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benzonatate

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Brand names: Tessalon Perles

Antitussive (Non-Narcotic) Rx

Benzonatate is a medicine that can help relieve your cough. It is not a narcotic.

Drug Pricing (NADAC)

Generic Price

$0.06/unit

Generic Available

Yes (8 manufacturers)

Pricing data from NADAC (CMS), effective December 18, 2024. Compare all drug costs →

What it does

Benzonatate capsules are used to help with coughs.

Common side effects

Sedation, Headache, Dizziness

Key warnings

Accidental overdose, especially in children, can cause death.

How It Works

Benzonatate works by numbing the nerves in your lungs and throat. This reduces the urge to cough. It helps to calm your cough reflex.

How to Take It

Take one 100 mg or 200 mg capsule three times a day as needed for your cough. You can take up to 600 mg per day, divided into three doses. Swallow the capsules whole. Do not break, chew, dissolve, cut, or crush them.

Pregnancy & Breastfeeding

Talk to your doctor if you are pregnant or breastfeeding before taking this medicine. It is not known if benzonatate will harm your unborn baby or pass into breast milk.

Missed Dose

If you miss a dose, take it as soon as you remember. If it is close to your next dose, skip the missed dose and continue with your regular schedule.

Storage

Store at room temperature, away from light.

Side Effects (from patient reports)

Based on 10,321 FDA adverse event reports.

Long-term kidney disease
1,229
Tiredness
1,183
Cough
1,124
Shortness of breath
1,096
Lung infection
1,071
Diarrhea
1,033
Feeling sick to your stomach
1,013
Pain
890
Kidney failure
871
Death
811

FDA Adverse Event Report Analysis

Detailed analysis of 15,513 reports from the FDA Adverse Event Reporting System (FAERS). Reports span 2004–2025.

Total Reports

15,513

Death-Related Reports

1,897

Hospitalization Reports

5,329

Top Indication

Product Used For Unknown Indication

Gender Distribution

Female 9,551 (65%)
Male 5,053 (35%)

Age Distribution

0–17 205
18–44 1,453
45–64 3,690
65–74 2,435
75+ 1,896

Most Reported Adverse Reactions (FAERS)

# Reaction Reports
1 CHRONIC KIDNEY DISEASE 1,229
2 FATIGUE 1,182
3 COUGH 1,123
4 DYSPNOEA 1,096
5 PNEUMONIA 1,071
6 DIARRHOEA 1,034
7 NAUSEA 1,012
8 PAIN 890
9 RENAL FAILURE 871
10 DEATH 811
11 ACUTE KIDNEY INJURY 792
12 HEADACHE 773
13 OFF LABEL USE 610
14 DIZZINESS 605
15 ANXIETY 566

Reactions in Death Reports

DEATH 809
COMPLETED SUICIDE 219
RENAL FAILURE 165
CHRONIC KIDNEY DISEASE 143
CARDIAC ARREST 131
PNEUMONIA 131
TOXICITY TO VARIOUS AGENTS 130
ACUTE KIDNEY INJURY 126
DYSPNOEA 126
END STAGE RENAL DISEASE 92

Reactions in Hospitalization Reports

PNEUMONIA 860
DYSPNOEA 626
COUGH 389
NAUSEA 386
FATIGUE 384
DIARRHOEA 365
PAIN 354
ACUTE KIDNEY INJURY 343
RENAL FAILURE 319
FALL 314

Source: FDA FAERS (Adverse Event Reporting System) FDA FAERS (Adverse Event Reporting System) Reports are voluntary and do not establish causation

Serious Warnings

Accidental overdose, especially in children, can cause death. Do not let children take this medicine without supervision.

Common Questions

What should I avoid while taking benzonatate?
Avoid activities that require you to be alert, such as driving or operating machinery, until you know how this medicine affects you.
Can I drink alcohol while taking benzonatate?
It is best to avoid alcohol while taking this medicine, as it can increase drowsiness.
How long does it take for benzonatate to work?
Benzonatate usually starts working within 15-20 minutes.
Can I give benzonatate to my child?
Benzonatate is only for adults and children over 10 years old.
What if I accidentally chew a capsule?
Chewing the capsule can cause numbness in your mouth and throat. If this happens, seek medical attention.
Can I take benzonatate with other medicines?
Talk to your doctor or pharmacist before taking benzonatate with other medicines.
What if my cough doesn't get better?
If your cough does not improve after a few days, talk to your doctor.
Is benzonatate addictive?
No, benzonatate is not a narcotic and is not addictive.
Can I open the capsule and sprinkle it on food?
No, you should swallow the capsule whole. Do not open, crush, or chew it.
What are the ingredients in benzonatate capsules?
Each capsule contains benzonatate, gelatin, glycerin, and other inactive ingredients. Ask your pharmacist for a complete list.
What are the common side effects of benzonatate?
The most commonly reported side effects of benzonatate include Sedation, Headache, Dizziness, Constipation, Nausea. Based on 10,321 FDA adverse event reports. Always consult your healthcare provider about potential side effects.
What drug class is benzonatate?
benzonatate belongs to the Antitussive (Non-Narcotic) drug class. It requires a prescription (Rx). Benzonatate capsules are used to help with coughs.
Is benzonatate safe during pregnancy?
Talk to your doctor if you are pregnant or breastfeeding before taking this medicine. It is not known if benzonatate will harm your unborn baby or pass into breast milk. Always consult your healthcare provider before using any medication during pregnancy or breastfeeding.

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Related Health & Safety Data

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What the FDA Data Shows for benzonatate

The FDA label for benzonatate (sold under brand names such as Tessalon Perles) classifies it as a prescription-only medication in the Antitussive (Non-Narcotic) class. Benzonatate capsules are used to help with coughs. Official labeling lists 7 commonly reported side effects, including Sedation, Headache, Dizziness.

Post-market surveillance from the FDA Adverse Event Reporting System (FAERS) captures real-world experience. For this drug, FAERS contains 10,321 voluntary reports. Interaction data is drawn directly from FDA-approved prescribing information. NADAC pricing from CMS shows a generic unit cost of $0.06.

Report counts do not establish causation — a FAERS entry documents a temporal association, not proof that the drug produced the outcome. Widely prescribed medications naturally accumulate more reports than niche therapies, so raw totals must be interpreted alongside total exposure. Shortage status, recall history, and patent information further shape supply and switching decisions. This page summarizes public FDA data for educational purposes only and is not a substitute for professional medical advice — always consult a licensed healthcare provider before starting, stopping, or changing any medication.

Data Sources

Drug labeling: FDA Drug Labels (SPL/DailyMed). Adverse events: FDA Adverse Event Reporting System (FAERS). Pricing: CMS National Average Drug Acquisition Cost (NADAC).

FAERS reports are voluntary and do not establish causation. Drug interactions are derived from FDA labeling and clinical references. Always consult a healthcare professional before making medication decisions.

Last updated: February 2, 2026

All federal data sources used on this page