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Antitussive drugs--past, present, and future.

P V Dicpinigaitis1, A H Morice, S S Birring

  • 1King's College London, Franklin Wilkins Building, 100 Stamford St., London, SE1 9NH, UK. clive.page@kcl.ac.uk.

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Summary
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Cough is a common symptom of many diseases, but effective treatments are limited. Recent advances in understanding the cough reflex offer hope for developing new antitussive drugs.

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Area of Science:

  • Pulmonology
  • Pharmacology

Background:

  • Cough is a significant clinical issue, appearing as a symptom of conditions like asthma and COPD, or as a primary condition (chronic cough).
  • Current antitussive therapies and commonly used cough treatments lack robust clinical evidence, especially over-the-counter options.

Purpose of the Study:

  • To review the current understanding of cough pathogenesis and the hyper-tussive state.
  • To evaluate the evidence for existing antitussive drug classes and other commonly used cough medications.
  • To discuss novel antitussive drug classes in development.

Main Methods:

  • Literature review of existing antitussive drugs and drug classes.
  • Examination of evidence for drugs used to treat cough, including those not classified as antitussives.
  • Review of emerging antitussive drug candidates.

Main Results:

  • Evidence supporting many current antitussive drug classes, particularly OTC options, is limited.
  • Significant progress has been made in understanding the cough reflex over the past decade.

Conclusions:

  • There is a need for more well-controlled clinical studies to validate current cough treatments.
  • New therapeutic targets for antitussive drugs have been identified, offering potential for future treatments.