Product image of Notus Antitusivo (Dextromethorphan Hydrobromide) supplied by GNH India

Notus Antitusivo

Active Ingredient:
Dextromethorphan Hydrobromide
Origin:
EU

Notus Antitusivo (Dextromethorphan Hydrobromide)

Dextromethorphan Hydrobromide, the active ingredient in Notus Antitusivo, is a NMDA receptor antagonist / sigma-1 receptor agonist presented as an oral dosage form for oral use. It provides temporary relief of cough caused by minor throat and bronchial irritation in adults and adolescents.

GNH India supplies Notus Antitusivo as a licensed, GDP‑compliant international pharmaceutical supplier serving pharmacies and clinics worldwide.

Manufacturer / TM Owner

Teva Pharma S.L.U.,

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Indications & Clinical Uses

Dextromethorphan acts on the central cough reflex pathway to suppress coughing associated with irritation of the throat or bronchial passages.

  • Minor throat irritation: provides temporary relief of cough.
  • Bronchial irritation: reduces cough frequency and intensity.
  • Upper respiratory tract infection: helps control cough symptoms.

How It Works

  • Dextromethorphan Hydrobromide acts centrally by antagonizing NMDA receptors and agonising sigma‑1 receptors in the medullary cough centre. This dual activity diminishes the neuronal signalling that triggers the cough reflex, resulting in a suppressant effect without significant peripheral action.

Side Effects

Common Side Effects

  • Drowsiness: mild sedation may occur.
  • Dizziness: transient light‑headedness reported.
  • Nausea: occasional upset stomach.
  • Dry mouth: reduced salivation.
  • Constipation: slowed gastrointestinal motility.
  • Mild gastrointestinal upset: occasional discomfort.

Serious or Rare Side Effects

  • Allergic reactions: rash, itching, or angioedema.
  • Serotonin syndrome: risk when combined with serotonergic agents.
  • Respiratory depression: rare, especially with overdose.
  • Hallucinations or psychotic symptoms: uncommon CNS effects.
  • Seizures: very rare neurological events.
  • Severe skin reactions: such as Stevens‑Johnson syndrome.

Precautions & Warnings

Before using Notus Antitusivo, consider the following precautions.

  • Pregnancy: safety not established; avoid unless benefit outweighs risk.
  • Breastfeeding: unknown safety; assess potential infant exposure.
  • Age: not recommended for children under 4 years.
  • Drug interactions: avoid concomitant use with MAO inhibitors.
  • Medical conditions: use cautiously in patients with hepatic impairment.
  • Store at ambient temperature: keep in the original pack, protect from moisture and light.

Avoid Interactions

Dextromethorphan may interact with several medicines; review the following.

Major Interactions (Avoid)

  • MAO inhibitors: risk of severe serotonin syndrome.
  • Selective serotonin reuptake inhibitors (SSRIs): increased serotonin toxicity.
  • Tricyclic antidepressants: heightened central nervous system effects.

Moderate Interactions (Monitor Closely):\n- Alcohol: additive CNS depression may increase drowsiness.

  • Opioids: potential for enhanced respiratory depression.
  • Antihistamines: may increase sedation and dizziness.

Frequently Asked Questions

Notus Antitusivo is an over‑the‑counter antitussive indicated for the temporary relief of cough caused by minor throat or bronchial irritation. It is intended for adults and adolescents who experience a dry, non‑productive cough and seek symptomatic control without a prescription.

Dextromethorphan suppresses cough by acting on the medullary cough centre. It blocks NMDA receptors and stimulates sigma‑1 receptors, which together reduce the neuronal signalling that initiates the cough reflex, providing a central, non‑opioid cough‑suppressing effect.

The appropriate dose is determined by a healthcare professional based on the individual’s age, weight, and clinical situation. Over‑the‑counter products typically follow label instructions, but the prescriber should confirm the exact regimen for each patient.

Safety data for Dextromethorphan in pregnancy and lactation are limited. It is classified as a category where risk cannot be ruled out, so use only if the potential benefit justifies the potential risk to the fetus or infant, and after consulting a healthcare provider.

To place an order, 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 and any necessary import documentation.

Compared with opioid‑based cough suppressants such as codeine, Dextromethorphan offers a non‑opioid mechanism, lower risk of dependence, and fewer respiratory depressant effects. However, it may interact with serotonergic drugs, a consideration less prominent with pure opioid agents.

Store the product at ambient temperature, preferably below 25 °C, in its original packaging. Keep it away from moisture, direct sunlight and heat sources. Ensure the container is tightly closed to maintain product stability.

The medication is taken orally. Swallow the tablet whole with a glass of water; do not crush, chew, or split unless instructed by a healthcare professional. It is usually taken as needed for cough relief, following the dosage guidance provided by the prescriber.

Serious adverse reactions, though rare, include allergic responses such as rash or angioedema, serotonin syndrome when combined with serotonergic agents, severe respiratory depression in overdose, and rare neurological effects like hallucinations or seizures. Prompt medical attention is required if any of these occur.

Individuals who should avoid this product include children under four years of age, patients currently taking monoamine oxidase inhibitors, those with known hypersensitivity to Dextromethorphan, and persons with severe hepatic impairment unless advised otherwise by a physician.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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