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OverviewMechanism of ActionUsesIndicationsMethod of AdministrationDosage StrengthsDosage FormsDietary RestrictionsContraindicationsClinical Pharmacology Clinical StudiesAuthored by Reviewed by References
Noscapine

Noscapine

Indications, Uses, Dosage, Drugs Interactions, Side effects
Noscapine
Medicine Type :
Allopathy
Prescription Type:
Prescription Required
Approval :
DCGI (Drugs Controller General of India)
Schedule
Schedule H
Pharmacological Class:
Non-sedating isoquinoline alkaloid,
Therapy Class:
Antitussive,

Noscapine is an non-sedating isoquinoline alkaloid

It is used in the treatment of dry cough

Noscapine shows common side effects like Nausea, Drowsiness, Headache, Coordination disorder, Slow heart rate

Noscapine is available in the form of Solutions 

Noscapine is available in India, Germany, Canada, Italy.

Noscapine's antitussive effects appear to be primarily mediated by its σ–receptor agonist activity. Evidence for this mechanism is suggested by experimental evidence in rats. Pretreatment with rimcazole, a σ- specific antagonist, causes a dose-dependent reduction in antitussive activity of noscapine.

Noscapine is indicated For use in the treatment of dry cough

Noscapine's antitussive effects appear to be primarily mediated by its sigma receptor agonist activity. Evidence for this mechanism is suggested by experimental evidence in rats. Pretreatment with rimcazole, a sigma specific antagonist, causes a dose-dependent reduction in antitussive activity of noscapine.

Noscapine is approved for use in the following clinical indications

  • Dry Cough

Noscapine is available in the form of solutions.

Dosage Adjustment in Kidney Patient

  • There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied); however, use caution in severe impairment due to the potential for altered pharmacokinetics.

Dosage Adjustment in Hepatic impairment Patient

  • There are no dosage adjustments provided in the manufacturer’s labeling (has not been studied); however, use caution in severe impairment due to the potential for altered pharmacokinetics.

● Noscapine can increase the effects of centrally sedating substances such as alcohol and hypnotics.

● The drug should not be taken with any MAOIs (monoamine oxidase inhibitors), as unknown and potentially fatal effects may occur

● Noscapine should not be taken in conjunction with warfarin as the anticoagulant effects of warfarin may be increased.

Pharmacodynamic

Noscapine's antitussive effects appear to be primarily mediated by its sigma receptor agonist activity. Evidence for this mechanism is suggested by experimental evidence in rats. Pretreatment with rimcazole, a sigma specific antagonist, causes a dose-dependent reduction in antitussive activity of noscapine.

There are some clinical studies of the drug Noscapine mentioned below:
  • https://clinicaltrials.gov/ct2/show/NCT04430790
  • https://clinicaltrials.gov/ct2/show/NCT02820025
  • https://pubmed.ncbi.nlm.nih.gov/27612991/
  • https://clinicaltrials.gov/ct2/show/NCT03894189
  • https://www.rxlist.com/dopram-drug.htm
  • https://www.mims.com/india/drug/info/Noscapine?type=full&mtype=generic
  • https://go.drugbank.com/drugs/DB00561
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7003846/
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Parthika Patel
Parthika Patel has completed her Graduated B.Pharm from SSR COLLEGE OF PHARMACY and done M.Pharm in Pharmaceutics. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
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Dr JUHI SINGLA
Dr JUHI SINGLA has completed her MBBS from Era’s Lucknow Medical college and done MD pharmacology from SGT UNIVERSITY Gurgaon. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Published on: 18 Jan 2023 5:16 PM GMT
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