Tablets "Tos-May": instructions for use, reviews, analogues

One of the most reliable medicines in the fight against cough is "Tos-May." Instructions for use allow it to be given to children from the age of two. The drug is well tolerated and very rarely causes negative consequences.

Composition and packaging

The drug "Tos-May" contains dextromethorphan hydrobromide in the amount of 2 mg, benzocaine - 0.2 mg, sodium benzoate - 15 mg, and potassium guaiacosulphonate 35 mg. Additional substances are: mannitol (E421), menthol, povidone, saccharin sodium, anise essence, talc, magnesium stearate.

The tablets are white in color and are streaky. There are eight of them in the blister. The package contains 8 or 16 tablets "Tos-May", instructions for use.

The medicine refers to an antitussive group and to eksponatorov. Has an ATS code R05F B. It is released in pharmacies without a prescription.

Pharmacological properties of the medicinal product

Many times confirmed its effective effect on the body preparation "Tos-May." Instruction for use gives him mucolytic, expectorant and antitussive properties.

Dextromethorphan as part of the medical device has an effect on the central point of manifestation of cough in the medulla oblongata, increasing the antitussive period. It also affects the peripheral chain of the cough reflex by inhibiting the arising afferent impulses that enter together with the mucous membrane of the respiratory tract. Has no narcotic and analgesic effect. On antitussive functions is similar to codeine, but it does not become addictive, unlike the latter. Do not inhibit the work of the respiratory center and the action of the ciliary epithelium of the respiratory system.

Benzocaine is an effective surface local anesthetic. Does not cause a resorptive effect on the body. When using this substance in combination with other components, the intensity of the pain syndrome decreases, which often appears with a strong dry cough.

Guiyakolsulfonate potassium has a pronounced expectorant effect. Activates the secretion of elements of bronchial mucus with a small fraction of viscosity. Hydrolyzes mucopolysaccharides and increases the action of cilia of ciliated epithelial tissue of the respiratory tract. Reduces the upper stress and adhesive qualities of retreated sputum, making its viscosity lower. Promotes the release of mucus from the organs of the upper respiratory tract. Has low antiseptic and anesthetic qualities.

Benzoate sodium is a mucolytic substance of direct action. When used orally increases the secretion of bronchial glands, dilutes sputum, removes it from the respiratory tract. It is endowed with a slight antibacterial and antifungal action.

Pharmacokinetics of the drug

Tablets "Tos-May" (the instruction fully describes all the details of their use) have a high activity and are rapidly absorbed into the walls of the digestive tract. Antitussive properties are manifested after 15-30 minutes after ingestion of the tablet inside. Operate for 5-6 hours. The highest concentration of the drug in the blood is observed after two hours.

After two hours, the concentration of dextromethorphan in the blood serum reaches a maximum. Rapidly metabolized in the liver. The half-life is six hours. It is excreted mainly by the kidneys. The main part comes in the form of residual metabolites, and a small dose - in the former unchanged form.

Guayaacol sulphonate of potassium is instantly absorbed by the digestive tract. After taking the pill, the maximum concentration of the active component in the blood comes in a couple of hours. The therapeutic effect lasts for six hours. The half-life is 2 hours. Excreted with sputum and excreted from the body with urine in the form of metabolites and partly in unmodified form.

Indications for the use of medicine

Tablets "Tos-May" (instructions for use should be read before treatment) are recommended for use with symptomatic dry irritating mucous cough, which often occurs during the period of flu and ARVI. It can be observed with acute tracheitis, bronchitis of different severity, laryngitis and whooping cough. Use the drug and during the complex treatment of pneumonia, pleurisy, tuberculosis. Doctors prescribe medication before preparing the patient for bronchoscopy.

Contraindications for use

A good result is given by treatment with the drug "Tos-May". Tablets (instructions pay attention to contraindications and side effects of the drug), despite their effectiveness, can not be drunk with hypersensitivity to dextromethorphan and other ingredients that make up the drug. Prohibition to use are respiratory failure, bronchial asthma, emphysema, children under two years of age.

An overdose of a medicinal product can cause nervous tension, excessive excitability, a feeling of anxiety and irritability, confusion of thoughts, vomiting. If one or more symptoms occur, you should rinse the stomach and stop taking the medication.

Tablets for cough "Tos-May": instructions for use

The method of administration and dose are calculated based on the age of the patient. So, in the age group of twelve years and older, as well as adults, the drug is prescribed to take 1-2 tablets at a frequency of 4-6 times a day. The daily dose should not exceed sixteen tablets.

Children aged 6 to 12 years, the drug is prescribed one tablet four times a day, the maximum dose is eight tablets. In children from 2 to 6 years of age, it is shown that taking ½ tablets four times a day. The daily dose should not exceed four pills "Tos-May".

Tablets instruction advises not to swallow, but to dissolve under the tongue. Thus, the medicine will be better absorbed by the body, and the effect will be achieved more quickly.

Unwanted consequences

Despite the effectiveness of the drug, sometimes there are side effects after using "Tos-May." Tablets (the instruction notes that before using them it is necessary to consult a doctor) can provoke drowsiness, nausea and pain in the abdomen, sleep disturbance. In some cases, patients suffered from diarrhea, flatulence and constipation. All these ailments passed right after the drug was discontinued.

special instructions

You should not take the drug simultaneously with antidepressants (monoamine oxidase inhibitors), for example, with "Nialamide" or "Pyrazidol", the drug "Tos-May."

Instructions for use (reviews of the medication say that it can cough up in two days) advises not to exceed the indicated doses. If side effects occur, you should stop taking the pills. You can not combine the use of the drug with alcohol, and should not be used for chronic cough during the period of bronchial asthma and pulmonary emphysema.

During pregnancy and lactation, you should consult a doctor before using the pills. There is a possibility that during the treatment it will be necessary to refuse breastfeeding. With special care, the medicine is prescribed for liver diseases.

During treatment, some patients showed drowsiness, decreased reaction. The last symptom should be considered when driving a car and work associated with a special concentration of attention.

It says that it should be stored in a dry and cool place, away from sunlight and not available to children, the drug "Tos-May" (tablets), instructions for use.

Analogues of tablets from a cough

Substitutes of drugs are selected according to the ATS code (R05FB02) and the active components that make up the drug. The main active substance in "Tos-May" is dextromethorphan hydrobromide. There are no analogs similar in the active substance, but according to the ATS code the following medicines are presented:

• "Ambrogen".
• Ambroxol 15.
• "Ambrolol."
• Ambrosan.
• Ambrospray.
• "Pectolvan Stop."
• "Stoptussin."

This is only a small list of drugs with this effect, in fact, there are many more. The decision to replace one medication with another should only be taken by a therapist. Self-medication in this case will not yield positive results, but will only exacerbate the situation, complicate the course of the disease and delay the recovery.

The drug "Tos-May" - a reliable assistant in the fight against cough. It effectively and quickly eliminates the disease and does not cause side effects. Prevents the development of the disease.