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[A prospective multicenter randomized controlled clinical study on the efficacy and safety of Guaifenesin compound
1, Quan Lu
1Department of Pulmonology, Shanghai Children's Hospital Affliated to Shanghai Jiao Tong University, Shanghai, China. luquan-sh@vip.sina.com
Insights
Guaifenesin compound pseudoephedrine hydrochloride oral solution effectively treated cold symptoms in children. This medication demonstrated superior efficacy and safety compared to ambroxol hydrochloride oral solution.
Area of Science:
- Pediatric pharmacology
- Respiratory medicine
- Clinical trial methodology
Context:
- Common cold and acute tracheobronchitis are frequent pediatric illnesses.
- Symptomatic relief for cough, expectoration, and nasal congestion is crucial for pediatric care.
Purpose:
- To assess the efficacy and safety of Guaifenesin compound pseudoephedrine hydrochloride oral solution.
- To compare its effectiveness against ambroxol hydrochloride oral solution in pediatric patients.
Summary:
- A randomized, single-blind, multicenter study involving 412 children compared Guaifenesin compound pseudoephedrine hydrochloride oral solution with ambroxol hydrochloride oral solution over 7 days.
- The Guaifenesin group showed significantly better improvement in most symptoms by day 3 and day 7.
- The Guaifenesin compound pseudoephedrine hydrochloride oral solution achieved an 82.9% improvement rate for combined symptoms and an 89.3% overall efficacy rate with high compliance and a low adverse event rate (0.92%).
Impact:
- Guaifenesin compound pseudoephedrine hydrochloride oral solution offers a safe and effective treatment option for pediatric upper respiratory symptoms.
- The study provides evidence supporting its use in managing cough, expectoration, and nasal congestion in children.
- Findings support enhanced clinical decision-making for pediatric respiratory infections.
Objective:
To evaluate efficacy and safety of Guaifenesin compound pseudoephedrine hydrochloride oral solution for the treatment of cough, expectoration, nasal congestion and runny nose in children.
Method:
This was a prospective multicenter randomized single-blind, parallel-controlled clinical study. A total of 10 centers participated in this study, the actual number of cases in line with the program was 412, of whom 205 cases in trial group were treated with Guaifenesin compound pseudoephedrine hydrochloride oral solution, and 207 cases in control group with ambroxol hydrochloride oral solution, treatment of both groups persisted for 7 days. The improvement rate of each single symptom and the combined symptoms and the overall effective rate were compared between the two groups. The adverse drug reactions and compliance were assessed as well.
Result:
The treatment of both groups showed efficacy. Except sputum stickiness, the improvement of all symptoms in trial group was superior to that in the control group on the 3rd day after treatment (P < 0.05) and except nasal congestion, the efficacy in all the other symptoms of trial group was better than that in the control group as well on the 7th day (P < 0.01). The improvement rate for combined symptoms of Guaifenesin compound pseudoephedrine hydrochloride oral solution was 82.9% and the overall efficacy rate was 89.3%. Guaifenesin compound Pseudoephedrine hydrochloride oral solution had higher compliance and its adverse event rate was merely 0.92%.
Conclusion:
Guaifenesin compound pseudoephedrine hydrochloride oral solution showed significant efficacy and safety in children for treatment of cough, expectoration, nasal congestion and runny nose caused by common cold or acute tracheobronchitis.
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