JOURNAL OF THE CZECH PHARMACEUTICAL SOCIETY AND THE SLOVAK PHARMACEUTICAL SOCIETY

Čes. slov. farm. 2025, 74(4):264-271 | DOI: 10.36290/csf.2025.043

Self-treatment of cough in respiratory infections

Hana Kotolová
Ústav farmakologie a toxikologie, Farmaceutická fakulta, Masarykova univerzita Brno

Cough is one of the most common symptoms with which patients search pharmaceutical care. Most cases have a viral etiology and do not require medical intervention, therefore the pharmacist has a key role in patient education and in recommending appropriate self-treatment. Correct differentiation of the type of cough and selection of appropriate treatment can significantly shorten the duration of the problem and prevent further complications. For dry cough, short-term administration of antitussives is appropriate, while for wet cough, mucolytics or expectorants are recommended. Regimen measures are also an integral part of self-treatment.

Keywords: cough, self-treatment, antitussives, expectorants, mucolytics.

Accepted: November 21, 2025; Published: December 5, 2025  Show citation

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Kotolová H. Self-treatment of cough in respiratory infections. Čes. slov. farm. 2025;74(4):264-271. doi: 10.36290/csf.2025.043.
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References

  1. Vašáková M, et al. Moderní farmakoterapie v pneumologii. Maxdorf Jessenius; 2013.
  2. Lu H, Cao P. Neural Mechanisms Underlying the Coughing Reflex. Neurosci Bull. 2023;39:1823 1839. Go to original source... Go to PubMed...
  3. De Blasio F, Virchow JC, Polverino M, et al. Cough management: a practical approach. Cough. 2011;7:7. Go to original source... Go to PubMed...
  4. Irwin RS, Madison JM. The diagnosis and treatment of cough. N Engl J Med. 2000;343:1715 1721. Go to original source... Go to PubMed...
  5. Jeseňák M, Mináriková D. Akutní infekce horních cest dýchacích a jejich management v ambulantní praxi. Med Praxi. 2021;18(1):29 36.
  6. Juřica J. Moderní terapie kašle. Prakt Lékáren. 2013;9(6):219 224.
  7. Juřica J. Farmakoterapie kašle ve zkratce. Prakt Lékáren. 2017;13(1):306 311. Go to original source...
  8. Kotolová H. Symptomatická léčba chřipky a nachlazení. Prakt Lékáren. 2017;13(1):22 29. Go to original source...
  9. SPC jednotlivých přípravků - září 2025 [Internet]. SÚKL; 2025 [cited 2025 09 ??]. Available from: https://prehledy.sukl.cz/prehled_leciv.html#/
  10. Léčba kašle, Farmakoterapeutické informace. SÚKL. 2021;1.
  11. Dy P, Arcega V, Ghali W, et al. Serotonin syndrome caused by drug to drug interaction between escitalopram and dextromethorphan. BMJ Case Rep. 2017 Aug 7;2017:bcr2017221486. Go to original source... Go to PubMed...
  12. Procházka J. Serotoninový syndrom a léčba bolesti. Neurol Praxi. 2024;25(2):135 145. Go to original source...
  13. Vaněk J. Serotoninový syndrom - častý problém, či vzácná komplikace? Prakt lékárenství. 2022;18(2):75 78. Go to original source...
  14. Kotolová H, Hammer T. Akutní respirační infekce - symptomatická samoléčba u dospělých. Prakt lékárenství. 2020;16(4):233 242. Go to original source...
  15. Dicpinigaitis PV, Morice AH, Birring SS, et al. Antitussive Drugs-Past, Present, and Future. Pharmacol Rev. 2014;66(2):468 ? Go to original source... Go to PubMed...
  16. Zanasi A, Lanata L, Fontana G, et al. Levodropropizine for treating cough in adult and children: a meta analysis of published studies. Multid Respir Med. 2015;10(1):19. Go to original source... Go to PubMed...
  17. Marseglia GL, et al. Management of children with acute post viral cough: a primary care experience with levodropropizine. Minerva Pediatr. 2025;77(4):281 287. Go to original source... Go to PubMed...
  18. Budnevsky AV, Ovsyannikov ES, Feigelman SN, et al. Effectiveness of Peripheral Antitussives in Patients with Dry Postinfectious Cough. Indian J Med Specialities. 2025;16(1):29 34. Go to original source...
  19. Švihovec J, et al. Farmakologie. Grada; 2018.
  20. Kotolová H. Akutní respirační infekce - symptomatická léčba kašle se zaměřením na erdostein a imunomodulační strategie. Prakt lékárenství. 2022;18(3):164 169. Go to original source...
  21. Braga PC, Dal Sasso M, Sala MT, et al. Effects of erdosteine and its metabolites on bacterial adhesiveness. Arzneimittelforschung. 1999;49(4):344 350. Go to original source... Go to PubMed...
  22. Dal Negro RW, et al. Erdosteine: Drug exhibiting polypharmacy for the treatment of respiratory diseases. Pulm Pharm Ther. 2018;53:80 85. Go to original source... Go to PubMed...
  23. Lam SHF, Homme J, Avarello J, et al. Use of antitussive medications in acute cough in young children. J Am Coll Emerg Physicians Open. 2021;2(3):e12467. Go to original source... Go to PubMed...
  24. Kotolová H. Možnosti ovlivnění akutního kašle v rámci respiračních infekcí u dětí. Pediatr Praxi. 2020;21(5):315 319. Go to original source...
  25. Šmejkal K. Use of plant extracts as an efficient alternative therapy of respiratory tract infections. Čes Slov Farm. 2016;65:139 160. Go to original source...




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