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Bextra and Mucinex Fast-Max Severe Congestion & Cough

Determining the interaction of Bextra and Mucinex Fast-Max Severe Congestion & Cough and the possibility of their joint administration.

Check result:
Bextra <> Mucinex Fast-Max Severe Congestion & Cough
Relevance: 10.05.2022 Reviewer: Shkutko P.M., M.D., in

In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.

Consumer:

Consumer information for this minor interaction is not currently available. Some minor drug interactions may not be clinically relevant in all patients. Minor drug interactions do not usually cause harm or require a change in therapy. However, your healthcare provider can determine if adjustments to your medications are needed.

Professional:

According to the manufacturer, the coadministration with valdecoxib 40 mg twice a day for 7 days has been shown to significantly increase the plasma concentrations of dextromethorphan. The proposed mechanism is decreased clearance of dextromethorphan due to inhibition of the CYP450 2D6 enzymatic pathway by valdecoxib at high dosages. However, the dextromethorphan levels reported were still almost 5-fold lower than those observed in CYP450 2D6 poor metabolizers. No particular intervention should be necessary when valdecoxib is administered under normal circumstances with dextromethorphan. At unusually high dosages of valdecoxib, there may be a theoretical risk of increased adverse effects of dextromethorphan such as drowsiness, dizziness, excitation, mental confusion, and respiratory depression. Parecoxib, a prodrug of valdecoxib, may also interact.

References
  • "Product Information. Bextra (valdecoxib)." Pharmacia Corporation, Peapack, NJ.
Bextra

Generic Name: valdecoxib

Brand name:

Synonyms: n.a.

Mucinex Fast-Max Severe Congestion & Cough

Generic Name: dextromethorphan / guaifenesin / phenylephrine

Brand name: Broncotron-D, Duravent DM, Giltuss, Mucinex Fast-Max Severe Congestion & Cough, Phlemex Forte, Robitussin Children's Cough & Cold CF, Robitussin Multi-Symptom Cold, Tusicof, Tussin CF, Vanacof DM, Z-tuss DM, Deconex DMX, Maxiphen DM, Tussex, Tussafed-EX, Sinutuss DM, GDP-EX, Duraphen DM, TriTuss, TriTuss-ER, Tussafed-EX Drops, Certuss-D, Dacex-PE, Anextuss, Dexcon-PE, Zotex LAX, Dacex-DM, Dexcon-DM, Duraphen II DM, Duraphen Forte, G-Phen DM, Despec DM Syrup, Phlemex-PE, Guaphen Forte, Guaphen II DM, Z-Dex, Aquatab C, Robafen CF, DuraMAX, Tusso-XR, Tusso-DM, Robitussin Cough & Cold CF, Ambi 40/1000/60, Maxiphen-G DM, Robitussin Pediatric Cough & Cold CF, Deconex DM, PDM GG, ExeTuss-DM, Endacon DM, Giltuss TR, Q-Tussin CF, Tusso-DMR, Execof ER, Dynatuss EX, Zotex, Robitussin Cough & Cold CF To Go, Zotex-EX, Endacon, Robitussin Cough & Cold CF Max, Mucinex Children's Multi-Symptom Cold, Supress-DX, Tussi-Pres, Tussi-Pres Pediatric, Pres Gen Pediatric, Pres Gen, Robitussin Peak Cold Max Strenth Multi-S, G-Tusicof, Adult Severe Congestion & Cough, Giltuss Pediatrics, Desgen DM, G-Supress DX, Tusslin, Desgen Pediatric, G-Tron Ped, Broncotron Ped, Tusslin Pediatric, Nivanex DMX, Relhist DMX, Giltuss Cough & Cold, Children Giltuss Cough & Cold, VanaTab DM, Tukol Cough & Cold, Robitussin Peak Cold Multi-Sympton Cold, Deconex DMX Poly, Tussidex

Synonyms: n.a.

In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.