cost generic

Cons

  • Needs to be taken multiple times per day
  • Can cause extreme sleepiness
  • More difficult to customize the dose since it's a fixed combination of three medications
  • Need to avoid alcohol while taking it
  • Not meant for long-term use

Common Side Effects for Nyquil

Warnings for Nyquil

  • Liver damage
  • Serotonin syndrome
  • Accidental overdose
  • Worsening of medical conditions
  • Allergic skin reactions

Summary for Melatonin

Over-the-counter

Melatonin is a supplement that's taken to help with sleep problems due to conditions like insomnia or jet lag. It's available over-the-counter and comes in many different formulations, including oral pills and sprays, skin patches, and topical creams. Various melatonin products have different instructions and age recommendations, so speak with your provider or pharmacist to check if it's safe for children. Melatonin is pretty well tolerated, but possible side effects include daytime sleepiness, headaches, and nausea.

Indications for Melatonin

Pros and Cons for Melatonin

Pros

  • Generally well tolerated with very few side effects
  • Usually not habit-forming like some other sleep aids
  • Available over the counter (OTC) in many different dosage forms and strengths
  • Available as a lower-cost generic

Cons

Common Side Effects for Melatonin

Warnings for Melatonin

  • Worsening of certain medical conditions
  • Overdose in children
  • Interactions with other medications

Prices with our coupons for Nyquil vs. Melatonin

Price Card Drug Icon
Acetaminophen/Dextromethorphan/Doxylamine16 capsules / 325mg/15mg/6.25mg
$9.54-
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Melatonin30 tablets / 3mg
$6.53$7.65
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