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.
Short-term relief of stuffy nose due to allergies or the common cold
Loosens mucus to ease chest congestion
Sinus congestion and pressure
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.
Source:Â DailyMed
Side effects that you should report to your care team as soon as possible:
Side effects that usually do not require medical attention (report these to your care team if they continue or are bothersome):
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
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
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) 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.
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.
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).
Note: Guaifenesin and pseudoephedrine combination tablets are 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 600 mg / pseudoephedrine 60 mg):
Ages 12 years and older: The typical dose is 2 tablets by mouth every 12 hours. Don't take more than 4 tablets in a 24-hour period.
Ages under 12 years old: Ask your child's pediatrician.
Mucinex D Maximum Strength (guaifenesin 1,200 mg / pseudoephedrine 120 mg):
Ages 12 years and older: The typical dose is 1 tablet by mouth every 12 hours. Don't take more than 2 tablets in a 24-hour period.
Ages under 12 years old: Ask your child's pediatrician.
Currently take or have taken an monoamine oxidase inhibitor (MAOI) in the last 2 weeks
Short-term relief of stuffy nose due to allergies or the common cold
Loosens mucus to ease chest congestion
Sinus congestion and pressure
Stuffy nose
Sinus pressure and congestion
Cough
Short-term relief of runny or stuffy nose due to allergies or the common cold
Loosens mucus to ease chest congestion
Sinus congestion and pressure
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Meijer. (2023). Guaifenesin and pseudoephedrine HCl- guaifenesin and pseudoephedrine hcl tablet, extended release [package insert]. DailyMed.
U.S. Food and Drug Administration. (2024). Legal requirements for the sale and purchase of drug products containing pseudoephedrine, ephedrine, and phenylpropanolamine.
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