Pathogenetic approaches to combined pharmacotherapy of cough syndrome


DOI: https://dx.doi.org/10.18565/therapy.2023.7.226-233

Mubarakshina O.A., Somova M.N., Batishchev G.A.

N.N. Burdenko Voronezh State Medical University of the Ministry of Healthcare of Russia
Abstract. Cough is one of the common reasons for seeking medical help. In many cases, the occurrence of acute cough is associated with acute respiratory infections. Studying the mechanisms of cough development during respiratory infections allows us to competently approach the choice of antitussive pathogenetic therapy. The use of a combination drug consisting of 3 components – salbutamol, bromhexine and guaifenesin – provides a comprehensive effect in the treatment of cough. The components of this combination act synergistically, effectively suppressing cough by changing the rheology of bronchial secretions and suppressing bronchial hyperreactivity. At the same time, guaifenesin is able to further reduce the undesirable effects of the β2-adrenergic agonist salbutamol on the central nervous system. The combination of salbutamol, bromhexine and guaifenesin has pronounced mucolytic, mucokinetic and bronchodilator effects and can be considered as the drug of choice for cough syndrome with a bronchoobstructive component.

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About the Autors


Olga A. Mubarakshina, PhD in Medical Sciences, associate professor of the Department of clinical pharmacology, N.N. Burdenko Voronezh State Medical University of the Ministry of Healthcare of Russia. Address: 394036, Voronezh, 10 Studencheskaya Str. E-mail: mubarakshina@mail.ru. ORCID: https://orcid.org/0000-0001-6799-6322
Marina N. Somova, PhD in Medical Sciences, associate professor of the Department of clinical pharmacology, N.N. Burdenko Voronezh State Medical University of the Ministry of Healthcare of Russia. Address: 394036, Voronezh, 10 Studencheskaya Str. ORCID: https://orcid.org/0000-0002-6511-4098
Galina A. Batishcheva, MD, professor of the Department of clinical pharmacology, N.N. Burdenko Voronezh State Medical University of the Ministry of Healthcare of Russia. Address: 394024, Voronezh, 10 Studencheskaya Str.
E-mail: bat13@mail.ru. ORCID: https://orcid.org/0000-0003-4771-7466


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