phenylephrine-DM-guaifenesin 1.25 mg-2.5 mg-25 mg/mL oral drops (2023)

0096Medication name

Generic name:
Guaifenesin/dextromethorphan/decongestant - oral

Uses

This combination medication is used to temporarily treat cough, chest congestion, and stuffy nose symptoms caused by the common cold, flu, allergies, hay fever, or other breathing illnesses (such as sinusitis, bronchitis). Guaifenesin is an expectorant that helps to thin and loosen mucus in the lungs, making it easier to cough up the mucus. Dextromethorphan is a cough suppressant that affects a certain part of the brain (cough center), reducing the urge to cough. This product also contains a decongestant, which helps relieve stuffy nose symptoms.

This medication is usually not used for ongoing coughs from smoking, asthma, other long-term breathing problems (such as emphysema), or coughs with a lot of mucus, unless directed by your doctor.

Cough-and-cold products have not been shown to be safe or effective in children younger than 6 years. Do not use this product to treat cold symptoms in children younger than 6 years unless specifically directed by the doctor. Some products (such as long-acting tablets/capsules) are not recommended for use in children younger than 12 years. Ask your doctor or pharmacist for more details about using your product safely.

These products do not cure or shorten the length of the common cold and may cause serious side effects. To decrease the risk for serious side effects, carefully follow all dosage directions. Do not use this product to make a child sleepy. Do not give other cough-and-cold medication that might contain the same or similar ingredients (see also Drug Interactions section). Ask the doctor or pharmacist about other ways to relieve cough and cold symptoms (such as drinking enough fluids, using a humidifier or saline nose drops/spray).

How to use

If you are taking the over-the-counter product, read all directions on the product package before taking this medication. If you have any questions, consult your pharmacist. If your doctor has prescribed this medication, take it as directed.

Take the tablet, capsule, or liquid form by mouth with or without food. Follow the directions for dosing on the label, or take as directed by your doctor. Drink plenty of fluids when you use this medication unless otherwise directed by your doctor. The fluid will help loosen the mucus in your lungs. This medication can be taken with food if stomach upset occurs.

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If you are using the liquid form, use a medication measuring device to carefully measure the prescribed dose. Do not use a household spoon. If your liquid form is a suspension, shake the bottle well before each dose.

If you are using sustained-release tablets or capsules, swallow the medication whole. Do not crush or chew the tablets or capsules. Doing so can destroy the long action of the drug and may increase side effects.

The dosage is based on your age, medical condition, and response to therapy.

Improper use of this medication (abuse) may result in serious harm (such as brain damage, seizure, death). Do not increase your dose or take this medication more often than recommended by your doctor or the package instructions without your doctor's approval.

Inform your doctor if your condition lasts for more than 1 week, if it gets worse, or if it occurs with a headache that doesn't go away, a fever, or a rash. These may be symptoms of a serious medical problem and should be checked by a doctor.

Side effects

Dizziness, headache, nausea, nervousness, or trouble sleeping may occur. If any of these effects last or get worse, contact your doctor or pharmacist promptly.

If your doctor has prescribed this medication, remember that your doctor has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor right away if you have any serious side effects, including:

  • mental/mood changes (such as confusion, hallucinations)
  • shaking (tremors)
  • weakness
  • fast/slow/irregular heartbeat

A very serious allergic reaction to this drug is rare. However, get medical help right away if you notice any symptoms of a serious allergic reaction, including:

  • rash
  • itching/swelling (especially of the face/tongue/throat)
  • severe dizziness
  • trouble breathing

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

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In the US -

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088 or at www.fda.gov/medwatch.

In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.

Precautions

Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.

Before using this medication, tell your doctor or pharmacist your medical history, especially of:

  • breathing problems (such as asthma, emphysema)
  • diabetes
  • a certain eye problem (glaucoma)
  • heart problems
  • high blood pressure
  • kidney problems
  • overactive thyroid (hyperthyroidism)
  • trouble urinating (for example, due to enlarged prostate)

This drug may make you dizzy. Alcohol or marijuana (cannabis) can make you more dizzy. Do not drive, use machinery, or do anything that needs alertness until you can do it safely. Limit alcoholic beverages. Talk to your doctor if you are using marijuana (cannabis).

Liquid preparations of this product may contain sugar, aspartame, and/or alcohol. Caution is advised if you have diabetes, alcohol dependence, liver disease, phenylketonuria (PKU), or any other condition that requires you to limit/avoid these substances in your diet. Ask your doctor or pharmacist about using this product safely.

Older adults may be more sensitive to the side effects of this drug, especially dizziness, difficulty urinating, fast/irregular heartbeat, trouble sleeping, confusion, or mental/mood changes.

During pregnancy, this medication should be used only if clearly needed. Discuss the risks and benefits with your doctor.

This medication may pass into breast milk. Consult your doctor before breast-feeding.

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Drug interactions

Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.

Taking certain MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking isocarboxazid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, or tranylcypromine during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication. Ask your doctor when to start or stop taking this medication.

Some products that may interact with this drug are:

  • beta blockers (such as metoprolol, atenolol)
  • guanethidine
  • certain inhaled anesthetics (such as halothane)
  • methyldopa
  • rolapitant
  • tricyclic antidepressants (such as amitriptyline, desipramine)

Guaifenesin is available in both prescription and nonprescription products. Check the labels on all your medications carefully to make sure you are not taking more than one guaifenesin-containing product.

Check the labels on all your medicines (such as cough-and-cold products, diet aids) because they may contain ingredients that could increase your heart rate or blood pressure. Ask your pharmacist about the safe use of those products.

This medication may interfere with certain medical/lab tests (including urine 5-HIAA/VMA levels, brain scan for Parkinson's disease), possibly causing false test results. Make sure lab personnel and all your doctors know you use this drug.

Overdose

If someone has overdosed and has serious symptoms such as passing out or trouble breathing, call 911. Otherwise, call a poison control center right away. US residents can call their local poison control center at 1-800-222-1222. Canada residents can call a provincial poison control center. Symptoms of overdose may include: agitation, confusion, hallucinations, seizures.

Notes

If your doctor has prescribed this medication, do not share it with others.

Keep all medical and lab appointments.

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Missed dose

If you are prescribed this medication on a regular schedule and miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Storage

Store at room temperature away from light and moisture. Do not store in the bathroom. Do not freeze liquid forms of this medication. Keep all medications away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company.

Important note

HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.

Information last revised January 2023.

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Copyright(c) 2023 First Databank, Inc.

FAQs

What is phenylephrine guaifenesin used for? ›

GUAIFENESIN; PHENYLEPHRINE (gwye FEN e sin; fen il EF rin) is an expectorant and decongestant combination. It is used to provide relief from cough and congestion. This medicine will not treat an infection. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What is guaifenesin dextromethorphan phenylephrine syrup used for? ›

DEXTROMETHORPHAN, GUAIFENESIN, and PHENYLEPHRINE (dex troe meth OR fan, gwye FEN e sin, fen il EF rin) is a combination of a cough suppressant, an expectorant, and a decongestant. It is used to treat cough and congestion. This medicine will not treat an infection.

Is it safe to take phenylephrine and guaifenesin? ›

You should not use guaifenesin and phenylephrine if you are allergic to it. Do not use guaifenesin and phenylephrine if you have taken an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine.

Does guaifenesin clear sinuses? ›

Guaifenesin is an expectorant. It works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. Phenylephrine is a decongestant (sympathomimetic). It reduces nasal congestion by narrowing the blood vessels in the nose.

Is guaifenesin OK for Covid? ›

Managing Cough and Shortness of Breath

Over-the-counter medications used for upper respiratory infections may help alleviate symptoms. Those medications include guaifenesin (Mucinex), pseudoephedrine (Sudafed), and dextromethorphan (Robitussin, Delsym).

Why does guaifenesin make you cough? ›

Guaifenesin will not cause severe and frequent coughing but can cause your cough to be productive (cough with phlegm or mucus). The drug helps to thin the secretion from your lungs and loosen the mucus. This effect can result in a productive cough that aims to clear excessive secretions from the airways.

How does guaifenesin relieve coughing? ›

Abstract. Guaifenesin, a mucoactive drug, acts by loosening mucus in the airways and making coughs more productive. It is used for relief of wet cough and chest congestion due to the common cold, and remains the only legally marketed expectorant in the US (per OTC Monograph).

Does guaifenesin cure cough? ›

Guaifenesin may help control symptoms but does not treat the cause of symptoms or speed recovery. Guaifenesin is in a class of medications called expectorants. It works by thinning the mucus in the air passages to make it easier to cough up the mucus and clear the airways.

Why should you not take guaifenesin at night? ›

Guaifenesin and other expectorants work best during the daytime. An expectorant will cause you to cough more to clear congestion from the respiratory tract. While you can take it at night, it will not help you sleep and may keep you awake.

What medications should not be taken with phenylephrine? ›

Avoid taking MAO inhibitors (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before treatment with this medication.

Who should not receive phenylephrine? ›

do not take phenylephrine if you are taking a monoamine oxidase (MAO) inhibitor, such as isocarboxazid (Marplan), phenelzine (Nardil), selegiline (Eldepryl, Emsam, Zelapar), and tranylcypromine (Parnate), or if you have stopped taking one of these medications within the past 2 weeks.

Does guaifenesin break up congestion? ›

Guaifenesin, a mucoactive drug, acts by loosening mucus in the airways and making coughs more productive. It is used for relief of wet cough and chest congestion due to the common cold, and remains the only legally marketed expectorant in the US (per OTC Monograph).

Does phenylephrine break up mucus? ›

It thins and loosens mucus that's stuck in your lungs, making it easier to cough it up. Phenylephrine is a decongestant that clears your sinuses to relieve sinus pressure.

What drugs should not be taken with guaifenesin? ›

Some products that may interact with this drug include: cimetidine, naltrexone, samidorphan. Guaifenesin is available in both prescription and nonprescription products. Check the labels on all your medications carefully to make sure you are not taking more than one product that contains guaifenesin.

How do you stop sinus drainage fast? ›

Here's what you can do:
  1. Prop up your head. Elevate your head to let gravity drain mucus from your nasal passages. ...
  2. Drink fluids, especially hot fluids. Drink a lot of fluids to thin out mucus. ...
  3. Gargle saltwater. ...
  4. Inhale steam. ...
  5. Use a humidifier. ...
  6. Nasal rinse. ...
  7. Avoid alcohol and cigarette smoke. ...
  8. GERD home remedies.

What is the best medicine for sinus drainage? ›

Try using a medicine that thins mucus and improves sinus drainage (mucolytic). Guaifenesin is a commonly used mucolytic. Mucolytics are often combined with other medicines such as cough suppressants. Acetaminophen can be found in many forms and comes in different doses.

What is the best decongestant for COVID congestion? ›

Take OTC antihistamines

Nasal decongestant sprays, such as oxymetazoline (Afrin, Vick's Sinex) and phenylephrine (Neo-Synephrine), can also be helpful.

What is the best remedy for Covid cough? ›

Try cough medicine.

If you have a wet cough with lots of mucus, you want to take an expectorant to help get the mucus out. If you have a dry cough, a cough suppressant is what you want.

What medicine is good for Covid cough? ›

Use medications containing guaifenesin, such as Robitussin, Mucinex, and Vicks 44E. keeping you from getting rest. Coughing is useful because it brings up mucus from the lungs and helps prevent bacterial infections.

How can I clear mucus from my lungs? ›

[coughing] Breathe in slowly and gently through your nose, and repeat the coughing if you need to. So when it's hard to breathe because of mucus in your lungs, you have three things you can do to help move the mucus out: postural drainage, chest percussion, and controlled coughing.

How do you get rid of mucus in your throat fast? ›

How to get rid of excess mucus and phlegm
  1. Hydrate more. Drink more water. ...
  2. Use a humidifier. ...
  3. Check filters on heating and cooling systems. ...
  4. Use a nasal saline spray. ...
  5. Gargle with salt water. ...
  6. Use eucalyptus. ...
  7. Use over-the-counter medication.
May 19, 2022

Does guaifenesin make it hard to sleep? ›

Dizziness, drowsiness, headache, upset stomach, nausea, constipation, nervousness, or trouble sleeping may occur. If any of these effects last or get worse, contact your doctor or pharmacist promptly.

Does guaifenesin work immediately? ›

6. Response and effectiveness. Some effects of guaifenesin should be noticed within 30 minutes of taking it orally; however, up to two days of regular dosing may be needed before the full effects are seen. Liquid guaifenesin lasts for approximately four to six hours.

What breaks up chest congestion? ›

Guaifenesin is used to help clear chest congestion from a cold or flu by thinning out the mucus or phlegm in the lungs. You can take guaifenesin in the form of a solution, syrup, liquid, tablet, or packet.

When should you not take guaifenesin? ›

You should not use guaifenesin if you are allergic to it. Ask a doctor or pharmacist if it is safe for you to use this medicine if you have other medical conditions. Ask a doctor before using this medicine if you are pregnant. You should not breast-feed while using guaifenesin.

How do you loosen a cough? ›

These at-home remedies can help:
  1. Drink plenty of liquids to stay hydrated. Try hot tea or water with honey and lemon to soothe irritated airways.
  2. Suck on cough drops or hard candies. Sucking on a hard lozenge promotes saliva production that soothes the throat. ...
  3. Take a spoonful of honey. ...
  4. Use a humidifier.
Sep 29, 2021

How long does it take for guaifenesin to work? ›

The guaifenesin in Mucinex helps loosen and thin mucus in your airways. If you have a “wet” cough, this can make the mucus easier to cough up. Guafenesin kicks in fast — usually within 30 minutes of taking it.

What is the difference between Mucinex and guaifenesin? ›

Mucinex D is (guaifenesin and pseudoephedrine) is an expectorant/nasal decongestant combination, and Mucinex DM (guaifenesin and dextromethorphan) is an expectorant/cough suppressant combination. Mucinex D and Mucinex DM both contain the expectorant guaifenesin (which is contained as a single ingredient in Mucinex).

What is the best position to sleep in with a dry cough? ›

If your cough seems to worsen once you lie flat, try propping up your head and neck. Use a wedge pillow or multiple bed pillows to make yourself comfortable while lying in a position that keeps your head elevated above the rest of your body.

Why is a cough worse at night? ›

Coughing often worsens at night because a person is lying flat in bed. Mucus can pool in the back of the throat and cause coughing. Sleeping with the head elevated can reduce the symptoms of postnasal drip and GERD. Both can cause coughing at night.

How do I stop coughing in my sleep? ›

Calming a wet cough
  1. Elevate your head and neck. Sleeping flat on your back or on your side can cause mucus to accumulate in your throat, which can trigger a cough. ...
  2. Try an expectorant. ...
  3. Swallow a little honey. ...
  4. Drink a warm beverage. ...
  5. Take a hot shower.
Jun 17, 2020

Why is phenylephrine banned? ›

Decongestant. Phenylephrine is used as an alternative to pseudoephedrine as a decongestant, whose availability has been restricted due to a potential for use in the illicit synthesis of methamphetamine.

Is phenylephrine bad for your heart? ›

Oral phenylephrine has a minimal direct effect on heart rate or cardiac output but, as a vasoconstrictor, can increase systolic and diastolic blood pressure at high doses, and thus cause reflex bradycardia.

What does DM mean on medicine bottles? ›

The "DM" refers to the cough suppressant ingredient, dextromethorphan. In other medications that have just "D" in the name, it refers to the decongestant pseudoephedrine, which isn't in this medication.

Will phenylephrine raise blood pressure? ›

Increases in blood pressure and decreases in heart rate have been reported with doses over 15 mg. It has been estimated that a 20-mmHg increase in systolic blood pressure would occur with an oral dose of 45 mg phenylephrine in normotensive healthy people.

What is the black box warning for phenylephrine? ›

Phenylephrine can cause a decrease in cardiac output, and extreme caution should be used when administering the drug parenterally or orally to patients with arteriosclerosis, to elderly individuals, and/or to patients with initially poor cerebral or coronary circulation.

What are the harmful side effects of phenylephrine? ›

Phenylephrine side effects
  • fast, pounding, or irregular heartbeat;
  • severe dizziness or nervousness;
  • sleep problems (insomnia); or.
  • increased blood pressure--severe headache, blurred vision, pounding in your neck or ears.
May 19, 2022

What is the most effective decongestant? ›

Healthline's picks for best OTC nasal decongestants
  • Benadryl Allergy Plus Congestion Ultratabs.
  • Best OTC sinus decongestant for a headache. ...
  • Afrin No Drip Severe Congestion.
  • Little Remedies Decongestant Nose Drops.
  • Sudafed PE Day and Night Sinus Pressure Tablets.
  • Cabinet Nasal Decongestant Tablets.

Do decongestants make it harder to get rid of phlegm and mucus? ›

Minimize the use of decongestants

While they dry secretions and can alleviate a runny nose, decongestants may make it harder to get rid of phlegm and mucus.

Will phenylephrine keep me awake? ›

Bottom Line. Phenylephrine relieves congestion of the nasal passages and is found in many cold and flu remedies. There is some controversy over whether it works at the dosages usually found in over-the-counter products. Sleeplessness is a common side effect.

Can phenylephrine make congestion worse? ›

Which nasal sprays cause rebound congestion? Nasal sprays containing either oxymetazoline or phenylephrine are the rebound congestion-inducing nasal sprays to use with caution. If a nasal spray contains either of these active ingredients, be sure to use only as directed on the label — three days or less.

What happens to mucus when you take a decongestant? ›

Decongestants, including phenylephrine and pseudoephedrine, work by constricting blood vessels. This allows more air to pass freely through your nose and leads to drier nasal tissues and less mucus draining down the back of your throat.

What is the best decongestant for mucus in chest? ›

Robitussin and Mucinex are two over-the-counter remedies for chest congestion. The active ingredient in Robitussin is dextromethorphan, while the active ingredient in Mucinex is guaifenesin.

Is guaifenesin hard on the heart? ›

Guaifenesin is generally safe for heart patients. This drug is not known to elevate blood pressure. If an overdose of Guaifenesin is taken, it may cause severe effects on the heart and increase heart rate. For heart patients or any previous history of cardiac illness, take the drug under medical supervision.

Can guaifenesin drain sinuses? ›

Guaifenesin is an expectorant. It works by thinning and loosening mucus in the airways, clearing congestion, and making breathing easier. Phenylephrine is a decongestant (sympathomimetic). It reduces nasal congestion by narrowing the blood vessels in the nose.

Does phenylephrine help mucus? ›

This product also contains a decongestant, which helps relieve stuffy nose symptoms. This medication is usually not used for ongoing coughs from smoking, asthma, other long-term breathing problems (such as emphysema), or coughs with a lot of mucus, unless directed by your doctor.

What should you not take with guaifenesin? ›

Some products that may interact with this drug include: cimetidine, naltrexone, samidorphan. Guaifenesin is available in both prescription and nonprescription products. Check the labels on all your medications carefully to make sure you are not taking more than one product that contains guaifenesin.

What class of drug is phenylephrine guaifenesin? ›

It is also used to relieve sinus congestion and pressure. Phenylephrine will relieve symptoms but will not treat the cause of the symptoms or speed recovery. Phenylephrine is in a class of medications called nasal decongestants.

What are 2 common side effects of phenylephrine? ›

Mild upset stomach, trouble sleeping, dizziness, lightheadedness, headache, nervousness, shaking, or fast heartbeat may occur. If any of these effects last or get worse, tell your doctor or pharmacist promptly. This product may reduce blood flow to your hands or feet, causing them to feel cold.

What is the best decongestant for phlegm? ›

You can try products like guaifenesin (Mucinex) that thin mucus so it won't sit in the back of your throat or your chest. This type of medication is called an expectorant, which means it helps you to expel mucus by thinning and loosening it.

What is best for mucus congestion? ›

How to get rid of excess mucus and phlegm
  • Hydrate more. Drink more water. ...
  • Use a humidifier. ...
  • Check filters on heating and cooling systems. ...
  • Use a nasal saline spray. ...
  • Gargle with salt water. ...
  • Use eucalyptus. ...
  • Use over-the-counter medication.
May 19, 2022

What stops a post nasal drip cough? ›

Typically, postnasal drip can be alleviated at home. Elevate your head at night to help mucus drain. You can also gargle saltwater, inhale steam, use a humidifier, and drink warm fluids. These remedies will thin mucus and moisturize your nasal passages.

Does guaifenesin make you cough more or less? ›

Does Guaifenesin make you cough more? Guaifenesin will not cause severe and frequent coughing but can cause your cough to be productive (cough with phlegm or mucus). The drug helps to thin the secretion from your lungs and loosen the mucus.

Does guaifenesin help dry or wet cough? ›

Guaifenesin, a mucoactive drug, acts by loosening mucus in the airways and making coughs more productive. It is used for relief of wet cough and chest congestion due to the common cold, and remains the only legally marketed expectorant in the US (per OTC Monograph).

What is the difference between guaifenesin and phenylephrine? ›

Guaifenesin is an expectorant. It helps loosen congestion in your chest and throat, making it easier to cough out through your mouth. Phenylephrine is a decongestant that shrinks blood vessels in the nasal passages. Dilated blood vessels can cause nasal congestion (stuffy nose).

Can you take ibuprofen with guaifenesin and phenylephrine? ›

No interactions were found between guaifenesin / phenylephrine and ibuprofen / phenylephrine. However, this does not necessarily mean no interactions exist. Always consult your healthcare provider.

What is phenylephrine also known as? ›

Phenylephrine is an alpha-1 adrenergic receptor agonist indicated for the treatment of clinically important hypotension resulting primarily from vasodilation in the setting of anesthesia. Phenylephrine is available under the following different brand names: Vazculep.

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