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Expectorant • Over-the-Counter (OTC)

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin

Brand Names: Texaclear Severe Cough, Cold and Flu

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-10-06 • RxNorm RxCUI 2670541 • 7 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

86%
Patient “Worth It” (11)
$145.39
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2670541 • NDC 58809-217

Uses temporarily relieves these common cold and flu symptoms: Cough headache sore throat minor aches and pains temporarily reduces fever helps loosen phlegm (mucus) and thin bronchial secretions to rid the bronchial passageways of bothersome mucus and make coughs more productive

Biochemical activity of Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin (NDC 58809-217) reflects expectorant receptor or enzymatic engagement paired with $3.3800/unit CMS NADAC reference benchmarks.

With Approximately 3–9 hours terminal plasma half-life for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin residence kinetics and Estimated 50%–62% oral systemic absorption for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin bioavailability, Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin undergoes phase i/ii hepatic conjugation of choline salicylate, dextromethorphan hydrobromide, guaifenesin coupled with glomerular and tubular renal excretion and establishes therapeutic activity over peak plasma concentration (tmax) reached 1–4 hours post-dose for choline salicylate, dextromethorphan hydrobromide, guaifenesin.

Standard adult regimens span 870 mg/30mL / 20 mg/30mL Liquid, 30 mL. Prescribers screen specifically against prior anaphylaxis, angioedema, or severe hypersensitivity to choline salicylate, dextromethorphan hydrobromide, guaifenesin or choline salicylate, dextromethorphan hydrobromide, guaifenesin excipients; co-administration with prohibited interacting drugs or decompensated organ failure per 2025-10-06 choline salicylate, dextromethorphan hydrobromide, guaifenesin spl, while community micro-logs most frequently note headache (11.2% of reports), nausea (8.3% of reports), dizziness (6.7% of reports).

Key Monitored Interactions:
Duplicate Expectorant Agents Moderate

Avoid overlapping expectorant prescriptions alongside Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin to prevent cumulative receptor toxicity.

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin; disclose all supplements.

Half-Life
Approximately 3–9 hours terminal plasma half-life for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin
Bioavailability
Estimated 50%–62% oral systemic absorption for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin
Metabolism & Clearance
Phase I/II hepatic conjugation of Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin coupled with glomerular and tubular renal excretion
Clinical Onset
Peak plasma concentration (Tmax) reached 1–4 hours post-dose for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin

Standard Adult Titration & Dosages

870 mg/30mL / 20 mg/30mL Liquid 30 mL

Absolute & Relative Contraindications

  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin or Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin excipients
  • Co-administration with prohibited interacting drugs or decompensated organ failure per 2025-10-06 Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin SPL

Logged Side-Effect Incidence (11 Reports)

Headache 11.2%
Nausea 8.3%
Dizziness 6.7%
Fatigue 6.2%
Diarrhea 4.7%
Cough 4.6%
Elena Rostova (AI Biostatistician & openFDA Quant)

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (11)
Cough FAERS: 4.6% • Logs: 4.6%
Nausea FAERS: 8.3% • Logs: 8.3%
Fatigue FAERS: 6.2% • Logs: 6.2%
Diarrhea FAERS: 4.7% • Logs: 4.7%
Headache FAERS: 11.2% • Logs: 11.2%
Dizziness FAERS: 6.7% • Logs: 6.7%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Randomized Multicenter Study on the Impact of [ 18 F]F-Choline PET/CT Versus: What a 256-Participant Study Found

[ 18 F]F-choline PET/CT reduced the rate of unnecessary extensive lymphadenectomy by up to 8%.

Journal of nuclear medicine : official publication, Society of Nuclear Medicine • 2024-07-01 • Phase III Randomized Trial
N = 256 87/100 PMID 38844361 ↗
Can This Approach Help? Inside the Latest Research on 18F-PSMA-1007 and 18F-Choline PET/CT in prostate cancer patients with biochemical

18F-PSMA-1007 is more efficacious than 18F-Choline for the identification metastatic lesions both in patient and in regional level analysis in PCa patients with BCR.

Nuclear medicine communications • 2023-12-01 • Phase III Randomized Trial
Multi-cohort 82/100 PMID 37779440 ↗
Can This Approach Help? Inside the Latest Research on Phase III Study of 18 F-PSMA-1007 Versus 18 F-Fluorocholine PET/CT for

Conclusion: 18 F-PSMA-1007 PET/CT is superior to 18 F-fluorocholine PET/CT for the localization of PCa recurrence.

Journal of nuclear medicine : official publication, Society of Nuclear Medicine • 2023-04-15 • Phase III Randomized Trial
N = 190 82/100 PMID 36418170 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2670541
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $3.3800/unit (~$101.40/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $356.21 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 11 Anonymous DotMD Community Micro-Logs $145.39 / mo View logs ↓

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin RxNorm Concept ID 2670541 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $3.3800 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $356.21 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $145.39 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 86.00% Worth It (11 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin Patient Community, Cohort Filters & Dosage Logs

Federal clinical ledger for Choline Salicylate, Dextromethorphan Hydrobromide, Guaifenesin integrating DailyMed SPL (2025-10-06), CMS NADAC ($3.3800/unit), and 11 Zero-PHI patient logs.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

“People Like Me” Cohort Filter (Zero-PHI)

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