Recently, over-the-counter cough and cold medication usage in children has received increased attention by the medical community, parents/caregivers and the Food and Drug Administration. Concerns regarding the efficacy and safety of these medications in the pediatric population are increasing. Prior studies indicate that further caregiver education regarding the use of OTC cough and cold medications in children is needed to further reduce serious adverse events. This pilot study seeks to identify caregiver perceptions of current manufacturer's labels and comprehension of the Directions section. Results indicate that parents are dissatisfied with the current dosing and administration instructions of children's OTC cough and cold products. Specifically caregivers desire educational handouts from their medical team and prefer that the FDA require weight-based dosing, in addition to age, classifications on manufacturer's labels.