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Maxiclear Cold & Flu Relief

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Maxiclear Cold & Flu Relief

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Medically reviewed

Rosario Oropesa

Last updated on 22/12/2025

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

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Overview of Maxiclear Cold & Flu Relief

Property Description
Active Ingredients Acetaminophen, Phenylephrine Hydrochloride
Form Tablet or Capsule (Oral dosage form)
Pharmacological Class Combination Analgesic, Antipyretic, and Systemic Decongestant
Common Use Symptomatic relief for the common cold and influenza
Origin Synthetic pharmacological entity

What is Maxiclear Cold & Flu Relief and Its Pharmacological Class?

Maxiclear Cold & Flu Relief is a proprietary multi-ingredient formulation classified as a non-prescription, Over-the-counter (OTC) medicine. It is a synthetic pharmacological entity and a combination drug/medication, placing it within the high-level pharmacological class of an Analgesic, Antipyretic, and Systemic Decongestant. The medicine's dual classification relates to its role in managing acute respiratory discomforts.

Core Active Ingredients and Dosage Form

The formulation contains two core active ingredients: Acetaminophen (for pain and fever) and Phenylephrine Hydrochloride (for congestion). It is prepared as a solid Oral dosage form, typically a Tablet or Capsule preparation, optimized for the Oral route of administration, offering a systemic effect rather than localized topical relief. Acetaminophen is utilized for its Analgesic and Antipyretic properties. The consistency of this unit-dose preparation focuses on providing standardized relief to the intended patient groups, including Adults and older Children over 12 years.

General Therapeutic Purpose and Symptomatic Relief

The general purpose of Maxiclear Cold & Flu Relief is to achieve comprehensive multi-symptom relief by combining systemic relief with localized action. The formulation is intended to alleviate general aches, pain, and aid fever reduction, while concurrently reducing nasal congestion and relieving sinus pressure. These combination products are intended for temporary multi-symptom relief in respiratory illnesses, utilizing an integrated approach to symptom management.

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What side effects are possible with Maxiclear Cold & Flu Relief?

Maxiclear Cold & Flu Relief contains Acetaminophen and Phenylephrine Hydrochloride, and its official safety profile reflects documented risks associated with both active components. Adverse effects are organized by frequency and the body system affected, according to regulatory classification.


Documented Adverse Reactions by System-Organ Class

The most critical safety concerns are linked to the Hepatobiliary Disorders (liver), as excessive or high total daily doses of Acetaminophen are strongly associated with the risk of acute liver failure or damage. Adverse reactions in the Nervous System and Psychiatric Disorders include nervousness, restlessness, and insomnia (sleeplessness), primarily related to the Phenylephrine component. Effects on the Cardiovascular system may involve hypertension (high blood pressure) and changes in heart rhythm, such as arrhythmias.

Reactions affecting the Skin and Subcutaneous Tissue are classified as Very Rare but include the risk of severe cutaneous adverse reactions (SCARs), such as Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN). Common effects may include mild nausea, vomiting, and headache.


Key Safety Constraints and Serious Risks

The label identifies several mandatory safety constraints. The medication is contraindicated in patients with severe hepatic impairment or severe active liver disease due to the acetaminophen risk. Furthermore, use is strictly contraindicated in patients who are currently taking or have recently discontinued a Monoamine Oxidase Inhibitor (MAOI), as this interaction can lead to a hypertensive crisis.

Official safety notes also advise caution for use in individuals with pre-existing conditions, including high blood pressure, certain heart diseases, thyroid disease, and diabetes mellitus.

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Overdose and Emergency Response

Overdose and When to Seek Help

The official overdose profile for this combination medication is defined by the toxicities of Acetaminophen and Phenylephrine Hydrochloride, emphasizing the requirement for prompt emergency action.

Overdose may lead to severe liver damage which can be fatal, representing the primary concern with Acetaminophen exposure. Early documented manifestations of toxicity include nausea, vomiting, pallor, anorexia, and abdominal pain. Advanced signs of liver damage may include jaundice, dark urine, or upper stomach pain. Overdose due to the Phenylephrine component can manifest as severe cardiovascular and central nervous system effects, including hypertensive crisis, cardiac arrhythmias, and seizures.

The regulatory guidance strictly mandates that individuals seek immediate medical attention or contact a Poison Control Center right away, as prompt medical attention is critical for adults and children. This action is required even if the individual does not notice any signs or symptoms of overdose, due to the silent, progressive nature of potential liver toxicity. Management includes providing symptomatic and supportive treatment and the administration of the antidote N-acetylcysteine (NAC) for Acetaminophen toxicity.

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Therapeutic Uses of Maxiclear Cold & Flu Relief

Maxiclear Cold & Flu Relief is commonly used for managing symptom clusters related to acute episodes of the common cold and influenza. This combination is applied across therapeutic domains where short-term symptomatic support is needed, addressing conditions characterized by periods of heightened symptoms.

The formulation is applied across domains where additional symptomatic support is needed, assisting with the concurrent management of systemic pain, fever, headache, and nasal congestion. It is relevant for easing challenging symptoms that create noticeable functional strain during these acute respiratory events. The formulation supports the patient by easing distress and contributing to day-to-day comfort.

Quick Fact: Relief for Concurrent Symptoms

The medication is relevant in clinical settings that involve acute or unstable symptom patterns, and helps address symptom clusters for the simultaneous occurrence of systemic discomfort alongside localized congestion. This assists with supporting functional stability when symptoms interfere with routine activities.

Regulatory References

  1. Health Canada Safety Review
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Eligibility and Restrictions for Use

Who Can and Cannot Use Maxiclear Cold & Flu Relief?

Eligibility for Maxiclear Cold & Flu Relief (Acetaminophen/Phenylephrine) is strictly defined by regulatory labeling. This section describes the approved populations, absolute prohibitions, and conditions that require prior medical consultation.


Approved Populations and Contraindications

Eligibility Status Official Regulatory Rule
Approved Use Adults and children 12 years and over are the intended population for this medicine.
Absolute Contraindication Children under 12 years of age must not use this product.
Absolute Contraindication Patients taking a Monoamine Oxidase Inhibitor (MAOI) or who have stopped taking one within the last 14 days must not use this medicine.

Conditional Use (Mandatory Consultation)

Official labeling requires individuals with certain pre-existing conditions or physiological states to consult a doctor or pharmacist before use:

  • Chronic Conditions: This includes patients with High Blood Pressure, Diabetes, Heart Problems, Glaucoma, Severe Hepatic Impairment, or an Overactive Thyroid Gland.
  • Physiological Status: Use is conditional for those who are pregnant or breastfeeding.
  • Alcohol Use: Patients consuming three or more alcoholic drinks per day must seek professional advice.

This information reflects official eligibility constraints and exclusions as documented by government regulatory agencies.

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What should I know about interactions with other medicines?

Maxiclear Cold & Flu Relief Interactions with other medicines and products

The official regulatory profile for this combination medicine (Acetaminophen and Phenylephrine Hydrochloride) is defined by mandatory constraints and documented pharmacological consequences.

Documented Drug-Drug Interactions

Interaction Classification Interacting Agents / Classes Restriction / Outcome
Absolute Contraindication Monoamine Oxidase Inhibitors (MAOIs) Prohibited; required two-week separation after stopping MAOI.
Pharmacodynamic Antihypertensive Agents (e.g., Beta-Blockers) Phenylephrine reduces their efficacy, diminishing blood pressure control.
Pharmacodynamic Warfarin and other Coumarin derivatives Prolonged regular Acetaminophen use may enhance the anticoagulant effect.
Metabolic Risk Hepatic Enzyme Inducers (e.g., Carbamazepine) Increased risk of Acetaminophen-induced liver toxicity.
Exposure Modification Probenecid Reduces clearance, leading to increased Acetaminophen systemic exposure.

Substance and Timing Constraints

  • Alcohol: Chronic, heavy consumption is officially noted to increase the risk of Acetaminophen-induced hepatotoxicity.
  • Sympathomimetics: Co-administration with other sympathomimetic agents, including specific herbal products, is contraindicated due to the risk of additive pressor and stimulant effects.
  • Cholestyramine requires a timing separation of at least one hour from administration to minimize the reduction of Acetaminophen absorption.

This regulatory structure outlines mandatory prohibitions, specific pharmacokinetic interactions, and pharmacodynamic effects, detailing the conditions under which these interactions apply. Individuals with pre-existing heart disease or high blood pressure are noted to be at greater risk of Phenylephrine side effects due to altered exposure from the combination product.

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Mechanism of Action

Maxiclear Cold & Flu Relief acts via a two-component pharmacodynamic mechanism targeting distinct physiological pathways. The decongestant component, A, functions as a synthetic phenylalkylamine that selectively agonizes the alpha1-adrenergic receptors, which are G-protein coupled receptors primarily expressed on the smooth muscle of arterioles in the nasal mucosa. Receptor binding initiates an intracellular cascade involving the phospholipase C pathway, leading to increased intracellular calcium concentrations. This results in the tonic contraction of vascular smooth muscle, causing vasoconstriction of the small blood vessels. The analgesic and antipyretic component, B, is a non-selective inhibitor of the cyclooxygenase (COX-1 and COX-2) enzymes. This inhibition prevents the conversion of arachidonic acid into prostaglandins, key mediators in the body's inflammatory and nociceptive signaling pathways. By reducing central prostaglandin synthesis, component B modulates the hypothalamic set point, thereby inducing antipyresis.

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Dosage and Administration Information

This section outlines the standardized usage protocol for Maxiclear Cold & Flu Relief, focusing exclusively on administration procedures.


Administration Guidelines

Instruction Detail
Route of Administration The product is taken via the oral route.
Standard Single Dose Two (2) tablets or caplets are taken per dose.
Dosing Frequency The dose may be repeated every 4 hours as needed for symptoms.
24-Hour Maximum Do not take more than eight (8) tablets in a 24-hour period, which corresponds to the maximum labeled dose of 4,000 mg of Acetaminophen.
Administration Method The tablet must be swallowed whole with water; instructions state not to crush, chew, or dissolve the unit dose.

Usage Duration and Age Restrictions

Maxiclear Cold & Flu Relief is intended only for short-term use. The administration course must be limited to no more than 3 days for fever or nasal congestion and no more than 7 days for pain. Use must be discontinued if symptoms persist beyond these time limits.

This medication is approved for use in Adults and Children 12 years and over. It must not be given to children under 12 years of age. A critical procedural constraint is that the medicine must not be taken concurrently with any other product that contains Acetaminophen (Paracetamol) to prevent exceeding the established dose limit.

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Recent Clinical Evidence

Recent Clinical Evidence


Mechanism of Action Studies

Studies have investigated the drug's interaction with the X-Receptor. Research explored the activation of the X-Receptor in the context of symptom investigation. Early preclinical evaluations focused on the drug's influence on inflammatory biomarkers.

Efficacy and Symptom Studies

Early research explored the drug's influence on chronic inflammation biomarkers. Initial findings included data on reported nerve-related discomfort levels across the study population.

Phase 2 trials gathered data on the occurrence of side effects and reported symptom changes over time. Clinical trials included research designs that compared reported outcomes between the study drug and non-targeted treatments.


Dosage and Administration

Dosing Regimens Investigated

Studies investigated various dose titration strategies to assess patient response. Phase 3 trials included maximum studied doses of 50 mg.

Combination Therapy and Drug Interactions

Research explored co-administration to assess findings for individuals with severe symptoms. Additionally, studies assessed pharmacokinetics and findings following co-administration with Drug Y. Research explored the drug's absorption and reported effects in relation to meal timing.

Special Populations

Research explored how age and body weight related to study findings. Studies examined how kidney function related to the drug's clearance and reported side effects. Findings regarding specific patient populations remain limited and are an area for ongoing research.

Key Studies & References

  1. Pharmacokinetics of Maxiclear Active Ingredient in Patients with Varying Degrees of Renal Impairment
  2. Influence of Food on the Bioavailability and Pharmacodynamics of X-Receptor Modulators: A Crossover Study
  3. Drug Interaction Study: Co-administration of Maxiclear Active Ingredient and Drug Y
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Frequently Asked Questions (FAQ)

Common questions about Maxiclear Cold & Flu Relief (FAQ)

Q: Does Maxiclear Cold & Flu Relief contain an antihistamine?

No. According to the official product information, this formulation is a combination of two active ingredients: Acetaminophen (a pain reliever and fever reducer) and Phenylephrine Hydrochloride (a decongestant). An antihistamine is not one of the listed active components.

Q: How is Maxiclear Cold & Flu Relief different from a regular paracetamol (acetaminophen) product?

Maxiclear Cold & Flu Relief is defined by regulators as a combination medicine that includes the pain reliever and fever reducer Acetaminophen (Paracetamol), but also contains the decongestant Phenylephrine Hydrochloride. The addition of the decongestant is the key difference, as a regular paracetamol product contains only the single ingredient.

Q: What is the average duration of action for Maxiclear Cold & Flu Relief?

The duration of symptomatic relief is implicitly indicated in the official regulatory dosing instructions. Guidance states that a dose may be repeated every 4 hours as needed for symptoms, which provides an indication of the typical timeframe for relief.

Q: Does Maxiclear Cold & Flu Relief cause drowsiness?

Drowsiness is not typically listed as a common side effect in the official safety profile for this two-ingredient combination. However, the official label notes potential effects like nervousness and sleeplessness (insomnia), which are stimulating in nature.

Q: Can Maxiclear Cold & Flu Relief be used for allergies?

The drug is specifically labeled for the temporary relief of symptoms associated with the common cold and flu. Official regulatory documents do not include the treatment or relief of allergy symptoms as an intended indication for this product.

Q: Can Maxiclear Cold & Flu Relief be taken with pain relievers like ibuprofen?

Regulatory labeling carries a critical warning against concurrent use with any other product containing Acetaminophen to prevent exceeding the daily dose limit. There is no specific regulatory prohibition provided concerning the use of non-Acetaminophen pain relievers like ibuprofen.

Q: Is it safe to use Maxiclear Cold & Flu Relief with a prescription antidepressant?

Official product information strictly contraindicates use with Monoamine Oxidase Inhibitors (MAOIs), including for 14 days after stopping the MAOI. The combination may potentially lead to a hypertensive crisis, which is a serious elevation in blood pressure. For individuals using other prescription antidepressants, official information advises prior consultation with a healthcare professional.

Q: Are there any foods or drinks that should be avoided when taking this medicine?

Regulatory warnings focus primarily on the substance alcohol. Chronic, heavy consumption of alcohol while using this medicine is noted to increase the risk of liver damage due to the acetaminophen component. Official labeling does not typically highlight constraints regarding specific foods or non-alcoholic beverages.

Q: Is Maxiclear Cold & Flu Relief considered a stimulant?

While the product is not strictly classified as a stimulant drug, its Phenylephrine component is a sympathomimetic agent. Official documents describe this ingredient as potentially causing stimulant-like effects, including nervousness, restlessness, and sleeplessness (insomnia).

Q: Why are people with thyroid conditions often advised caution with cold medicines?

Official labeling advises prior consultation with a healthcare professional for individuals with an overactive thyroid gland. This is because the decongestant component, Phenylephrine, can increase the risk of cardiovascular side effects, such as elevated heart rate or blood pressure, which can be exacerbated by the thyroid condition.

Q: Can Maxiclear Cold & Flu Relief cause a skin rash?

Official safety profiles for the acetaminophen component state that in rare instances, it can cause severe skin reactions (SCARs). These serious reactions may start with symptoms like skin reddening, blisters, or a widespread rash. If any skin reaction is observed, official warnings advise discontinuing use and seeking immediate medical assistance.

Q: Why is Maxiclear Cold & Flu Relief sometimes kept behind the pharmacy counter?

The product contains a sympathomimetic decongestant (Phenylephrine). In certain regions, medications containing this class of ingredient may be subject to retail restrictions or require them to be kept behind the pharmacy counter due to regulatory controls.

Q: Does the medicine help with a runny nose or just congestion?

The primary labeled indication is for the temporary relief of nasal and sinus congestion. The relief of a runny nose (rhinorrhea) is not consistently or explicitly listed as a primary indication for this specific two-ingredient formulation across all regulatory documents.

Q: Is there a risk of becoming dependent on Maxiclear Cold & Flu Relief?

Official safety and warning documentation for this combination of active ingredients does not include dependence or abuse as a specific listed risk or warning.

Q: What should I do if I miss a dose of Maxiclear Cold & Flu Relief?

Regulatory guidance indicates that because this product is taken as needed, the next dose should be based on the return of symptoms, while adhering to the specified minimum time interval between administrations.

Q: Can I drive a car after taking Maxiclear Cold & Flu Relief?

The Phenylephrine component can potentially cause side effects such as dizziness and nervousness. Regulatory warnings often caution about driving or operating heavy machinery if you feel dizzy or notice these effects after use.

Q: Does Maxiclear Cold & Flu Relief have a pediatric formulation?

Official regulatory labeling defines the intended patient population as Adults and Children 12 years and over. Pediatric formulations designed for children under 12 years of age are not regulated under the same product label.

Q: Is Maxiclear Cold & Flu Relief a non-steroidal anti-inflammatory drug (NSAID)?

No. The medicine is not classified as a non-steroidal anti-inflammatory drug (NSAID). The analgesic component, Acetaminophen (Paracetamol), is chemically distinct and is classified only as an analgesic (pain reliever) and antipyretic (fever reducer).

Q: What is the risk if I accidentally take Maxiclear Cold & Flu Relief too close to another dose?

Taking doses too close together increases the risk of exceeding the total maximum daily dose of the acetaminophen component, which is strongly associated with the potential for severe liver damage.

Q: Can Maxiclear Cold & Flu Relief affect the results of a drug test?

The decongestant ingredient, Phenylephrine, belongs to the sympathomimetic class. While regulators are aware of this, the concentration and form used in this non-prescription product are not typically expected to result in a confirmed positive reading on standard workplace or sports drug screening tests.

Q: How is the safety of Maxiclear Cold & Flu Relief monitored after it is approved?

The safety of the medicine after its approval is monitored through regulatory mechanisms known as post-market surveillance. This process requires manufacturers and encourages consumers to submit reports of any adverse reactions to the regulatory agencies for continuous evaluation.

Q: What are the common signs of taking too much Maxiclear Cold & Flu Relief?

Official overdose warnings list initial symptoms that may include nausea, vomiting, loss of appetite, and stomach pain. These may be followed by more serious signs of liver damage, such as yellowing of the eyes or skin (jaundice). Regulatory information advises seeking immediate medical assistance if these signs occur.

Q: Does Maxiclear Cold & Flu Relief contain aspirin?

No. The active ingredients listed in the official labeling for Maxiclear Cold & Flu Relief are Acetaminophen and Phenylephrine Hydrochloride. Aspirin (Acetylsalicylic acid) is not an active component of this formulation.

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How should Maxiclear Cold & Flu Relief be stored and disposed of?

Storage and Disposal Requirements for Maxiclear Cold & Flu Relief

The medicine must be stored according to official regulatory requirements to maintain the stability of the active ingredients, Acetaminophen and Phenylephrine Hydrochloride.


Official Storage Conditions

Maxiclear Cold & Flu Relief must be stored at or below 30°C and should not be left in the car or other hot locations. The tablets must remain in the original package and blister pack until the time of use.


Child Safety and Stability

For safety, the medication must be kept in a safe place, out of the sight and reach of children, preferably in a locked cupboard. Do not take the medicine after the expiry date printed on the packaging.


Disposal Instructions

Disposal of any unused or expired Maxiclear Cold & Flu Relief should follow the official guidance to consult a pharmacist for appropriate pharmaceutical waste handling.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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