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Benzonatate

Published: July 26, 2026Updated: August 24, 2026

Benzonatate is an antitussive medication used to relieve coughing. It works by numbing the throat and lungs, decreasing the cough reflex. This medication is typically prescribed for symptomatic relief of coughs associated with respiratory conditions.

Quick summary

Benzonatate is a cough suppressant that works by numbing the respiratory tract to reduce coughing.

Medically reviewed by WellAlly Editorial TeamLast reviewed August 24, 2026Editorial policy

Key facts at a glance

ATC
R05DB01
RxNorm
18993
Generic
Benzonatate
Class
atc-r05
Brands
Tessalon Perles
Availability
rx
Pregnancy
C
Lactation
caution
Routes
oral
Forms
capsule
Regions
US, EU, CN, JP
Monitoring
—

This page is for informational purposes only.

Do not use this information to diagnose yourself or to replace a physician's advice. Always consult a qualified healthcare provider before starting, stopping, or changing any medication. If you believe you are experiencing a medical emergency, call your local emergency number immediately.

Dosage and administration

adult (standard)capsule
Usual dose
100mg three times daily
Maximum
consult physician
Frequency
every 8 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
pediatric (standard)capsule
Usual dose
100mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard
geriatric (standard)capsule
Usual dose
100mg twice daily
Maximum
consult physician
Frequency
every 12 hours
Instructions
Follow physician instructions
Duration limits
as prescribed
Monitoring
standard

Overdose information

Important overdose information
Toxic dose: Ingestion of 1000 mg or more (10 times the therapeutic dose) may cause serious toxicity and potentially fatal outcomes
Chronic overdose: Prolonged use exceeding recommended dosing may lead to cumulative CNS depression and respiratory compromise
Immediate actions
Activate emergency medical services, establish IV access, provide supportive care including airway management, consider gastric lavage if within 1-2 hours of ingestion
Antidote
No specific antidote exists(Treatment is supportive; no antidote can reverse benzonatate toxicity)
Poison Control: 1-800-222-1222

Special Populations

9 groups
⚠

pregnancy

first trimester
caution
FDA Category
C
Dose Adjustment

avoid if possible

Key Recommendations

use only if clearly needed and benefits outweigh risks

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

second trimester
caution
FDA Category
C
Dose Adjustment

use lowest effective dose

Key Recommendations

use only if clearly needed

Monitor

regular prenatal monitoring

Use with caution and monitor for adverse effects.

⚠

pregnancy

third trimester
caution
FDA Category
C
Dose Adjustment

avoid close to delivery

Key Recommendations

avoid use near term unless benefits outweigh risks

Monitor

fetal monitoring close to delivery

Use with caution and monitor for adverse effects.

?

lactation

breastfeeding
unknown
FDA Category
N
Dose Adjustment

avoid or discontinue breastfeeding

Key Recommendations

not recommended during breastfeeding due to unknown excretion in breast milk

Monitor

monitor infant for excessive drowsiness or feeding problems

✗

pediatric_age

under 10 years
contraindicated
FDA Category
N
Dose Adjustment

do not use

Key Recommendations

contraindicated in children under 10 years due to risk of severe adverse reactions including fatal respiratory depression

Monitor

not applicable

Use of this medication in this population requires careful consideration of risks and benefits.

⚠

pediatric_age

10 to 18 years
caution
FDA Category
N
Dose Adjustment

use with caution

Key Recommendations

use only under healthcare provider supervision, do not exceed recommended dose

Monitor

monitor for adverse reactions

Use with caution and monitor for adverse effects.

⚠

geriatric

elderly
caution
FDA Category
N
Dose Adjustment

start with lower dose

Key Recommendations

use with caution, monitor for excessive drowsiness and respiratory depression

Monitor

monitor for sedation and respiratory changes

Use with caution and monitor for adverse effects.

⚠

renal_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no specific adjustment needed

Key Recommendations

use with caution, monitor renal function

Monitor

monitor renal function periodically

Use with caution and monitor for adverse effects.

⚠

hepatic_impairment

mild to moderate
caution
FDA Category
N
Dose Adjustment

no specific adjustment needed

Key Recommendations

use with caution, monitor liver function

Monitor

monitor liver function periodically

Use with caution and monitor for adverse effects.

Statistics and clinical data

drug_classFDA
2023

Drug class

Value:Antitussive

Benzonatate is classified as a cough suppressant (antitussive)

usageMedical guidelines
2023

Common uses

Value:Cough suppression

Used for symptomatic relief of cough associated with respiratory conditions

mechanismFDA
2023

Mechanism of action

Value:Acts on stretch receptors in respiratory passages, lungs, and pleura

Peripheral antitussive action by anesthetizing stretch receptors

formulationFDA
2023

Dosage form

Value:Soft gelatin capsules (Perles)

Available in 100mg soft gelatin capsule form

Used to control cough associated with various respiratory conditions, including the common cold, bronchitis, pneumonia, and other respiratory infections where coughing is a prominent symptom.

Benzonatate is a benzonatate analog of tetracaine that acts as a local anesthetic. It suppresses the cough reflex by numbing the stretch receptors in the bronchi, bronchioles, and alveoli of the lungs, reducing the frequency and intensity of coughing.

Benzonatate should be swallowed whole without chewing or sucking, as contact with the oral mucosa can cause numbness and potential adverse effects. Common side effects may include drowsiness, dizziness, and GI upset. Rare but serious adverse reactions such as bronchospasm and allergic reactions have been reported. Patients should consult their healthcare provider before use, particularly if pregnant, breastfeeding, or taking other medications.

Contraindications

Conditions and patient states where this medication should be avoided or used with caution.

Do not use (1)

ABSOLUTEhypersensitivity

Known allergy to this medication or its components

Use caution (1)

RELATIVEpregnancy

Consult healthcare provider for benefits vs risks assessment

Official drug label

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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 24, 2026. · Read our editorial policy