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ZzzQuil vs. Nyquil

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

Key takeaways

Diphenhydramine (Benadryl) and acetaminophen/dextromethorphan/doxylamine (Vicks Nyquil Cold and Flu) are both over-the-counter medications used to treat symptoms related to allergies, colds, and flu. They both contain an antihistamine, which helps relieve symptoms like sneezing and runny nose. However, they differ in several ways. Diphenhydramine is a single-ingredient antihistamine, while Nyquil Cold and Flu is a combination medication that contains an analgesic (acetaminophen) and a cough suppressant (dextromethorphan) along with the antihistamine doxylamine. Diphenhydramine is available in various forms, such as tablets and liquid, and is used for allergies, cold symptoms, and as an occasional sleep aid. Nyquil Cold and Flu is available as capsules and liquid, specifically targeting cold and flu symptoms like cough, sore throat, and fever. Diphenhydramine can cause drowsiness and is not recommended for long-term use, especially in older adults, due to risks like memory problems. Nyquil Cold and Flu can also cause sleepiness and should not be taken with other medications containing acetaminophen, to avoid getting too much acetaminophen. Both medications may not be a good choice if you have other medical conditions. Talk to your pharmaicst or prescriber before taking to be sure the medication is right for you.

ZzzQuil

(diphenhydramine)

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Nyquil Cold and Flu

 

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Summary for ZzzQuil

Over-the-counter

ZzzQuil (diphenhydramine) is an over-the-counter (OTC) nighttime sleep aid that people ages 12 years and older can use for occasional trouble sleeping. It comes as a pill or liquid and is taken at bedtime as needed. The medication works by causing drowsiness to help you fall asleep. Common side effects include sleepiness, dizziness, and dry mouth.

Indications for ZzzQuil

Pros and Cons for ZzzQuil

Pros

  • Available over the counter
  • Comes as pills and liquid that you take by mouth
  • Starts to work within 30 minutes

Cons

  • Not typically recommended because it hasn’t been shown to help much
  • Can make you feel sleepy during the day
  • Can worsen certain conditions like glaucoma and stomach ulcers

Common Side Effects for ZzzQuil

  • Sleepiness during the day
  • Dizziness
  • Constipation
  • Blurry vision
  • Dry mouth

Warnings for ZzzQuil

  • Sleepiness
  • Accidental overdose
  • Worsening of certain health problems

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

Prices with our coupons for ZzzQuil vs. Nyquil

Price Card Drug Icon
Diphenhydramine30 capsules / 25mg
$9.66-
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Acetaminophen/Dextromethorphan/Doxylamine16 capsules / 325mg/15mg/6.25mg
$9.54-
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