Regular cough tablets instructions. Which cough medicine is best to use, list

You are a fairly active person who cares and thinks about your respiratory system and health in general, continue to play sports, lead healthy image life and your body will delight you throughout your life. But do not forget to undergo examinations on time, maintain your immunity, this is very important, do not overcool, avoid severe physical and strong emotional overload. Try to minimize contact with sick people; if forced contact, do not forget about protective equipment (mask, washing hands and face, cleaning respiratory tract).

It's time to think about what you are doing wrong...

You are at risk, you should think about your lifestyle and start taking care of yourself. Physical education is required, or even better, start playing sports, choose the sport that you like most and turn it into a hobby (dancing, cycling, Gym or just try to walk more). Do not forget to treat colds and flu promptly, they can lead to complications in the lungs. Be sure to work on your immunity, strengthen yourself, be in nature as often as possible and fresh air. Do not forget to undergo scheduled annual examinations, treat lung diseases initial stages much simpler than in a neglected state. Avoid emotional and physical stress; if possible, eliminate or minimize smoking or contact with smokers.

It's time to sound the alarm!

You are completely irresponsible about your health, thereby destroying the functioning of your lungs and bronchi, have pity on them! If you want to live a long time, you need to radically change your entire attitude towards your body. First of all, get examined by such specialists as a therapist and pulmonologist, you need to take radical measures otherwise everything may end badly for you. Follow all the doctors’ recommendations, radically change your life, perhaps you should change your job or even your place of residence, completely eliminate smoking and alcohol from your life, and reduce contact with people who have such bad habits to a minimum, toughen up, strengthen your immunity as much as possible spend more time in the fresh air. Avoid emotional and physical overload. Completely eliminate everything from everyday use aggressive means, replace with natural ones, natural remedies. Do not forget to do wet cleaning and ventilation of the room at home.

To successfully get rid of a cough, first of all, you should determine the type of cough and only then proceed to choosing a drug that will help overcome, and not aggravate, the disease.

Most cough medications are available without a prescription, however, it must be remembered that the path to recovery begins with establishing the correct diagnosis. Cough tablets indicated for one type of cough can cause harm in another course of the disease. That is why pay attention to your condition.

Dry cough can be recognized by debilitating attacks with a sore throat that prevent you from falling asleep at night. In medical circles, this type of cough is called non-productive, characterized by the absence of sputum, as well as pain syndrome muscles of the abdomen and chest. The cause of this cough is irritation of the pharyngeal cough receptors. Antitussives that stop an attack will help to cope with the problem in this situation.

The productive type of cough is accompanied by the discharge of discharge. The removal of sputum from the bronchi, trachea and lungs is facilitated by expectorants (increase the production of secretions) or mucolytics (thin the sputum). Some cough tablets help clear the airways by stimulating special cilia.

Use of medications containing codeine ( narcotic substance), perhaps in the most severe cases. Codeine should be preferred pure form or its analogue dextromethorphan. As for combined drugs, they have an expectorant effect. As a result, on the one hand, such drugs facilitate the production of sputum, and on the other hand, they consist of components aimed at suppressing cough, preventing the discharge of secretions. The latter is unacceptable for a productive type of cough.

Indications for the use of cough tablets

The cause of cough is not always respiratory diseases. Cough often accompanies infectious diseases viral or bacterial course, which includes: laryngitis, sinusitis, tonsillitis, pharyngitis, pneumonia, bronchitis, tuberculosis, etc. The cause of cough can be childhood diseases, such as whooping cough, as well as allergic conditions. Coughing attacks are characterized by pathological processes organic type of brain, appear on nervous soil, with cardiac disorders (heart disease, angina, etc.), with damage to the respiratory tract by aggressive media. This list can be continued indefinitely. Therefore, it is important to establish and eliminate the root cause of the disease, and not to solve the cough problem in any way as quickly as possible.

The choice of cough tablet depends on the nature of the cough. In conditions accompanied by a dry, painful cough, drugs that suppress the cough center in the brain are indicated:

combination drugs with the active ingredient codeine - “codelac”, “terpincode N”, “tercodin”;
lozenges based on dextromethorphan - “Alex Plus”;
substances with butamirate - “sinecode”, “omnitus”, “panatus”.

Libexin tablets with the active substance prenoxdiazine soothe cough receptors throat, keeping respiratory functions and without causing pharmacodependence. Drug strength medicinal effects equated to codeine. Coughing attacks are also relieved by lozenges based on menthol and eucalyptus (“pectusin”), as well as licorice preparations—“glycyram”

For viscous, poorly discharged and scanty sputum, the following are effective:

mucolytic agents based on bromhexine - “bromhexine”, “askoril”, “solvin”;
preparations with ambroxol - “ambroxol”, “codelac broncho”, “ambrobene”, “flavamed”;
expectorant mucolytics of acetylcysteine - “ACC”, “fluimucil”, “acestin”.

Indications for the use of cough tablets with the active ingredient acetylcysteine concern cases when it is necessary to increase the amount of discharge.

The expectorant effect is also achieved through the use of herbal medicines - “mukaltin”, “licorin”, “pectussin”, “thermopsis”.

Besides correct selection medications, it is important to ensure sufficient humidity in the room and drink more fluids (up to 6-8 glasses per day).

Release form

All cough tablets can be divided into the following groups:

drugs that suppress the cough center in the brain and affect nerve endings receptors;
agents affecting smooth muscle structures and bronchial mucosa;
medications that have a direct effect on bronchial secretions (phlegm).

From the above, we can clearly conclude that treatment is selected individually for each case. The form of release of the product is also important. Effervescent tablets and for resorption, they are characterized by high speed of action and digestibility, but are unlikely to be suitable for children. Sweet antitussive syrups are recommended for very young patients. People suffering from peptic ulcers, hyperacid gastritis or high acidity gastric juice, effervescent antitussives will be contraindicated.

The type and dosage of the drug is prescribed by the doctor based on symptoms, age and individual characteristics the patient's body. For anyone pharmacological agent, regardless of the form of release, there are contraindications and side effects. For example, a popular medicine for wet cough- thermopsis, consisting entirely of natural ingredients, prohibited in the treatment of bronchitis and pneumonia in infants. Babies are not able to cough up large amounts of mucus, which in some cases provokes respiratory failure. In children under five years of age, an overdose of the medicine provokes vomiting reflex, is contraindicated for pregnant women and persons suffering from gastric and duodenal ulcers.

Therefore, before starting treatment, you should establish correct diagnosis and get recommendations on taking antitussive medications from a specialist.

Pharmacodynamics of cough tablets

Today there is no universal cough tablet, due to the fact that the therapeutic effect on dry and wet types of cough is fundamentally different. If you have a dry cough, it is not advisable to use tablets for wet cough with a relief effect, which will cause blockage of the bronchial lumens with discharged sputum. Medicinal substances from a productive (wet) cough, helping to reduce viscosity and easily remove phlegm, are useless in the case of a dry cough provoked by inflammation of the trachea, irritation of the bronchial mucosa, and the influence of aggressive environments.

Medicines that actively act on the cough center are divided according to the principle of their effect on: central, peripheral and combined influence. Pharmacodynamics of cough tablets (mechanism of action on human body) is characterized by the properties of the constituent components. For example, drugs with the narcotic substance codeine are quite effective for a dry, debilitating cough without sputum discharge. However, these drugs are sold strictly according to prescriptions, as they are addictive. Modern pharmacology has no less effective, safe, non-affecting respiratory center non-narcotic means. Such available antitussive tablets include “libexin”, “tusuprex” and others. They most often reduce the receptor sensitivity of the bronchial mucosa (peripheral effects), but are also able to block the cough reflex. This group of medications is not addictive, so they are used to treat cough in children.

Multicomponent cough tablets are effective for any course of the disease, excluding wet cough. Stopping a cough in this case can disrupt the cleansing ability of the lungs, the removal of mucus and lead to the development of pneumonia and problems with ventilation of the lungs. Combined products have the most impressive list side effects and contraindications. It also becomes difficult to select correct dosage and the inability to combine them with other drugs.

When it comes to wet cough, people most often think of the popular Thermopsis cough tablets. And here the patient needs to be as careful as possible. The point is that the usual and inexpensive remedy"Thermopsis" is now available in two formulations:

does not contain chemicals, includes only Thermopsis lanceolata herb and sodium bicarbonate (therapy for children is possible);
consists of codeine (a narcotic substance), thermopsis herb, sodium bicarbonate and licorice root.

Let's consider the pharmacodynamics of this drug:

codeine - characterized by a slight sedative, analgesic effect, blocks the cough reflex without suppressing the respiratory center and the functions of the ciliated epithelium, does not reduce the amount of secretion in the bronchi;
thermopsis grass (with active ingredients– isoquinoline alkaloids) – activates the respiratory and vomiting centers. It has a pronounced expectorant effect, helps to activate the secretory function of the bronchial glands, stimulate the ciliated epithelium and accelerate the processes of mucus elimination;
sodium bicarbonate – causes a pH shift of bronchial mucus towards an alkaline environment and reduces the viscosity of sputum. Stimulates the work of the ciliated epithelium and bronchioles;
Licorice root – ensures easy secretion due to its glycyrrhizin content. Has anti-inflammatory and antispasmodic effect.

Pharmacokinetics of cough tablets

Pharmacokinetics refers to the biochemical transformation of drug molecules in the human body. The main pharmacokinetic processes include absorption, excretory (excretory), distribution and metabolic properties.

Absorption of cough tablets occurs after dissolution, usually in thin section intestines. Next, the drug molecules enter the systemic blood flow. Suction has two characteristics - speed and degree of suction (reduced if used pharmacological substance after food).

Distribution of the drug occurs in the blood, intercellular fluid and tissue cells.

The release of drugs is carried out unchanged or as substances of biochemical transformation - metabolites, which have a higher polarity and solubility in the aqueous environment in comparison with the original substance, which causes simple excretion in urine.

Excretion (removal) of the drug is possible through the urinary and digestive systems, as well as through sweat, saliva and exhaled air. On excretory function The rate at which the drug enters the excretory organ through the bloodstream and the characteristics of its own excretory systems are influenced. The most common route is the kidneys, bronchial glands and mucous membranes respiratory system.

The pharmacokinetics of cough tablets is based on the main active ingredient included in the medicine:

codeine – characterized high speed absorption, blocks cough within half an hour after administration, provides a persistent antitussive and analgesic effect for up to six hours. Transformed in the liver, the half-life process begins after 2-4 hours;
Glaucine hydrochloride – well absorbed digestive system, transformation occurs in the liver, excretion by the kidneys (primary metabolites);
Ambroxol – maximally absorbed, excreted in urine;
Bromhexine - absorption reaches 99% half an hour after use. In plasma it forms a bond with proteins. Characterized by penetration through the placenta, accumulation in the liver, kidneys, fatty and muscle tissue. Half-life occurs after an hour and a half;
carbocisteine - is actively absorbed and metabolized during the initial passage through the liver. Reaching the maximum concentration is observed two hours after oral administration. Excretion is carried out in urine almost unchanged;
acetylcysteine – has low bioavailability (no more than 10%), which is explained by the formation of cysteine during the initial passage through the liver. Peak concentration is after 1-3 hours. Characterized by penetration through the placental barrier. The kidneys are responsible for excretion; a small part of the substance is excreted unchanged by the intestines.

Using Cough Drops During Pregnancy

A pregnant woman should carefully read the instructions and consult a doctor before taking a cough tablet. The specialist determines the cause of the cough and prescribes appropriate treatment. Coughing attacks are caused not only by infections of the upper or lower respiratory tract, but also by allergic, neurotic reactions, problems with the stomach or diaphragm, diseases thyroid gland, dysfunction of cardio-vascular system and so on.

The greatest danger is a dry, painful cough. Such attacks can increase intra-abdominal and blood pressure in expectant mother, which can trigger the mechanism of premature pregnancy resolution, placental abruption, and even cause termination of pregnancy.

Most of pharmacological drugs prohibited for use while expecting a baby. However, the use of cough tablets during pregnancy is permitted on the basis herbal ingredients such as:

“Mukaltin” containing marshmallow herb. Take under the strict supervision of a doctor three to four times a day, before meals. Duration of therapy is one to two weeks;
sucking lollipops based on eucalyptus (preferably without sugar) – inclusion herbal mixture they are usually minimal. Positive effect is achieved through the abundant production of saliva, which moisturizes and softens the pharyngeal region and larynx, where the urge to cough originates;
drugs with the active ingredient dextromethorphan (suppresses the cough center) are prescribed for severe attacks when it is not possible to solve the problem in any other way;
Bromhexine, a component of many expectorant medications, is also often used to treat pregnant women;
“Bronchipret” is a German medicine made from herbal ingredients. Indicated for coughs of any origin (one tablet three times a day, after meals). Course duration is from seven to ten days;
"Ambroxol" - thins thick viscous mucus, facilitates expectoration. Allowed for treatment of pregnant women under the supervision of a specialist in the second/third trimesters;
"Codelac" is not advisable during pregnancy, since codeine is a drug that can cause dysfunction in embryonic development, often gives rise to heart defects. Prescribed only in in case of emergency when other means are powerless.

In any case, you should not self-medicate during pregnancy, even with medications traditional medicine. Oddly enough, even plant materials can cause harm when individual intolerance. The choice of treatment method, dosage of the drug and the duration of the therapeutic effect are prescribed by the doctor strictly individually.

Contraindications to the use of cough tablets

Each medicine has indications, contraindications and a list of side effects. Cough tablets are selected according to individual scheme every patient. Particular care must be taken when treating cough in young children, pregnant and lactating women.

Combined antitussive drugs are not prescribed in cases of individual intolerance, during pregnancy and lactation, in children under two years of age, as well as in cases of second/third degree respiratory failure and the presence of a severe form. bronchial asthma.

The use of expectorant tablets is unacceptable in parallel with the intake of substances that depress the cough center and inhibit the cough reflex. This combination provokes severe inflammatory diseases lower sections respiratory system (for example, pneumonia).

Contraindications to the use of Thermopsis cough tablets apply to infants with bronchitis or pneumonia, since if there is copious mucus discharge they will not be able to cough up, which will cause respiratory failure. Famous tablets V large dosages cause nausea in children at the beginning of the course.

Mucolytics “bromhexine”, “ACC”, “ambroxol” are not recommended during exacerbation of bronchial asthma due to the threat of bronchospasm. "Bromhexine" is contraindicated in the first three months of pregnancy, in children under three years of age, in the presence of a stomach ulcer, recent bleeding and individual intolerance. ACC tablets can be prescribed after the tenth day of life, but are not used for pulmonary hemorrhages, stomach ulcers, hepatitis, in cases renal failure and fructose intolerance. The medicine is not combined with tetracycline, semi-synthetic group of penicillins, aminoglycosides, cephalosporins, or other antitussive drugs to avoid congestion in the respiratory tract.

Effervescent or dissolving cough tablets are famous for their speed of absorption and effectiveness, but they are not suitable for treating patients with increased acidity, gastritis and gastric ulcer.

When choosing a cough remedy, you should follow the instructions, but it is best to visit a competent specialist who will determine the cause painful state and prescribe the most effective remedy.

Side effects of cough tablets

Cough tablets have their own list of side effects - from nausea to drug addiction.

The drug "libexin" requires administration strictly according to the prescribed regimen (four times a day in accordance with the patient's age), without chewing, in order to avoid anesthesia of the mucous membrane oral cavity. The popular drug Stoptussin can cause diarrhea, headache, painful sensations in the abdomen, dyspepsia, allergic reaction and dizziness. When taking Tusuprex, used in the treatment of dry, nonproductive cough, some patients experience indigestion.

Side effects cough tablets of the mucolytic group (“bromhexine”, “ACC”, etc.) include the onset of bronchospasm, which is especially dangerous during an exacerbation of bronchial asthma. In such patients, bronchodilators without atropine should be preferred. In addition to the above, taking the drug "ACC" is fraught with skin reactions, rise blood pressure, dyspepsia.

Thermopsis-based cough tablets can also provoke an allergic effect (itching, skin rash, etc.) and cause nausea.

Narcotic cough medicines (such as codeine) cause pharmacological dependence, allergies. In case of overdose, constipation, vomiting, urinary retention, problems with coordination of movement are observed. eyeballs, weakness, depression of the respiratory center.

If coughing attacks intensify, and there is no opportunity to visit a doctor, then carefully study the instructions for the drug you are purchasing for contraindications and side effects.

Directions for use and doses

The specificity of taking antitussive medications depends on the nature of the disease, the age of the patient, the individual characteristics of the body, the presence chronic diseases, availability bad habits(for example, smoking), body weight and a number of other factors.

A specialist must establish the correct diagnosis and prescribe the correct treatment. The method of administration and dose is also determined by the doctor on an individual basis.

Tablet cough medicine “libexin” or “libexin muco” (with the mucolytic carbocisteine, which reduces the viscosity of sputum) is used without chewing up to 4 times a day. The dosage depends on the age of the patient and varies from a quarter of a tablet to two tablets per single dose. The effect lasts up to four hours.

Stoptussin cough tablets are taken up to 6 times a day, since the partial elimination period is six hours. The resorption medicine "falimint", which helps with a non-productive irritating cough, is allowed for use up to 10 times a day, provided the duration of therapy is no more than a few days.

Mucolytic preparations based on plant materials should be consumed before meals. The recommended dose of "mucaltin" for adults is 1-2 tablets up to 4 times a day, for children - from half a tablet to two tablets per one-time dose. "Thermopsis" without codeine is prescribed as a tablet three times a day for a course of up to five days. Maximum daily dosage medicine – 0.3 g or 42 tablets. Children over 12 years of age are allowed to take a tablet 2-3 times a day. The prescription of "bromhexine" for adults and children over 10 years of age is 8 mg three to four times a day. Children under two years old accept this remedy 2 mg three times a day. Treatment course can reach four weeks.

Effervescent cough tablets "ACC" are taken after meals, after dissolving the medicine in half a glass of water, juice or iced tea. Daily norm The drug depends on body weight: patients weighing more than 30 kg. use up to 800 mg. facilities. For children, the dosage is selected based on age: up to 2 years – 50 mg. 2-3 times/day, from 2 to 5 years – 400 mg. in four doses, from 6 years old – 600 mg. for three doses. The duration of treatment varies from three to six months, which is influenced by the complexity of the pathological condition.

The antitussive "ACC" is prohibited for use with the tetracycline group, semisynthetic penicillin preparations, aminoglycosides and cephalosporins. ACC should not be combined with other cough tablets to prevent congestion of the respiratory tract.

Libexin should not be combined with mucolytics or expectorants, as it may make it difficult to remove sputum.

Regarding the interaction of cough tablets with other drugs that stop the cough reflex, like codeine, we can definitely say that the latter complicate the coughing up of liquefied sputum and its accumulation in the lungs.

A number of pharmacological agents enhance the effect of each other. This effect is observed when simultaneous administration"glycodin" with narcotic antitussives. In this case, “glycodin” often interacts with monoamine oxidase inhibitors.

Before you start taking any cough medicine, carefully read the package insert and be sure to tell your doctor about the medications you are taking.

Storage conditions for cough tablets

Basic storage conditions for cough tablets include the following:

the storage place must be dry, closed to light and inaccessible to children;
the acceptable temperature is most often 15-25С, unless there are special instructions in the instructions;
post medicines away from heating/heating devices.

You should not carefully cut off the empty part of the blister in order to preserve the aesthetic appearance of the opened packaging. After a while, it will be difficult or absolutely impossible to determine what this “white” pill helped with. Moreover, you may take the wrong medicine. The same applies to those who like to transfer tablets into containers for other drugs.

The shelf life of cough tablets can vary from 3 to 5 years.

In some diseases, especially tracheitis, the sputum turns out to be so thick and dense that it cannot be coughed up. This complicates the course of the disease and worsens the patient’s situation. To cope with the situation, a variety of medications are used.

Among them there are enough effective drug based on natural plant materials, which are called “Cough Tablets”. This is a fairly old and well-tested remedy that has been used by several generations of patients. It is perfect for those people who prefer to use the gifts of nature, albeit in an extremely modern form.

Cough tablets: composition and properties of the drug

Cough tablets - effective expectorant on plant based

This drug is based on the herb Thermopsis lanceolata, which is a powerful expectorant containing a large number of active substances. The tablets contain sodium bicarbonate, talc and starch as a filler. Baking soda has a softening effect, it is always used in products from and for, other substances serve to bind the active substance and form a solid tablet. They are inert and do not have any effect on the human body, are excreted unchanged or digested in the digestive system.

Thermopsis alkaloids have irritant effect on the respiratory and vomiting center, contribute to increased secretion of glands located in the bronchi and responsible for the production and composition of mucus. When taking Cough Tablets, the patient quickly feels relief, as the sputum becomes less viscous, is easier to cough up, and disappears. strong pain in the chest and a feeling of difficulty breathing, suffocating cough. It is not recommended to take medications containing thermopsis and licorice root for those people who have very high sensitivity on similar drugs, as they may cause severe vomiting.

Cough tablets help to quickly cope with the problem of coughing with bronchitis, tracheitis, pneumonia and other respiratory diseases.

This drug can be used for non-productive and, as it acts quite gently, but at the same time quite effectively, stimulating the production in a more liquid form and facilitating its excretion. The easier it is for a sick person to cough, the less chance he has of complications of the disease and the disease becoming chronic.

With the use of thermopsis preparations, it becomes easier for the patient to breathe, especially with a very dry, irritating cough that literally tears the throat. Since more mucus begins to be released and it is more liquid, a kind of “lubrication” of the irritated mucous membranes occurs, and severe soreness decreases and then disappears completely.

Release form, shelf life and storage

The drug is produced in the form of flattened cylindrical tablets with a dividing chamfer, subdued greenish color, slight inclusions of darker components are possible (the drug is based on grass).

The tablets are packaged in blisters of 10 pieces each, which are placed in a cardboard box with instructions included.

The shelf life of the product is 48 months. After the expiration date, the drug cannot be used.It is recommended to store the medicine in specially designated places, out of reach of children, at a temperature not exceeding 25 degrees Celsius. The room should be dry and dark.

It is necessary to avoid direct exposure of the sun's rays to the tablets themselves - light can decompose the active ingredient.

When using the tablet, you need to take it with you sufficient quantity clean warm drinking water. Do not use milk, juices or carbonated drinks.

Purpose of the product

Indication for use of the drug: cough with difficult to clear sputum.

This drug is prescribed for adults and children older twelve years of age for dry, lingering and painful coughs to improve the coughing process and. The product helps to increase secretion, sputum becomes more liquid and less viscous, so it comes off much easier and easier. The use of “Cough Tablets” is allowed for dry and wet types.

At productive cough this drug helps to quickly clear the bronchi and trachea of contents, which reduces inflammation. Accelerated expectoration makes the patient feel better, it becomes easier for him to breathe, and he recovers faster.

Usually cough tablets, the method of use does not cause difficulty or hostility even in children, it is recommended to use with big amount warm drink.

This could be milk with honey, butter or goat fat, tea with raspberries or viburnum, mineral alkaline water, juices, compotes or herbal infusions. It is important not to give drinks cold and to ensure that their composition does not cause allergic reactions.

Useful video - The best drugs From cough:

Application large quantities fluids not only promote accelerated elimination from the body of toxins, but also helps to enhance the dilution of sputum and increase its quantity. This is especially important if you have a very severe non-productive cough.

During treatment, the doctor may prescribe other drugs, for example, painkillers, anti-inflammatory drugs, vitamins, immune agents. Usually thermopsis combines well with such medicines, but you need to monitor your individual reactions. In case of allergic reactions or any unpleasant consequences, it is necessary to stop taking medications and seek medical help.

Mode of application

Correct use of cough tablets is the key to a quick recovery

Dosage for different ages:

For children over 12 years of age, the drug is prescribed one tablet 2 to 3 times a day. Treatment time usually does not exceed five days. If the course is completed and remains, the decision to extend therapy can only be made by a doctor.
Adults also take a tablet three times a day, the course of treatment lasts from 3 to 5 days. With the doctor's permission, the number of tablets can be increased under the constant supervision of medical personnel.

Since thermopsis herb has an effect that irritates the gastric mucosa and nerve endings, an overdose of the drug can provoke severe nausea and vomiting.

To eliminate the problem, gastric lavage is used. This drug is not prescribed to small children, as they may react to its composition, and children also have a very high sensitivity to various means, nauseating. The vomiting center, which is not fully formed, quickly reacts to the irritant and the medicine becomes the cause severe vomiting and the occurrence of allergic reactions.

Possible side effects and contraindications

Apart from causing nausea and vomiting, this remedy is like any herbal preparation, can cause allergic reactions different types.

Most often they manifest themselves as urticaria, but when severe they can have very serious manifestations, including in rare cases hazardous to health.

When using Cough Tablets, you need to consider your own individual reactions for such funds.

Contraindications to the use of cough tablets include the following:

The child's age is up to 12 years.
Pregnancy.
Breastfeeding period.
Individual allergic reactions.

It is not recommended to combine different kinds cough medicines, especially herbal ones or containing codeine, in order to avoid enhancing the effect or causing incompatibility, the development of various side effects.

Tablets 1 tablet.
codeine 8 mg
thermopsis lanceolate herb 20 mg
sodium bicarbonate 200 mg
licorice roots 200 mg

Pills; contour packaging without cells 10;

Pills; contour packaging 10 cardboard pack 2;

Pills; contour packaging 10 cardboard pack 1;

Pills; contour packaging 10 cardboard pack 3;

Pills; contour packaging 10 cardboard pack 5;

Pills; contour cell packaging 10;

Pharmacodynamics of the drug Cough tablets

The action is determined by the properties of the components included in the drug.

Codeine reduces the excitability of the cough center and interrupts the reflexes that cause prolonged cough, has a weak analgesic and sedative effect. In no large doses does not cause depression of the respiratory center, does not disrupt the function of the ciliated epithelium and does not reduce bronchial secretion.

Thermopsis lanceolata herb contains isoquinoline alkaloids as active substances. Excites the respiratory and stimulates the vomiting centers. It has a pronounced expectorant effect, manifested in increasing the secretory function of the bronchial glands, increasing the activity of the ciliated epithelium and accelerating the excretion of secretions, increasing the tone of bronchial smooth muscles due to the central vagotropic effect. Biologically contained in the plant active substances have ganglion-blocking properties.

Sodium bicarbonate causes a shift in the pH of bronchial mucus to the alkaline side and reduces the viscosity of sputum. Stimulates the motor function of the ciliated epithelium and bronchioles.

Licorice root has an expectorant, anti-inflammatory and antispasmodic effect. The expectorant properties are due to the content of glycyrrhizin, which stimulates the activity of the ciliated epithelium in the trachea and bronchi, and also enhances the secretory function of the mucous membranes of the upper respiratory tract.

The antispasmodic effect on smooth muscles is due to the content of flavone compounds (the most active is liquiritoside). The anti-inflammatory effect is manifested in the relief inflammatory reactions caused by histamine, serotonin and bradykinin.

Glycyrrhizic acid, undergoing metabolic transformations in the body, has a GCS-like effect.

Use of the drug Cough tablets during pregnancy

Contraindicated during pregnancy (especially the 1st and 3rd trimesters). Breastfeeding should be stopped during treatment.

Contraindications to the use of the drug Cough tablets

hypersensitivity;

Respiratory failure;

Asthmatic status;

Children under 2 years of age.

With caution:

Threatened miscarriage;

Pregnancy (especially the 1st and 3rd trimesters);

Lactation period (danger of developing respiratory depression in a child due to the fact that codeine penetrates well through the placental barrier and the BBB).

Side effects of the drug Cough tablets

Allergic reactions: itchy skin, urticaria; nausea. At long-term use- development drug addiction from codeine.

Method of administration and dosage of the drug Cough tablets

Inside, 1 tablet. 2–3 times a day.

Overdose of the drug Cough tablets

Symptoms: vomiting, constipation, urinary retention, headache, drowsiness, impaired coordination of movements of the eyeballs, miosis, depression of the respiratory center.

Treatment: gastric lavage with activated carbon or potassium permanganate. Introduction respiratory analeptics, atropine and the competitive antagonist of codeine - naloxone.

Interactions of the drug Cough tablets with other drugs

Pharmacodynamic: chloramphenicol inhibits the metabolism of codeine in the liver and thereby enhances its effect in the body. At simultaneous use Drugs that depress the central nervous system (hypnotics, antipsychotics, etc.), may increase sedative effect and a depressant effect on the respiratory center. Codeine enhances the effect of ethanol on psychomotor functions.

Pharmacokinetic: when codeine is used in large doses, the effect of cardiac glycosides may be enhanced, because due to weakened peristalsis, their absorption increases. Adsorbents, astringents and enveloping drugs can reduce the absorption of alkaloids and codeine included in the drug into the gastrointestinal tract.

Special instructions when taking the drug Cough tablets

In patients with impaired renal function, codeine excretion is slowed down, so it is recommended to lengthen the intervals between doses of the drug. During the treatment period, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

Storage conditions for the drug Cough tablets

In a place protected from light.

Shelf life of the drug Cough tablets

The drug Cough Tablets belongs to the ATX classification:

R Respiratory system

R05 Medicines used for coughs and colds

R05C Expectorants (except combinations with antitussives)

R05CA Expectorants

A drug: ANTITUSSIVE TABLETS
Active substance: herba Thermopsidis lanceolatae, sodium bicarbonate
ATX code: R05CA10
KFG: Herbal medicine with expectorant action
ICD-10 codes (indications): J04, J20, J37, J42, R05
Reg. number: LS-001287
Registration date: 08/16/11
Owner reg. cred.: DALHIMFARM (Russia)

DOSAGE FORM, COMPOSITION AND PACKAGING

◊ Pills flat-cylindrical, greenish-gray, chamfered; dark inclusions are allowed.

Excipients: potato starch 27.9 mg, talc 5.4 mg.

10 pieces. - cellless contour packages.
10 pieces. - contour cellular packaging.

INSTRUCTIONS FOR USE FOR SPECIALISTS.
The description of the drug was approved by the manufacturer in 2011.

PHARMACHOLOGIC EFFECT

Thermopsis herb has an expectorant effect, having a moderate irritating effect on the receptors of the gastric mucosa, and reflexively increases the secretion of the bronchial glands.

Sodium bicarbonate stimulates the secretion of bronchial glands and helps reduce the viscosity of sputum.

INDICATIONS

Diseases of the respiratory tract accompanied by a cough with sputum difficult to separate (tracheitis, bronchitis) - as part of complex therapy.

DOSING REGIME

Directions for use: inside. Adults are prescribed 1 tablet 3 times a day for 3-5 days. Children over 12 years old - 1 tablet 3 times a day for 3-5 days. The duration of treatment is as recommended by the doctor.

SIDE EFFECT

Allergic reactions and nausea are possible.

CONTRAINDICATIONS

Hypersensitivity to the components of the drug, peptic ulcer stomach and duodenum(in the acute phase), childhood(up to 12 years old).

The drug should not be prescribed for pulmonary diseases with a tendency to hemoptysis (cancer and pulmonary tuberculosis in the presence of bleeding).

PREGNANCY AND LACTATION

Cough tablets are contraindicated during pregnancy and breastfeeding.

SPECIAL INSTRUCTIONS

To improve the liquefaction and separation of sputum, it is recommended to prescribe plenty of warm drinks.

The use of the drug does not affect the performance of potentially dangerous species activities requiring increased attention and speed of psychomotor reactions (driving vehicles, working with moving mechanisms, working as a dispatcher and operator).

OVERDOSE

Overdose symptoms: nausea, vomiting. Treatment - symptomatic.

DRUG INTERACTIONS

Adsorbents, binders and enveloping agents can reduce the absorption of alkaloids included in the thermopsis herb in the gastrointestinal tract.

Cough tablets should not be used simultaneously with preparations containing codeine and other antitussive drugs, as this may make it more difficult to cough up mucus.

CONDITIONS OF VACATION FROM PHARMACIES

The drug is approved for use as a means of OTC.

CONDITIONS AND DURATION OF STORAGE

In a dry place, protected from light, at a temperature not exceeding 25°C. Keep out of the reach of children.

Best before date. 4 years. Do not use after the expiration date stated on the package.