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Cough syrup and cough medicine

Have you got a cold and need to take medicine for a nagging cough? While there is no instant remedy for your cough, some over-the-counter (OTC) cough syrups and cough medicines may give you relief.

Three types of cough medicines are available OTC for the temporary relief of cough due to a cold or bronchitis. These cough medicines include cough suppressants, oral expectorants, and topical (externally applied) medicines.

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Who should not take cough syrup or cough medicine?

Often, doctors believe that a cough from a cold should not be treated. Coughing up mucus may help keep your lungs clear. This is especially true if you smoke or have asthma or emphysema.

If you take a monoamine oxidase inhibitor (MAOI), a type of prescription drug used to treat depression and other conditions, it’s important to talk to your doctor or pharmacist before taking dextromethorphan, commonly listed as DM on cough syrups and cough medicines. In addition, some combination cold and cough medicines contain decongestants. If you have high blood pressure or heart disease, avoid taking these medicines. Decongestants can raise blood pressure.

The most important key is to understand how the cough syrup or cough medicine works. That includes knowing what the side effects are. Then talk to your doctor or pharmacist if you have concerns about your cough or the OTC cough medicine. Trust your doctor or pharmacist to make the best decision with your overall health in mind.

Which cough syrups and cough medicines suppress coughs?

Cough suppressants relieve your cough by blocking the cough reflex.

Dextromethorphan is the most common cough suppressant. Dextromethorphan does not have the pain-relieving and addictive properties of codeine.

If you have a dry, hacking cough, dextromethorphan may give you relief. Usually, these cough syrups and cough medicines are not used to suppress a cough where you cough up mucus. A productive cough helps clear secretions and mucus from the airways. Talk to your doctor if you have a productive cough that’s preventing you from sleeping.

How do expectorants stop a cough?

An expectorant is a medicine that thins mucus so you can cough it up more easily. While many experts feel that drinking water is the most effective way to loosen mucus, you can also use such medications as guaifenesin to thin mucus so it can be cleared from the airway. Clearing thick mucus from the airways can decrease coughing. The most frequent side effect of expectorants is nausea and vomiting.

Do topical cough medicines stop coughs?

Camphor and menthol are commonly used topical cough medicines. These natural, aromatic cough medicines are rubbed on the throat and the chest. The anaesthetic action of their vapours is thought to ease coughing and soothe stuffiness from a cold.

Camphor and menthol cough medicines are also available for steam inhalation. Menthol is available in lozenges and in compressed tablets.

What’s a combination cold and cough medicine?

Many OTC cold and cough syrups and cough medicines contain a cough suppressant (dextromethorphan) plus an expectorant (guaifenesin) as well as other cold medicines and pain relievers. The combination cold and cough medicine may contain an antihistamine, a decongestant, and a pain reliever in addition to the cough suppressant and/or expectorant. The combination of medicines may give optimal relief if you have multiple cold symptoms, such as body aches, coughs, and congestion. The downside of the combination cold medicines, depending on your symptoms, is that you may be taking medication that you don’t need.

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WebMD Medical Reference

Medically Reviewed by Dr Rob Hicks on September 28, 2011

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