There are no well-controlled studies establishing safety in pregnant women, which has led the FDA to classify Delsym and Robitussin as pregnancy category C. While there may be limited transfer into breast milk, it is generally considered safe to take dextromethorphan while breastfeeding. The use of dextromethorphan products at high doses to potentiate the effects of opiate-containing drugs is a cause for concern. This may be particularly true in young adults.
Delsym is an over-the-counter cough suppressant medication that contains a long-acting formulation of dextromethorphan. Delsym is for use in the temporary relief of cough and works in the part of the central nervous system known as the medulla to stop the cough reflex. It is available in grape and orange flavors in both a 3 oz. Robitussin is also an over-the-counter cough suppressant medication that contains a long-acting formulation of dextromethorphan. Robitussin is for use in the temporary relief of cough, and like Delysm works in the part of the central nervous system known as the medulla to stop the cough reflex.
It is also available in grape and orange flavors in 3 and 5 oz. Both Delsym and Robitussin belong to a family of other cough and cold products which utilize the same leading trade name but differ in ingredients. Delsym and Robitussin are both effective at suppressing temporary cough caused by acute processes such as the common cold.
They are preferred over codeine-based prescription formulations because they are non-opioid and available without a prescription. Dextromethorphan products have been shown to be superior to other OTC products such as expectorants, decongestants, and antihistamines in controlling cough. Delsym and Robitussin are considered pregnancy category C by the FDA, meaning there is not enough evidence to establish safety for use in pregnant women.
Pregnant women should seek the advice of their healthcare professional and should only use these products when the benefit clearly outweighs the risk. Delsym and Robitussin are both alcohol-free formulations.
However, due to their potential to cause confusion, drowsiness, and other nervous system side effects which could be potentiated by alcohol, their concurrent use with alcohol should be avoided. While many approaches are used to decrease cough occurrence, including the use of expectorants, decongestants, and antihistamines, the American College of Chest Physicians recommends that cough suppressive agents such as dextromethorphan or codeine-based prescription formulations are superior and should be first-line therapy for short-term cough.
Robitussin Hour is the best choice for a dry, non-productive cough as it provides a longer window of relief as compared to other formulations of dextromethorphan. Wet, productive coughs may need an expectorant, in which case Robitussin DM, may be the best choice. Robitussin DM is a combination of dextromethorphan with guaifenesin, an expectorant that helps break up mucus, making it easier to clear from the airways.
A cough that does not decrease with cough medication, or a cough which lasts for more than one week, could be a sign of a more serious condition. Skip to main content Search for a topic or drug. Delsym vs.
Robitussin: Differences, similarities, and which is better for you. By Kristi C. Torres, Pharm. Top Reads in Drug vs. Toujeo vs Lantus: Main Differences and S Dulera vs Advair: Main Differences and S The result? Two-pronged cough protection: dextromethorphan to suppress the cough reflex in your brain and guaifenesin to help thin and clear mucus, a common coughing trigger in the first place.
We bet you're breathing easier already. Main Navigation Toggle navigation Home. A Cough Starts at Your Nerve Endings While you likely think of coughing as something that happens in your chest or throat, a persistent cough has a surprising amount to do with your nervous system.
How Dextromethorphan Fits in Dextromethorphan works on the part of your brain responsible for the cough reflex, disrupting the communication between your brain and the nerves which provoke the coughing. Pregnancy: This medication should not be used during pregnancy unless the benefits outweigh the risks.
If you are pregnant, talk to your doctor or pharmacist before taking this medication. Breast-feeding: It is not known if dextromethorphan passes into breast milk.
If you are a breast-feeding mother and are taking this medication, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding. Seniors: If you are a senior, talk to your doctor or pharmacist before taking this medication. If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:.
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with this medication. Tell your doctor or prescriber about all prescription, over-the-counter non-prescription , and herbal medications you are taking. Also tell them about any supplements you take.
Since caffeine, alcohol, the nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them. All material copyright MediResource Inc.
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