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Benzonatate (Tessalon Perles) and dextromethorphan (Delsym) are both antitussive medications used to relieve cough However, they differ in several ways Benzonatate is a prescription-only medication that works by numbing the nerves in your lungs and airways, while dextromethorphan is available over-the-counter and works by lowering activity in the part of your brain that makes you cough See full list on singlecare comBenzonatate is not available over the counter It is a prescription-only medication, meaning you must have a valid prescription from a healthcare provider to obtain it Even though benzonatate is not available over the counter, you still have many ways to treat a stubborn cough The table below shows how benzonatate compares with common cough remedies you can find on store shelves Tessalon Perles are prescription-only medications and cannot be purchased over-the-counter legally or safely Benzonatate is thought to reduce cough by anesthetizing stretch receptors in the chest wall and pleura (lung lining) Adults must be cautious about swallowing the capsules whole Chewing the capsule could lead to numbness of the throat, which can put one at risk of aspiration Children could obviously be at risk of this adverse effect, but they are Compare Benzonatate head-to-head with other drugs for uses, ratings, cost, side effects and interactions Mar 28, 2026 · There are several effective alternatives to Benzonatate, both prescription and over-the-counter In this guide, we'll walk you through what Benzonatate does, how it works, and the best alternatives to consider — so you can have an informed conversation with your doctor or pharmacist Don't wait on hold Check live stock now