Herb & supplement monograph

Cocillana Drug Interactions, Uses, Safety & More

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Interaction report

Drugs 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.

Read The List Like a Pharmacist

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.
Monograph

Cocillana: Uses, Safety & Side Effects

The bottom line

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
People commonly use it for
  • Cough relief
  • Chest congestion
  • Loosening mucus (expectorant)
  • Bronchitis symptoms

Popular and traditional uses — not proof it works. See “Uses & effectiveness” below for the evidence.

Safety at a glance
OverallUse caution

It is used in some cough products but lacks strong safety and effectiveness data, and large doses can cause vomiting.

PregnancyPossibly Unsafe

When used orally due to its purported ability to induce menstruation.

Read the full pregnancy detail
BreastfeedingInsufficient reliable information

Insufficient reliable information available; avoid using.

Read the full breastfeeding detail

Pregnancy & breastfeeding ratings are from Natural Medicines (Therapeutic Research Center). Safety guidance is general; always confirm with your pharmacist or doctor for your situation.

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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.

Pregnancy & Breastfeeding

Cocillana & Pregnancy

Possibly Unsafe

When used orally due to its purported ability to induce menstruation.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.

Cocillana & Breastfeeding

Insufficient reliable information

Insufficient reliable information available; avoid using.

DISCLAIMER: This tool is intended for informational purposes only, and should not be interpreted as specific medical advice. Patients should consult with a qualified healthcare provider before making decisions about therapies and/or health conditions.

© 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.

  1. Gruenwald J, Brendler T, Jaenicke C. PDR for Herbal Medicines. 1st ed. Montvale, NJ: Medical Economics Company, Inc., 1998.
Keep reading

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

Pharmacist Counseling Corner

Cocillana: Common Questions

Does Cocillana interact with prescription medications?
We do not currently list any known drug interactions for Cocillana. This does not guarantee that none exist, so always confirm with your pharmacist before combining it with your medications.
How are Cocillana interactions rated?
Each interaction is graded major, moderate, or minor based on how clinically significant it is and the strength of the evidence behind it. Major interactions are the most serious and are best avoided, or used only under close professional supervision.
Is it safe to take Cocillana with my medications?
It depends on the specific medication. Some combinations are fine, while others call for monitoring, timing changes, or should be avoided. Check your exact drug above and confirm with your pharmacist or doctor before starting, stopping, or changing anything.
Where does this Cocillana interaction information come from?
Our interaction data is built on the Natural Medicines database — an evidence-graded reference for vitamins, herbs, and supplements — and is reviewed by licensed HelloPharmacist pharmacists, who may add clinical context.
What is Cocillana used for?
It is traditionally used as an expectorant in cough and cold remedies to help loosen mucus and make a cough more productive. It is usually combined with other ingredients in cough syrups.
Does Cocillana actually work?
There is very little modern scientific evidence to confirm how well it works. Its use is based mostly on tradition and older practice rather than strong clinical studies.
Is Cocillana safe to take?
It has been used in small amounts in cough products, but its safety is not well studied and larger doses can cause nausea and vomiting. Talk to a pharmacist before using it.
Can I take Cocillana while pregnant or breastfeeding?
No, it is best to avoid it during pregnancy and breastfeeding because there is not enough safety information available.

Written and reviewed by the HelloPharmacist editorial staff. Our editorial policy

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