Diabetic Tussin EX (Oral)

Guaifenesin helps to clear mucus or phlegm (pronounced flem) from the chest when you have congestion due to a cold or flu. It works by thinning the mucus or phlegm in the lungs.

This medicine is available both over-the-counter (OTC) and with your doctor's prescription.

Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years of age. Using these medicines in very young children might cause serious or possibly life-threatening side effects.

If your cough does not get better after 7 days, or if you have a fever, skin rash, ongoing headache, or a sore throat along with the cough, contact your doctor. These symptoms may indicate that you have other health issues.

In deciding to use a medicine, you and your doctor need to consider the risks of taking it against the benefits it may provide. Here are some important points to think about:

Allergies

Inform your doctor if you have ever had any unusual or allergic reactions to this medicine or any other medicines. Also, let your healthcare provider know if you have any other allergies, such as to foods, dyes, preservatives, or animals. For over-the-counter products, carefully read the label or package ingredients.

Pediatric

There is no specific information comparing the use of guaifenesin in children to its use in other age groups, but it is not expected to cause different side effects or issues in children than in adults. However, consult your doctor before giving this medicine to children with a chronic cough, like asthma, or those with a large amount of mucus or phlegm. These children might need a different medicine. Additionally, do not give guaifenesin to children and infants under 2 years of age unless directed by your doctor.

Do not give any over-the-counter (OTC) cough and cold medicine to a baby or child under 4 years old. Using these medicines in very young children may lead to serious or even life-threatening side effects.

Geriatric

Many medicines have not been specifically studied in older adults. Therefore, it may not be clear if they work in the same way as they do in younger adults. Although there is no specific information comparing the use of guaifenesin in older people to other age groups, it is not expected to cause different side effects or problems in older adults than in younger adults.

Breast Feeding

There are no adequate studies in women to determine the risk to infants when using this medication while breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Interactions with Medicines

Some medicines should not be used together at all, while in other cases, two different medicines may be used together even if there might be an interaction. In these situations, your doctor may want to adjust the dose, or other precautions may be needed. Inform your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Interactions with Food/Tobacco/Alcohol

Certain medicines should not be taken around the time of eating food or specific types of food due to possible interactions. Using alcohol or tobacco with certain medicines may also lead to interactions. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Along with its needed effects, a medicine may cause some unwanted effects. Not all of these side effects may happen, but if they do, they may need medical attention.

Some side effects may happen that usually do not need medical attention. These side effects may go away during treatment as your body gets used to the medicine. Your health care professional may also have ways to help prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue, are bothersome, or if you have any questions about them:

Less common or rare

• Diarrhea
• dizziness
• headache
• hives
• nausea or vomiting
• skin rash
• stomach pain

Other side effects not listed may also happen in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.

In the U.S.

• Allfen
• Altarussin
• Amibid LA
• Antitussin
• Bidex 400
• Diabetic Siltussin DAS-Na
• Diabetic Tussin EX
• Drituss G
• Guaifenex G
• Guaifenex LA
• Mucinex
• Robitussin

In Canada

• Balminil Expectorant
• Balminil Expectorant Sugar-Free
• Benylin-E
• Benylin E Extra Strength Chest Congestion
• Broncho-Grippex Expectorant
• Resyl
• Robitussin Extra Strength

Available Dosage Forms:

• Solution
• Syrup
• Liquid
• Tablet, Extended Release
• Tablet

Therapeutic Class: Expectorant

Drinking plenty of water while taking guaifenesin may help loosen mucus or phlegm in the lungs.

For patients taking the extended-release capsule form of this medicine:

• Swallow the capsule whole, or open the capsule and sprinkle the contents on soft food such as applesauce, jelly, or pudding and swallow without crushing or chewing.

For patients taking the extended-release tablet form of this medicine:

• If the tablet has a groove in it, you may carefully break it into two pieces along the groove. Then swallow the pieces whole, without crushing or chewing them.
• If the tablet does not have a groove, it must be swallowed whole. Do not break, crush, or chew it before swallowing.

Dosing

The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.

The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.

• For regular (short-acting) oral dosage forms (capsules, oral solution, syrup, or tablets): For cough: Adults—200 to 400 milligrams (mg) every four hours. Children 6 to 12 years of age—100 to 200 mg every four hours. Children 4 to 6 years of age—50 to 100 mg every four hours. Children and infants up to 4 years of age—Use is not recommended.
• For long-acting oral dosage forms (extended-release capsules or tablets): For cough: Adults—600 to 1200 mg every twelve hours. Children 6 to 12 years of age—600 mg every twelve hours. Children 4 to 6 years of age—300 mg every twelve hours. Children and infants up to 4 years of age—Use is not recommended.

Missed Dose

If you miss a dose of this medicine, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not double doses.

Storage

Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.

Keep out of the reach of children.

Do not keep outdated medicine or medicine no longer needed.

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