Brand Name: Sinecod

Generic Name: Butamirate Citrate

Indications: Acute cough of any etiology. Pre and Post op cough sodation for surgical
procedures and bronchoscopy.
Drug Classification: Antitussive
Mechanism of action: Act centrally (on brain, and specifically the vagus nerve) or
locally (on the respiratory tract) to suppress the cough reflex.
Dosage: 1-2 tab daily, 1 tbsp daily.
Special Precaution: Pregnancy and lactation.
Pregnancy Risk Category: C
Adverse reaction: CNS: dizziness. GI: Nausea and vomiting, diarrhea. Skin: rash
Contraindication: Hypersensitivity to drug
Form: Sustained release tablet and syrup
Nursing Responsibilities:
 Assess cough type and frequency
 Monitor the adverse reactions
 Assess patient’s VS
 Assess sleep pattern.
 Teach patient:
-if cough persist 10 days + fever or chest pain – check with Doctor.
-Don’t exceed recommended dose
- Drink fluids but not immediately after dose
 Since the drug may cause dizziness or drowsiness, caution patient to avoid
driving or other activities requiring alertness until response to medication is
known.
 Advise patient to minimize cough by avoiding irritants (cigarette smoke, fumes,
dust)
 Instruct patient to cough effectively, sit upright and take several deep breaths
before attemting.