Product image of Nipaxon (Noscapine) supplied by GNH India

Nipaxon

Active Ingredient:
Noscapine
Origin:
EU

Nipaxon (Noscapine)

Noscapine, the active ingredient in Nipaxon, is an antitussive presented as an oral formulation for oral use. It acts as a central cough suppressant, targeting the medullary cough centre, and is employed to relieve dry, non‑productive cough in adults and children when other measures are insufficient.

GNH India supplies Nipaxon as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring consistent quality and regulatory conformity across EU‑origin batches. Our distribution network adheres to stringent quality‑assurance protocols and provides reliable logistics for global healthcare providers.

Manufacturer / TM Owner

Mcneil Sweden Ab

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Indications & Clinical Uses

  • Noscapine acts as a central antitussive to alleviate dry cough and related respiratory irritation.
  • Dry cough: reduces frequency and intensity of non‑productive cough.
  • Cough due to upper respiratory infection: provides symptomatic relief of throat irritation.
  • Cough associated with bronchitis: helps lessen coughing episodes.
  • Cough in asthma (non‑productive): assists in controlling cough episodes.
  • Post‑operative cough: helps reduce coughing after surgical procedures.

How It Works

  • Noscapine suppresses cough by acting on the medullary cough centre in the brainstem. It modulates sigma‑1 receptors and other central pathways, decreasing the cough reflex without opioid activity. The drug’s non‑opioid mechanism results in cough inhibition while preserving normal respiratory drive.

Side Effects

Noscapine may be associated with a range of adverse reactions, most of which are mild and reversible.

Common Side Effects

  • Nausea
  • Dizziness
  • Drowsiness
  • Headache
  • Mild skin rash
  • Gastrointestinal discomfort

Serious or Rare Side Effects

  • Allergic reactions, including anaphylaxis
  • Severe cutaneous reactions such as Stevens‑Johnson syndrome
  • Hepatic dysfunction or elevated liver enzymes
  • Hematologic abnormalities (e.g., thrombocytopenia)
  • Seizures (rare)

Precautions & Warnings

  • When prescribing or dispensing Nipaxon, consider the following precautions to ensure safe use.
  • Dose adjustment: assess hepatic and renal function before initiating therapy.
  • Allergy assessment: avoid in patients with known hypersensitivity to noscapine.
  • Concurrent CNS depressants: use with caution to prevent excessive sedation.
  • Pregnancy and lactation: evaluate risk‑benefit ratio before use.
  • Driving and machinery: caution if dizziness occurs.
  • Store at room temperature: keep in original packaging, protect from moisture and direct sunlight.

Avoid Interactions

Noscapine can interact with other medicines; awareness of major and moderate interactions helps prevent adverse events.

Major Interactions (Avoid)

  • Other central cough suppressants (e.g., codeine): additive risk of respiratory depression.
  • Opioid analgesics: increased central nervous system depression.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin): may increase noscapine plasma levels.
  • CYP3A4 inducers (e.g., rifampicin, carbamazepine): may reduce efficacy.
  • Alcohol: can enhance drowsiness and dizziness.

Frequently Asked Questions

Nipaxon contains noscapine, an antitussive that is used to relieve dry, non‑productive cough. It is prescribed for patients who need symptomatic relief of coughing associated with upper respiratory infections, bronchitis, asthma‑related cough, or postoperative irritation.

Noscapine acts centrally on the medullary cough centre of the brainstem. It modulates sigma‑1 receptors and other neuronal pathways, reducing the cough reflex without engaging opioid receptors, which allows cough suppression while preserving normal breathing.

The dose of Nipaxon is determined by the prescribing clinician based on the patient’s age, weight, and severity of cough. Dosage recommendations are provided in the product’s prescribing information and should be followed exactly as instructed by a qualified health professional.

Safety data for noscapine during pregnancy and lactation are limited. Health‑care providers should weigh the potential benefits against possible risks before prescribing Nipaxon to pregnant or nursing women, and use it only if clearly indicated.

To order Nipaxon, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

The most common alternative for cough suppression is codeine, an opioid. Unlike codeine, noscapine is non‑opioid, does not cause respiratory depression, and has a lower potential for dependence. However, codeine may be more effective for severe, painful coughs, while Nipaxon is preferred for mild to moderate dry coughs where opioid use is undesirable.

Nipaxon should be stored at room temperature, below 25 °C, in its original packaging. Keep the product away from moisture, direct sunlight, and excessive heat to maintain stability and potency throughout its shelf life.

Nipaxon is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the specific instructions provided by their prescriber or the product label for optimal absorption.

Serious risks, although rare, include severe allergic reactions such as anaphylaxis, serious skin reactions like Stevens‑Johnson syndrome, and hepatic dysfunction indicated by jaundice or abnormal liver tests. Patients should seek immediate medical attention if they experience rash, swelling, difficulty breathing, or signs of liver injury.

Nipaxon should not be used by individuals with a known hypersensitivity to noscapine or any of the product’s excipients. It is also contraindicated in patients with severe hepatic impairment and should be used with caution in children under the age specified in the prescribing information.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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