Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Hydromet (hydrocodone/homatropine) and benzonatate (Tessalon Perles) are both used to relieve cough, but they work in different ways and have different risks. Hydromet is a combination of an opioid (hydrocodone) and an anticholinergic (homatropine), making it a controlled substance with a high risk of addiction and serious side effects like trouble breathing. It's taken by mouth every 6 hours as needed and is available as a generic. On the other hand, benzonatate is an antitussive that numbs the nerves in your lungs and airways to reduce the urge to cough. It’s not a controlled substance and is taken three times a day as needed. Benzonatate can cause drowsiness and should be swallowed whole to avoid numbing your mouth and throat. While Hydromet can be habit-forming and is not recommended for children under 6, benzonatate is not habit-forming but should not be used by children under 10. Both medications are available in generic forms and should be used under the guidance of a healthcare provider.
Hydromet (hydrocodone / homatropine)
Benzonatate (Tessalon Perles)
Hydromet (hydrocodone / homatropine)
Benzonatate (Tessalon Perles)
Summary of Hydromet vs. Benzonatate
Summary for Opioid / Anticholinergic
Prescription only
Hydromet is a combination medication that contains hydrocodone (an opioid) and homatropine (an anticholinergic). It helps ease cough in adults by lowering the urge to cough. But Hydromet (hydrocodone / homatropine) isn't a first-choice option for this condition because it's a controlled substance and can cause serious side effects, such as trouble breathing. Hydromet (hydrocodone / homatropine) is taken by mouth, typically every 6 hours as needed. Some common side effects of this medication include sleepiness, trouble thinking clearly, and constipation. Hydromet (hydrocodone / homatropine) is available as a generic medication.
Summary for Antitussive
Prescription only
Benzonatate (Tessalon Perles) is a cough suppressant. It's used to relieve cough in people ages 10 years and older. Benzonatate (Tessalon Perles) is taken by mouth three times a day as needed. Possible side effects of this medication include headache and constipation. Because benzonatate (Tessalon Perles) can make you drowsy, so it's best to avoid alcohol while taking it.