Is Mucinex Safe With Heart Medication?

Mucinex has no reported drug interactions.


I take meds for my heart, both blood pressure and blood thinners. Which Mucinex is safe for me?

Asked by punkin On Dec 25, 2018

Answered by
Medical Content Reviewed By PharmacistAnswers Staff

On Dec 27, 2018
Blood Pressure Title

It's always a good idea to look into potential drug interactions between the prescription medication you take, and over-the-counter (OTC) products you are looking at purchasing.

This is especially true with heart medications (e.g. for blood pressure) and blood thinners (e.g. Coumadin) as several OTCs have significant interactions with them.

For one example, over-the-counter NSAIDs, like ibuprofen and naproxen, should generally not be taken by individuals who are also on high blood pressure medication. NSAIDs can increase blood pressure and overall cardiovascular risk (1).

When it comes to Mucinex (guaifenesin) however, you are pretty safe when it comes to dangerous interactions.

Mucinex is an OTC expectorant, which helps to thin and loosen mucus secretions.

It works by reducing both the thickness and adhesiveness of bronchial secretions. This allows our mucociliary mechanism to better remove them from the upper and lower airway.

Unlike many over-the-counter drugs, Mucinex has very few reported drug interactions and none are reported with any blood pressure or blood thinner medication.

Answer Summary

Mucinex (guaifenesin) has no known drug interactions with blood pressure or blood thinner medication.

Mucinex Interactions

Although your question doesn't mention any specific medications you are taking, as mentioned above, Mucinex (guaifenesin) is not known to interact with any blood pressure or blood thinner medication.

In fact, most studies report that Mucinex has no know interactions at all (2, 3)!

It also has one of, if not the best, clinical safety profiles of any OTC cough/cold medication.

One study reports that it has the lowest reported frequency of both minor and major side effects:

"In a continuous safety surveillance analysis of 8 common cough and cold drugs conducted from 2008 through 2014, guaifenesin [Mucinex] showed the lowest number of “at least potentially related” non-fatal adverse event (AE) cases (1%) out of a total of 5610 index drug reports. Guaifenesin [Mucinex] had the lowest frequency of mentions for non-fatal AEs by system organ class (SOC) at estimated supra-therapeutic and even at estimated unknown dosing."

When drug interactions are reported with Mucinex, it most likely involves other ingredients.

For example, Mucinex DM, which contains both guaifenesin and dextromethorphan, has several interactions, but only due to dextromethorphan.

Which Mucinex?

Going back to your question in regard to which Mucinex product is safe for you, without knowing your full medication list or history, regular Mucinex (guaifenesin) is you best option. It comes in both a regular, and 'extra' strength product.

You should speak with your doctor or local pharmacist regarding whether or not other Mucinex products (e.g. Mucinex DM, Mucinex Fast-Max) are safe for you.

Ingredients To Avoid

The following drug ingredients should generally be avoided and only taken under the recommendation of your doctor if you are on any sort of heart medication:

NSAIDs (ibuprofen or naproxen)

NSAIDs can not only raise blood pressure and overall cardiac risk (i.e. increase risk of stroke and heart attack), they also thin the blood.

If you are taking blood thinners, they could increase the risk of major bleeding events.

Nasal Decongestants

Decongestants, like pseudoephedrine and phenylephrine, can raise blood pressure and may also increase the risk of certain cardiac events (4).


The above are general 'classes' of medication that should be avoided. However, there may be specific interactions between what you are taking and other over the counter medications not listed above. Always check with your doctor or pharmacist before taking.

About the Pharmacist

Dr. Brian Staiger Pharm.D

Dr. Brian Staiger is a licensed pharmacist in New York State and the founder of He graduated from the University At Buffalo with a Doctor of Pharmacy degree in 2010. He has been featured in numerous publications including the Huffington Post as well as a variety of health and pharmacy-related blogs. Please feel free to reach out to him directly if you have any inquiries or want to connect! He's answered thousands of medication and pharmacy-related questions and he's ready to answer yours! Office: 716-389-3076

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