CoughXpert - Symptom Checker

Explore the Cough Symptom Checker tool, a joint effort by API and Dr. Reddy's. Gain valuable insights on cough symptoms differentials diagnosis.

When to Refer

It is crucial to refer the patient to an expert/specialist for further diagnosis because a cough can be a sign of a serious medical condition like pneumonia. The situations that call for a referral for a patient presenting with cough are listed below:

  1. Uncontrolled Coughing at night
  2. Cough associated with giddiness OR breathlessness OR unconsiousness
  3. Underlying chronic disease
  4. Sputum with blood (haemoptysis) or is brown, yellow, and green
  5. History of aspiration
  6. Sudden weight loss/gain
  7. Peripheral edema
  8. Abnormal diagnostic (examination, radiographic or lab) finding

Select factors

Is the patient showing any of the following symptoms?
Accordion Items
click to open accordion What are Fixed Dose Combinations (FDCs) in cough syrup and how do they benefit patients?

Fixed Dose Combinations refer to formulations that combine multiple active ingredients in a single dosage form. They are designed to enhance clinical effectiveness while streamlining treatment by reducing the number of pills and prescriptions required. FDCs also simplify packaging, promote better patient adherence, and decrease administrative costs.

click to open accordion How should healthcare professionals (HCPs) approach the use of Fixed Dose Combination cough syrups?

HCPs are advised to judiciously use these formulations based on their clinical judgment and discretion, considering the individual patient's needs and condition. It's crucial to adhere to short-term use recommendations and rely on the treating physician's assessment of the patient.

click to open accordion In which conditions are Fixed Dose Combinations recommended for cough syrup usage?

Fixed Dose Combinations are recommended for short-term use in productive cough conditions. They can aid physiotherapy in patients experiencing difficulty in expelling phlegm and cough. 

click to open accordion Are there any specific precautions or contraindications regarding the use of Fixed Dose Combination cough syrups?

It's essential to consider potential drug interactions with concomitant medications when prescribing cough therapy. Additionally, Fixed Dose Combinations are recommended for dry cough only and should not be used in productive or infectious cough conditions. Similarly, caution is advised when administering them alongside inhalational LABA/SABA due to potential increased side effects.

click to open accordion What should HCPs keep in mind regarding the duration of use for Fixed Dose Combination cough syrups?

HCPs should adhere to the recommendation for short-term use only and carefully monitor patients for any adverse effects or changes in their condition. Prolonged or inappropriate use should be avoided, and treatment should be adjusted as necessary based on the patient's response.
 

click to open accordion Is the use of mucolytics advised in advanced airway disease?

No, the use of mucolytics in advanced airway disease is not advised, and alternative treatment approaches should be considered in such cases.

click to open accordion What steps should be taken if a patient experiences adverse effects while using Fixed Dose Combination cough syrups?

If a patient experiences any adverse effects, such as allergic reactions, gastrointestinal discomfort, or dizziness, they should immediately discontinue the medication and seek medical attention. HCPs should document the adverse event, report it to the relevant regulatory authorities if required, and consider alternative treatment options for the patient.

click to open accordion What is the rationale for adding an antihistamine in cough FDC?

Antihistamines are known to act either as antitussives or cough suppressants when alleviating a cough. Firstgeneration antihistamines can antagonize acetylcholine at neuronal and neuromuscular muscarinic receptors, while second-generation antihistamines cannot. Antihistamines act by decreasing the cholinergic transmission of nerve impulses in the coughing reflex thus suppressing the cough.  The sedative effect of first-generation antihistamines is highly beneficial for a cough that disturbs sleep

click to open accordion What is Levodropropizine and how does it work in cough syrup formulations?

Levodropropizine inhibits afferent pathways involved in the generation of the cough reflex. It helps reduce the sensitivity of the cough reflex, providing relief from cough symptoms.

click to open accordion What is Dextromethorphan Hydrobromide and how does it work in cough syrup formulations?

Dextromethorphan Hydrobromide is a cough suppressant that reduces the urge to cough. It does not have narcotic, analgesic, or dependence-inducing properties. Dextromethorphan works by decreasing the feeling of needing to cough.

click to open accordion How does Chlorpheniramine Maleate work in cough syrup formulations?

Chlorpheniramine Maleate works by blocking histamine released during allergic reactions. It provides relief in cough due to its sedative and anticholinergic actions, which help reduce cough reflex sensitivity.

click to open accordion What is the role of Phenylephrine hydrochloride in cough syrup formulations?

Phenylephrine hydrochloride is an alpha-1 adrenoceptor agonist. It causes vasoconstriction, which reduces edema and increases drainage of the sinus cavities, providing relief from cough associated with congestion.

click to open accordion How does Ambroxol work in cough syrup formulations?

Ambroxol stimulates surfactant synthesis, which gives it effective mucokinetic and secretagogue properties. It helps in the clearance of mucus from the respiratory tract, providing relief from cough.

click to open accordion What is Guaifenesin and how does it work in cough syrup formulations?

Guaifenesin acts as an expectorant by increasing the volume and reducing the viscosity of secretions in the trachea and bronchi. This helps in the removal of mucus from the airways, providing relief from cough.

click to open accordion What is the mechanism of action of Terbutaline in cough syrup formulations?

Terbutaline is a bronchodilator that relaxes smooth muscles in the airways, from the trachea to the terminal bronchioles. It helps in opening up the air passages, making breathing easier and providing relief from cough.

click to open accordion How does Levosalbutamol work in cough syrup formulations?

Levosalbutamol relaxes smooth muscles in all airways, from the trachea to the terminal bronchioles. It also inhibits the release of mediators from mast cells in the airways, reducing inflammation and providing relief from cough.

click to open accordion What is the mechanism of action of Bromhexine Hydrochloride in cough syrup formulations?

Bromhexine Hydrochloride disrupts the structure of acid mucopolysaccharide fibers in mucoid sputum, making the mucus less viscous. This helps in making the mucus easier to cough out, providing relief from cough.

click to open accordion Why is the combination of an antihistamine and an expectorant not recommended for cough syrup formulations?

The combination of an antihistamine and an expectorant is not recommended because these two classes of medications have conflicting effects. While an antihistamine suppresses cough, an expectorant promotes coughing, leading to a potential lack of therapeutic benefit.

click to open accordion Why is it not recommended to use a combination medicine containing an expectorant and an anti-tussive in cough syrup formulations?

Using a combination medicine containing an expectorant and an anti-tussive is not recommended because these two pharmacological classes have contradictory effects. An expectorant promotes coughing to clear mucus, while an anti-tussive suppresses coughing, potentially leading to ineffective treatment.