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Poly Hist Forte

Dosage form
TABLET
Labeler
Poly Pharmaceuticals, Inc.
Label updated
2024-07-09
Retrieved
2026-09-07
Active ingredients
DOXYLAMINE SUCCINATE · PHENYLEPHRINE HYDROCHLORIDE
View original label and images on DailyMed ↗
Label information

Drug Facts

Active ingredients

(in each tablet)

Doxylamine Succinate 10.5mg

Purpose

Antihistamine

Active ingredients

(in each tablet)

Phenylephrine HCl 10 mg            

Purpose

Nasal Decongestant

Uses

Temporarily relieves these symptoms due to the common cold, hay fever (allergic rhinitis)or other upper respiratory allergies:

  • nasal congestion
  • reduces swelling of nasal passages
  • runny nose
  • sneezing
  • itching of nose or throat
  • itchy, watery eyes
Do not use this product
  • if you are now taking a prescription monoamine oxidase inhibitor (MAOI) (certain drugs for depression, psychiatric, or emotional conditions, or Parkinson’s disease), or for 2 weeks after stopping the MAOI drug. If you do not know if your prescription drug contains an MAOI, ask a doctor or pharmacist before taking this product.
Ask a doctor before use if you have
  • heart disease
  • high blood pressure
  • thyroid disease
  • diabetes
  • trouble urinating due to enlargement of the prostate gland
  • a breathing problem such as emphysema or chronic bronchitis
  • glaucoma
Ask a doctor before use if

you are taking sedatives or tranquilizers.

When using this product
  • excitability may occur, especially in children
  • may cause marked drowsiness
  • avoid alcoholic drinks
  • alcohol, sedatives, and tranquilizers may increase the drowsiness effect
  • use caution when driving a motor vehicle or operating machinery
Stop use and ask a doctor if
  • nervousness, dizziness, or sleeplessness occur
  • symptoms do not improve within 7 days or are accompanied by fever
If pregnant or breast-feeding,

ask a health professional before use.

Keep out of reach of children.

In case of overdose, get medical help or contact a Poison Control Center right away.

Directions

Do not exceed recommended dosage.

 Adults and children 12 years of age and over  1 tablet every 4 hours, not to
exceed 6 tablets in 24 hours.
 Children 6 to 12 years of age:   1/2 tablet every 4 hours, not to
exceed 3 tablets in 24 hours.
 Children 6 years      
of age and younger:      
 Consult a physician.
Other information

Store at controlled room temperature between 15°-30°C (59°-86°F).

Supplied in a tight, light-resistant container with a child-resistant cap.

Poly Hist Forte Tablets are blue, caplet-shaped, scored tablets, debossed "Poly" bisect "216" on one side and plain on the other.

Inactive ingredients

FD&C Blue # 2, magnesium stearate, microcrystalline cellulose, sodium starch glycolate.

Questions? Comments?

Call 1-800-882-1041

Manufactured for:

Poly Pharmaceuticals, Inc.

Huntsville, AL Rev. 4/16

PRINCIPAL DISPLAY PANEL

NDC 50991-626-01

POLY HIST FORTE ®

TABLETS

Nasal Decongestant • Antihistamine

NEW FORMULA

Each tablet contains:

Doxylamine Succinate . . . 10.5 mg

Phenylephrine HCl . . . . . . 10 mg

100 Tablets

[Image in the official label — see DailyMed source]

[Image in the official label — see DailyMed source]

DailyMed Set ID: 8aa0015b-8fc1-7951-e053-2a95a90a8e72 · Version 6
NDC: 50991-626