Guaifenesin, hydrocodone, and pseudoephedrine
Generic name: guaifenesin, hydrocodone, and pseudoephedrine [ gwye-FEN-e-sin, HYE-droe-KOE-done, SOO-doe-ee-FED-rin ]
Brand names: Entex HC, Hycofenix, Su-Tuss HD Elixir, Entuss-D JR, Decotuss-HD, ... show all 26 brands Vanex Expectorant, Tussadur-HD, Tussend Expectorant, Detussin Expectorant, Tussgen Expectorant, SRC Expectorant, Nalex Expectorant, Deconamine CX, Poly-Tussin XP, Entuss-D, Hydrotussin HD, KG-Tuss HD, Medtuss HD, Spantuss HD, Vanacon, Tussafin Liquid, Hytussin Expectorant, Drituss HD, Hydro-Tuss XP, Dynex HD, Pseudatex HC
Dosage form: oral liquid (100 mg-2.5 mg-30 mg/5 mL; 200 mg-2.5 mg-30 mg/5 mL; 200 mg-5 mg-60 mg/5 mL; 50 mg-3.75 mg-22.5 mg/5 mL)
Drug class: Upper respiratory combinations
What is guaifenesin, hydrocodone, and pseudoephedrine?
Guaifenesin, hydrocodone, and pseudoephedrine contains a narcotic cough medicine and may be habit-forming.
Guaifenesin, hydrocodone, and pseudoephedrine may also be used for other purposes not listed in this medication guide.
MISUSE OF OPIOID MEDICINE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it.
Fatal side effects can occur if you use this medicine with alcohol, or with other drugs that cause drowsiness or slow your breathing.
Before taking this medicine
Do not use guaifenesin, hydrocodone, and pseudoephedrine if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
You should not use this medicine if you are allergic to guaifenesin, hydrocodone, or pseudoephedrine, or if you have:
severe or uncontrolled high blood pressure;
coronary artery disease (clogged arteries); or
if you are unable to urinate.
This medicine is not approved for use by anyone younger than 18 years old.
Tell your doctor if you have ever had:
asthma or other breathing problems;
a head injury or increased pressure inside your skull;
Addison's disease (an adrenal gland disorder);
liver or kidney disease;
an enlarged prostate or urination problems; or
If you use hydrocodone while you are pregnant, your baby could become dependent on the drug. This can cause life-threatening withdrawal symptoms in the baby after it is born. Babies born dependent on habit-forming medicine may need medical treatment for several weeks.
Do not breast-feed. Hydrocodone can pass into breast milk and may cause drowsiness, breathing problems, or death in a nursing baby.
How should I take guaifenesin, hydrocodone, and pseudoephedrine?
Follow the directions on your prescription label and read all medication guides. Never use this medicine in larger amounts, or for longer than prescribed. Take this medicine only until your symptoms clear up.
Never share opioid medicine with another person, especially someone with a history of drug abuse or addiction. MISUSE CAN CAUSE ADDICTION, OVERDOSE, OR DEATH. Keep the medication in a place where others cannot get to it. Selling or giving away opioid medicine is against the law.
Measure liquid medicine carefully. Use the dosing syringe provided, or use a medicine dose-measuring device (not a kitchen spoon).
If you need surgery or medical tests, tell the surgeon or doctor ahead of time if you have taken a cough or cold medicine within the past few days.
Store at room temperature away from moisture, heat, and light. Keep track of your medicine. You should be aware if anyone is using it improperly or without a prescription.
Do not keep leftover medication. Just one dose can cause death in someone using this medicine accidentally or improperly. Read and carefully follow the instructions provided with this medicine about how to safely dispose of any unused portion.
What happens if I miss a dose?
Since guaifenesin, hydrocodone, and pseudoephedrine is used when needed, you may not be on a dosing schedule. Skip any missed dose if it's almost time for your next dose. Do not use two doses at one time.
What happens if I overdose?
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of hydrocodone can be fatal.
Overdose symptoms may include extreme drowsiness, feeling weak or limp, cold and clammy skin, breathing problems, fast or slow heartbeats, confusion, hallucinations, slurred speech, blue lips, slow breathing, fainting, or breathing that stops.
What should I avoid while taking guaifenesin, hydrocodone, and pseudoephedrine?
Do not drink alcohol. Dangerous side effects or death could occur.
Avoid driving or operating machinery until you know how guaifenesin, hydrocodone, and pseudoephedrine will affect you. Dizziness or severe drowsiness can cause falls or other accidents.
Ask a doctor or pharmacist before using other cough or cold medicines that may contain similar ingredients.
Guaifenesin, hydrocodone, and pseudoephedrine side effects
Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.
This medicine can slow or stop your breathing, and death may occur. A person caring for you should seek emergency medical attention if you have slow breathing with long pauses, blue colored lips, or if you are hard to wake up.
This medicine may cause serious side effects. Stop using this medicine and call your doctor at once if you have:
noisy breathing, sighing, shallow breathing;
confusion, severe weakness or drowsiness;
tremors, severe restlessness;
severe headache, blurred vision, pounding in your neck or ears;
a light-headed feeling, like you might pass out;
severe constipation, stomach pain; or
Serious side effects may be more likely in older adults and those who are overweight, malnourished, or debilitated.
Common side effects of guaifenesin, hydrocodone, and pseudoephedrine may include:
This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Guaifenesin, hydrocodone, and pseudoephedrine dosing information
Usual Adult Dose for Cough and Nasal Congestion:
10 mL orally every 4 to 6 hours
Maximum dose: 40 mL in 24 hours
-Each 5 mL contains hydrocodone 2.5 mg; pseudoephedrine 30 mg; guaifenesin 200 mg
-Measure dose with accurate measuring device.
Use: Symptomatic relief of cough, nasal congestion, and to loosen mucus associated with the common cold.
What other drugs will affect guaifenesin, hydrocodone, and pseudoephedrine?
Using guaifenesin, hydrocodone, and pseudoephedrine with other drugs that slow your breathing can cause dangerous side effects or death. Ask your doctor before using opioid medication, a sleeping pill, a muscle relaxer, or medicine for anxiety or seizures.
Opioid medication can interact with many other drugs and cause dangerous side effects or death. Be sure your doctor knows if you also use:
cold or allergy medicines, bronchodilator asthma/COPD medication, or a diuretic ("water pill");
other narcotic medications--opioid pain medicine or prescription cough medicine;
drugs that make you sleepy or slow your breathing--a sleeping pill, muscle relaxer, medicine to treat mood disorders or mental illness.
This list is not complete. Other drugs may affect guaifenesin, hydrocodone, and pseudoephedrine, including prescription and over-the-counter medicines, vitamins, and herbal products. Not all possible interactions are listed here.
More about guaifenesin / hydrocodone / pseudoephedrine
- Side effects
- Drug interactions
- Dosage information
- During pregnancy
- En español
- Drug class: upper respiratory combinations
Related treatment guides
Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.
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