Cocillana Drug Interactions, Uses, Safety & More
What is this page for?
First and foremost: how Cocillana interacts with medications. The heart of this page is the interaction list — every drug Cocillana is known to interact with, and how serious each one is.
But these pages have grown well beyond that into a full monograph — what Cocillana is, what people use it for and how strong the evidence is, its safety and side effects, and answers to the questions we’re asked most — written and reviewed by the clinical staff at HelloPharmacist. It’s educational information from our licensed clinical databases, not medical advice, and we don’t sell or endorse products. Our editorial policy
Check Cocillana against your medication
Add one medicationDrugs that interact with Cocillana
0 medications have a known interaction with Cocillana, graded by severity. Select any drug for the full evidence-based detail.
We don’t currently list any known drug interactions for Cocillana. This doesn’t guarantee none exist — always confirm with your pharmacist before combining supplements with your medications.
What Severity, Likelihood & Evidence Mean
Severity — How Serious It Can Be
- Major. Clinically significant; generally best avoided, or used only under direct professional supervision.
- Moderate. May need monitoring, a dose adjustment, or separating the times you take each one.
- Minor. Generally not clinically significant, but still worth noting and mentioning to your pharmacist.
- No known interaction. Checked against our sources with nothing documented — not the same as proven safety.
Likelihood — How Well It’s Documented
- Likely. Well-controlled human studies have demonstrated the likely existence of this interaction
- Probable. Interaction has not been documented in well-controlled studies, however, the interaction has been demonstrated in some small human studies or in controlled animal studies in conjunction with multiple case reports.
- Possible. Interaction has been documented in animal or in lab research, or the interaction has been documented in humans but is limited to case reports or conflicting clinical research exists
- Unlikely. Interaction has been demonstrated in animal or in lab research but has been shown not to occur in humans.
Where This Data Comes From
- Interaction records are evidence-graded and sourced from the Natural Medicines database (TRC Healthcare), the same reference used by pharmacists and hospitals.
- Each drug listed above links to the full report for that exact Cocillana combination — clinical detail, likelihood, evidence level, and citations.
- Content is reviewed by licensed HelloPharmacist pharmacists — see our data sources and editorial standards.
Cocillana: Uses, Safety & Side Effects
Cocillana is a tree bark traditionally used as an expectorant in cough and cold remedies, often blended with other ingredients. There is very little modern scientific evidence to confirm how well it works, and it can cause nausea or vomiting in higher amounts, so use it cautiously and check with a pharmacist first.
- Scientific name
- Guarea rusbyi
- Family
- Meliaceae
- Part used
- Dried bark
- Common forms
- Liquid extract, tincture, syrup (often combined with other cough ingredients), tablets
- Cough relief
- Chest congestion
- Loosening mucus (expectorant)
- Bronchitis symptoms
Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.
It is used in some cough products but lacks strong safety and effectiveness data, and large doses can cause vomiting.
When used orally due to its purported ability to induce menstruation.
Read the full pregnancy detailInsufficient reliable information available; avoid using.
Read the full breastfeeding detailPregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.
Overview
Cocillana is the dried bark of a South American tree, traditionally listed under the botanical name Guarea rusbyi. The tree grows in the tropical regions of South America, including parts of Bolivia.
For many years, cocillana bark has been used as an ingredient in cough syrups and cold remedies. It is considered an expectorant, meaning it is meant to help loosen mucus and make coughs more productive. It is rarely used on its own today and is more often found combined with other cough ingredients.
Uses & effectiveness
People have traditionally used cocillana to help with coughs, chest congestion, and bronchitis. Its main reputation is as an expectorant that helps bring up mucus.
The evidence supporting these uses is very limited. Most of what we know comes from older traditional and historical use rather than modern, high-quality clinical trials. There is not enough reliable research to say how well cocillana works for any condition. Because it is often combined with other ingredients in cough products, it is also hard to know what effect the cocillana itself has.
How it works
Cocillana is thought to work in a way similar to other expectorants such as ipecac. In larger amounts it may irritate the lining of the stomach, which is believed to trigger a reflex that increases fluid in the airways and helps loosen mucus. This is why it has been used to make coughs more productive.
The bark contains various plant compounds, but the exact active ingredients responsible for its effects are not well defined. Most of these ideas about how it works are based on older observations and traditional use rather than detailed modern laboratory study.
Safety & precautions
Cocillana has been used in small amounts in commercial cough products, but its overall safety has not been well studied. Because it can irritate the stomach, larger doses can cause nausea and vomiting.
People with stomach problems, ulcers, or sensitive digestion should be especially careful. Children and older adults may be more sensitive to its effects. Pregnant and breastfeeding people should avoid cocillana because there is not enough safety information. If you have a chronic cough, are coughing up blood, or have a cough that lasts more than a week or two, see a doctor instead of relying on a remedy like this.
Side effects
The most common side effects are related to the stomach, including nausea, vomiting, and stomach upset, especially at higher doses.
Larger amounts may cause more intense vomiting. As with any plant product, allergic reactions are possible. If you notice rash, swelling, trouble breathing, or other signs of an allergic reaction, stop using it and get medical help right away.
Dosing
There is no well-established standardized dose for cocillana, and it is usually found as one ingredient among several in cough products. Because higher doses can cause vomiting, the amounts used are typically small.
If you choose to use a product containing cocillana, follow the directions on the label exactly and do not take more than recommended. It is always best to check with your pharmacist or doctor before starting, especially if you take other medicines or have health conditions.
Cocillana & Pregnancy
Cocillana & Breastfeeding
© 2026 Therapeutic Research Center
Pregnancy & lactation ratings: Natural Medicines, Therapeutic Research Center
References & further reading
The 1 references that drive our Cocillana monograph and interaction data, from the evidence-graded Natural Medicines (TRC Healthcare) database. Citations with a link open the study on PubMed or the publisher’s site.
- Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
This information is for education only and is not a substitute for professional medical advice. Always check with your pharmacist or doctor before starting, stopping, or combining supplements and medications.
Parts of this content are provided by the Therapeutic Research Center, LLC.
DISCLAIMER: Currently this does not check for drug-drug interactions. This is not an all-inclusive comprehensive list of potential interactions and is for informational purposes only. Not all interactions are known or well-reported in the scientific literature, and new interactions are continually being reported. Input is needed from a qualified healthcare provider including a pharmacist before starting any therapy. Application of clinical judgment is necessary.
© 2021 Therapeutic Research Center, LLC
Cocillana: Common Questions
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Does Cocillana actually work?
Is Cocillana safe to take?
Can I take Cocillana while pregnant or breastfeeding?
Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy
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