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Acetaminophen + dextromethorphan + phenylephrine is an over-the-counter combination medication used for the symptomatic relief of cold and flu symptoms, including headache, fever, body aches, cough, stuffy nose, and sinus congestion. Acetaminophen acts as a pain reliever (analgesic) and fever reducer (antipyretic) by inhibiting prostaglandin synthesis in the central nervous system. Dextromethorphan is a cough suppressant that works on the brain's cough center to reduce the urge to cough. Phenylephrine is a nasal decongestant that acts as an alpha-1 adrenergic receptor agonist causing vasoconstriction in nasal blood vessels to decrease swelling and congestion[1][2][4].
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