Inhaled anti-cholinergics for prolonged non-specific cough in children
Related Experiment Video
Updated: Aug 26, 2026

Methods for Detecting Cough and Airway Inflammation in Mice
Published on: August 2, 2024
A B Chang1, M McKean, P Morris
1Respiratory Medicine, Royal Children's Hospital, Herston Road, Herston, Brisbane, Queensland, Australia.
Insights
Currently, no evidence supports inhaled anti-cholinergic medications for treating non-specific cough in children. Further research is needed to evaluate this intervention for pediatric cough management.
Area of Science:
- Pediatric Pulmonology
- Clinical Pharmacology
Background:
- Non-specific cough, a common pediatric issue, lacks a clear cause and is often treated with inhaled anti-cholinergic medications.
- The efficacy of these medications in children with prolonged non-specific cough remains unestablished.
Purpose of the Study:
- To evaluate the effectiveness of inhaled anti-cholinergic medications for managing prolonged non-specific cough in pediatric patients.
Main Methods:
- A systematic literature search was conducted across multiple databases (CENTRAL, MEDLINE, EMBASE) up to July 2003.
- Inclusion criteria focused on randomized controlled trials comparing inhaled anti-cholinergics with placebo in children.
- Searches included contacting pharmaceutical companies for relevant studies.
Main Results:
- No randomized controlled trials were identified that met the inclusion criteria for this review.
- Consequently, no data were available for analysis regarding the efficacy of inhaled anti-cholinergics in children with non-specific cough.
Conclusions:
- There is a lack of scientific evidence to support the use of inhaled anti-cholinergics for symptomatic relief of non-specific cough in children.
- Additional research is required to determine the potential benefits and risks of this therapeutic approach in the pediatric population.
Background:
Non-specific cough is defined as non-productive cough in the absence of identifiable respiratory disease or known aetiology. It is commonly seen in paediatric practice. These children are treated with a variety of therapies including inhaled anti-cholinergic medications.
Objectives:
To determine the efficacy of inhaled anti-cholinergic medications in the management of prolonged non-specific cough in children.
Search Strategy:
The Cochrane Register of Controlled Trials (CENTRAL), the Cochrane Airways Group Specialised Register and Cochrane Airways Group, MEDLINE and EMBASE databases were searched. Relevant pharmaceutical companies were contacted. The latest searches were performed in July 2003.
Selection Criteria:
All randomised controlled trials comparing inhaled anti-cholinergic medication with a placebo medication.
Data Collection And Analysis:
Results of searches were reviewed against pre-determined criteria for inclusion. No eligible trials were identified and thus no data were available for analysis. A single small trial in adults has been reported.
Main Results:
No randomised-controlled trials that examined the efficacy of inhaled anti-cholinergic medications in the management of prolonged non-specific cough in children were found.
Reviewer'S Conclusions:
There is currently no evidence to support the use of inhaled anti-cholinergics for symptomatic control of non-specific cough in children. Further research examining the effects of this intervention is needed.
Related Concept Videos
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by anesthetizing...
Direct-Acting Cholinergic Agonists: Therapeutic Uses
Antiasthma Drugs: Muscarinic Receptor Antagonists
Antimuscarinic agents compete with ACh for the same binding site on the muscarinic receptors. By binding to these receptors, they inhibit the downstream effects of ACh and block the parasympathetic...
Drugs Used in Lower Respiratory Disorders: Overview
Bronchodilators, the first step of respiration enhancement, come in various forms, each with its own mechanism...
COPD: Management Using Bronchodilators and Corticosteroids
Inhaled Medications

