Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (2024)

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infoSpecialty Drug

Generic Mucinex D

Used for Nasal Congestion, Cough

Used for Nasal Congestion, Cough

Mucinex D is a combination medication containing two active ingredients: guaifenesin (an expectorant) and pseudoephedrine (a decongestant). It's used to help temporarily relieve stuffy nose, chest congestion, and sinus pressure. This medication can be used for people 12 years of age and older. It's an extended-release tablet that's taken by mouth every 12 hours and is also available as a lower-cost generic. Side effects can include trouble sleeping and headache.

Reviewed by:

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (3)

Robert Chad Hakim, PharmD, BCCCP

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (4)

Kristianne Hannemann, PharmD

Last reviewed on March 26, 2024

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Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (5)

What is Mucinex D (guaifenesin / pseudoephedrine)?

What is Mucinex D (guaifenesin / pseudoephedrine) used for?

  • Short-term relief of stuffy nose due to allergies or the common cold

  • Loosens mucus to ease chest congestion

  • Sinus congestion and pressure

How Mucinex D (guaifenesin / pseudoephedrine) works

Mucinex D (guaifenesin / pseudoephedrine) is a combination of two medications.

  • Guaifenesin is an expectorant that loosens mucus in your airways by making it thinner. This makes it easier to cough out mucus and help clear chest congestion.

  • Pseudoephedrine is a decongestant, which works to relieve stuffy nose. It makes the blood vessels around your nose more narrow, which eases nasal swelling and pressure. This allows you to breathe more freely and to have better sinus drainage.

info

Are you looking for information on guaifenesin (Mucinex) or Mucinex DM (guaifenesin / dextromethorphan) instead?

When does Mucinex D (guaifenesin / pseudoephedrine) start working?

Time passed since treatment started:

MINUTES

HOURS

DAYS

WEEKS

MONTHS

Initial effect

Full effect

Drug Facts

Common BrandsMucinex D

Drug ClassExpectorant / Decongestant

Controlled Substance ClassificationControlled in some states. See FAQs below.

Generic StatusLower-cost generic available

AvailabilityOver-the-counter

More on Mucinex D (guaifenesin / pseudoephedrine) essentials

Mucinex D vs. Mucinex DM: 5 Differences Between These Two Cough MedicationsWritten by Kristine Foley, PharmD

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (8)

What are the side effects of Mucinex D (guaifenesin / pseudoephedrine)?

The following side effects may get better over time as your body gets used to the medication. Let your healthcare provider know immediately if you continue to experience these symptoms or if they worsen over time.

Common Side Effects

  • Trouble sleeping
  • Headache
  • Anxiety
  • Dry mouth

Other Side Effects

  • Dizziness
  • Confusion
  • High blood pressure
  • Fast heart rate

When do Mucinex D (guaifenesin / pseudoephedrine) possible side effects begin and end?

Time passed since treatment started:

MINUTES

HOURS

DAYS

WEEKS

MONTHS

Nervousness

Trouble sleeping

Nausea or vomiting

High blood pressure or fast heart rate (at higher doses)

Seek immediate medical care if you experience this side effect.

Source:DailyMed

The following side effects have also been reported

Side effects that you should report to your care team as soon as possible:

  • Allergic reactions—skin rash, itching, hives, swelling of the face, lips, tongue, or throat
  • Heart palpitations—rapid, pounding, or irregular heartbeat
  • Increase in blood pressure

Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):

  • Anxiety, nervousness
  • Dizziness
  • Drowsiness
  • Headache
  • Trouble sleeping

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Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (9)

Pros and cons of Mucinex D (guaifenesin / pseudoephedrine)

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (10)

Pros

Helps with stuffy nose, chest and sinus congestion, and wet cough

Combines two medications in a single product for convenience

Available over the counter without a prescription (in most states)

Doesn't cause drowsiness or sleepiness

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (11)

Cons

More difficult to customize the dose since it's a fixed combination of two medications

Only available as an extended-release tablet, which can't be cut or crushed

Might not be the best choice for people with certain medical conditions, such as high blood pressure

Not the best choice if you're pregnant or breastfeeding

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (12)

Pharmacist tips for Mucinex D (guaifenesin / pseudoephedrine)

Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (13)

  • You can take Mucinex D (guaifenesin / pseudoephedrine) with or without food. Try taking the medication with food to help if it upsets your stomach.

    • Swallow the tablets whole with a full glass of water. Don't crush, break, or chew the tablets since it can change how the medication works.

      • You might feel nervous or have trouble sleeping after you take Mucinex D (guaifenesin / pseudoephedrine). These can be side effects of the pseudoephedrine in the medication. If this happens, try to avoid taking the medication close to bedtime. Contact your primary care provider if that doesn't help.

        • Let your primary care provider know if you have a cough that's caused by cigarette smoke, a cough that's linked to a breathing problem (e.g., asthma, emphysema), or a cough with a lot of mucus. Mucinex D (guaifenesin / pseudoephedrine) might not be appropriate for you and you might need a different treatment option.

          • Stop using Mucinex D (guaifenesin / pseudoephedrine) and contact your primary care provider if your cough or stuffy nose lasts more than a week or comes back after clearing up. Also tell them if you have a rash, fever, or headache along with your cough or stuffy nose. There might be a more appropriate treatment option for these situations.

            • Don't start any new medications while you're taking Mucinex D (guaifenesin / pseudoephedrine) — especially other guaifenesin or decongestant products — without talking to your primary care provider or pharmacist first. Taking certain medications with Mucinex D (guaifenesin / pseudoephedrine) can raise your risk for serious side effects, including high blood pressure, fast heart rate, or possibly hallucinations (seeing or hearing things that aren't real).

              • Don't take Mucinex D (guaifenesin / pseudoephedrine) if you're taking or have taken a monoamine oxidase inhibitor (MAOI) like selegiline in the last 2 weeks. This combination can raise your risk for severe side effects, such as dangerously high blood pressure and dizziness. Ask your primary care provider or pharmacist for other options.

                • Don't take Mucinex D (guaifenesin / pseudoephedrine) until you've talked to a healthcare professional if you're pregnant or breastfeeding. It's not clear whether guaifenesin and pseudoephedrine are safe for your unborn baby. There's also a risk that taking pseudoephedrine might lower your milk supply.

                  • Store Mucinex D (guaifenesin / pseudoephedrine) up and away and out of children's reach and sight. This prevents them from accidentally swallowing any medication that was left out. Call a Poison Center at 1-800-222-1222 right away if you think that your child accidentally swallowed Mucinex D (guaifenesin / pseudoephedrine).

                    Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (14)

                    Frequently asked questions about Mucinex D (guaifenesin / pseudoephedrine)

                    How often can you take Mucinex D (guaifenesin / pseudoephedrine)?

                    expand_more

                    Adults and children ages 12 years and older can take Mucinex D (guaifenesin / pseudoephedrine) every 12 hours when you have a stuffy nose, chest congestion, and a wet (productive) cough. Keep in mind that some guaifenesin and pseudoephedrine combination products can have slightly different directions. Follow the directions written on the package for the product you have, or follow any specific instructions that your primary care provider gave you. Ask your primary care provider or pharmacist if you're not sure how often you should take this medication.

                    Does Mucinex D (guaifenesin / pseudoephedrine) make you sleepy?

                    expand_more

                    No, guaifenesin and pseudoephedrine (the ingredients in Mucinex D) don't typically cause sleepiness as a side effect. In fact, pseudoephedrine can potentially keep you awake at night if you take it too close to bedtime.

                    Can you take Mucinex D (guaifenesin / pseudoephedrine) at night?

                    expand_more

                    You can take Mucinex D (guaifenesin / pseudoephedrine) at night. But keep in mind that the medication contains pseudoephedrine, which can potentially keep you awake. If you're having trouble going or staying asleep, try to avoid taking Mucinex D (guaifenesin / pseudoephedrine) in the evening or within a few hours of bedtime.

                    Can you take loratadine (Claritin) with Mucinex D (guaifenesin / pseudoephedrine)?

                    expand_more

                    Yes, you can take loratadine (Claritin) with Mucinex D (guaifenesin / pseudoephedrine) if you have other allergy symptoms like runny nose, itchy nose, or itchy or watery eyes. Mucinex D (guaifenesin / pseudoephedrine) and loratadine (Claritin) work differently in the body to treat different symptoms of the common cold or allergies; the two medications don't appear to interact with each other.

                    What is the difference between Mucinex, Mucinex D, and Mucinex DM?

                    expand_more

                    The main difference between Mucinex, Mucinex D, and Mucinex DM is the active ingredients in each brand name. Mucinex contains guaifenesin only and is used for people with chest congestion due to mucus buildup. Mucinex D contains guaifenesin and pseudoephedrine, which helps with chest congestion as well as nasal and sinus congestion and a wet (productive) cough. Finally, Mucinex DM contains guaifenesin and dextromethorphan, which helps with chest congestion and lowering the urge to cough when you have a dry cough. Ask your pharmacist if you're not sure which Mucinex product is right for the symptoms you have.

                    Can you take Tylenol or ibuprofen with Mucinex D (guaifenesin / pseudoephedrine)?

                    expand_more

                    Yes, it's generally safe to take acetaminophen (Tylenol) or ibuprofen (Advil) with Mucinex D (guaifenesin / pseudoephedrine) if you're in pain. But these pain relievers can also have risks that you should consider. These risks can include liver problems with acetaminophen (Tylenol) and heart and kidney problems with ibuprofen (Advil). Before you use any pain relievers with Mucinex D (guaifenesin / pseudoephedrine), speak with your primary care provider or pharmacist to make sure it's safe for you to do so.

                    Is Mucinex D (guaifenesin / pseudoephedrine) over the counter?

                    expand_more

                    Yes. You can typically find Mucinex D (guaifenesin / pseudoephedrine) at the pharmacy counter (also called behind the counter). You won't need a prescription for it, but you'll need to show photo identification and sign when you buy the medication. Ask your pharmacist where to find Mucinex D (guaifenesin / pseudoephedrine) in the pharmacy.

                    Is Mucinex D (guaifenesin / pseudoephedrine) a controlled substance?

                    expand_more

                    Though not all, certain states might consider Mucinex D (guaifenesin / pseudoephedrine) a controlled substance and have put strict regulations on the medication. This is because the pseudoephedrine in Mucinex D (guaifenesin / pseudoephedrine) has the potential to be misused. Keep in mind that state laws change from time to time. So, it's best to ask your primary care provider or pharmacist whether Mucinex D (guaifenesin / pseudoephedrine) is a controlled substance in your state and how to safely take the medication.

                    Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (15)

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                    Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (16)

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                    Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (19)

                    What are the risks and warnings for Mucinex D (guaifenesin / pseudoephedrine)?

                    Mucinex D (guaifenesin / pseudoephedrine) can cause some serious health issues. This risk may be even higher for certain groups. If this worries you, talk to your doctor or pharmacist about other options.

                    Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (20)

                    Worsening of certain medical conditions

                    • Risk factors: Long-term cough or cough with too much mucus | Cough from smoking, asthma, chronic bronchitis, or emphysema | Heart disease or high blood pressure | Thyroid problems | High blood sugar (diabetes) | Urinary conditions

                      Tell your primary care provider (PCP) about all your medical conditions that you have before you start Mucinex D (guaifenesin / pseudoephedrine). It's possible for this medication to worsen your medical condition(s) and cause serious side effects. Or the medication might not be appropriate for you based on your medical condition(s). Your PCP can check that Mucinex D (guaifenesin / pseudoephedrine) is appropriate and safe for you to take.

                      Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (21)

                      Accidentally taking too much medication

                      • Risk factors: Taking with other similar medications

                        Mucinex D (guaifenesin / pseudoephedrine) contains an expectorant (guaifenesin) and a decongestant (pseudoephedrine). These ingredients can be found in many other over-the-counter products.

                        Using more than one product containing the same (or similar) ingredients as Mucinex D (guaifenesin / pseudoephedrine) raises the risk that you might accidentally take too much of a particular ingredient. This can be harmful. For example, taking too much pseudoephedrine can cause headache, anxiety, ringing in the ears, blurry vision, chest pain, fast heart rate, changes in blood pressure, nausea, and vomiting.

                        Ask your PCP or pharmacist if you're not sure whether you're taking a medication with any of the ingredients in Mucinex D (guaifenesin / pseudoephedrine). Carefully read and follow the product instructions on the package. Call a Poison Center at 1-800-222-1222 right away if you think that you or your child accidentally took too much medication (even if you aren't completely sure).

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (22)

                        Mucinex D (guaifenesin / pseudoephedrine) dosage forms

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (23)

                        Tablet

                        DosageAs low as
                        400mg/40mg$4.14 for 30 tablets
                        600mg/60mg$7.41 for 20 tablets
                        1200mg/120mg$9.98 for 24 tablets

                        Typical dosing for Mucinex D (guaifenesin / pseudoephedrine)

                        Note: Guaifenesin and pseudoephedrine combination tablets is made by several manufacturers. Some products might differ in dosage and directions. Read the product label or ask your pharmacist for directions specific to your medication.

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (24)

                        How much does Mucinex D (guaifenesin / pseudoephedrine) cost?

                        To access savings, use a GoodRx coupon and pay just a fraction of the retail price.

                        Mucinex D (brand)

                        savings_outlinedGoodRx lowest price$17.40(save 17.72%)

                        Mucinex D (guaifenesin / pseudoephedrine) (generic)

                        savings_outlinedGoodRx lowest price$7.41(save 41.04%)

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (25)

                        Mucinex D (guaifenesin / pseudoephedrine) contraindications

                        Contraindications are specific health conditions or situations in which a person shouldnot take a medication due to safety concerns. If you have any of the following conditionsor if any of the following apply to you, let your healthcare provider know because Mucinex D (guaifenesin / pseudoephedrine) will not be safe for you to take.

                        • Currently take or have taken an monoamine oxidase inhibitor (MAOI) in the last 2 weeks

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (26)

                        What are alternatives to Mucinex D (guaifenesin / pseudoephedrine)?

                        There are a number of medications that your doctor can prescribe in place of Mucinex D (guaifenesin / pseudoephedrine). Compare a few possible alternatives below.

                        Mucinex D (guaifenesin / pseudoephedrine)

                        Used for:

                        • Short-term relief of stuffy nose due to allergies or the common cold

                        • Loosens mucus to ease chest congestion

                        • Sinus congestion and pressure

                        $7.41 Lowest GoodRx priceView Prices

                        Guaifenesin/phenylephrine

                        Used for:

                        • Short-term relief of cough, nasal congestion, and sinus congestion and pressure

                        • Loosens phlegm (mucus) in the lungs to make it easier to cough up

                        $6.61 Lowest GoodRx priceView Prices

                        Children's Sudafed PE Cold Plus Cough

                        Used for:

                        • Stuffy nose

                        • Sinus pressure and congestion

                        • Cough

                        View Prices

                        Mucinex D (Guaifenesin / Pseudoephedrine): Uses, Side Effects, Dosage & More - GoodRx (27)

                        What is the latest news about Mucinex D (guaifenesin / pseudoephedrine)?

                        How to Get Rid of a Cough Without a Prescription: Tips and Over-the-Counter RemediesMost cough symptoms can be easily managed with at-home remedies and over-the-counter (OTC) medications. Explore your options for treating a dry and wet cough.
                        How Long Can You Take Cold Medicine Like Robitussin, Delsym, and Sudafed?Cold medicines include a wide variety of ingredients, from pain relievers to decongestants. Learn how long it is safe to take these OTC cold medicines and when to stop.

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