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Avoid or use caution with Mucinex D Mucinex D contains: Guaifenesin (expectorant) Pseudoephedrine (decongestant) Pseudoephedrine is known to: Increase blood pressure Increase heart rate Constrict blood vessels Worsen anxiety or palpitations This makes Mucinex D problematic for people with: Hypertension Arrhythmias Heart disease Thyroid disorders Glaucoma Pseudoephedrine is chemically similar to ephedrine, another stimulant decongestant with similar cardiovascular effects
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