What Is Cepastat Sore Throat & Cough? Uses, Dosage, and What You Need to Know in 2026

Updated:

February 17, 2026

Author:

Peter Daggett

Summarize this blog with AI:

Cepastat Sore Throat & Cough is an OTC lozenge with benzocaine, dextromethorphan, and menthol. Learn its uses, dosage, cost, and what to know in 2026.

What Is Cepastat Sore Throat & Cough?

Cepastat Sore Throat & Cough is an over-the-counter sugar-free cherry lozenge that combines benzocaine (6 mg), dextromethorphan HBr (5 mg), and menthol (10 mg) to temporarily relieve sore throat pain and suppress coughs.

It's manufactured by Insight Pharmaceuticals and is part of the Cepastat line of sore throat products. Unlike single-ingredient lozenges, Cepastat Sore Throat & Cough takes a three-pronged approach: it numbs throat tissue, quiets your cough reflex, and provides a cooling menthol sensation—all in one lozenge.

The product comes in 18-count packages and is available without a prescription. However, as we'll discuss below, finding it in stock can be a challenge in 2026.

What Is Cepastat Sore Throat & Cough Used For?

Cepastat Sore Throat & Cough is indicated for the temporary relief of:

  • Minor sore throat pain — from colds, flu, or general throat irritation
  • Sore mouth and minor mouth irritation — including pain from canker sores
  • Cough — specifically dry, irritating coughs (not productive coughs with excessive mucus)

It's important to note that Cepastat provides temporary relief. It's not a cure for the underlying condition causing your sore throat or cough. If symptoms persist for more than 7 days, or are accompanied by fever, headache, rash, or swelling, stop use and see a doctor.

What It's Not For

Cepastat Sore Throat & Cough should not be used for:

  • Persistent or chronic cough caused by smoking, asthma, or emphysema
  • Cough accompanied by excessive phlegm or mucus
  • Sore throat symptoms lasting longer than 7 days

How Is Cepastat Sore Throat & Cough Taken?

Using Cepastat is straightforward:

Dosage

  • Adults and children 12 and older: Dissolve 1 lozenge slowly in the mouth every 4 hours. Do not exceed 6 lozenges in 24 hours.
  • Children 6 to 12: Dissolve 1 lozenge slowly in the mouth every 4 hours. Do not exceed 6 lozenges in 24 hours. Use with adult supervision.
  • Children under 6: Do not use without a doctor's supervision.

How to Use

  • Let the lozenge dissolve slowly in your mouth. Do not chew or swallow it whole.
  • Do not eat or drink while the lozenge is dissolving or immediately after, while your mouth is still numb.
  • Do not exceed the recommended dosage.

For more on how the ingredients work in your body, see our mechanism of action guide.

Who Should Not Take Cepastat Sore Throat & Cough?

Do not use Cepastat Sore Throat & Cough if you:

  • Are allergic to local anesthetics — including benzocaine, procaine, butacaine, or other "-caine" anesthetics
  • Are taking MAO inhibitors — or have stopped taking them within the last 2 weeks. MAOIs include selegiline, phenelzine, and tranylcypromine. The dextromethorphan in Cepastat can interact dangerously with MAOIs.
  • Have a persistent cough from smoking, asthma, or emphysema
  • Have a cough with excessive mucus

If you're unsure whether Cepastat is safe for you, ask your pharmacist or healthcare provider. For a complete list of drug interactions, read our interactions guide.

Special Populations

  • Children under 6: Not recommended without a doctor's supervision. Benzocaine carries a risk of methemoglobinemia, and the FDA warns against using benzocaine in children under 2.
  • Pregnant or breastfeeding: Consult a healthcare professional before use.

How Much Does Cepastat Sore Throat & Cough Cost?

When you can find it, Cepastat Sore Throat & Cough typically costs $5 to $10 per 18-count package. Since it's an OTC product, insurance generally doesn't cover it—though some FSA and HSA plans may reimburse OTC sore throat products.

There's no manufacturer savings program or patient assistance program for Cepastat, as it's an affordable OTC product. Store-brand alternatives with similar ingredients (benzocaine and menthol lozenges) typically cost $3 to $6.

For tips on saving money, see our guide to coupons and discounts.

How to Find Cepastat Sore Throat & Cough in 2026

Here's the catch: Cepastat Sore Throat & Cough has become increasingly hard to find in retail pharmacies and stores. The brand has had limited distribution for several years.

Your best options for finding it:

If you can't find it, alternatives like Chloraseptic Total and Cepacol Extra Strength contain very similar active ingredients.

Final Thoughts

Cepastat Sore Throat & Cough is a straightforward OTC lozenge that combines three active ingredients to tackle sore throat pain and cough in one product. It's safe for most adults and children over 6 when used as directed, affordable when you can find it, and doesn't require a prescription.

The main challenge in 2026 is availability. Use Medfinder to track it down, or explore similar products if your local pharmacy doesn't stock it. And if your sore throat or cough lasts more than a week, see a healthcare provider to rule out something more serious.

What is Cepastat Sore Throat & Cough used for?

Cepastat Sore Throat & Cough is used for temporary relief of minor sore throat pain, sore mouth, minor mouth irritation, canker sore pain, and cough suppression. It contains benzocaine, dextromethorphan, and menthol.

Is Cepastat Sore Throat & Cough a prescription medication?

No. Cepastat Sore Throat & Cough is an over-the-counter product. You can buy it at pharmacies and stores without a prescription.

How many Cepastat lozenges can I take in a day?

Adults and children 12 and older can take up to 6 lozenges per day (1 every 4 hours). Children 6-12 follow the same dosage with adult supervision. Do not exceed 6 lozenges in 24 hours.

Is Cepastat Sore Throat & Cough safe for children?

Cepastat is approved for children 6 and older with adult supervision. It should not be used in children under 6 without a doctor's guidance. The FDA warns against benzocaine use in children under 2 due to methemoglobinemia risk.

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