Syrup Pertussin: instructions for use for children. Pertussin - official instructions for use (in the form of a syrup), reviews on the drug and drugs similar in action to Pertussin side effects

Despite the fact that pharmacy chains offer a huge selection of all kinds of cough remedies for children, many parents and doctors still prefer Pertussin syrup, which has been known since the middle of the last century. The drug improves sputum separation and reduces the excitability of the cough center in the cortex hemispheres, in no way inferior in effectiveness to new medicines. In addition, the affordable price speaks in its favor.

Composition and action of the drug

Pertussin is a combined drug that contains both natural and synthetic components. It is produced in the form of a dark liquid liquid syrup. Brown color, which has a sweet taste and a pronounced vegetable aroma.

The therapeutic effect is achieved through the action active substances- extract of thyme (thyme) and potassium bromide. The auxiliary components are:

  • ethyl alcohol (80%);
  • sugar syrup;
  • distilled water.

Pertussin is a combined herbal-synthetic agent with an expectorant effect.

In sweet syrup, thyme extract helps to thin mucus in upper divisions respiratory tract and stimulates the activity of the cilia of the bronchial epithelium, which causes active discharge of mucus and cleansing of the bronchi. The plant component also has a slight analgesic effect.

Alternative medicine has long appreciated beneficial features thyme, also known as thyme, pimento. It is added to herbal infusions and decoctions as an expectorant and bronchodilator. In addition, thyme herb contains essential oils, thymol, flavonoids, various organic acids.

Potassium bromide has a sedative effect. By acting on the cough center in the brain, the substance inhibits its activity. Thanks to this, a debilitating convulsive cough is suppressed, which often prevents babies from falling asleep.

Indications for use

Children's doctors prescribe Pertussin syrup for the complex treatment of inflammatory processes in the respiratory system, accompanied by a cough with sputum that is difficult to secrete. The main indications are:

  • tracheitis;
  • acute or chronic bronchitis;
  • tracheobronchitis;
  • laryngitis;
  • pharyngitis;
  • pneumonia;
  • pulmonary tuberculosis;
  • bronchial asthma;
  • cystic fibrosis;
  • whooping cough;
  • acute respiratory diseases of various nature.

The drug is recommended for productive, or wet, cough, which is accompanied by the formation of mucous secretions and sputum. Pertussin first liquefies it, and then safely removes it from the body. With a dry, or unproductive, cough, the medication is prescribed less frequently.

double action medicinal product is the best suited for the treatment of whooping cough in children, which is accompanied by bouts of spastic cough. Potassium bromide reduces the excessive activity of the cough center, preventing trauma to the mucous membranes and vomiting.

Do not forget that a child's cough is just one of the symptoms, but the disease needs to be treated. That is why a consultation with a doctor is required, since it is the pediatrician who can determine the cause, nature of the cough and prescribe antibacterial or antiviral therapy.

Dr. Komarovsky about cough in children - video

Instructions for use syrup

Pertussin has no age restrictions, but it is rarely prescribed to patients under 3 years of age due to the presence of alcohol in the composition. In the treatment of infants, the remedy is used in exceptional cases and only for serious medical reasons.

According to the instructions, the syrup is given to the child 3 times a day. It is better to do this after a meal, as taking the medicine before meals reduces the children's appetite. Doctors often recommend breeding single dose funds in a tablespoon of boiled water.

Pertussin should not be taken with medicines, which suppress cough, as this can interfere with the excretion of sputum, which is fraught with inflammation in the lungs. In certain situations, the doctor may prescribe the simultaneous use of these two groups of drugs, but alternately. For example, Pertussin is used in the morning, and an antitussive drug is used at bedtime.

Contraindications and possible side effects

The syrup is considered enough safe means, however, it also has certain limitations. Pertussin is contraindicated in children diagnosed with the following disorders:

  • intolerance to the main and auxiliary components;
  • heart failure in the stage of decompensation;
  • anemia;
  • fructose intolerance;
  • impaired absorption of glucose and galactose;
  • severe renal and hepatic insufficiency;
  • congenital sucrase/isomaltase deficiency.

At hypersensitivity child to the components of the drug or if the duration of the therapeutic course is significantly exceeded, the risk of such negative effects, how:

  • allergic manifestations (rash, urticaria, itching on the skin, Quincke's edema);
  • dyspeptic disorders (vomiting, diarrhea, heartburn).

In addition, the sweetish taste of the syrup can lead to the fact that a curious baby will take the medicine without permission, significantly exceeding the allowable dose. A sign of an overdose is nausea, which is treated symptomatically (for example, with an enterosorbent).

When side effects and symptoms of an overdose, it is imperative to stop taking the medication, give the baby an antihistamine or a means to reduce acidity gastric juice and seek medical attention.

Analogues of Pertussin for children

The combination of active and auxiliary components in this medicine is unique, therefore there are no drugs identical to Pertussin on the pharmaceutical market. The pediatrician can prescribe to the child medications similar in effect, which are aimed at thinning and removing sputum.

Substitutes for Pertussin - table

Name Dosage forms Active substances Indications Contraindications From what age is allowed Price
Prospan
  • syrup;
  • drops for oral administration.
ivy leaf dry extractchronic and acute inflammation respiratory tract, accompanied by a wet cough with poorly expelled sputum
  • lack of sucrase / isomaltase;
  • fructose intolerance;
  • glucose-galactose malabsorption;
  • hypersensitivity to the components of the drug.
  • syrup - from birth;
  • drops for oral administration - from 1 year;
  • drops with an inhalation method of application - from 2 years.
from 277 rubles
Codelac Broncho with thymeelixir
  • ambroxol hydrochloride;
  • sodium glycyrrhizinate;
  • thyme liquid extract.
  • acute and chronic bronchitis;
  • pneumonia;
  • chronic obstructive pulmonary disease;
  • bronchiectasis.
from 2 years oldfrom 118 rubles
Bromhexine
  • tablets;
  • syrup;
  • solution.
bromhexine hydrochloride
  • tracheitis;
  • acute and chronic bronchitis;
  • bronchial asthma;
  • pneumonia;
  • pulmonary tuberculosis.
hypersensitivity to drug components
  • syrup and solution - from birth;
  • tablets - from 2 years.
from 20 rubles
Ambroxol
  • syrup;
  • tablets.
ambroxol hydrochloride
  • chronic bronchitis with broncho-obstructive syndrome;
  • bronchial asthma;
  • bronchiectasis;
  • respiratory distress syndrome in newborns.
  • ulcerative diseases of the gastrointestinal tract;
  • convulsive syndrome;
  • syrup - from birth;
  • tablets - from 6 years.
from 22 rubles
Fluimucilgranules for solutionacetylcysteine
  • acute and chronic bronchitis;
  • tracheitis;
  • bronchiolitis;
  • pneumonia;
  • bronchiectasis;
  • cystic fibrosis;
  • bronchial asthma.
  • ulcerative diseases of the gastrointestinal tract;
  • intolerance to the components of the drug.
from birth (under the supervision of a doctor)from 140 rubles
Travisil
  • syrup;
  • ointment;
  • tablets.
Dry plant extracts:
  • justice adatoda;
  • long pepper;
  • black pepper;
  • ginger;
  • licorice;
  • emblica;
  • turmeric;
  • acacia catechu;
  • fennel;
  • basil;
  • terminalia chebula;
  • terminalia belerica;
  • alpinia;
  • abrus.
respiratory diseases, accompanied by cough with sputum difficult to separateintolerance to the components of the drug
  • syrup - from 1 year;
  • ointment - from 2 years;
  • tablets - from 6 years.
from 142 rubles

Available in pharmacies big choice medicines. Parents try to choose safe medicines for their children, which include medicinal herbs. One of these is Pertussin cough syrup. This effective remedy allowed for adults and children over three years of age.

The herbal preparation belongs to the group. Shows a pronounced expectorant property.
Pertussin cough syrup consists of two main components: thyme and potassium bromide. Some sources indicate the presence of creeping thyme. These two concepts mean one plant substance. In addition, the composition contains sucrose and ethyl alcohol.

The cough medicine Pertussin is available as a syrup. The medicine has a thick consistency with the smell and taste of herbs. The drug is sold in dark glass bottles, the volume of which is 50 and 100 milliliters.

Many patients are interested in the question of what kind of cough is Pertussin prescribed for? This mixture is prescribed for dry and wet cough, as it belongs to the group of combined agents.

If the cough has, then the active substance will have a complex effect, stop the cough attack and contribute to the formation of mucus.

Does Pertussin help with a cough? With viscous mucus, active ingredient will have an expectorant and anti-inflammatory effect. It not only thins the mucus, but also helps to clear the respiratory tract from phlegm.

First positive result noticeable after two or three days. The instructions for use indicate that the use of Pertussin with an unproductive cough will not be as effective. Therefore, it is better to take stronger drugs.
The price of Pertussin medicine is low - from 20 to 50 rubles. Therefore, it is available to any buyer.

pharmachologic effect

This medicine belongs to the group of phytopreparations. The composition includes only natural ingredients that do not harm the body, but have a good therapeutic effect. Pertussin cough has. This property is manifested due to the presence of thyme extract. After ingestion, there is an increase in the amount of outgoing sputum, its liquefaction and rapid excretion.

The second component in the form of potassium bromide has a calming effect. It has a positive effect on nervous system and receptors.
What kind of cough should I take Pertussin for? The drug is prescribed for a dry type of cough, when the secret is just beginning to be produced, as well as for productive coughing.

It was also noted that the drug exhibits a pronounced bronchospasmolytic and antimicrobial effect. Therefore, the syrup not only suppresses the cough reflex, but also stops further development inflammatory process.

How to drink Pertussin for coughing, you can only tell the doctor after making an accurate diagnosis. The dosage and number of doses depends on the age of the patient, the type and course of the disease.

Indications for use

The medicine is prescribed at the moment when the dry type of expectoration begins to turn into a wet one.
Pertussin is prescribed for cough for children with:

  • laryngitis;
  • tracheitis;
  • bronchitis;
  • tuberculosis;
  • pneumonia;
  • acute respiratory diseases.

With the help of syrup, you can treat and light form whooping cough or infectious cystic fibrosis. These diseases are accompanied by paroxysmal and Approximately two or three cough softening is observed.

Dosage and administration

How to take the medicine, only the doctor should tell. Dosage and frequency of administration depends on the age of the patient and the course of the disease.
The use of the drug is based on the following scheme:

  1. Babies from three to six years old are prescribed one teaspoon of medicine two to three times a day.
  2. Children from 6 to 12 years old are prescribed 5-10 milliliters of medicine. The multiplicity of reception is three times.
  3. For adolescents and adults, the dosage is increased to 10-15 milliliters. You need to take the medicine three times a day.

In some cases, pediatricians prescribe Pertussin for treatment. The dosage for them will be reduced to 2.5 milliliters up to twice a day.

Duration medical therapy is 10 to 14 days. The course can be extended according to indications. But you need a doctor's permission.

Contraindications

Despite the fact that Pertussin is a herbal medicine, it has a number of limitations in the form of:
children under three ribbons;

  • increased susceptibility to the components of the drug;
  • liver diseases;
  • alcoholism;
  • a history of traumatic brain injury;
  • epilepsy;
  • the period of gestation and lactation;
  • chronic heart failure.

With extreme caution, the medicine should be taken for diabetes mellitus (in this case, you need to pick it up) and kidney problems. Refuse syrup should be drivers and people whose work requires increased attention and reaction.

Possible side effects

Pertussin is well tolerated in most cases. Adverse symptoms may occur in young children or if the dosage is observed.
It manifests itself in:

  • heartburn;
  • burning sensation in the esophagus;
  • belching with sour contents;
  • allergic reactions in the form of redness and itching of the skin, rashes.

With prolonged use, bromism develops. This complication is accompanied by lethargy, diarrhea, rhinitis, bradycardia, lacrimation.
With the development of adverse symptoms, the drug should be abandoned.

special instructions

The composition of the drug includes ethyl alcohol. One teaspoon contains 0.43 grams. Although the dosage is small, but with constant use, the component accumulates in the tissues and has a toxic effect on the body.
When using Pertussin, you need to be careful with hazardous activities. The concentration of attention is greatly reduced. Also, the medicine should not be taken by drivers and people whose work is related to mechanisms.

  • an increase in blood pressure;
  • increased uterine tone;
  • impaired fetal development.

Also, the instructions indicate that the syrup is strictly forbidden to be taken simultaneously with antitussives that have an effect on the central nervous system. This combination leads to retention of sputum and the development of complications of a bacterial nature.
Pertussin - good herbal remedy. It is effective against dry and wet coughs. But before using it is necessary to consult a doctor to exclude the presence of contraindications.

An exhausting, unproductive dry cough is a very common symptom of a cold. If it is present, it is necessary to take measures to liquefy and remove thick sputum from the lungs. Cough syrup, intended for use by children and adults, Pertussin is a proven and proven drug for decades. Its use does not apply to homeopathy, since the dose of active substances in it is small, while in Pertussin the dose is therapeutic, because it is much higher.

The time of appearance of Pertussin in our country is 1967. Many from an early age remember it as a medicine with a mild effect and a pleasant taste. The main components of the drug are potassium bromide, which calms the central nervous system, and plant extracts. The combined effect of these constituent substances allows you to stop the cough that torments the patient and gives a slight sedative effect.

Pertussin liquefies sputum well and promotes its discharge (expectorant action). This combination drug from vegetable raw materials or phytopreparation. The tool also eliminates spasms of the bronchi and has a detrimental effect on pathogens. The main substances in the composition of Pertussin - b potassium romide and thyme liquid extract(creeping thyme). Thyme is a good mucolytic, increasing the production of substances that thin the thick mucus that accumulates in the upper respiratory tract and contribute to its removal.

As a result, liquid sputum with a cough reflex is better excreted from the lungs. As a result of exposure to potassium bromide, the patient ceases to suffer nocturnal cough, which makes breathing difficult and interferes with a full night's sleep (partially suppresses the cough reflex), having a softening effect, the central nervous system calms down.

Composition and forms of release

Pertussin has a pleasant, sweet taste, it has a characteristic vegetable smell, the color of the syrup is dark brown. Sold in dark glass bottles of 50 and 100 grams. In order to accurately measure the dosage of the syrup, the package includes a measuring spoon. A 100-gram bottle contains 1 gram of potassium bromide, 12 grams of creeping thyme liquid extract, an auxiliary substance (ethyl alcohol 80% and sugar syrup).

Also, in addition to Pertussin in the form of a syrup, there is Pertussin Ch in the form of a solution. They have an almost identical effect, slightly different in composition. Ethyl alcohol in a solution of Pertussin Ch 95%, in contrast to the syrup, in which it is 80%. They do not differ in the content of other components.

Indications for taking medication

Applies this medicine in complex treatment cough if present:


There are a number of conditions in which inflammatory processes in the upper respiratory tract with difficult to separate, viscous sputum, while the attending physician may also prescribe an expectorant, some of them: tuberculosis, COPD, tracheobronchitis, bronchial asthma, pharyngitis, etc.

Often, many are interested in Pertussin from which cough for children to use? Doctors advise taking Pertussin if needed expectorant action, cleansing the bronchi from mucus by thinning it, the use of the drug is advisable for bronchitis, acute respiratory infections and other diseases. With a wet cough, it is not recommended to use it.

With whooping cough, the cough in which is spastic, paroxysmal, Pertussin, in addition to improving the discharge of a viscous dense secret, has a complex effect, reducing the intensity of the cough reflex, which is often a provoking factor in the gag reflex, as well as the cause of trauma to the mucous membranes of the bronchi.

Contraindications

There are a number of contraindications to Pertussin, although it does not contain potent components and is a herbal product. Among them:

Pertussin contains as one of the constituents a large number of sucrose, so it is not recommended to take if there are diseases such as diabetes, obesity, hereditary metabolic disorders. It is forbidden to use Pertussin for patients with alcoholism, with epilepsy, brain injuries due to the content of ethanol in this drug. Also, due to the alcohol content, it is contraindicated to give Pertussin to children. early age.

Parents of many children ask, at what age is it allowed to use Pertussin? Children's doctors do not recommend treating children under three years of age with this drug. The syrup in its composition contains approximately 11% ethyl alcohol, this can cause a variety of complications, affecting the nervous system.

One teaspoon contains 0.4 g of ethanol, a tablespoon contains 1.3 g of ethanol. When it comes to dosages for adults, its content is even greater - 3.9 g of ethanol in a single dosage. Persons whose activities are related to work requiring increased concentration of attention and speed of psychomotor reactions, motorists, need to keep in mind the alcohol content in the drug.

Application during pregnancy

Pertussin is prohibited for use by pregnant women in all three trimesters and lactating women. Influencing the vessels, causing hypertension and increasing the tone of the uterus, the essential oils that are in the composition of creeping thyme (thyme) can provoke a miscarriage.

Due to another compound - ethanol, the drug should not be used not only during pregnancy, but also during breastfeeding.

Pertussin - cough syrup, instruction

When taking Pertussin, a decrease in appetite is possible. In this regard, it is better to use it after meals. About how to take Pertussin for adults - for them, the dosage is one tablespoon 3 times a day. Children should select the dose of syrup, given the age of the child. The instruction recommends dosing in the following way:


In exceptional cases, the pediatrician may prescribe a medicine from the age of two. But it is necessary to observe the dosage of syrup no more than half a teaspoon twice a day.

Usually the period of treatment with this remedy is 10-14 days. If the attending physician considers it necessary, he can extend the period of treatment with this drug.

Side effects

Pertussin can rarely cause adverse reactions, however, when taking it, allergies and heartburn can occasionally occur. If there is swelling of the skin, redness, itching and rash, you need to stop using the remedy and use one of the antihistamines (Claritin, Erius, Tavegil, Zirtek).

It is also possible to use an enterosorbent ( Activated carbon, Polysorb), be sure to contact a medical specialist. If heartburn has begun, it is recommended to drink one of the antacids (Almagel, Maalox) to reduce the acidity of gastric juice.

There are no known cases of overdose among adults.. With regard to children, the medicine must be given with caution, because the child, due to the pleasant taste of the syrup, may himself drink more of the mixture that is in his reach. An overdose of the drug is manifested by symptoms of poisoning with bromide preparations.

These are nausea, impaired coordination of movements, digestive disorders, tachycardia, depression, lethargy, weakness. In case of an overdose, you need to take a diuretic, drink salted water, be sure to call the doctor first. When a patient takes too much of the drug, he is required to be hospitalized in a hospital for further emergency therapeutic actions.

Where to store Pertussin

During storage, the air humidity should not exceed 80%, the air temperature should not exceed 15 degrees.

The instructions for Pertussin say that his should not be taken with antitussive drugs central action (Libexin, Terpinkod, Codelac), because these drugs slow down the excretion of sputum. Such exposure suggests the risk of stagnation of thick dense secretions in the bronchi, resulting in a bacterial infection.

Analogues

Pertussin has no analogues corresponding to its composition, since the combination of chemical and plant substances included in it is unique. At the same time, there are drugs healing properties having no difference with it and having the same therapeutic effect, although there are quite a lot of differences in their composition. Here are some examples of mucolytic antitussives:


If, for any reason, Pertussin is not suitable for the patient, then the attending physician may replace it with one of the drugs indicated in the above list.

Price

This herbal medicine belongs to budgetary drugs - the price for it is low. The acquisition of this tool does not require a prescription, it is released freely. The cost of the drug ranges from 25 to 40 rubles.

Judging by the reviews of those who took Pertussin, it is a very effective and commonly used cough medicine. Side effects that may occur during administration are very rare, although they are noted in the instructions for the medication.

The medicine is very effective, with a cold it helps to quickly alleviate the patient's condition, improves the liquefaction and excretion of viscous sputum, thereby contributing to a quick recovery.

One of the most unpleasant manifestations of a cold is a dry, unproductive cough that literally exhausts the patient. In the event of its occurrence, it is required to take medications that help thin and facilitate the removal of too thick sputum from the lungs. One of the most popular and effective drugs with such properties is Pertussin syrup, which is great for both adults and children.

Probably, many domestic residents are familiar with the taste and aroma of this remedy from an early age. After all, this medication appeared on the shelves of pharmacies back in 1967. The composition of the product includes plant extracts and a chemical ingredient that reduces excitability nerve cells. The complex action of these components allows you to achieve a mild sedative result and helps to stop painful coughing fits.

General information

Syrup "Pertussin" belongs to the category of combined medicines of plant origin. The agent has a pronounced expectorant effect, helps to thin viscous sputum and accelerates the process of its excretion. In addition, the drug has a bronchospasmolytic and antimicrobial effect.

Main active ingredients medicines are potassium bromide and a liquid extract from thyme. The last component has mucolytic properties, that is, it stimulates the production of special elements that thin dense and thick sputum that has accumulated in the upper sections of the respiratory apparatus.

The plant extract increases the amount of secretion produced, which is separated by the bronchial mucosa and has an expectorant effect. Against the background of such an influence, the cough becomes productive, wet, and the lungs are cleared of inflammatory mucus much faster.

Potassium bromide has a softening effect, reduces the excitability of nerve cells, partly inhibits the cough reflex and eliminates attacks of debilitating cough that worsen the patient's condition, preventing him from breathing fully and sleeping well.

Composition and form of release

The drug is produced in the form of a thick sweet syrup with a rich brown, typical vegetable aroma and pleasant taste. The product is packaged in dark bottles of 50 and 100 ml. For more comfortable dosing of the drug, a special measuring spoon is included with it. A 100 ml bottle of Pertussin syrup contains 12 mg of thyme and 1 g of potassium bromide, as well as additional ingredients in the form of ethyl alcohol and sugar syrup.

Also in pharmacies you can find another form of medication - a solution. In terms of medicinal properties, these drugs practically do not differ, the difference is only in chemical composition: instead of ethyl alcohol, it contains ethanol.

Indications for the use of syrup "Pertussin" for children

The tool is often included in complex therapy cough with such pathologies:

  • tracheitis;
  • whooping cough;
  • acute respiratory diseases;
  • laryngitis;
  • pneumonia;
  • bronchitis;
  • flu.

In addition, the pediatrician can prescribe a drug with a mucolytic effect in pharyngitis, bronchial asthma, tracheobronchitis, tuberculosis, COPD and other inflammatory malformations respiratory system, which are accompanied by the formation of viscous, difficult to separate mucus.

In the case of the use of Pertussin syrup for acute respiratory infections, tracheitis, bronchitis and other pathologies that are accompanied by the formation of thick sputum, the agent will have an expectorant effect and help cleanse the lungs.

The drug exhibits complex properties and not only accelerates the release of inflammatory secretion, but also reduces the intensity coughing fits, which are often accompanied by damage to the mucous membranes and entail gag reflexes. Cough syrup "Pertussin" has such an effect in case of observation of a spastic disease in a child, for example, with whooping cough.

Contraindications

Despite the fact that this medicine belongs to the category of herbal remedies and the absence of powerful chemical ingredients, there are many limitations in its use. Contraindications include:

  • hypersensitivity of the body to the components of the drug;
  • kidney or liver failure;
  • arterial hypotension;
  • the period of bearing a child and lactation;
  • the age of the baby is up to three years;
  • heart failure;
  • impaired absorption of glucose.

You should refuse to use "Pertussin" in case of detection of genetic metabolic disorders, diabetes or obesity, since it contains a large amount of sucrose. In addition, it is forbidden to give syrup to children with brain damage and epilepsy. This is due to the presence of ethyl alcohol in the composition of the drug. For the same reason, you can not give the remedy to newborn babies.

Instructions for use syrup "Pertussin" for children

The drug can cause a decrease in appetite, so it is advisable to take it after meals. The dosage for young patients should be selected by the pediatrician, depending on the age of the baby, the type of disease and the characteristics of its course. The instructions for Pertussin syrup for children recommend the following amounts of the drug:

  • from 3 to 6 years, one teaspoon 3 times a day;
  • at 6-12 years old, 2 tablespoons three times a day;
  • adolescents over 12 years of age, dessert spoon 3 times a day.

In some cases, pediatricians prescribe medicine for babies of two years of age. In such a situation, the dosage of the syrup should not exceed 0.5 teaspoon twice a day.

The duration of the therapeutic course, as a rule, is 2 weeks. If necessary, the specialist can extend this period.

Side effects

According to pediatricians, Pertussin syrup rarely provokes the appearance negative reactions organism. However, in some cases, its improper use, in particular, exceeding the permissible dosage, can lead to heartburn and allergies.

In the event of side effects such as hyperemia, swelling, itching, rash, you must stop taking the syrup and use antihistamine or enterosorbent. If heartburn occurs, experts recommend giving the baby an antacid medicine that helps reduce the acidity of gastric juice.

In case of accidental overdose of the drug, nausea and signs characteristic of poisoning may occur. It can be apathy, arrhythmia, general weakness, indigestion, depression, lack of coordination.

special instructions

According to the instructions, Pertussin syrup is forbidden to be used in parallel with antitussive medicines of central action, since they will make it difficult to remove sputum. This combination can provoke the appearance of serious complications associated with the stagnation of inflammatory exudate in the lungs and the addition of bacterial infections.

In addition, the child should be given the drug with extreme caution if he has been diagnosed with epilepsy or diabetes mellitus.