Symptom Based Treatment - COUGH

Question 1

Act on the “cough center” of brainstem

Answer 1

Narcotic Cough Suppressants

*Codeine 7.5 - 20 mg PO q4-q6

Question 2

CENTRALLY acting cough suppressant

Reduces sensitivity of cough receptors and interrupts cough impulse transmission

Answer 2

Dextrometorphan

Question 3

Local anesthetic effect on stretch receptors in respiratory passage and lungs

Answer 3

Benzonatate

Question 4

PERIPHERAL acting cough suppresant

Answer 4

Levodropropizine

Question 5

CENTRAL acting NON OPIOD antitussive

Non specific anticholinergic and bronchospasmolytic effects

Answer 5

Butamirate Citrate

50 mg BID to TID

Question 6

Reduce the viscocity of sputum

Answer 6

Mucolytics

Carbocisteine 500 mg TID
Ambroxol 76 mg OD
Acetylcysteine 200 mg sachet with water BID-TID