Guaifenesin, an ingredient used in many cough syrups, is
used to reduce chest congestion caused by the common
cold. Some physicians also believe guaifenesin relieves
fibromyalgia symptoms. Dr. R. Paul St. Amand, assistant
clinical professor of medicine at the University of
California in Los Angeles, was one of the early
researchers who suggested guaifenesin might relieve
fibromyalgia symptoms by eliminating harmful calcium
phosphate deposits.
However, most physicians suggest lifestyle and more
natural approaches to help ease fibromyalgia symptoms
rather than guaifenesin therapy. Even though guaifenesin
has been used for more than 20 years and was approved by
the FDA in 1952, some people with fibromyalgia do
experience side effects from taking the drug.
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Amand believed guaifenesin could treat patients with
fibromyalgia by removing excess phosphate from the body,
which he claimed was the cause of fibromyalgia. Since at
low doses guaifenesin has been found to ease pain and
relax hypertonic muscles, some physicians also felt it
could aid people with fibromyalgia.
While some researchers agreed the calcium phosphate
deposits affect the muscles, tendons, joints, and other
tissues of fibromyalgia patients, no scientific studies
have backed up the claim that guaifenesin works to
relieve symptoms in fibromyalgia patients.
In
fact, one double-blinded, placebo-controlled study in
1996 of guaifenesin showed no change in symptoms or in
the levels of phosphates and/or uric acid in blood or
urine between the guaifenesin treatment and placebo.
Guaifenesin is not a cure for fibromyalgia and
fibromyalgia patients who use guaifenesin (the generic
name for the drug) may experience a number of potential
side effects including dizziness. At high enough of a
dose of guaifenesin, fibromyalgia patients may
experience temporary muscle paralysis. Some of the brand
names for guaifenesin include Humidid, Fenesin and
Robitussin.
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If
you have fibromyalgia and are being treated with
guaifenesin seek emergency medical attention if you
experience hives, headache, swelling of your lips,
tongue, or face, difficulty breathing or closing of your
throat.
Report to your physician any side effects such as a
rash, nausea, vomiting, stomachache, dizziness or
headache.
Your doctor treating you for fibromyalgia will also want
to know what other drugs you are taking in addition to
guaifenesin. Even though there are no known interactions
between guaifenesin and other medicines, an adverse
reaction could occur by mixing any prescription or
over-the-counter medicines.
Also, while being treated with guaifenesin, you will not
be able to use topical products, which contain aloe and
various herbs. Fibromyalgia patients taking guaifenesin
are also advised to avoid using razors with aloe strips,
taking aspirin and applying certain skin creams. If you
are taking guaifenesin, you probably will not need to
worry about adverse side effects from the skin creams,
aloe or aspirin; rather, the products may simply block
the drug from easing fibromyalgia symptoms.
If
you physician does opt for guaifenesin to treat
fibromyalgia, he would determine the dosage based on
your individual response. The required dosage of
guaifenesin varies from 300 mg. twice a day to 3600 mg.
per day.
Your physician will measure treatment progress by
judging whether your fibromyalgia symptoms have
improved. Also, your doctor will feel for the location
and size of tender points, spasms or hard patches in the
muscles and ligaments. If guaifenesin is working the way
it is supposed to in a fibromyalgia patient, the patches
will decrease in size and eventually disappear.
Because there is no cure for fibromyalgia, guaifenesin
is viewed as a maintenance drug that must be used for
the duration of a patient’s life if he or she does not
want the symptoms to return.
Some physicians prescribe guaifenesin for fibromyalgia
as a way of easing some of the symptoms of the condition
rather than trying to cure it. However, guaifenesin may
cause a variety of side effects in patients with
fibromyalgia so most doctors will recommend lifestyle
changes before prescribing guaifenesin.
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