Antitussives

Products

Antitussives are commercially available in the form of tablets, capsules, as cough syrups, and drops, among others.

Structure and properties

Antitussives do not have a uniform chemical structure. However, many are derived from natural opium alkaloids (opioids).

Effects

Antitussives have cough-irritating (antitussive) properties. They reduce the frequency and intensity of coughing attacks. Their effects are usually nonspecific, that is, they depress the cough regardless of its cause.

Indications

For the treatment of nonproductive irritable cough (without mucus production).

Dosage

According to the professional information. Use depends on the drug. Antitussives are usually administered perorally.

Abuse

The opioid antitussives can be abused as intoxicants. See also misuse of cough syrup. Because of the adverse effects and potential for dependence, this is strongly discouraged.

Active ingredients

Opioid antitussives:

  • Codeine
  • Dihydrocodeine
  • Ethylmorphine
  • Hydrocodone
  • Opium
  • Pholcodine

NMDA antagonists:

  • Dextromethorphan

Benzylisoquinolines:

  • Noscapine

Non-opioid antitussives:

  • Butamirate
  • Butetamat
  • Levodropropizine
  • Morclofon
  • Benproperin
  • Pentoxyverine

1st generation antihistamines:

  • Diphenhydramine
  • Oxomemazine
  • Pheniramine
  • Phenyltoloxamine

Herbal antitussives:

  • Marshmallow
  • Honey
  • Mallow
  • Ribwort
  • Icelandic moss
  • Sundew