A cough can be anything native a boy annoyance to severe misery, maintaining you up at all hours of the night. When you have actually a cold with a pesky cough, you might reach for a party of over-the-counter (OTC) sneeze syrup. If you’ve watched your doctor for her illness, the or she may also prescribe a stronger cough preparation. 

So, what if you want to gain a glass of wine v dinner or a beer during the football game? deserve to you mix sneeze syrup and alcohol? 

Unfortunately, alcohol and cough syrup execute not mix. Combining cough syrup and alcohol have the right to lead to raised dizziness and drowsiness and impair your coordination and driving. Part cough drugs contain alcohol together well, so the impacts can be even much more severe. Continue reading to learn more about interactions between common cough syrups and also alcohol. 

Common cough syrups and their ingredients 

First, let’s malfunction some that the most common over-the-counter (OTC) and prescription cough medicines and their ingredients that relieve coughing.



Tussionex (contains chlorpheniramine and also hydrocodone)

As you have the right to see above, the most usual ingredients for coughs are dextromethorphan and also codeine

Can girlfriend mix dextromethorphan and also alcohol? 

What happens if you are taking an OTC or prescription cough medicine that has the sneeze suppressant dextromethorphan—can girlfriend mix the Robitussin-DM and also alcohol? Or Delsym and alcohol? Or any kind of other product that includes dextromethorphan through alcohol?

Nope. Even though you deserve to readily find commodities containing dextromethorphan OTC, these medicines can be an extremely dangerous when mixed with alcohol. 

Why is that? Well, dextromethorphan and also alcohol room both main nervous system (CNS) depressants, which means they cause relaxation, sleepiness, and also a euphoric feeling. Dextromethorphan, ~ above its own, is a widely abused drug. And also mixing dextromethorphan and alcohol causes additive side effects, which can increase the threat of overdose. Some effects this mix can cause include:

Respiratory depression (slowed breathing)Out-of-body feelingBrain lesions the can cause memory and also behavior problemsEpilepsyPermanent psychosis


What about guaifenesin?

Guaifenesin is one expectorant, which helps loosen mucus. Many people use this medicine to help break up a “phlegmy” cough. Guaifenesin is discovered in OTC assets such as Mucinex or level Robitussin (not Mucinex-DM or Robitussin-DM—the DM stands for dextromethorphan in this products). Some prescription products, such together Robitussin through codeine, additionally contain guaifenesin. 

Although guaifenesin technically walk not communicate with alcohol, it is still far better to skip the alcohol when sick. Alcohol can cause symptoms that the condition (and side effects of her medicines) to worsen. Alcohol can additionally make friend dehydrated and weaken your immune system. 

Can girlfriend mix codeine sneeze syrup and alcohol? 

Let’s speak your sneeze is so severe that girlfriend skipped the OTC aisle and also went right to your doctor, that prescribed a sneeze syrup that contains hydrocodone or codeine. Deserve to you mix a hydro-codon or codeine cough syrup and also alcohol? 

Narcotic drugs such as hydrocodone or codeine contain a black color box warning, i m sorry is the strongest warning forced by the United says Food and also Drug management (FDA). These drugs have a high potential because that abuse and dependence once taken on your own, causing overdose and also death. Cough syrups that contain medicine are regulated substances and should it is in selectively prescribed to closely screened adults whereby the services outweigh the risks. When taken on their own, these codeine-containing sneeze syrups can likewise lead come serious, life-threatening, or fatal respiratory depression. 

Now, add in alcohol? it is a big no. The manufacturers the these cough syrups warning (also in the black color box warning) the combining opioids such as codeine or hydrocodone v alcohol can cause “profound sedation, respiratory tract depression, coma, and death.” Hydrocodone- or codeine-containing cough syrup add to alcohol equates to a prescription for disaster. 

Also, some OTC and prescription sneeze medicines, in addition to their sneeze suppressant ingredients, save on computer a tiny amount the alcohol. So currently you’d it is in combining every the results of the medication with alcohol and much more alcohol. 

Which sneeze syrups save on computer alcohol?

This chart, developed by the Medical culture of the State of brand-new York, has actually a comprehensive list of medications that save alcohol and also medications that carry out not save on computer alcohol. 

Some typical cough syrups that contain alcohol incorporate some formulations that NyQuil, ZzzQuil, and also other nighttime cough or cough/cold syrups, amongst others. 

Which cough syrups perform not save on computer alcohol?

Better yet, choose an alcohol-free formulation.

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Most pharmacies lug a few types the alcohol-free sneeze syrups, such as alcohol-free Tussin-DM or Safe-Tussin DM. If you want to avoid alcohol in her glass and her medication, pick one of these options. However, together formulations may adjust over the years, that prudent to check the label with your pharmacist when choosing an OTC cough medicine to make certain there is no alcohol in the product.