What is the interaction between Guafenesin (Guaifenesin) and Codeine?

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Last updated: March 2, 2025View editorial policy

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From the Guidelines

Guaifenesin with codeine is a combination medication that can be used to treat cough and chest congestion, but its use should be approached with caution due to the potential for codeine to be habit-forming and its limitations in certain patient populations, as noted in a 2023 study 1. When considering the interaction between guaifenesin and codeine, it's essential to understand the mechanism of action of both components. Guaifenesin works as an expectorant to thin and loosen mucus in the airways, while codeine acts as a cough suppressant by affecting the brain's cough center.

  • The typical adult dosage is 10 mL (containing 100 mg guaifenesin and 10 mg codeine) every 4-6 hours as needed, not exceeding 6 doses in 24 hours.
  • This medication should be used for short durations (typically 5-7 days) as codeine can be habit-forming.
  • Common side effects include drowsiness, dizziness, constipation, and nausea.
  • It's crucial to avoid alcohol and other central nervous system depressants while taking this medication, as noted in a 2021 study 1.
  • Patients should stay hydrated to help with mucus thinning.
  • This medication is not recommended for children under 18 years due to risks associated with codeine use in pediatric populations, and it requires a prescription due to codeine's status as a controlled substance.
  • Those with respiratory conditions like asthma or COPD should use with caution and consult their healthcare provider before starting treatment, as codeine can have limitations in dose titration and drug interactions, particularly in patients with genetic polymorphism of CYP2D6, as discussed in a 2023 study 1.

From the FDA Drug Label

Drug Facts Active Ingredients Purpose (in each teaspoonful (5 mL)) Codeine Phosphate USP 10 mg ................... Antitussive Guaifenesin USP 100 mg ........................... Expectorant The interaction between Guafenesin (Guaifenesin) and Codeine is that they are combined in a single formulation, with Codeine acting as an antitussive and Guaifenesin acting as an expectorant 2.

  • Key points:
    • Codeine and Guaifenesin are used together to relieve cough and chest congestion.
    • The combination of Codeine and Guaifenesin suggests a potential synergistic effect in relieving respiratory symptoms.

From the Research

Interaction between Guafenesin (Guaifenesin) and Codeine

There are no research papers provided to assist in answering this question regarding the interaction between Guafenesin (Guaifenesin) and Codeine. The studies available are related to overactive bladder syndrome, anticholinergic drugs, and neurogenic lower urinary tract dysfunction, but do not mention the interaction between Guafenesin and Codeine.

Relevant Studies

  • The studies provided focus on the treatment of overactive bladder syndrome and neurogenic lower urinary tract dysfunction, with no mention of Guafenesin or Codeine 3, 4, 5, 6, 7.
  • These studies discuss the efficacy and safety of various anticholinergic drugs and combination therapies for overactive bladder syndrome, but do not address the interaction between Guafenesin and Codeine.

Key Findings

  • The studies provided do not contain information relevant to the interaction between Guafenesin and Codeine.
  • The research papers focus on the treatment of overactive bladder syndrome and neurogenic lower urinary tract dysfunction, with no mention of Guafenesin or Codeine 3, 4, 5, 6, 7.

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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