Can Nyquil Make You Sleepy

Acetaminophen is sold under many brand names, including Tylenol. It’s found in the following Nyquil products:

Dextromethorphan Side Effects

Medically reviewed by Drugs.com. Last updated on Feb 8, 2023.

Applies to dextromethorphan: oral capsule liquid filled, oral elixir, oral liquid, oral solution, oral suspension extended release, oral syrup, oral tablet.

Serious side effects of Dextromethorphan

Along with its needed effects, dextromethorphan may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor as soon as possible if any of the following side effects occur while taking dextromethorphan:

Symptoms of overdose

  • Blurred vision
  • confusion
  • difficulty in urination
  • drowsiness or dizziness
  • nausea or vomiting (severe)
  • shakiness and unsteady walk
  • slowed breathing
  • unusual excitement, nervousness, restlessness, or irritability (severe)

Other side effects of Dextromethorphan

Some side effects of dextromethorphan may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.

Patients, too, are unhappy with the care they receive during those brief interactions with their doctors. Healthcare communications company West Corporation reported that 25% of patients don’t feel that their provider cares about them as an individual and nearly 20% aren’t convinced their doctor is focused on improving their health – even though 93% of doctors strongly agree that patient satisfaction is important.

Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common or rare

  • Confusion
  • constipation
  • dizziness (mild)
  • drowsiness (mild)
  • headache
  • nausea or vomiting
  • stomach pain

For Healthcare Professionals

Applies to dextromethorphan: compounding powder, oral capsule, oral disintegrating strip, oral drops, oral liquid, oral lozenge, oral solution, oral suspension extended release, oral syrup, oral tablet chewable.

General

Adverse effects have included gastrointestinal disturbances such as stomach upset and diarrhea. [Ref]

Nervous system

Frequency not reported: Drowsiness, dizziness, convulsions [Ref]

Respiratory

Frequency not reported: Respiratory depression [Ref]

Gastrointestinal

Frequency not reported: Vomiting, nausea, diarrhea, abdominal pain, gastrointestinal disturbance [Ref]

Hypersensitivity

Rare (less than 0.1%): Fixed-drug eruptions [Ref]

Psychiatric

Cases of abuse have been reported. [Ref]

Frequency not reported: Mental confusion, excitation, insomnia, abuse [Ref]

Dermatologic

Frequently asked questions

More about dextromethorphan

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Patient resources

  • Drug Information
  • Dextromethorphan (Advanced Reading)
  • Dextromethorphan Chewable Tablets
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Other brands

Professional resources

Related treatment guides

References

1. Cerner Multum, Inc. “UK Summary of Product Characteristics.” O 0

2. Hall RC, Beresford TP, Stickney SK, Nasdahl CS, Coleman JH “Psychiatric reactions produced by respiratory drugs.” Psychosomatics 26 (1985): 605-8,616-7

3. Helfer J, Kim OM “Psychoactive abuse potential of Robitussin-DM.” Am J Psychiatry 147 (1990): 672-3

4. Murray S, Brewerton T “Abuse of over-the-counter dextromethorphan by teenagers.” South Med J 86 (1993): 1151-3

5. Wolfe TR, Caravati EM “Massive dextromethorphan ingestion and abuse.” Am J Emerg Med 13 (1995): 174-6

6. Polles A, Griffith JL “Dextromethorphan-induced mania.” Psychosomatics 37 (1996): 71-4

7. Bostwick JM “Dextromethorphan-induced manic symptoms in a bipolar patient on lithium.” Psychosomatics 37 (1996): 571-2

8. Stubb S, Reitamo S “Fixed-drug eruption due to dextromethorphan .” Arch Dermatol 126 (1990): 970-1

9. Knowles SR, Weber E “Dextromethorphan anaphylaxis.” J Allerg Clin Immunol 102 (1998): 316-7

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Some side effects may not be reported. You may report them to the FDA.

Can Nyquil Make You Sleepy?

Nyquil is a common over-the-counter medication. It’s formulated to treat nighttime cold and flu symptoms.

In addition to helping alleviate a fever, stuffy nose, and cough, Nyquil can also cause drowsiness. As a result, it may help with sleep.

In this article, we’ll look at the Nyquil ingredients that can cause sleepiness, as well as the other potential side effects of this medication and the safety concerns regarding its use as a sleep aid.

There are many Nyquil products to choose from, most of which can cause sleepiness. In general, you’ll start to feel drowsy within a half an hour of taking Nyquil.

Nyquil products may contain several or all of the active ingredients listed below at varying doses. Nyquil Severe products tend to contain additional ingredients.

Acetaminophen

Acetaminophen is a common pain reliever. It targets symptoms such as minor aches and pains, fever, headache, and sore throat. It carries a low risk of side effects when taken at the recommended dosage.

However, higher doses of acetaminophen can be dangerous. If you take more acetaminophen than is safe for you, it can cause liver damage. The recommended maximum daily dose of acetaminophen is 3,000 milligrams (mg). But the difference between a safe dose and a dose that could harm your liver is very small.

Acetaminophen is sold under many brand names, including Tylenol. It’s found in the following Nyquil products:

  • Nyquil Cold and Flu Nighttime Relief (Liquid and LiquiCaps)
  • Nyquil Severe Cough, Cold, and Flu Nighttime Relief (Liquids, LiquiCaps, and VapoCool Caplets)
  • Nyquil High Blood Pressure Cold and Flu Medicine

Dextromethorphan HBr

Dextromethorphan is a cough suppressant. It works by reducing brain signals that trigger coughing.

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Although side effects are typically mild, they can include:

  • drowsiness
  • lightheadedness
  • restlessness
  • gastrointestinal symptoms

Dextromethorphan HBr is found in the following Nyquil products:

  • Nyquil Cold and Flu Nighttime Relief (Liquid and LiquiCaps)
  • Nyquil Severe Cough, Cold, and Flu Nighttime Relief (Liquids, LiquiCaps, and VapoCool Caplets)
  • Nyquil Cough DM and Congestion Medicine (Liquid)
  • Nyquil High Blood Pressure Cold and Flu Medicine (Liquid)

Doxylamine succinate

Doxylamine succinate is an antihistamine. Antihistamines work by blocking the action of histamine, a substance associated with allergy symptoms.

By targeting histamine, doxylamine succinate helps relieve sneezing, runny nose, and sinus congestion. It causes significant drowsiness, as well as headaches and sinus dryness.

Doxylamine succinate is found in the following Nyquil products:

  • Nyquil Cold and Flu Nighttime Relief (Liquid and LiquiCaps)
  • Nyquil Severe Cough, Cold, and Flu Nighttime Relief (Liquids, LiquiCaps, and VapoCool Caplets)
  • Nyquil Cough DM and Congestion Medicine (Liquid)
  • Nyquil High Blood Pressure Cold and Flu Medicine (Liquid)

Phenylephrine HCl

Phenylephrine HCl is a decongestant. It relieves symptoms associated with sinus congestion, such as a runny nose. It doesn’t cause sleepiness. Other side effects include dizziness, headache, and upset stomach.

Phenylephrine HCl is found in the following Nyquil products:

  • Nyquil Severe Cough, Cold, and Flu Nighttime Relief (Liquids, LiquiCaps, and VapoCool Caplets)
  • Nyquil Cough DM and Congestion Medicine