What kind of cough is the syrup used for - dry or wet?
The syrup is used for pathologies of the bronchopulmonary system. Helps relieve inflammation, has a direct effect on the cough center, and has an expectorant and bronchodilator effect.
Sinecode is considered a universal remedy; it can be prescribed for dry, debilitating coughs and wet coughs with the presence of mucus of various etiologies. The effect of the drug varies. When coughing wetly, it helps to liquefy mucus and quickly remove it from the respiratory system, stopping attacks.
During coughing with difficulty removing mucus, it promotes dilation of the bronchi, enhances the expectorant effect by thinning the mucus. The attacks begin to be mild, without pain, and then disappear completely.
In connection with the listed properties, the medication can be prescribed for the following pathologies:
- dry wet cough of various etiologies;
- coughing attacks associated with the presence of whooping cough, pneumonia, bronchitis;
- preparatory, postoperative therapy aimed at suppressing cough before or after surgery.
Therapists have different opinions about prescribing Sinekod during a wet cough. Many experts warn: it is impossible to cure the pathology associated with a wet cough with drugs such as Sinekod syrup. It dulls the removal of sputum, prevents the cleansing of the bronchopulmonary system and, accordingly, does not relieve the main problem and cause of inflammation - the presence of mucus in the organs.
It is worth taking the medication primarily for dry, debilitating coughs that lead to pain and do not help remove mucus. A non-productive cough does not bring the desired alleviating effect and does not contribute to recovery; it irritates the mucous membrane of the upper respiratory tract, so it must be stopped.
What is the effect based on?
People often do not understand how a medication can simultaneously cope with two different tasks, for example, it can be used for dry and wet coughs, which have completely different symptoms and causes.
The effect of drugs such as Sinekod is to stop the activity of the cough center in the brain, which leads to the relief of bronchospasm and, consequently, the absence of a cough reflex.
In simple words, syrup, when consumed orally, has a direct effect on a certain area in the cerebral cortex, which is responsible for transmitting a signal to the bronchi about the need for a cough reflex. As a result, the signal does not reach the organs of the respiratory system and is stopped, the patient stops coughing.
In addition to the direct central effect against cough, Sinekod has a number of other properties:
- saturates the blood with oxygen;
- reduces airway resistance;
- relaxes the bronchi and expands their lumen.
Note! The medication is not able to fight the cause of the pathology; it only has an antitussive effect, eliminating the symptoms, and not the root of the problem.
Due to its monodirectional effect, which consists in suppressing the cough reflex, the drug is not recommended for use on its own without complex therapy. The syrup can only be used as an adjuvant in treatment with other medications aimed at relieving the cause of the inflammatory process. Using Sinekod, you can eliminate the symptom, but not get rid of the cause of damage to the respiratory system, which will lead to relapse of the disease.
Composition of the drug and release form
The product is of synthetic origin. As the abstract indicates, the main active ingredient is butamirate citrate at a concentration of 1.5 mg/ml.
The auxiliary role is played by: water, sweeteners (saccharin, sorbitol), glycerin, benzoic acid, vanillin, sodium hydroxide. Contains a small amount of 96% ethyl alcohol (up to 0.25 g/ml).
Available in the form of syrup. The medicine is packaged in glass bottles with volumes of 100 and 200 ml. It is closed with a lid equipped with protection against accidental opening by children. For ease of dosing, a measuring cap is provided.
Mechanism of action
Suppresses the activity of the cough center of the brain. Despite this property, it has nothing in common with opiates. Does not depress the respiratory center.
Has a mild expectorant and anti-inflammatory effect. Due to moderate expansion of the bronchi, it indirectly improves blood oxygen saturation.
How much does Sinekod cost?
The cost of Sinecode varies depending on the region where the medicine is sold and the personal promotion of entrepreneurs. According to patient reviews, the syrup can be purchased through online pharmacies at a relatively budget price - 150-200 rubles. In city pharmacies, its price may vary; as a rule, it does not go beyond 200-350 rubles.
The cost also depends on the volume of the bottle. It can be 100 ml, the price is about 200 rubles, 200 ml for 350 rubles on average.
Price for Sinekod, where to buy
The price of syrup in Russia fluctuates around 160-300 rubles. The cost in Ukraine is 50-80 UAH.
The price of tablets in Russia is approximately 200 rubles. You can buy them in Ukraine for 40-50 UAH.
The price for Sinekod in drops in Russia is 150-250 rubles. How much does it cost to purchase them in Ukraine? This purchase can be made by paying 30-60 UAH.
- Online pharmacies in RussiaRussia
- Online pharmacies in UkraineUkraine
- Online pharmacies in KazakhstanKazakhstan
ZdravCity
- Sinecode syrup 1.5 mg/ml 100 ml n1Novartis Consumer Health
- Sinecode syrup 1.5 mg/ml 200 ml n1Novartis Consumer Health
- Sinecod Sinecod for dry cough, oral drops, 20mlNovartis Consumer Health
Pharmacy Dialogue
- Sinekod (syrup 100ml)Novartis Consumer Heaich
- Sinecode bottle 20mlNovartis Consumer Heaich
- Sinekod (syrup 200ml)Novartis Consumer Heaich
Europharm* 4% discount using promo code medside11
- Sinecode drops 5 mg/ml 20 mlNovartis Consumer Health S.A., Shv
- Sinecode syrup 1.5 mg/ml 200 mlNOVARTIS CONSUMER HEALTH SA
- Sinecode syrup 1.5 mg/ml 100 mlNOVARTIS CONSUMER HEALTH SA
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Pharmacy24
- Sinecode 200 ml syrup Novartis Consumer Health S.A., Switzerland
- Sinecode 20 ml drops Novartis Consumer Health S.A., Switzerland
- Sinecode 1.5 mg/ml 100 ml syrup Novartis Consumer Health S.A., Switzerland
PaniPharmacy
- Sinecode liquid Sinecode syrup 200ml Switzerland, Novartis Consumer Health
- Sinecode liquid Sinecode syrup 100ml Switzerland, Novartis Consumer Health
- Sinecode liquid Sinecode drops 20ml Switzerland, Novartis Consumer Health
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What are the contraindications?
Before using any drug, you should first read the instructions. It helps to avoid negative consequences after taking the medication. Sinekod has a small list of contraindications. It should not be taken if:
- the woman is in the first trimester of pregnancy (however, special studies have not been conducted regarding the effect on the fetus throughout the entire period of gestation);
- there is individual intolerance to the components of the composition;
- the patient belongs to the pediatric group under 3 years of age;
- There is a history of pulmonary hemorrhage.
Regarding the use of syrup during pregnancy, the manufacturer recommends replacing it with a more gentle form of the drug in the form of drops. To make sure there is no allergic reaction to the medication, it is worth conducting a simple test. The product is applied in a small amount to the back of the hand. If after 30 minutes there is no negative reaction in the form of hives, itching, burning and redness, the syrup can be used.
Contraindications
Sinecode is not prescribed for allergic reactions to butamirate or other components of the drug (ethyl alcohol, vanillin, benzoic acid, sodium hydroxide, sodium saccharinate, sorbitol, glycerol).
Sinecod drops are not prescribed for children under 2 months of age, syrup for children under 3 years of age. Dragees can be taken from 6 years of age.
The effect of the drug on the fetus during pregnancy has not been studied, so it is not recommended to take it in the first trimester, and in the second and third trimester - with caution, only under strict indications.
The use of the medicine during breastfeeding is not recommended.
You cannot take Sinecode and any expectorant at the same time (on the same day) to avoid stagnation of mucus in the respiratory tract.
Instructions for use of Sinekod syrup and dosage
The syrup should be taken in a certain way, this is indicated in the instructions for use. When the doctor prescribes a two-time appointment, it is necessary to maintain a time interval of 12 hours. When taken three times a day – 8 hours.
For children
A dose of 5 ml and a three-time dose is prescribed for children from 3 to 6 years old. A similar three-times-a-day dose, but in a dosage of 10 ml, is prescribed for a child over 6 years of age who has not reached the age of twelve. From 12 years of age, 15 ml is prescribed, 3 times a day.
For adults
The dosage for adults, as a rule, does not differ from that prescribed for children over 12 years of age. It is 15 ml, 3 times a day.
To make it easier to dose the medicine, the manufacturer includes a measuring cup in the kit. It shows the dimensional division. After each use of the medicine, it must be rinsed thoroughly.
Sinekod for cough for children: instructions for use of syrup, drops, features, 5 best analogues
Irritating coughing attacks occur against the background of acute and chronic respiratory diseases.
The culprit may be a cold, bronchitis or pneumonia. The result is always the same - lack of sleep for the child and his parents. Sometimes coughing attacks continue for hours and even lead to vomiting. Antitussive medications will help get rid of the annoying reflex. One of them is Sinekod.
This drug has proven itself well in pediatric practice to combat dry cough.
What does it consist of?
Sinecode is presented on the pharmaceutical market in two dosage forms and three release forms:
- drops 5 mg/ml in a 20 ml bottle;
- syrup 15 mg/ml 100 ml;
- syrup 15 mg/ml 200 ml.
The active substance of the drug is butamirate citrate. The difference between drops and syrup lies in its dosage. The supporting components are similar in both forms:
- 70% sorbitol solution;
- purified water;
- sodium hydroxide 30%;
- glycerol;
- sodium saccharin;
- benzoic acid;
- vanillin.
Both drops and syrup are a clear solution without color or with a slight brownish-yellow tint, sweet in taste with a vanilla aroma.
How does it work
Sinekod belongs to the group of antitussive drugs used for symptomatic treatment of coughs of various origins. Butamirate citrate is one of the non-opiate centrally acting antitussives. The substance differs from alkaloids in its chemical and pharmacological properties and does not cause addiction or dependence.
Sinekod eliminates cough due to a nonspecific anticholinergic (depressant) effect on the central nervous system. Essentially, the compound suppresses the activity of the cough center in the brain, thus eliminating the reflex contraction of the muscles of the respiratory organs.
Due to its antispasmodic properties, Sinekod expands the lumen of the bronchi, normalizes their aeration and, as a result, blood oxygenation, improving the general well-being of the patient. The advantages of the drug over other drugs from the antitussive group are:
- wide therapeutic range;
- relative safety;
- absence of withdrawal syndrome, addiction;
- well tolerated by patients of all age groups;
- bronchodilator effect.
The active substance is quickly and completely absorbed into the gastrointestinal tract.
A direct relationship between absorption and the moment of use has not been established, however, the manufacturer recommends giving the drug to the child before meals to ensure the best pharmacological effect and its rapid development. The compound binds well to blood proteins and is hydrolyzed in a short period to 2-phenylaminobutyric acid and dimethylaminoethoxyethanol.
Both metabolites have antitussive properties. Maximum concentrations of substances are observed in the blood plasma one and a half hours after consuming the drug.
With further doses, their number remains stable, which means there is no cumulative effect. Metabolites are excreted primarily by the kidneys, about 2 days.
The rate of utilization does not depend on the condition of the liver and kidneys, therefore, in case of chronic pathologies of these organs, there is no need to adjust the dose.
When can you use Sinecode?
The drug is suitable for the treatment of dry cough, that is, in the presence of a reflex without mucus discharge. The nature of such urges may vary.
Most often, they are caused by an inflammatory change in the mucous membranes of the respiratory tract, as a result of which the central nervous system receives “false” signals about the need to cleanse them.
The drug is prescribed for barking cough, suffocating attacks, night attacks, and painful non-productive reflexes against the background of:
- pharyngitis;
- laryngitis;
- tracheitis;
- mixed forms of inflammation of the upper respiratory tract;
- bronchitis;
- pneumonia;
- whooping cough
Sinekod relieves bronchospasm, eliminates swelling of the mucous membranes, expands the airways, and restores the flow of air into them.
As a result, the number and intensity of cough attacks decreases, overall well-being improves, and the patient’s sleep normalizes. The drug is prescribed for symptomatic therapy. It does not address the cause of symptoms.
The doctor may prescribe the drug to the child for several days, until sputum begins to form and disappear.
Recommendations for use
Sinekod drops (with a lower dosage) are intended for the treatment of cough in babies older than 2 months. Independent use is allowed only if the child is over 2 years old. Before reaching this age, the medicine must be prescribed by a doctor. The syrup is recommended for children over 3 years of age and adults.
Dosing correctly
Before using the medication, you should carefully read the instructions. It clearly states dosages according to the age of the little patient.
Table - Single doses of the drug Sinekod for children
Age | Drops | Syrup |
2‒12 months | 12 drops 4 times a day | — |
1‒3 years | 15 drops 4 times a day | — |
3‒6 years | 25 drops 4 times a day | 5 ml 3 times a day |
6–12 years | — | 10 ml 3 times a day |
12–18 years old | — | 15 ml 3 times a day |
From the age of 3, it is more advisable to give your child Sinecod syrup instead of drops. For convenience, the small bottle is equipped with a dropper dispenser. The required amount of the product should be measured into a teaspoon, after which it should be given to the baby in its pure form and offered to be washed down with a small amount of water.
The syrup is produced in bottles of 100 ml and 200 ml. This way you can calculate the amount of medicine needed for a course of treatment and not overpay for extra solution.
The package with the product contains a plastic measuring cup designed for dosing the syrup. After each use, rinse it with clean water and dry it.
Taste qualities allow you to take the medicine in its pure form.
How much to give
According to the instructions, the course of treatment with Sinekod can last no more than 1 week. If after this period the child continues to cough, you should consult a doctor and conduct further examination. Most likely, the pediatrician will prescribe other medications.
It is important to monitor the dynamics of the disease during therapy. Usually visible improvement occurs within the first 2 days. If after 3 days of using the medication the intensity and number of attacks remains the same, you need to reconsider the treatment.
Features of application
An undeniable advantage of Sinekod cough remedies is the small number of contraindications. The drugs should not be used only in cases of sensitivity to the main or auxiliary components, as well as fructose intolerance (a rare hereditary disease that becomes known already in the first year of a child’s life).
Syrup and drops can be used for diabetes, since instead of glucose they contain a sweetener (sorbitol). When using, you need to take into account the content of a small amount of ethanol (2.81 mg/ml, less than 100 mg/dose).
A wet cough is also a limitation for therapy. If parents have doubts about the nature of the reflex, it is better to consult a doctor before using Sinecode. If you give it to your baby against the background of a cough with difficult sputum discharge, congestion in the respiratory tract may worsen and complications may develop.
There are currently no known interactions between Sinecode and medications. For safety reasons, it is not recommended to combine it with expectorant medications, as well as those that can depress the central nervous system.
Side effects
During clinical trials, it was found that side effects of drugs occur in isolated cases (more than 1 in 1000 people, but less than 1 in 10,000, that is, from 0.001 to 0.1%). Undesirable effects may include:
- drowsiness;
- nausea, diarrhea;
- anaphylactic shock;
- angioedema;
- skin rash;
- hives;
- itching
If one or more of these signs occur, you should discontinue the drug and consult a doctor. Even with a low intensity of side effects, it makes sense to visit a doctor, since symptoms may indicate sensitization of the child’s body to the components of the drug. Signs of allergies can increase over time.
Intoxication
When Sinekod drugs are used correctly, an overdose is unlikely. The risk of poisoning arises if the manufacturer's recommended doses are regularly exceeded. Butamirate intoxication can manifest itself:
- drowsiness;
- nausea;
- vomiting;
- dizziness;
- diarrhea;
- arterial hypotension (low blood pressure).
If you suspect an overdose, you should contact a medical facility or call an ambulance as soon as possible.
Analogues of Sinecode
There are other medications for dry cough on the pharmaceutical market. You can find analogues of Sinecode cheaper, but with the appropriate composition. These include syrup and drops of Codelac Neo. The product has the same pharmacological properties and taste, is similar in doses and release forms, but is produced in Russia.
Omnitus (Serbia) can be considered a substitute for Sinecode. The composition contains butamirate and anise oil, due to which the drug has an anti-inflammatory effect. It differs in dose and can be used from 3 years of age. Also available in tablets, which are approved for patients over 6 years of age.
A combined analogue is also Stoptussin drops, which contain guaifenesin as an excipient. Dosage is calculated by weight. The product is suitable for treating children weighing more than 7 kg.
If prescribed by a doctor, for a dry, suffocating cough, you can use Broncholitin syrup (Bulgaria), with glaucine, ephedrine and herbal components in the composition. However, the medication is only available by prescription. Children over 6 years old can also be prescribed Libexin tablets (¼‒½ tablets, up to 3 times a day).
FAQ
Question: The doctor said to give the child Sinekod until the mucus begins to recede. For a wet cough, how many days should I continue to treat with the drug?
Answer: As soon as there are signs of sputum discharge, treatment should be stopped immediately. It is best to stop using the cough suppressant as soon as the cough improves and the attacks disappear.
Question: A 9-year-old child and Sinekod does not help with a dry cough. My son is having seizures and has a fever, what should I do?
Answer: You need to see a doctor and find another remedy. Inhalations, the use of bronchodilators, antibiotics, and anti-inflammatory drugs may be required. It is necessary to conduct an examination, understand the nature of the cough, and only then begin drug treatment.
Question: Can I give my baby Sinekod for an allergic cough?
Answer: It all depends on the age and nature of the allergy. This cannot be done without consulting a doctor. It is more appropriate to use antihistamines. If you ignore sensitization and fight only against its symptoms, you can “treat” yourself to asthma. By the way, for asthmatic cough, doctors do not recommend Sinecod, since there are drugs with a more pronounced and faster effect.
Question: We were prescribed Sinekod drops for a week, but the cough stopped the very next day. Does it make sense to take it longer?
Answer: The remedy is symptomatic, so there is no need to continue therapy for exactly 7 days. You can continue treatment for another day and discontinue the drug, provided that the patient has recovered.
Question: We started treatment with Lazolvan, the cough became dry and hysterical. Then we bought Sinekod, but after reading the instructions, I began to doubt whether it was worth giving it to me. How to use medications correctly?
Answer: You can start treatment with Sinekod. If you take the drug before bed, you will be able to avoid night attacks. However, in doubtful cases, you should always seek qualified help. Most likely (if there is no bronchitis), the doctor will advise you to take Sinekod for several days, and then switch to Lazolvan. If there are complications, antibiotics will be required.
conclusions
- Sinekod is drops and syrup for children and adults for the treatment of dry cough.
- The drug should not be taken if the patient is producing sputum.
- For self-medication, drops can be used from 2 years of age, and syrup from 3 years of age.
- If parents have any doubts whether the child’s cough is wet or dry, it is better to consult a pediatrician.
- You can be treated with Sinekod for no longer than 7 days.
Source: https://cc-t1.ru/preparaty/sinekod-dlya-detej.html
Side effects
The syrup should be taken only as prescribed by a doctor; it has a number of side effects that can occur not only with an overdose, but also simply while taking the medication. The manufacturer lists the most common side effects as:
- drowsiness (drivers should be careful at this point, as concentration may decrease significantly);
- vomiting, nausea;
- diarrhea;
- loss of balance, dizziness;
- lowering blood pressure;
- allergic reaction in the form of skin itching.
Self-administration of Sinecode is contraindicated. An increased dosage will not lead to the best result; on the contrary, it may cause a negative reaction from the body.
Analogs
Sometimes the drug Sinekod is contraindicated for the patient, then it is recommended to carry out therapy with its analogues. Among antitussive drugs there are inexpensive analogues of Sinekod syrup. These include:
- Omnitus. Has the same active ingredient. It has an identical structure and helps muffle coughing attacks.
- Codelac Neo. Domestic product. It also has 3 release forms: syrup, drops, tablets. It is used for dry cough to relieve it.
- Stoptussin. A Czech-made drug, which differs several times in cost from Sinekod. Its price ranges from 100 to 150 rubles. It has 3 release forms in the form of tablets, syrup and drops. Adults are most often prescribed drops or tablets. Has a pronounced anti-inflammatory effect. Numerous patient reviews indicate that the remedy for dry cough is less effective than its analogue.
- Erespal. This is a popular analogue that helps eliminate dry cough and relieve inflammation. Often used in the treatment of colds accompanied by cough.
The selection of an analogue should always be carried out by a specialist, as well as the treatment of the patient. Professional help is the key to effective, fast and efficient therapy.
Compound
Sinekod syrup:
- in 1 ml - 1.5 mg of butamirate citrate .
Excipients:
- sodium saccharinate;
- glycerol;
- vanillin;
- benzoic acid;
- water.
Composition of drops:
- in 1 ml - 5 mg of butamirate citrate.
Excipients:
- sodium saccharinate;
- glycerol;
- vanillin;
- benzoic acid;
- water.
Dragees (many people mistakenly believe that these are tablets):
- the main substance is butamirate dihydrogen citrate (50 mg in one tablet);
- lactose;
- Excipients.