Ordinary cough tablets instructions. What is the best cough medicine to use?

You are a fairly active person who cares and thinks about your respiratory system and health in general, continue to play sports, healthy lifestyle 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 severe emotional overload. Try to minimize contact with sick people, in case of forced contact, do not forget about protective equipment (mask, washing hands and face, cleaning respiratory tract).

It's time to start thinking about what you're doing wrong...

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

It's time to sound the alarm!

You are completely irresponsible about your health, thereby destroying the work of your lungs and bronchi, pity them! If you want to live long, you need to radically change your whole attitude towards the body. First of all, go through an examination with specialists such as a general practitioner and a pulmonologist, you need to take radical measures Otherwise, things may end badly for you. Follow all the recommendations of doctors, radically change your life, it may be worth changing your job or even your place of residence, absolutely eliminate smoking and alcohol from your life, and keep contact with people who have such addictions to a minimum, harden, strengthen your immunity, as much as possible be outdoors more often. Avoid emotional and physical overload. Completely exclude from household circulation all aggressive means, replace with natural, natural remedies. Do not forget to do wet cleaning and airing the room at home.

To successfully get rid of a cough, first of all, you should determine the type of cough and only after that proceed to the choice of a drug that helps to overcome, and not aggravate the disease.

Most cough medicines are available over-the-counter, however, it must be remembered that the road to recovery begins with a correct diagnosis. Cough pills indicated for one type of cough can be harmful in another course of the disease. That is why pay attention to your condition.

Dry cough can be recognized by debilitating bouts with sore throat, preventing sleep at night. In medical circles, this type of cough is called unproductive, characterized by the absence of sputum, as well as pain syndrome muscles of the abdomen and chest. The cause of such a cough is irritation of the pharyngeal cough receptors. Antitussives that stop the attack will help to cope with the problem in this situation.

A productive type of cough is accompanied by discharge of the discharge. Excretion of sputum from the bronchus, trachea and lungs is facilitated by expectorants (increase the production of discharge) or mucolytics (thinn sputum). Some cough tablets help clear the airways by stimulating special cilia.

Use of medicines containing codeine ( narcotic substance), possibly in the most severe cases. Preference should be given to codeine in pure form or its analogue dextromethorphan. As for the combined drugs, they have an expectorant effect. As a result, on the one hand, such drugs facilitate sputum secretion, and on the other hand, they consist of components aimed at suppressing coughing that prevent discharge of the discharge. The latter is unacceptable with a productive form of cough.

Indications for the use of cough tablets

Cough is not always caused by respiratory diseases. Cough often accompanies infectious diseases viral or bacterial course, which includes: laryngitis, sinusitis, tonsillitis, pharyngitis, pneumonia, bronchitis, tuberculosis, etc. Cough can be caused by childhood diseases such as whooping cough, as well as allergic conditions. Coughing fits are characterized pathological processes organic type of the brain, appear on nervous ground, with cardiac disorders (heart disease, angina pectoris, etc.), with damage to the respiratory tract by aggressive environments. 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 problem of coughing in any way as quickly as possible.

The choice of cough pill depends on the nature of the cough. In conditions accompanied by a dry painful cough, means are shown that depress the cough center in the brain:

combined preparations with the active substance codeine - "codelac", "terpincod N", "terkodin";
lozenges based on dextromethorphan - "Alex Plus";
substances with butamirate - "sinekod", "omnitus", "panatus".

Tablets "libeksin" with the active substance prenoxdiazine soothe cough receptors throat, keeping respiratory functions and without causing drug dependence. Drug by strength medicinal effect comparable to codeine. Coughing attacks are also stopped by means for resorption based on menthol and eucalyptus (“pectusin”), as well as preparations from licorice - “glycyram”

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

mucolytic agents based on bromhexine - "bromhexine", "ascoril", "solvin";
drugs 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 relate to cases when it is necessary to increase the amount of discharge.

The expectorant effect is also achieved through the use of phytopreparations - "mukaltin", "likorin", "pectussin", "thermopsis".

Apart from correct selection medicines, it is important to ensure sufficient humidity in the room and drink more fluids (up to 6-8 glasses a 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;
drugs that have a direct effect on bronchial secretions (phlegm).

From the above, we can make an unambiguous conclusion that the treatment is selected individually for each case. Also important is the form of release of funds. Effervescent tablets and for resorption are characterized by high speed of action and digestibility, but are unlikely to suit babies. Very young patients are recommended sweet antitussive syrups. People suffering from peptic ulcer, hyperacid gastritis, or having high acidity gastric juice, effervescent antitussives will be contraindicated.

The type and dosage of the drug is prescribed by the doctor based on the symptoms, age and individual features the patient's body. For anyone pharmacological agent, regardless of the form of release, there are contraindications and side effects. For example, a popular drug for wet cough– thermopsis, consisting entirely of natural ingredients, is prohibited in the treatment of bronchitis and pneumonia in infants. Babies are not able to cough up a large amount of mucus, which in some cases provokes respiratory failure. In children under five years of age, an overdose of the drug provokes vomiting reflex, is contraindicated in pregnant women and persons suffering from peptic ulcer of the stomach and 12-n intestine.

Therefore, before starting treatment, it is necessary to establish correct diagnosis and get advice on taking antitussive drugs from a specialist.

Pharmacodynamics of cough tablets

To date, there is no universal cough pill, due to the fact that the therapeutic effect on dry and wet type of cough is fundamentally different. In the presence of a dry cough, it is not advisable to use tablets for wet cough with a stopping effect, which will cause blockage of the bronchial lumen with outgoing sputum. medicinal substances from a productive (wet) cough, which help to reduce viscosity and easily remove sputum, are useless in case of dry cough provoked by inflammation of the trachea, irritation of the bronchial mucosa, and the influence of aggressive environments.

Actively acting on the cough center, drugs are divided according to the principle of impact on: central, peripheral and combined effects. Pharmacodynamics of cough tablets (mechanism of action on human body) is characterized by the properties of the forming components. For example, preparations with the narcotic substance codeine are quite effective for dry, debilitating cough without sputum discharge. However, these drugs are sold strictly by prescription, as they are addictive. Modern pharmacology has no less effective, safe, not affecting respiratory center means of non-narcotic content. Such available antitussive tablets include - "libeksin", "tusuprex" and others. They most often lower the receptor sensitivity of the bronchial mucosa (peripheral effect), but they are also able to block the cough reflex. This group of drugs does not cause addiction, so they are used to treat cough in children.

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

When it comes to wet coughs, the popular cough pills "Thermopsis" are most often remembered. And here the patient needs to be as careful as possible. The point is that the usual inexpensive remedy Thermopsis is now available in two compositions:

does not contain chemistry, includes only the herb of lanceolate thermopsis and sodium bicarbonate (therapy for children is possible);
consists of codeine (narcotic substance), thermopsis herb, sodium bicarbonate and licorice root.

Consider the pharmacodynamics of this drug:

codeine - is 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 operating components- 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 excretion;
sodium bicarbonate - causes a pH shift of bronchial mucus towards an alkaline environment and reduces the viscosity of sputum. Stimulates the work of ciliated epithelium and bronchioles;
licorice root - provides easy secretion due to the content of glycyrrhizin. It has anti-inflammatory and antispasmodic effect.

Pharmacokinetics of cough tablets

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

Absorption of a cough tablet occurs after dissolution, usually in thin department intestines. Next, the drug molecules enter systemic circulation. Suction has two characteristics - speed and degree of suction (reduced in the case of pharmacological substance after food).

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

The release of drugs is carried out in an unchanged form or as substances of biochemical transformation - metabolites that have a higher polarity and solubility in the aqueous medium compared to the parent substance, which leads to a simple excretion with urine.

Excretion (excretion) of the drug is possible through the urinary, digestive system, as well as through sweat, saliva and exhaled air. On excretory function affect the rate of receipt of the drug with the bloodstream to the excretory organ and the characteristics of their own excretory systems. 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 that is part of the drug:

codeine is characterized high speed absorption, blocks cough within half an hour after ingestion, provides a persistent antitussive and analgesic effect for up to six hours. It is transformed in the liver, the half-life process begins in 2-4 hours;
glaucine hydrochloride - well absorbed digestive system, transformation occurs in the liver, excretion by the kidneys (metabolites of the primary type);
ambroxol - maximally absorbed, excreted in the urine;
bromhexine - absorption reaches 99% in half an hour after use. In plasma, it binds to proteins. It is characterized by penetration through the placenta, accumulation in the liver, kidneys, fat and muscle tissue. Half-life occurs after an hour and a half;
carbocisteine - actively absorbed and metabolized during the primary passage through the liver. Peak concentration is reached two hours after oral administration. Excretion is carried out in the urine almost unchanged;
acetylcysteine - has a low bioavailability (no more than 10%), which is explained by the formation of cysteine during the primary passage through the liver. Peak concentration - after 1-3 hours. It is 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.

Use of cough tablets during pregnancy

A pregnant woman should carefully study the instructions and consult a doctor before taking a cough pill. The specialist determines the cause of the cough, prescribes the appropriate treatment. Cause coughing fits not only infections of the upper or lower respiratory tract, but also 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 type of cough. Such attacks can increase intra-abdominal and arterial pressure in future mother, which can trigger the mechanism of premature resolution of pregnancy, placental abruption and even cause abortion.

Most of pharmacological preparations prohibited for admission during the period of expectation of the baby. However, the use of cough tablets during pregnancy is allowed based on herbal ingredients such as:

"Mukaltin" containing marshmallow herb. Take under the strict supervision of a doctor three to four times a day, before meals. The duration of therapy is one to two weeks;
eucalyptus-based lozenges (preferably without sugar) - inclusion herbal mixture they are usually minimal. Positive effect it is achieved due to the abundant production of saliva, which moisturizes and softens the pharyngeal region and larynx, where the urge to cough arises;
preparations with the active substance dextromethorphan (suppresses the cough center) are prescribed for severe attacks when it is not possible to fix the problem in another way;
bromhexine, as part of many expectorant drugs, is also often used to treat pregnant women;
"bronchipret" is a German medicine made from herbal ingredients. It is indicated for coughing of any genesis (one tablet three times a day, after a meal). The duration of the course is from seven to ten days;
"Ambroxol" - thins thick viscous mucus, facilitates expectoration. Allowed to treat pregnant women under the supervision of a specialist in the second / third trimesters;
"codelac" - not desirable during gestation, since codeine is a drug that can cause dysfunction in embryonic development often leads to heart disease. Appointed only in emergency cases when other means are powerless.

In any case, you should not self-medicate during pregnancy, even by means traditional medicine. Oddly enough, even vegetable raw materials can harm when individual intolerance. The choice of the method of treatment, the 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 pills are selected according to individual scheme to 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, children under two years of age, as well as in case of detection of respiratory failure of the second / third degree 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 divisions respiratory system (for example, pneumonia).

Contraindications to the use of thermopsis cough tablets apply to infants with bronchitis or pneumonia, since with abundant sputum discharge they will not be able to cough up, which will cause respiratory failure. Famous pills V large dosages cause nausea in children at the beginning of the course.

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

Effervescent or absorbable cough tablets are famous for their speed of absorption and effectiveness, but they are not suitable for treating patients with hyperacidity, gastritis and peptic ulcer.

When choosing a cough remedy, you should be guided by 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 pills have their own list of side effects - from nausea to drug addiction.

The drug "libexin" requires taking strictly according to the prescribed scheme (four times a day in accordance with the age of the patient), without chewing, in order to avoid anesthesia of the mucous membrane oral cavity. The popular drug "stoptussin" can cause diarrhea, headache, pain in the abdomen, dyspepsia, an allergic reaction and dizziness. When taking "tusuprex", used in the treatment of dry, unproductive 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. Taking the drug "ACC" in addition to the above 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 (for example, with codeine) cause pharmacological dependence, allergy. 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 purchased drug for contraindications and side effects.

Dosage and administration

The specifics of taking antitussive drugs 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 should establish the correct diagnosis, prescribe the correct treatment. The method of administration and dose is also determined by the doctor on an individual basis.

Tableted cough remedy "libeksin" or "libeksin muco" (with mucolytic carbocysteine, 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 duration of the effect is up to four hours.

Stoptussin cough tablets are drunk up to 6 times a day, since the partial elimination period is six hours. The medicine for resorption "Falimint", which helps with an unproductive irritating cough, is allowed to be used up to 10 times a day, provided that the therapy lasts no more than a few days.

Mucolytic preparations based on vegetable raw materials should be consumed before meals. The recommended dose of "Mukaltin" for adults is 1-2 tablets up to 4 times a day, for children - from half a tablet to two tablets for a single dose. "Thermopsis" without codeine is attributed to a tablet three times a day with a course of up to five days. Maximum daily dosage medicinal product - 0.3 g or 42 tablets. Children over 12 years old are allowed to take a tablet 2-3 times a day. The appointment of "bromhexine" for adults and children from 10 years old is 8 mg three to four times a day. Children under two years of age take this remedy 2 mg three times a day. Treatment course can be up to four weeks.

Effervescent cough tablets "ACC" are drunk after eating, after dissolving the medicine in half a glass of water, juice or iced tea. Daily rate 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 affected by the complexity of the pathological condition.

The antitussive agent "ACC" is forbidden to be taken with the tetracycline group, semi-synthetic preparations of penicillin, aminoglycosides and cephalosporins. Do not combine "ACC" with other cough tablets to prevent congestion of the respiratory tract.

"Libeksin" should not be combined with mucolytics, expectorants, as it may be difficult to remove sputum.

With regard to the interaction of cough tablets with other drugs that stop the cough reflex, like codeine, it can be unequivocally said that the latter complicate the expectoration of liquefied sputum and its accumulation in the lungs.

A number of pharmacological preparations enhance the action of each other. This effect is observed when simultaneous reception"glycodine" with narcotic antitussives. In this case, "glycodin" often interacts with monoamine oxidase inhibitors.

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

Storage conditions for cough tablets

The main conditions for storing cough tablets include the following items:

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

The empty part of the blister should not be carefully trimmed in order to preserve the aesthetic appearance of the opened package. 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 shift pills into containers from other drugs.

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

In some diseases, especially with tracheitis, the sputum is so thick and dense that it cannot be expectorated. This complicates the course of the disease and worsens the patient's condition. To cope with the situation, various medications are used.

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

Cough tablets: composition and properties of the drug

Cough pills - effective expectorant on plant-based

This drug was created on the basis of the herb Thermopsis lanceolate, which is a powerful expectorant containing a large amount of active substances. The composition of the tablets includes sodium bicarbonate, talc and starch as a filler. drinking soda has a softening effect, it is always used in remedies for and for, other substances serve to bind the active substance and form a solid tablet. They are inert and have no 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, it is easier to cough up, disappears strong pain in the chest and a feeling of shortness of breath, suffocating cough. It is not recommended to take preparations containing thermopsis and licorice root for those people who have very high sensitivity on similar drugs as they can 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 when unproductive and, since it acts quite gently, but at the same time quite effectively, stimulating production in a more liquid form and facilitating its release. The easier it is for a sick person to clear his throat, the less chance he has of complications of the disease and the transition of the disease to the chronic stage.

With the use of thermopsis preparations, it becomes easier for the patient to breathe, especially with a very dry, irritating, literally tearing cough. Since the mucus begins to stand out more and it is more liquid, a kind of "lubrication" of irritated mucous membranes occurs, and severe tickling decreases and then disappears completely.

Release form, shelf life and storage

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

The tablets are packaged in blisters of 10 pieces each, which are combined in a cardboard box with an enclosed instruction.

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

It is necessary to exclude the sun's rays directly on the tablets themselves - light can decompose the active ingredient.

When using a tablet, you need to drink enough clean warm drinking water. Do not use milk, juices and carbonated drinks.

Purpose of funds

Indication for use of the drug - cough with sputum difficult to separate

This drug is prescribed for adults and children older than twelve years of age with a dry, lingering and painful cough to improve the coughing process and. The tool helps to increase secretion, sputum becomes more liquid and less viscous, so it goes away much easier and easier. The use of "Cough Tablets" is allowed for dry and wet types.

At productive cough this drug helps to clear the contents of the bronchi and trachea faster, 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 application does not cause difficulty or hostility even in children, it is recommended to use with big amount warm drink.

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

Useful video - The best drugs From cough:

Application a large number fluid not only contributes accelerated withdrawal from the body of toxins, but also helps to increase the liquefaction of sputum and increase its amount. This is especially important with a very strong non-productive cough.

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

Mode of application

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

Dosage for different ages:

For children over 12 years old, the drug is prescribed in a tablet from 2 to 3 times a day. The treatment time usually does not exceed five days. If the course is completed, but 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 permission of the doctor, the number of tablets can be increased under the constant supervision of medical personnel.

Since the 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 for young children, as they may react to its composition, and babies also have a very high sensitivity to various means, nauseating. An unfinished vomiting center quickly reacts to an irritant and the medicine becomes the cause severe vomiting and the occurrence of allergic reactions.

Possible side effects and contraindications

In addition to provoking nausea and vomiting, this remedy, like any herbal preparation, capable of causing allergic reactions different kinds.

Most often they are manifested by urticaria, but with a strong one, there can be very serious manifestations, 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 age of the child is up to 12 years.
Pregnancy.
breastfeeding period.
Individual allergic reactions.

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

Tablets 1 tab.
codeine 8 mg
thermopsis lanceolate grass 20 mg
sodium bicarbonate 200 mg
licorice roots 200 mg

Pills; contour packaging without cells 10;

Pills; blister pack 10 carton pack 2;

Pills; blister pack 10 carton pack 1;

Pills; blister pack 10 carton pack 3;

Pills; blister pack 10 carton pack 5;

Pills; blister pack 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 action. In not large doses does not cause oppression of the respiratory center, does not disrupt the function of the ciliated epithelium and does not reduce bronchial secretion.

The herb lanceolate thermopsis contains isoquinoline alkaloids as active substances. Stimulates the respiratory and stimulates the vomiting centers. It has a pronounced expectorant effect, manifested in an increase in the secretory function of the bronchial glands, an increase in the activity of the ciliated epithelium and an acceleration of the secretion, an increase in the tone of the smooth muscles of the bronchi due to the central vagotropic effect. Contained in the plant biologically active substances have ganglion blocking properties.

Sodium bicarbonate causes a shift in the pH of bronchial mucus to the alkaline side, 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. 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 liquiritozide). 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 in pregnancy (especially I and III trimesters). At the time of treatment should stop breastfeeding.

Contraindications to the use of the drug Cough tablets

hypersensitivity;

respiratory failure;

Asthmatic status;

Children's age up to 2 years.

Caution:

threatened miscarriage;

Pregnancy (especially I and III trimesters);

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

Side effects of the drug Cough tablets

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

Dosage and administration of the drug Cough tablets

Inside, 1 tab. 2-3 times a day.

Overdose of 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.

Drug interactions Cough tablets with other drugs

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

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

Special instructions when taking the drug Cough tablets

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

Storage conditions of the drug Cough tablets

In a place protected from light.

Expiry date of the drug Cough tablets

Belonging of the drug Cough tablets to ATX-classification:

R Respiratory system

R05 Cough and cold preparations

R05C Expectorants (excluding combinations with antitussives)

R05CA Expectorants

A drug: ANTITUSSIVE TABLETS
Active substance: herba Thermopsidis lanceolatae, sodium bicarbonate
ATX code: R05CA10
KFG: Phytopreparation with expectorant action
ICD-10 codes (indications): J04, J20, J37, J42, R05
Reg. number: LS-001287
Date of registration: 08/16/11
The owner of the reg. acc.: DALHIMFARM (Russia)

PHARMACEUTICAL FORM, COMPOSITION AND PACKAGING

◊ Pills flat-cylindrical, greenish-gray, with a chamfer; dark inclusions are allowed.

Excipients: potato starch 27.9 mg, talc 5.4 mg.

10 pieces. - packings without cell contour.
10 pieces. - packings are cell planimetric.

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

PHARMACHOLOGIC EFFECT

Herb thermopsis has an expectorant effect, exerting a moderate irritant effect on the receptors of the gastric mucosa, reflexively increases the secretion of the bronchial glands.

Sodium bicarbonate stimulates the secretion of bronchial glands, helps to 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 MODE

Method of application: 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. Duration of treatment according to the doctor's recommendation.

SIDE EFFECT

Allergic reactions, 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).

The drug should not be prescribed for lung 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 during breastfeeding.

SPECIAL INSTRUCTIONS

To improve liquefaction and separation of sputum, it is recommended to prescribe a plentiful warm drink.

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

OVERDOSE

Overdose symptoms: nausea, vomiting. Treatment - symptomatic.

DRUG INTERACTIONS

adsorbents, binders and enveloping means can reduce the absorption of the alkaloids that make up the thermopsis herb in the gastrointestinal tract.

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

TERMS AND CONDITIONS OF DISCOUNT FROM PHARMACIES

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

TERMS AND CONDITIONS OF STORAGE

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

Best before date. 4 years. Do not use after the expiry date stated on the packaging.