Cough associated with the new coronavirus infection (COVID-19): rational approaches to pharmacotherapy

Author:

Okovityi S. V.1ORCID,Sukhanov D. S.2ORCID,Zaicev A. A.3ORCID

Affiliation:

1. Saint-Petersburg State Chemical and Pharmaceutical University, Healthcare Ministry of the Russian Federation

2. Saint-Petersburg State Budgetary Healthcare Institution “Tuberculosis Dispensary No.12”

3. Main Military Clinical Hospital named after academician N.N.Burdenko, Ministry of Defense of the Russian Federation

Abstract

Cough is one of the most frequent symptoms of the new coronavirus infection (COVID-19). It reduces the quality of life and contributes to the development of life-threatening conditions.Aim. This article analyzes modern approaches to the pharmacotherapy of cough in patients with the new coronavirus infection from the standpoint of pathogenetic justification of the use of drugs. The main mechanisms of cough development in COVID-19 presented in the literature are considered. The cough is associated with virus-induced damage to the epithelium and subsequent release of biologically active substances that irritate the afferent endings of the vagus nerve. Approaches to cough management in COVID-19 with the possible use of antitussive (central and peripheral action) and mucoactive drugs (expectorants, mucokinetics, mucolytics, mucoregulators) are addressed.Conclusion. Based on the literature data and pathogenesis, antitussive drugs play a crucial role in the treatment of cough in COVID-19.

Publisher

Scientific and Practical Reviewed Journal Pulmonology

Subject

Pulmonary and Respiratory Medicine

Reference53 articles.

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4. Zaytsev A.A., Okovityy S.V., Miroshnichenko N.A., Kryukov E.V. [Cough: Guidelines for physicians]. Moscow: Burdenko General Clinical Hospital; 2021. Available at: https://www.researchgate.net/publication/354162540_Kasel_Metodiceskie_rekomendacii_dla_vracej_Cough_Guidelines_for_physicians (in Russian).

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