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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.
Abstract

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