Related Experiment Video
Updated: Jan 27, 2026

Evaluating the Role of Mitochondrial Function in Cancer-related Fatigue
Published on: May 17, 2018
Antitussive therapy: A role for levodropropizine.
Surinder Birring1, Francesco de Blasio2, Peter V Dicpinigaitis3
1Centre for Human & Applied Physiological Sciences, School of Basic & Medical Biosciences, Faculty of Life Sciences & Medicine, King's College London, Department of Respiratory Medicine, King's College Hospital, London, United Kingdom.
Cough is a common symptom, but effective treatments are limited. This review explores cough mechanisms and levodropropizine, a peripherally acting drug, for safer cough relief.
Area of Science:
- Pharmacology
- Respiratory Medicine
- Clinical Therapeutics
Background:
- Cough is a prevalent symptom leading to medical consultations.
- Existing antitussive treatments often have limited efficacy and poor tolerability due to central nervous system (CNS) effects.
- There is a need for safe and effective antitussive therapies with improved side effect profiles.
Purpose of the Study:
- To review the current understanding of cough mechanisms.
- To discuss the pharmacological activity of levodropropizine, a peripherally acting antitussive.
- To highlight the potential of levodropropizine as a well-tolerated treatment option for cough.
Main Methods:
- Expert review and synthesis of existing literature on cough pathophysiology.
- Analysis of preclinical and clinical data on levodropropizine's efficacy and safety.
- Discussion of the mechanism of action of peripherally acting antitussives.
Main Results:
- Levodropropizine acts peripherally on sensory nerve endings in the airways, reducing cough reflex sensitivity.
- Studies suggest levodropropizine offers effective cough suppression with a favorable tolerability profile compared to centrally acting agents.
- The drug's peripheral action minimizes CNS-related side effects, enhancing patient compliance.
Conclusions:
- Levodropropizine represents a promising therapeutic option for managing cough.
- Its peripheral mechanism of action offers a distinct advantage in terms of safety and tolerability.
- Further research and clinical application of levodropropizine could improve the treatment of troublesome cough.
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...
Gene Therapy
The Role of Culture
Role of Septins
Cellular Functions of Septins
Recent studies have revealed the multifaceted roles of septins in various cellular processes such as cytokinesis, ciliogenesis, and neurogenesis. Septins act as scaffolds and...
Group Therapy
Role of ER in the Secretory Pathway
Components of the secretory pathway
About a third of proteins synthesized in the cell are sorted via the secretory route. They shuffle between different compartments in membrane-bound vesicles until they reach their final destination. The main intracellular compartments involved...

