Mastodon

Mucaltishka (Syrup) Instructions for Use

Marketing Authorization Holder

Pharmstandard-Lexredstva OJSC (Russia)

ATC Code

R05CA05 (Althaea officinalis roots)

Active Substance

Althaeae radix (DAB German Pharmacopoeia)

Dosage Form

Bottle OTC Icon Mucaltishka Syrup 2 g/100 g: bottle 100 ml or 200 ml

Dosage Form, Packaging, and Composition

Syrup as a syrupy liquid from light yellow to yellowish-brown in color, with a characteristic odor; opalescence is allowed.

100 g
Marshmallow root dry extract 2 g
(raw material to obtained extract ratio 1:3, with a content of the sum of reducing monosaccharides calculated as glucose not less than 1%)

Excipients: sucrose – 60 g, sodium benzoate – 0.38 g, Cherry flavor* – 0.1 g, purified water – up to 100 g.

* The flavor composition: flavoring substances, propylene glycol – 80.4%, water – 15%.

100 ml – dark glass bottles (1) with or without a measuring spoon – cardboard packs.
200 ml – dark glass bottles (1) with or without a measuring spoon – cardboard packs.

Clinical-Pharmacological Group

Herbal preparation with expectorant effect

Pharmacotherapeutic Group

Herbal expectorant

Pharmacological Action

Herbal remedy. Marshmallow root contains plant mucilage (up to 35%), asparagine, betaine, pectin substances, starch.

It has enveloping, softening, expectorant, and anti-inflammatory effects. Plant mucilages cover the mucous membranes with a thin layer that remains on the surface for a long time and protects them from irritation.

As a result, the inflammatory process is reduced and spontaneous tissue regeneration is facilitated.

When acting on the gastric mucosa, the protective effect of the plant mucilage film is more prolonged and effective the higher the acidity of the gastric juice (the viscosity of the plant mucilage increases upon contact with hydrochloric acid).

Indications

Diseases of the respiratory tract (including laryngitis, tracheitis, bronchitis, bronchial asthma), gastritis, gastric and duodenal ulcer.

ICD codes

ICD-10 code Indication
J04 Acute laryngitis and tracheitis
J20 Acute bronchitis
J37 Chronic laryngitis and laryngotracheitis
J42 Unspecified chronic bronchitis
J45 Asthma
K25 Gastric ulcer
K26 Duodenal ulcer
K29 Gastritis and duodenitis
ICD-11 code Indication
CA05 Acute laryngitis or tracheitis
CA0G Chronic laryngitis or laryngotracheitis
CA20.1Z Chronic bronchitis, unspecified
CA23 Asthma
CA42.Z Acute bronchitis, unspecified
DA42.Z Gastritis, unspecified
DA51.Z Duodenitis, unspecified
DA60.Z Gastric ulcer, unspecified
DA63.Z Duodenal ulcer, unspecified
DA7Z Diseases of stomach or duodenum, unspecified

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 after meals.

For respiratory tract diseases, use as an expectorant.

For gastritis, gastric ulcer, or duodenal ulcer, use for its enveloping and anti-inflammatory effects.

Shake the bottle well before each use.

Use the provided measuring spoon for accurate dosing.

Adults and children over 12 years: take 15 ml (one tablespoon) of syrup.

Take the dose 3-4 times per day.

The duration of therapy is determined by the physician based on clinical response.

Do not use in children under 12 years of age.

If symptoms persist after one week of use, consult a physician.

Adverse Reactions

Possible allergic reactions.

Contraindications

Hypersensitivity to marshmallow.

Use in Pregnancy and Lactation

Use during pregnancy and breastfeeding is possible in cases where the expected benefit of therapy for the mother outweighs the potential risk to the fetus or breastfed infant.

Pediatric Use

Should not be used in children under 12 years of age.

Special Precautions

The formation of a plant mucilage film on the surface of the upper respiratory tract mucosa not only provides a pronounced therapeutic effect but also promotes a longer local action of other medicinal products.

As an expectorant, marshmallow preparations can be used in combination with sodium bicarbonate.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

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

TABLE OF CONTENTS