Medi-First cold relief provides fast relief from congestion, nasal secretions and coughs associated with common cold and upper respiratory conditions. Relieves aches and pains associated with colds and flu. Reduces fever. Active ingredients in each tablet acetaminophen 325-milligrams, pain reliever/fever reducer; dextromethorphan HBr 15-milligram, cough suppressant, guaifenesin 200-milligram expectorant; phenylephrine HCl 5-milligram nasal decongestant. Other information: store at room temperature, avoid excessive heat and humidity, tamper-Evident sealed packets; do not use any opened or torn packets. Medique Products takes great care to ensure that the product you take is completely safe. Always refer to the original container for the most accurate drug facts for your particular lot number.