Drugs >  Guaifenesin and Dextromethorphan
Guaifenesin and Dextromethorphan
Pronunciation
Brand Names
Therapeutic Categories
Reasons not to take this medicine
What is this medicine used for?
How does it work?
How is it best taken?
What do I do if I miss a dose?
What are the precautions when taking this medicine?
What are the common side effects of this medicine?
What should I monitor?
Reasons to call healthcare provider immediately
How should I store this medicine?
General statements

Pronunciation
(gwye FEN e sin & deks troe meth OR fan)

Brand Names
Benylin® Expectorant [OTC]; Cheracol® D [OTC]; Clear Tussin® 30; Diabetic Tussin DM®[OTC]; Extra Action Cough Syrup [OTC]; Fenesin™ DM; Genatuss DM®[OTC]; Glycotuss-dM®[OTC]; Guaifenex® DM; GuiaCough®[OTC]; Guiatuss-DM®[OTC]; Halotussin® DM [OTC]; Humibid® DM [OTC]; Iobid DM®; Kolephrin® GG/DM [OTC]; Monafed® DM; Muco-Fen-DM®; Mytussin® DM [OTC]; Naldecon® Senior DX [OTC]; Phanatuss® Cough Syrup [OTC]; Phenadex® Senior [OTC]; Respa®-DM; Rhinosyn-DMX®[OTC]; Robafen DM®[OTC]; Robitussin®-DM [OTC]; Safe Tussin® 30 [OTC]; Scot-Tussin® Senior Clear [OTC]; Siltussin DM®[OTC]; Synacol® CF [OTC]; Syracol-CF®[OTC]; Tolu-Sed® DM [OTC]; Tusibron-DM®[OTC]; Tuss-DM®[OTC]; Tussi-Organidin® DM NR; Uni-tussin® DM [OTC]; Vicks® 44E [OTC]; Vicks® Pediatric Formula 44E [OTC]

Therapeutic Categories
Antitussive; Cough Preparation; Expectorant

Reasons not to take this medicine

  • If you have an allergy to guaifenesin, dextromethorphan, or any other part of the medicine.


What is this medicine used for?

  • Guaifenesin is used to help bring up phlegm, thin secretions, and make a cough productive.
  • Dextromethorphan is used to stop the coughing.


How does it work?

  • Guaifenesin decreases the stickiness of the breathing tubes and allows the fluid to flow more easily.
  • Dextromethorphan affects the cough reflex in the brain.


How is it best taken?

  • Take with 1 glass of water unless healthcare provider decreases fluid intake.
  • Swallow sustained-release tablet whole. Do not chew, break, or crush.
  • A liquid (syrup) is available if you cannot swallow pills.
  • Make sure you are drinking enough liquids unless told to drink less by healthcare provider. Avoid products with caffeine.


What do I do if I miss a dose?

  • Take a missed dose as soon as possible.
  • If it is almost time for the next dose, skip the missed one. Return to your regular schedule.
  • This medicine may also be taken on an as needed basis depending on relief of symptoms, duration of cold, or allergy.


What are the precautions when taking this medicine?

  • Limit caffeine (for example, tea, coffee, cola) and chocolate intake. Use with this medicine may cause nervousness, shakiness, rapid heartbeats, and anxiety.
  • Not for coughs due to smoking, asthma, or chronic obstructive pulmonary disease.
  • Tell healthcare provider if you are allergic to any medicine. Make sure to tell about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, throat; or any other symptoms involved.
  • Tell healthcare provider if you are breast-feeding.


What are the common side effects of this medicine?

  • Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
  • Dizziness is common. Rise slowly over several minutes from sitting or lying position. Be careful climbing stairs.
  • Headache. Mild pain medicine may help.


What should I monitor?

  • Watch for change in symptoms. Is condition better, worse, or about the same?


Reasons to call healthcare provider immediately

  • Signs of a life-threatening reaction. These include wheezing; tightness in the chest; fever; itching; bad cough; blue skin color; fits; swelling of face, lips, tongue, or throat.
  • If cough continues for more than 1 week or tends to return.
  • Any rash.
  • No improvement in condition or feeling worse.


How should I store this medicine?

  • Store in a tight, light-resistant container at room temperature.


General statements

  • Do not share your medicine with others and do not take anyone else's medicine.
  • Keep all medicine out of the reach of children and pets.
  • Keep a list of all your medicines (prescription, herbal/supplements, vitamins, over-the-counter) with you. Give this list to healthcare provider (doctor, nurse, pharmacist, physician assistant).
  • Talk with healthcare provider before starting any new medicine, including over-the-counter or natural products (herbs, vitamins).


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