I ended up buying this product out of desperation. Tylenol used to make a Cold/Sore Throat remedy that was called Cool Blast. It was my go-to for when I had a sore throat. For whatever reason they took it off the market. I was sick last month with a terrible sore throat and drainage that was making it just raw. I wanted my Cool Blast Tylenol but I had to settle for this. It didn't provide the immediate relief that the Cool Blast did but it did seem to coat my raw throat okay and the tylenol did make the pain bearable for a couple hours. I found that the dose of decongestant didn't do much for me but it was better than suffering without any medication for relief. When my 14 yr old son caught my same bug he likewise was able to get a couple hours of relief by using this. It helped with his cough better than it did for mine, but he weighs a LOT less than me so that makes sense if you look at the dosage that way. All in all okay since they took the Cool Blast off the market but it pales in comparison. I also must point out that I don't do very well with strong cold medicine and this didn't give me any shaky feelings or racing heartbeat.