Head-to-head comparisons of medication uses, side effects, warnings, and more.
Key takeaways
Doxylamine (Unisom SleepTabs) and Mucinex DM (guaifenesin/dextromethorphan) are both over-the-counter medications, but they have several differences. Doxylamine is an antihistamine used as a sleep aid to help you fall asleep by blocking histamine in the brain, while Mucinex DM is a combination of an expectorant (guaifenesin) and a cough suppressant (dextromethorphan) used to relieve cough and chest congestion. Doxylamine is typically taken once a day before bedtime, whereas Mucinex DM can be taken every 4 to 12 hours depending on the formulation. Doxylamine can cause next-day sleepiness and is not recommended for older adults or those with certain medical conditions, while Mucinex DM might cause stomach upset, dizziness, and drowsiness but is generally well-tolerated. Additionally, Mucinex DM has multiple formulations, including tablets, liquids, and granules, and is not recommended for children under 4 years old. Both medications should not be mixed with alcohol or other similar medications to avoid serious side effects.
Doxylamine succinate (Unisom SleepTabs) is an over-the-counter antihistamine that can be taken by adults and children ages 12 years and older who are having trouble falling asleep. It's a sleep aid that works by blocking certain chemicals (histamine) in your body. Doxylamine (Unisom SleepTabs) is taken by mouth once a day, about 30 minutes before bedtime. The most common side effect of this medication is next-day sleepiness.
Summary for Expectorant / Antitussive
Mucinex DM (guaifenesin / dextromethorphan) is an over-the-counter medication that's used to relieve cough and loosen mucus. It has two active ingredients: guaifenesin (an expectorant that clears chest congestion) and dextromethorphan (a cough suppressant that relieves cough). The medication is available as tablets, dissolvable granules, and liquid that are taken by mouth, each with different dosages, directions, and age limits. Extended-release tablets are taken every 12 hours, while the other forms are usually taken every 4 hours. Most people have few to no side effects when used as directed, but it can sometimes cause stomach upset, dizziness, and drowsiness.