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Patient

Advise









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Drink at least 8-10 glasses of water a day.
Hot fluids (eg. Chicken soup) keep the air passages moist and may act as
decongestant
Stay away from cold,dry environments.Keep warm.
Use a humudifier to add moisture in a dry and cold room.This will allow the
patien to inhale air with moisture in it,making the throat moist.It may also help
liquefy the mucus,making it easier to expel.
Refrain from doing things that may cause irritation to the throat e.g. exposure to
the dust or if smoking, smoking at least until the attack eases off.The cough will
clear up soon after the irritant is expelled.
Ask the physician if shifting to another type of medication is needed.
If known to have seasonal allergies e.g. hay fever,stay indoors during days or
seasons when airborne allergens are high in the atmosphere.If possible, keep
the windows closed and avoid the use of fans that draw aire from the outside.
Hot steamy showers will help breakdown the mucus (phlegm) and make it
easier to cough up.
Avoid alcohol or caffeine containing drinks may cause fluid loss.Fluids are
essential in keeping the mucus thin.
Gargling with plain water for one minute three times per day eases symptoms.
Have plenty of bed rest
Paracetamol may be taken for fever and pain that accompany the
cough.However,some coug mixtures and cold remeides already contain
paracetamol so read the label to avoid getting an overdose.
Decongestants e.g.phenylephrine may be used to clear a stuffy nose that
accompanies the cough,especially if having a postnasal drip.However these
should not be used if the patient has high blood pressure or if the medicine is t
be given to a child under six years of age unless prescribed by the doctor.
Do not take antihistamines as these tend to dry up the secretions and leave
them in the lungs.
Avoid taking antibiotics immediately unless instructed by the doctor.By selfmedicating the patient becomes more suscpetible to the occurrence of microbial
resistance, or the resistance of the germ causing the cough to the
drug,especially if these medicines are not taken properly.

DISPENSING
TIPS

   Counsel the patient on the medication and how to use it properlt i.postnasal drip.The initial approach in the treatment of such cough is the treatment of any underlying disease condition.especially those contaning opiate derivatives.g. non-productive cough may be considered as serving no useful purpose for the patient.On dry cough.These include drugs e.esophageal reflux.heart failure with pulmonary congestion.  Cough suppressants containing opiate derivatives i.frequency of dosage. codeine which is also widely used. etc In case of excacerbation despite the treatment.Advise the patient to consult a physician at once Advise the patient on the possible adverse effects of come cough preparations. or products containing a decongestant which may cause insomnia.clobutinol.  Levodropropizine is being used as a cough surpressant in non-productive cough due to its peripheral action in the cough reflex and found to produce fewer CNS effects.  If the cause of the cough is unknown or specific treatment is unsuccesful in relieving cough. also a centrally-acting cough suppressant. then symptomatic treatment in the form of cough suppressants for dry cough and expectorants and mucolytics for productive cough may be useful.dose. which is useful only when there is only congestion. name of medication. has been reported to be mutagenic in vitro.chronic bronchitis.e.dependence and constipation  Other cough suppressants act centrally but are not derived from opioids.noscapine and dextrometorphan are the agenst commonly used as cough suppressants and are considered to have fewer side effects than opiate derivatives i.avoid products with an expectorant.Oxeladin.  Combination products produce synergistic effects.  Pholcodine.lung cancer.  Discuss PATIENT ADVICE throughly for more information on the prevention and management of cough.aside from antitussives. and many preparations have since been withdrawn.g.  Inform the patient about the possibility of side effects e.sarcoidosis or tracheitis. manner of use.  Although pholcodine and noscapine are opium alkaloid siwth antitussive action.examples of which may include asthma.  Pipathezate is also a centrally-acting cough suppressant which also has a peripheral actions.these do not have analgesic or narcotic activity. dependence and drowsiness caused by some cough preparations.Side effects may include mild to heavy sedtion.pentoxyverine and sodium dibunate. antihistamines that will reduce the urge to cough.e. . targeting mainly the cholinergic receptors and the cough centers. butamirate citrate.They may contain. Treatment Options Cough & Cold Preparations  Treatment of a dry. codeine act by directly suppressing the cough center in the brain.e.

guarenesin.e. By suppressing cough. acetylcysteine. i. In expectorantantitussive combinations. sticky bronchial secretions pose a majorproblem. Mucolytics. restlessness.guaiacol. Garlic. areagents used to reduce the thickness of mucus. loosen mucus by makingbronchial secretions thinner and easier to cough. antihistamines. Ascorbic Acid. eprazinone. and analgesics. i. thyme. Expectorants maybe found in combination withan antitussive agent.up.e.These drugs are often employed in cases wherethick. ZOBRIXOL Clobutinol Ammonium chloride Codeine ' Bromhexine MUCOLYPTUS Cyclidrol Dextrometorphan . -mesna and methyl N. Bioflavonoids. Supplements    Herbal Cough Preparations Aromatic Oils (eucalyptus. cystic fibrosis. sulfogaiacoland terpin hydrate. insomniaand dry mouth. Some components of combination products maycause tachycardia. anxiety. TRIMULEX Ambroxol AMELEX.bromhexine.e.5—diacetyI-L-cysteinate. ambroxol. Lemon Juice. sympathomimetics.    Expectorants. ipecacuanha.). etc. MEDIBRON. erdosteine. A combination of an antitussiveand an expectorant should be avoided as much as possible. cyclidrol. Calamansi Juice Products Cough and Cold Preparation Acetylcysteine EXFLEM Butamirate citrate SINECOD FORTE Carbocisteine SOLMUX.Honev.This action facilitates in coughing up mucous. ammonium salts. the antitussive agentmay limit the frequency of cough while theprotussive agent relieves the physical symptoms of chest discomfort. carbocisteine. i. one defies thepurpose of an expectorant In a productive cough. Cider Vinegar.

5-diacetyl-L-cysteinate Noscapine Combination Products* DECOLSIN.MUCOBRON FORTE NEO-BROMEXAN .MUCOBRIN MUCOBRON D.Eprazinone Erdosteine Guaiacol Oxeladin citrate Pentoxyverine Pholcodine Guaifenesin BENADRYL EXPECTORANT Pipatezate hydrochloride Ipecacuanha Sodium dibunate Lagundi ASCOF/ASCOF FORTE Sulfoguiacol Terpin hydrate Levodropropizine Mesna Methyl N.