Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Hydromet (hydrocodone/homatropine) and Guaifenesin AC (codeine/guaifenesin) are both prescription medications used to treat cough, but they have some key differences. Hydromet combines an opioid (hydrocodone) with an anticholinergic (homatropine) and is typically taken every 6 hours as needed. It works by reducing the urge to cough and is available as a generic. However, it can cause serious side effects like trouble breathing and is habit-forming. On the other hand, Guaifenesin AC combines an opioid (codeine) with an expectorant (guaifenesin) and is taken every 4 hours as needed. It helps loosen mucus and calm coughs, but it is also habit-forming and not recommended for long-term use. Guaifenesin AC is a Schedule V controlled substance, which is less restrictive than Hydromet's Schedule II classification. Both medications can cause drowsiness and should be used with caution, especially when combined with other substances like alcohol.
Hydromet (hydrocodone / homatropine)
Codeine/guaifenesin
Hydromet (hydrocodone / homatropine)
Codeine/guaifenesin
Summary of Hydromet vs. Cheratussin AC
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 Opioid / Expectorant
Prescription only
Codeine/guaifenesin is a cough syrup that contains an expectorant and an opioid. It's used to help loosen mucus and calm coughs in adults and older children. Codeine/guaifenesin is taken by mouth, typically every 4 hours as needed. But it's meant for short-term use only because it contains codeine, which is a controlled substance and can be habit-forming. Some side effects of codeine/guaifenesin include sleepiness and nausea. Brand name Cheratussin AC has been discontinued.