Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Mucinex D (guaifenesin/pseudoephedrine) and dextromethorphan (Delsym) are both over-the-counter medications, but they serve different purposes. Mucinex D is a combination of an expectorant (guaifenesin) and a decongestant (pseudoephedrine), which helps relieve stuffy nose, chest congestion, and sinus pressure. It is taken every 12 hours and is available in generic form. On the other hand, dextromethorphan is a cough suppressant that helps relieve dry cough by suppressing the cough reflex. It comes in both extended-release and immediate-release forms, with dosing intervals of 12 hours and 6-8 hours, respectively. While Mucinex D can cause trouble sleeping and headache, dextromethorphan may cause nausea and, rarely, drowsiness. Additionally, Mucinex D is not recommended for people with certain medical conditions like high blood pressure, whereas dextromethorphan should be used cautiously with other medications that raise serotonin levels. Neither medication should be taken with monoamine oxidase inhibitors (MAOIs).
Mucinex d (guaifenesin / pseudoephedrine)
Dextromethorphan (Delsym)
Mucinex d (guaifenesin / pseudoephedrine)
Dextromethorphan (Delsym)
Summary of Mucinex D vs. Delsym
Summary for Expectorant / Decongestant
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.