Cold & Flu Can You Drink Alcohol While Taking Mucinex? By Ayesha Gulzar, PharmD Updated on May 09, 2024 Medically reviewed by Femi Aremu, PharmD Print Table of Contents View All Table of Contents Can I Drink Alcohol While Taking Mucinex? Side Effects Risks Alcohol and Other OTC Cough Medicines Mucinex is an over-the-counter (OTC) brand that relieves chest congestion and cough. It contains the active drug guaifenesin, which belongs to the expectorant drug class. Mucinex helps loosen mucus from the lungs. Alcohol can interfere with medications, including Mucinex. However, in limited amounts, there is no immediate danger if you drink alcohol while taking it. Still, it can increase the risks of side effects and affect the immune system, so it's best to steer clear of drinking if you're feeling unwell and taking medication. However, it's important to be aware of Mucinex combination medications that also contain dextromethorphan (DXM). Combining high amounts of DXM with alcohol can be very dangerous. This article will discuss the potential risks of taking Mucinex with alcohol. Jeff Greenberg / Getty Images Can I Drink Alcohol While Taking Mucinex? Mucinex, containing guaifenesin, usually does not interact dangerously with alcohol if you happen to have one drink. However, mixing alcohol and Mucinex can cause unwanted side effects such as rapid heart rate, liver damage, and stomach problems. Some combination brand products, such as Mucinex D, Mucinex Sinus-Max, and Mucinex Fast-Max, contain DXM and acetaminophen. DXM interacts dangerously with alcohol. You should also not take acetaminophen with alcohol. Alcohol interacts with several medications and can alter the metabolism or effects of the drug. The interaction with medicines generally occurs in the liver, where alcohol and many medications are metabolized. Moreover, excessive alcohol intake can have adverse effects on the immune system, such as: Susceptibility to pneumonia Greater likelihood of acute respiratory stress syndromes (ARDS) Sepsis Alcoholic liver disease (ALD) Alcohol interferes with white blood cell production and reduces their ability to fight off illness or infection. If you're under the weather, you'll generally want to avoid drinking alcohol to begin with until you're feeling healthy again. Can I Have One or Two Drinks While on Mucinex? Some interactions can occur even at moderate drinking levels, which may lead to adverse health effects. It is better to avoid taking alcohol with cough and cold medicines such as Mucinex. Side Effects of Mixing Alcohol and Mucinex Drinking alcohol while taking Mucinex can increase the side effects of Mucinex. Alcohol can irritate the gastrointestinal (GI) tract, worsening the GI system and other symptoms associated with Mucinex or Mucinex DM, such as: HeadacheVomitingAbdominal painDiarrheaDrowsinessDizziness The adverse effects of using Mucinex and alcohol together are discussed below. Increased Dizziness and Drowsiness Drinking alcohol while taking Mucinex or Mucinex DM can increase the intoxicating effects of alcohol, such as drowsiness and dizziness. Liver Damage Drinking excessive alcohol can lead to liver problems. Mucinex is metabolized in the liver. Using Mucinex and alcohol can increase the risk of liver damage. Can Mucinex Enhance the Effects of Alcohol? Usually, Mucinex does not negatively affect a person taking a limited quantity of alcohol. An increase in dizziness or nausea may go away within a few hours. However, it would be best if you tried to avoid taking them together in the first place. Never use alcohol with Mucinex D or other products containing DXM. Risks of Mixing Alcohol and Mucinex DM Combination brands of guaifenesin, such as Mucinex DM, Mucinex Sinus-Max, and Mucinex Fast-Max, contain dextromethorphan (DXM). Both alcohol and DXM are central nervous system depressants. They decrease the activity of the neurons of the brain and spinal cord. Taking alcohol and Mucinex DM together may enhance their depressant actions and cause severe side effects. Some significant side effects include: Nausea or vomitingHot flashes, hypertensionAgitationAnxiety and even panic attacks, Potentially fatal seizures The overuse of Mucinex DM with alcohol may cause long-term effects such as: Potential liver damagePotential neurological damageRespiratory problems associated with chronic respiratory suppressionTolerance or dependence on both DXM and alcoholComa or death Alcohol and Other OTC Cough Medicines Certain drugs, such as Mucinex DM (dexamethorphan) or Benadryl (diphenhydramine), contain ingredients that have sedative or drowsy effects. These medicines may interact with alcohol. Alcohol can make you sleepy, tired, or lightheaded. Drinking alcohol while taking cough and cold medicines can intensify these effects. It makes it difficult to concentrate or perform mechanical skills such as driving or operating machines. Combining alcohol with cough and cold medicines can cause falls and serious injuries, especially among older people. Some medicines, including painkillers and those for cough, colds, and allergies, contain more than one active ingredient. For this reason, it's important to read a product's label before taking it so you know what it contains. Summary Mucinex does not interact too much with alcohol in limited amounts. Still, it is better to avoid mixing the two to prevent any side effects from potentially worsening. Therefore, you should avoid drinking while taking Mucinex. Many other combination brands, such as Mucinex DM, contain different active ingredients that interact with alcohol and lead to toxic side effects. These brands contain dextromethorphan and acetaminophen, which increase the side effects such as drowsiness and dizziness. 11 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. National Institutes of Health. DailyMed. Label: Mucinex- guaifenesin tablet, extended-release. MedlinePlus. Guaifenesin Department of Justice. Drug Enforcement Administration. DXM. Sarkar D, Jung MK, Wang HJ. Alcohol and the immune system. Alcohol Res. 2015;37(2):153-155. Barr T, Helms C, Grant K, Messaoudi I. Opposing effects of alcohol on the immune system. Prog Neuropsychopharmacol Biol Psychiatry. 2016;65:242-251. doi:10.1016/j.pnpbp.2015.09.001 Weathermon R, Crabb DW. Alcohol and medication interactions. Alcohol Res Health. 1999;23(1):40-54. PDR. Mucinex. National Institutes of Health. DailyMed. Label: Mucinex DM- guaifenesin and dextromethorphan hydrobromide tablet, extended release. American Addiction Centers. What are the side effects of DXM and alcohol? National Institute on Alcohol Abuse and Alcoholism. Alcohol's effect on health. National Institute on Drug Abuse. Over the counter medicines drug facts. By Ayesha Gulzar, PharmD Ayesha Gulzar is a clinical pharmacist interested in medical research, pharmacy practice, and medication therapy management. Dr. Gulzar has been working in medical communications, writing medical and clinical research for patients and health professionals in the United Kingdom. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! 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