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Antitussive tablets (Tablets) Instructions for Use

ATC Code

R05CA10 (Expectorants in combination)

Active Substances

Sodium bicarbonate (BP British Pharmacopoeia)

Thermopsidis lanceolatae herba (Grouping name)

Clinical-Pharmacological Group

Herbal preparation with expectorant effect

Pharmacotherapeutic Group

Drugs used for cough and colds; expectorants, excluding combinations with antitussives; expectorants

Pharmacological Action

Thermopsis herb has an expectorant effect, exerting a moderate irritant effect on the receptors of the gastric mucosa, reflexively increasing the secretion of the bronchial glands.

The alkaloids contained in thermopsis herb (cytisine, methylcytisine, pachycarpine, anagyrine, thermopsine, thermopsidine) have an excitatory effect on the respiratory center and, in high doses, on the vomiting center.

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

Pharmacokinetics

The components of the drug are well absorbed in the gastrointestinal tract. The maximum effect occurs 30-60 minutes after oral administration and lasts for 2-6 hours. They are excreted from the body by the kidneys, the mucous membrane of the respiratory tract, and the bronchial glands.

Indications

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

ICD codes

ICD-10 code Indication
J04 Acute laryngitis and tracheitis
J20 Acute bronchitis
J37 Chronic laryngitis and laryngotracheitis
J42 Unspecified chronic bronchitis
R05 Cough
ICD-11 code Indication
CA05 Acute laryngitis or tracheitis
CA0G Chronic laryngitis or laryngotracheitis
CA20.1Z Chronic bronchitis, unspecified
CA42.Z Acute bronchitis, unspecified
MD12 Cough

Dosage Regimen

The method of application and dosage regimen for a specific drug depend on its form of release and other factors. The optimal dosage regimen is determined by the doctor. It is necessary to strictly adhere to the compliance of the dosage form of a specific drug with the indications for use and dosage regimen.

Tablets

Orally, adults are prescribed 1 tablet 3 times a day. The course of treatment is 3-5 days. The highest single dose in terms of thermopsis is 0.1 g (14 tablets). The highest daily dose in terms of thermopsis is 0.3 g (42 tablets).

Children over 12 years old – 1 tablet 2-3 times a day. The course of treatment is 3-5 days. The necessity of prescribing a repeated course is determined by the doctor.

Adverse Reactions

Allergic reactions are possible; nausea.

Contraindications

Hypersensitivity to the components of the drug, gastric and duodenal ulcer in the acute phase, children’s age (under 12 years).

Use in Pregnancy and Lactation

Use during pregnancy and breastfeeding is contraindicated.

Pediatric Use

Contraindicated: children’s age (under 12 years).

Special Precautions

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

Antitussive tablets do not affect driving vehicles and operating machinery.

Overdose

Symptoms nausea, vomiting.

Treatment gastric lavage, symptomatic.

Drug Interactions

Adsorbents, astringents, and coating agents may reduce the absorption of alkaloids that are part of thermopsis herb in the gastrointestinal tract. Antitussive tablets should not be used simultaneously with drugs containing codeine and other antitussive drugs, as this makes it difficult to cough up sputum.

Storage Conditions

In a dry place, protected from light, at a temperature not exceeding 25°C (77°F). Keep out of reach of children.

Shelf Life

Shelf life. 4 years. Do not use after the expiration date printed on the package.

Dispensing Status

The drug is approved for use as an over-the-counter product.

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.

Medical Disclaimer

Brand (or Active Substance), Marketing Authorisation Holder, Dosage Form

Marketing Authorization Holder

Alvils, LLC (Russia)

Manufactured By

Pharmapol-Volga, LLC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets 6.7 mg+250 mg: 10 or 20 pcs.

Dosage Form, Packaging, and Composition

Tablets from greenish-gray to yellow-brown in color, round, flat-cylindrical in shape, with a bevel and a score; the presence of dark inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 0.0067 g
Sodium bicarbonate 0.25 g

Excipients : talc – 0.004 g, calcium stearate – 0.0023 g, potato starch – 0.027 g.

10 pcs. – non-cell contour packs (1) – cardboard packs.
10 pcs. – non-cell contour packs (2) – cardboard packs.

Marketing Authorization Holder

Vifitech, CJSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets 0.0067 g+0.25 g: 10 or 20 pcs.

Dosage Form, Packaging, and Composition

Tablets from greenish-gray to gray with a brownish tint, flat-cylindrical in shape, with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 0.0067 g
Sodium bicarbonate 0.25 g

Excipients : potato starch – 0.0279 g, talc – 0.0054 g.

10 pcs. – blister packs (1) – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
10 pcs. – non-cell contour packs (1) – cardboard packs.
10 pcs. – non-cell contour packs (2) – cardboard packs.

Marketing Authorization Holder

Dalkhimpharm, JSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets 6.7 mg+250 mg: 10 pcs.

Dosage Form, Packaging, and Composition

Tablets flat-cylindrical, greenish-gray in color, with a bevel; the presence of dark inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

Excipients : potato starch 27.9 mg, talc 5.4 mg.

10 pcs. – non-cell contour packs.
10 pcs. – blister packs.

Marketing Authorization Holder

Marbiopharm, JSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets 6.7 mg+250 mg: 10 or 20 pcs.

Dosage Form, Packaging, and Composition

Tablets greenish-gray in color, round, flat-cylindrical in shape, with a bevel; the presence of dark inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

Excipients : potato starch – 0.0279 g, talc – 0.0054 g.

10 pcs. – non-cell contour packs (1) – cardboard packs.
10 pcs. – non-cell contour packs (2) – cardboard packs.
10 pcs. – blister packs (1) – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
20 pcs. – polymer jars (1) – cardboard packs.

Marketing Authorization Holder

Mikfetin, LLC (Russia)

Manufactured By

YUGPHARM, LLC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 10, 20, or 30 pcs.

Dosage Form, Packaging, and Composition

Tablets from greenish-gray to gray with a brownish tint, round, flat-cylindrical, with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

* which corresponds to 0.08-0.12 mg of the sum of alkaloids in terms of thermopsine

Excipients : corn starch – 27.9 mg, talc – 5.4 mg.

10 pcs. – blister packs (1) – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
10 pcs. – blister packs (3) – cardboard packs.
20 pcs. – jars (1) – cardboard packs.
30 pcs. – jars (1) – cardboard packs.

Marketing Authorization Holder

Moscow Pharmaceutical Factory CJS (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 20 pcs.

Dosage Form, Packaging, and Composition

Tablets

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

10 pcs. – non-cell contour packs (2) – cardboard packs.

Marketing Authorization Holder

Tatkhimpharmpreparaty, JSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 10, 20, 30, 40, 50, 60, or 100 pcs.

Dosage Form, Packaging, and Composition

Tablets greenish-gray in color, round, flat-cylindrical, with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

Excipients : potato starch – 27.9 mg, talc – 5.4 mg.

10 pcs. – non-cell contour packs (1) – cardboard packs.
10 pcs. – non-cell contour packs (2) – cardboard packs.
10 pcs. – non-cell contour packs (3) – cardboard packs.
10 pcs. – non-cell contour packs (4) – cardboard packs.
10 pcs. – non-cell contour packs (5) – cardboard packs.
10 pcs. – non-cell contour packs (6) – cardboard packs.
10 pcs. – non-cell contour packs (10) – cardboard packs.
10 pcs. – blister packs (1) – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
10 pcs. – blister packs (3) – cardboard packs.
10 pcs. – blister packs (4) – cardboard packs.
10 pcs. – blister packs (5) – cardboard packs.
10 pcs. – blister packs (6) – cardboard packs.
10 pcs. – blister packs (10) – cardboard packs.

Marketing Authorization Holder

Usolye-Sibirskiy Chemical and Pharmaceutical Plant, JSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 10, 20, 30, 50, or 60 pcs.

Dosage Form, Packaging, and Composition

Tablets greenish-gray in color, round, flat-cylindrical in shape, with a bevel; the presence of dark inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

Excipients : potato starch, talc.

10 pcs. – blister packs – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
10 pcs. – blister packs (3) – cardboard packs.
10 pcs. – blister packs (5) – cardboard packs.
10 pcs. – blister packs (6) – cardboard packs.
10 pcs. – non-cell contour packs (200) – cardboard boxes (for hospitals).
10 pcs. – non-cell contour packs (400) – cardboard boxes (for hospitals).
10 pcs. – non-cell contour packs (500) – cardboard boxes (for hospitals).
10 pcs. – non-cell contour packs (600) – cardboard boxes (for hospitals).
10 pcs. – non-cell contour packs (800) – cardboard boxes (for hospitals).
10 pcs. – non-cell contour packs (1000) – cardboard boxes (for hospitals).

Marketing Authorization Holder

Formula-FR, LLC (Russia)

Manufactured By

YUGPHARM, LLC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 10, 20, 30, 50, or 60 pcs.

Dosage Form, Packaging, and Composition

Tablets from greenish-gray to gray with a brownish tint, round, flat-cylindrical, with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb (Thermopsidis lanceolatae herba) powder 6.7 mg,
   Which corresponds to the content of the sum of alkaloids in terms of thermopsine Not less than 0.10 mg
Sodium bicarbonate 250 mg

Excipients : corn starch, talc.

10 pcs. – blister packs (1) – cardboard packs.
10 pcs. – blister packs (2) – cardboard packs.
10 pcs. – blister packs (3) – cardboard packs.
10 pcs. – blister packs (5) – cardboard packs.
10 pcs. – blister packs (6) – cardboard packs.
20 pcs. – blister packs (1) – cardboard packs.
20 pcs. – blister packs (3) – cardboard packs.
30 pcs. – blister packs (1) – cardboard packs.
30 pcs. – blister packs (2) – cardboard packs.

Marketing Authorization Holder

YUGPHARM, LLC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Tablets: 10, 20, or 30 pcs.

Dosage Form, Packaging, and Composition

Tablets from greenish-gray to gray with a brown tint, round, flat-cylindrical in shape, with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb 0.0067 g
Sodium bicarbonate 0.25 g

Excipients: corn starch – 0.0279 g, talc – 0.0054 g.

10 pcs. – contour cell packs (1) – cardboard packs.
10 pcs. – contour cell packs (2) – cardboard packs.
10 pcs. – contour cell packs (3) – cardboard packs.

Marketing Authorization Holder

Obnovlenie Pfc, JSC (Russia)

Dosage Form

Bottle OTC Icon Antitussive tablets Renewal Tablets 6.7 mg+250 mg: 10, 20, or 30 pcs.

Dosage Form, Packaging, and Composition

Tablets are round, flat-cylindrical, from greenish-gray to brownish-gray in color with a bevel; the presence of darker and lighter inclusions is allowed.

1 tab.
Thermopsis lanceolata herb powder 6.7 mg
Sodium bicarbonate 250 mg

Excipients: potato starch, talc.

10 pcs. – contour cell pack (1) – cardboard packs.
10 pcs. – contour cell pack (2) – cardboard packs.
10 pcs. – contour cell pack (3) – cardboard packs.

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