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Drug overview for G TUSSIN AC (codeine phosphate/guaifenesin):
Generic name: CODEINE PHOSPHATE/GUAIFENESIN (gweye-FEN-eh-sin/KOE-deen)
Drug class: Expectorants
Therapeutic class: Respiratory Therapy Agents
Guaifenesin is an expectorant.
No enhanced Uses information available for this drug.
Generic name: CODEINE PHOSPHATE/GUAIFENESIN (gweye-FEN-eh-sin/KOE-deen)
Drug class: Expectorants
Therapeutic class: Respiratory Therapy Agents
Guaifenesin is an expectorant.
No enhanced Uses information available for this drug.
DRUG IMAGES
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The following indications for G TUSSIN AC (codeine phosphate/guaifenesin) have been approved by the FDA:
Indications:
Cough
Professional Synonyms:
None.
Indications:
Cough
Professional Synonyms:
None.
The following dosing information is available for G TUSSIN AC (codeine phosphate/guaifenesin):
No enhanced Dosing information available for this drug.
Guaifenesin is administered orally. Mucinex(R) 600-mg extended-release tablets should not be broken, crushed, or chewed and should not be used in children younger than 12 years of age; the tablets should be kept out of reach of young children to avoid accidental swallowing and choking.
No dosing information available.
No generic dosing information available.
The following drug interaction information is available for G TUSSIN AC (codeine phosphate/guaifenesin):
There are 0 contraindications.
There are 0 severe interactions.
There are 0 moderate interactions.
The following contraindication information is available for G TUSSIN AC (codeine phosphate/guaifenesin):
Drug contraindication overview.
No enhanced Contraindications information available for this drug.
No enhanced Contraindications information available for this drug.
There are 6 contraindications.
Absolute contraindication.
| Contraindication List |
|---|
| Acute asthma attack |
| Adenoidectomy in pediatric patient |
| Chronic kidney disease stage 4 (severe) GFR 15-29 ml/min |
| Chronic kidney disease stage 5 (failure) GFr<15 ml/min |
| Paralytic ileus |
| Tonsillectomy in pediatric patient |
There are 14 severe contraindications.
Adequate patient monitoring is recommended for safer drug use.
| Severe List |
|---|
| Acute pancreatitis |
| CYp2d6 poor metabolizer |
| CYp2d6 ultrarapid metabolizer |
| Drug abuse |
| Exacerbation of chronic obstructive pulmonary disease |
| Familial dysautonomia |
| Gastrointestinal obstruction |
| History of opioid overdose |
| Intracranial hypertension |
| Kidney disease with likely reduction in glomerular filtration rate (GFr) |
| Respiratory depression |
| Shock |
| Sleep apnea |
| Systemic mastocytosis |
There are 14 moderate contraindications.
Clinically significant contraindication, where the condition can be managed or treated before the drug may be given safely.
| Moderate List |
|---|
| Adrenocortical insufficiency |
| Alcohol intoxication |
| Biliary tract disorder |
| Constipation |
| Cor pulmonale |
| Debilitation |
| Disease of liver |
| Hypotension |
| Lower seizure threshold |
| No disease contraindications |
| Orthostatic hypotension |
| Seizure disorder |
| Untreated hypothyroidism |
| Urinary retention |
The following adverse reaction information is available for G TUSSIN AC (codeine phosphate/guaifenesin):
Adverse reaction overview.
No enhanced Common Adverse Effects information available for this drug.
No enhanced Common Adverse Effects information available for this drug.
There are 20 severe adverse reactions.
| More Frequent | Less Frequent |
|---|---|
| None. |
Atelectasis CNS depression Dyspnea Hypotension Orthostatic hypotension Respiratory depression |
| Rare/Very Rare |
|---|
|
Accidental fall Acute respiratory failure Adrenocortical insufficiency Anaphylaxis Androgen deficiency Bradycardia Cardiac arrest Drug dependence Ileus Opioid dependence Pancreatitis Seizure disorder Shock Sleep apnea |
There are 42 less severe adverse reactions.
| More Frequent | Less Frequent |
|---|---|
|
Abdominal pain with cramps Constipation Drowsy Hyperhidrosis Nausea Sedation Vomiting |
Acute cognitive impairment Anorexia Dizziness Dysphoric mood General weakness Headache disorder Nervousness Oliguria Palpitations Pruritus of skin Skin rash Syncope Urticaria Visual changes Xerostomia |
| Rare/Very Rare |
|---|
|
Biliary spasm Depression Diarrhea Dysphagia Erectile dysfunction Euphoria Fatigue Flushing Gastrointestinal irritation Infertility Insomnia Libido changes Nausea Non-cardiac chest pain Opioid induced allodynia Opioid induced hyperalgesia Symptoms of anxiety Vasodilation of blood vessels Vertigo Vomiting |
The following precautions are available for G TUSSIN AC (codeine phosphate/guaifenesin):
No enhanced Pediatric Use information available for this drug.
Contraindicated
Severe Precaution
Management or Monitoring Precaution
Contraindicated
| None |
Severe Precaution
| None |
Management or Monitoring Precaution
| None |
No enhanced Pregnancy information available for this drug.
No enhanced Lactation information available for this drug.
Precaution Exists
Precaution exists. (No data or inconclusive human data.) Use of this drug by breast feeding mothers should be evaluated carefully.
Precaution Exists
Precaution exists. (No data or inconclusive human data.) Use of this drug by breast feeding mothers should be evaluated carefully.
| Drug Name | Excretion Potential | Effect on Infant | Notes |
|---|---|---|---|
| Codeine | Excreted.This drug is known to be excreted in human breast milk. | This drug has been shown to have an adverse effect on the nursing infant. | Resp dep poss in infant,non-opioid alt rec, or use low dose shortest duration |
| Guaifenesin | Unknown. It is unknown whether the drug is excreted in human breast milk. | It is not known whether this drug has an adverse effect on the nursing infant. (No data or inconclusive human data) | Insuff data avail; avoid products with high alcohol content |
No enhanced Geriatric Use information available for this drug.
Precaution Exists
Geriatric management or monitoring precaution exists.
Precaution Exists
Geriatric management or monitoring precaution exists.
| Drug Name | Narrative | REN | HEP | CARDIO | NEURO | PULM | ENDO |
|---|---|---|---|---|---|---|---|
| Codeine | General-Consider adding naloxone/nalmefene Rx, especially when total opioid dose is >=50 MME/day. Pulmonary-Life threatening resp depression risk with high doses, cachexia or debilitation due to altered PK. Monitor closely at initiation and dose titration. Neuro/Psych-Risk for increased confusion, delirium and fall risk. Avoid treatment with 3 or more CNS active drugs. Gastrointestinal-Constip risk. Encourage exercise and consider bowel regimen. Urogenital-Urinary retention risk. | N | Y | Y | Y | Y | N |
The following prioritized warning is available for G TUSSIN AC (codeine phosphate/guaifenesin):
WARNING: This medication has a risk for abuse and addiction, which can lead to overdose and death. This medication may also cause severe, possibly fatal, breathing problems. To lower your risk, your doctor should have you take the smallest dose that works, and take it for the shortest possible time.
See also How to Use section for more information about addiction. The risk for severe breathing problems is higher when you start this medication, or if you take the wrong dose or take more of this medication than prescribed. Taking this medication with alcohol or other drugs that can cause drowsiness or breathing problems may cause very serious side effects, including death.
Also, other medications can affect the removal of this product from your body, which may affect how it works. Be sure you know how to take this product and what other drugs you should avoid taking with it. See also Drug Interactions section.
Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up. Keep this medicine in a safe place to prevent theft, misuse, or abuse. If someone accidentally swallows this drug, get medical help right away.
Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or think you may be pregnant. During pregnancy, this medication is not recommended.
It may slightly increase the risk of birth defects if used during the first two months of pregnancy. Also, using it for a long time or in high doses near the expected delivery date may harm the unborn baby. To lessen the risk, take the smallest effective dose for the shortest possible time.
Babies born to mothers who use this drug for a long time may develop severe (possibly fatal) withdrawal symptoms. Tell the doctor right away if you notice any symptoms in your newborn baby such as crying that doesn't stop, slow/shallow breathing, irritability, shaking, vomiting, diarrhea, poor feeding, or difficulty gaining weight.
WARNING: This medication has a risk for abuse and addiction, which can lead to overdose and death. This medication may also cause severe, possibly fatal, breathing problems. To lower your risk, your doctor should have you take the smallest dose that works, and take it for the shortest possible time.
See also How to Use section for more information about addiction. The risk for severe breathing problems is higher when you start this medication, or if you take the wrong dose or take more of this medication than prescribed. Taking this medication with alcohol or other drugs that can cause drowsiness or breathing problems may cause very serious side effects, including death.
Also, other medications can affect the removal of this product from your body, which may affect how it works. Be sure you know how to take this product and what other drugs you should avoid taking with it. See also Drug Interactions section.
Get medical help right away if any of these very serious side effects occur: slow/shallow breathing, unusual lightheadedness, severe drowsiness/dizziness, difficulty waking up. Keep this medicine in a safe place to prevent theft, misuse, or abuse. If someone accidentally swallows this drug, get medical help right away.
Before using this medication, women of childbearing age should talk with their doctor(s) about the risks and benefits. Tell your doctor if you are pregnant or think you may be pregnant. During pregnancy, this medication is not recommended.
It may slightly increase the risk of birth defects if used during the first two months of pregnancy. Also, using it for a long time or in high doses near the expected delivery date may harm the unborn baby. To lessen the risk, take the smallest effective dose for the shortest possible time.
Babies born to mothers who use this drug for a long time may develop severe (possibly fatal) withdrawal symptoms. Tell the doctor right away if you notice any symptoms in your newborn baby such as crying that doesn't stop, slow/shallow breathing, irritability, shaking, vomiting, diarrhea, poor feeding, or difficulty gaining weight.
The following icd codes are available for G TUSSIN AC (codeine phosphate/guaifenesin)'s list of indications:
No ICD codes found for this drug.
No ICD codes found for this drug.
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