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Table 1 Brief history of guaifenesin and its regulatory path in the US

From: Role of guaifenesin in the management of chronic bronchitis and upper respiratory tract infections

Time

Key events

Pre-1500s

Used as natural remedy by Native Americans

1500s

Guaiac extract used as stimulant remedies, e.g. for sore throat, syphilis

1800s

Guaiac extract used to treat respiratory diseases in Europe

1952

First accepted by US Food and Drug Administration (FDA)

1989

Guaifenesin was reclassified to Category I (generally recognized as safe and effective) and was included in the Final Monograph (Cold, Cough, Allergy, Bronchodilator, and Antiasthmatic Drug Products for Over-the-Counter Human Use, 21 CFR 341) as an expectorant for the symptomatic treatment of colds and stable chronic bronchitis.

2002

12-h extended-release (ER) guaifenesin bi-layer tablets were approved by the FDA. From 2007, the FDA removed all marketed, but unapproved, timed-release guaifenesin products from the market.