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guaifenesin Side Effects

Also known as: Mucinex

Analysis of 29,404 adverse event reports submitted to the FDA from 1998 to 2025.

Total Reports

29,404

Death-Related

2,163

7.4% of reports

Hospitalizations

7,581

25.8% of reports

Top Indication

Product Used For Unknown Indication

Most Reported Adverse Reactions

DRUG INEFFECTIVE
2,450
DYSPNOEA
2,178
FATIGUE
1,782
NAUSEA
1,743
DIARRHOEA
1,645
PNEUMONIA
1,641
COUGH
1,557
HEADACHE
1,506
DIZZINESS
1,400
PAIN
1,251
OFF LABEL USE
980
VOMITING
945
ASTHENIA
928
DEATH
917
FALL
887
SINUSITIS
844
MALAISE
840
INSOMNIA
821
ANXIETY
779
WEIGHT DECREASED
754

Who Reports Side Effects

Gender Distribution

Female 17,337 (63%)
Male 10,064 (37%)
Unknown 22

Age Distribution

0-17 504 (3%)
18-44 2,151 (12%)
45-64 5,618 (32%)
65-74 4,522 (26%)
75+ 4,549 (26%)

Reporting Trend by Year

1998 2025

Reactions in Death Reports

Top reactions reported in 2,163 reports where death was an outcome. These are voluntarily reported and do not establish causation.

Reaction Reports
DEATH 915
PNEUMONIA 265
DYSPNOEA 204
RESPIRATORY FAILURE 179
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 139
ASTHENIA 136
CARDIAC FAILURE CONGESTIVE 119
FATIGUE 119
SEPSIS 112
HYPOTENSION 108
NAUSEA 106
RENAL FAILURE 105
FALL 103
CARDIAC ARREST 99
ACUTE KIDNEY INJURY 96
DIARRHOEA 94
PAIN 92
COUGH 87
ANAEMIA 86
VOMITING 83

Reactions in Hospitalization Reports

Top reactions in 7,581 reports where hospitalization was an outcome.

Reaction Reports
PNEUMONIA 1,320
DYSPNOEA 1,044
NAUSEA 618
FATIGUE 592
FALL 557
PAIN 543
COUGH 525
DIARRHOEA 518
ASTHENIA 476
CHRONIC OBSTRUCTIVE PULMONARY DISEASE 446
VOMITING 418
HEADACHE 409
DIZZINESS 408
PYREXIA 406
URINARY TRACT INFECTION 402
WEIGHT DECREASED 370
MALAISE 348
ANAEMIA 334
CARDIAC FAILURE CONGESTIVE 328
HYPOTENSION 326

Nearby — Related Medications

Compare guaifenesin vs aclidinium →

What the FAERS Data Reveals About guaifenesin Side Effects

The FDA Adverse Event Reporting System (FAERS) contains 29,404 voluntary reports linked to guaifenesin and its brand equivalents (Mucinex), spanning 1998 through 2025. Of those, 2,163 (7.4%) listed death as an outcome and 7,581 (25.8%) involved hospitalization. The most common indication reported alongside adverse events was Product Used For Unknown Indication.

Demographic breakdowns help contextualize who is being exposed to the drug. Of reports with known sex, 63% were female and 37% male; age distribution skews toward 45-64, with 5,618 reports in that bracket. The single most reported reaction is drug ineffective with 2,450 submissions, followed by dyspnoea and fatigue.

FAERS is a signal-detection tool, not a scorecard. Reports are voluntary, and a single case may list multiple suspect drugs, so numbers above should not be read as incidence rates or per-patient risk. Widely prescribed drugs naturally accumulate more reports than niche therapies even when individual risk is low. These aggregates are useful for spotting patterns that merit further pharmacovigilance, not for choosing between medications. This page is for educational reference only and is not medical advice — speak with a licensed clinician about any side-effect concerns.