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Mixtura sicca contra tussim pro adultis (Powder) Instructions for Use

ATC Code

R05CA10 (Expectorants in combination)

Clinical-Pharmacological Group

Expectorant

Pharmacotherapeutic Group

Herbal expectorant

Pharmacological Action

A combined preparation that has an expectorant and anti-inflammatory effect.

Dry extract of thermopsis enhances the secretion of bronchial glands. Dry extract of licorice has an anti-inflammatory, expectorant, and spasmolytic effect. Sodium bicarbonate shifts the pH of bronchial mucus to the alkaline side and reduces sputum viscosity. Licorice root has an anti-inflammatory and spasmolytic effect. Sodium benzoate and Ammonium chloride have an expectorant effect.

Indications

Use as an expectorant for the symptomatic treatment of cough associated with specific respiratory tract conditions.

  • Respiratory tract diseases accompanied by a cough with difficult-to-expectorate sputum.
  • Conditions include tracheitis, bronchitis, and bronchopneumonia.

ICD codes

ICD-10 code Indication
J04 Acute laryngitis and tracheitis
J15 Bacterial pneumonia, not elsewhere classified
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
CA40.0Z Bacterial pneumonia, 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.

Administer orally. For adult patients, dissolve the entire contents of one single-dose sachet in 15 ml (one tablespoon) of cooled, boiled water.

Take the prepared solution 3 to 4 times per day, following meals. The recommended treatment course is 2 to 3 weeks in duration. Do not exceed the stated dosage.

Adverse Reactions

Gastrointestinal disturbances such as nausea, vomiting, and diarrhea may occur. The preparation can exert a direct irritating effect on the gastric mucosa.

Hypersensitivity reactions, including various allergic reactions, are possible. Monitor for skin rashes, itching, or other signs of intolerance. Discontinue use if adverse reactions manifest.

Contraindications

Do not use in patients with known hypersensitivity or a history of allergic reactions to any of the formulation’s components.

  • Pregnancy and the breastfeeding period.
  • Pre-existing renal conditions, specifically acute glomerulonephritis and acute pyelonephritis.
  • Hereditary metabolic disorders: sucrase/isomaltase deficiency, fructose intolerance, and glucose-galactose malabsorption.
  • Use in the pediatric population under 18 years of age.

Use in Pregnancy and Lactation

The use of the drug is contraindicated during pregnancy and breastfeeding.

Use in Renal Impairment

Contraindicated in acute glomerulonephritis and acute pyelonephritis.

Pediatric Use

Contraindicated in children and adolescents under 18 years of age.

Special Precautions

Information for patients with diabetes mellitus: the carbohydrate content in a single dose of the drug corresponds to 0.06 XE (Bread Units).

Effect on the ability to drive vehicles and mechanisms

The drug does not affect the ability to drive vehicles and engage in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

Overdose

No specific cases of overdose have been reported. Symptoms of overdose are anticipated to be an exaggeration of the known adverse reactions, particularly severe gastrointestinal irritation manifesting as nausea, vomiting, and diarrhea.

In the event of suspected overdose, discontinue the medication immediately and initiate symptomatic and supportive care. There is no known specific antidote.

Drug Interactions

Avoid concomitant use with antitussive drugs (e.g., codeine, dextromethorphan). This combination is not recommended as it may lead to undesirable retention of bronchial secretions due to the suppression of the cough reflex.

Concurrent administration with other drugs that reduce sputum formation is also contraindicated. Exercise caution and monitor for decreased therapeutic efficacy when used with other agents affecting mucus viscosity or production.

Storage Conditions

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

Shelf Life

The shelf life is 2 years.

Dispensing Status

Over-the-counter.

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

Vifitech, CJSC (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: sachet 1.7 g

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution in the form of a heterogeneous powder mixture from grayish-brown to brownish-gray with a pinkish tint, with lighter and darker inclusions, with the smell of anise oil; caking is allowed during storage; the aqueous solution of the drug (1:10) should have a brown color.

1 sachet
Dry extract of thermopsis 0.045 g,
   Which corresponds to the content of the sum of alkaloids in terms of thermopsin and absolutely dry substance 1%
Dry extract of licorice 0.15 g,
   Which corresponds to the content of glycyrrhizic acid in terms of monoammonium salt of glycyrrhizic acid hydrate and absolutely dry substance 17%
Sodium bicarbonate 0.3 g
Sodium benzoate 0.3 g
Ammonium chloride 0.15 g
Anise oil 0.0037 g

Excipients: sucrose (sugar) – 0.75 g.

1.7 g – heat-sealable sachets.
1.7 g – heat-sealable sachets.

Marketing Authorization Holder

Ivanovo Pharmaceutical Factory PJSC (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: 1.7 g sachet 3, 6, 10, 20, or 40 pcs.

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution heterogeneous light yellowish-brown or brownish-gray in color with white and darker inclusions, with the smell of anise oil, hygroscopic; the aqueous solution of the drug (1:10) has a yellow-brown or brown color.

1 sachet
Dry extract of Thermopsis lanceolata herb 0.045 g
Dry extract of licorice roots 0.150 g
Sodium benzoate 0.300 g
Sodium bicarbonate 0.300 g
Ammonium chloride 0.150 g

Excipients: anise oil, sucrose.

1.7 g – sachets (3) – cardboard packs.
1.7 g – sachets (6) – cardboard packs.
1.7 g – sachets (10) – cardboard packs.
1.7 g – sachets (20) – cardboard packs.
1.7 g – sachets (40) – cardboard packs.

Marketing Authorization Holder

Lumi, LLC (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: sachet 1.7 g 100, 200, or 600 pcs.

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution in the form of a heterogeneous powder mixture of brownish-gray color with white inclusions, with the smell of anise oil; caking is possible; the aqueous solution of the drug (1:10) has a brown color.

1 sachet
Dry extract of thermopsis 0.045 g
Dry extract of licorice 0.15 g
Sodium bicarbonate 0.3 g
Sodium benzoate 0.3 g
Ammonium chloride 0.15 g
Anise essential oil 0.0037 g

Excipients: sucrose – 0.75 g.

1.7 g – heat-sealable sachets (100) – cardboard boxes.
1.7 g – heat-sealable sachets (200) – cardboard boxes.
1.7 g – heat-sealable sachets (600) – cardboard boxes

Marketing Authorization Holder

Meligen FP, CJS (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: 1.7 g sachet 5, 10, 12, 15, 20, 25, 30, 40, 50, 100, or 200 pcs.

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution in the form of a heterogeneous powder mixture brownish-gray with white inclusions, with the smell of anise oil; caking is allowed during storage; the aqueous solution of the drug (1:10) has a brown color.

1 sachet
Dry extract of thermopsis herb 0.045 g
Dry extract of Glycyrrhiza glabra roots 0.15 g
Sodium bicarbonate 0.3 g
Sodium benzoate 0.3 g
Ammonium chloride 0.15 g

Excipients: sucrose (sugar) – 0.75 g, anise oil – 0.0037 g.

1.7 g – heat-sealable sachets (5) – cardboard packs.
1.7 g – heat-sealable sachets (10) – cardboard packs.
1.7 g – heat-sealable sachets (12) – cardboard packs.
1.7 g – heat-sealable sachets (15) – cardboard packs.
1.7 g – heat-sealable sachets (20) – cardboard packs.
1.7 g – heat-sealable sachets (25) – cardboard packs.
1.7 g – heat-sealable sachets (30) – cardboard packs.
1.7 g – heat-sealable sachets (40) – cardboard packs.
1.7 g – heat-sealable sachets (50) – cardboard packs.
1.7 g – heat-sealable sachets (100) – cardboard packs.
1.7 g – heat-sealable sachets (200) – cardboard packs.

Marketing Authorization Holder

Moscow Pharmaceutical Factory CJS (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: sachet 1.7 g 5 or 10 pcs.

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution in the form of a heterogeneous powder mixture of brownish-gray color with lighter inclusions, with the smell of anise oil; the aqueous solution of the drug (1:10) has a brown color.

1 sachet
Dry extract of thermopsis 0.045 g
Dry extract of licorice 0.15 g
Sodium bicarbonate 0.3 g
Sodium benzoate 0.3 g
Ammonium chloride 0.15 g
Anise essential oil 0.0037 g

Excipients: sucrose (refined sugar) – up to 0.75 g.

1.7 g – heat-sealable sachets made of combined material (5) – cardboard packs.
1.7 g – heat-sealable sachets made of combined material (10) – cardboard packs.

Marketing Authorization Holder

Tula Pharmaceutical Factory, LLC (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: sachet 1.7 g

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution brownish-gray in color with lighter inclusions, with the smell of anise oil; aqueous solution (1:10) – brown in color.

1 sachet
Dry extract of thermopsis 0.045 g
Dry extract of Glycyrrhiza glabra roots 0.15 g
Sodium benzoate 0.3 g
Sodium bicarbonate 0.3 g
Ammonium chloride 0.15 g

Excipients: anise oil 0.0037 g, sucrose up to 1.70 g.

1.7 g – Sachets made of combined material.

Marketing Authorization Holder

Tula Pharmaceutical Factory, LLC (Russia)

Dosage Form

Bottle OTC Icon Mixtura sicca contra tussim pro adultis Powder for oral solution: sachet, bottles 200 ml

Dosage Form, Packaging, and Composition

Powder for the preparation of an oral solution 1 sachet
Dry extract of thermopsis herb
   Which corresponds to the content of the sum of alkaloids in terms of thermopsin and absolutely dry substance 1%
Dry extract of Glycyrrhiza glabra roots
   Which corresponds to the content of glycyrrhizic acid in terms of monoammonium salt of glycyrrhizic acid hydrate and absolutely dry substance 17%
Sodium bicarbonate
Sodium benzoate
Ammonium chloride
Anise oil

Laminated paper sachets.
200 ml – children’s milk bottles.

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