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.

1. Zaytsev A.A., Chernov S.A., Kryukov E.V. et al. [Practical experience of managing patients with new coronavirus infection COVID-19 in hospital (preliminary results and guidelines)]. Lechashchiy Vrach. 2020; (6): 74–79. DOI: 10.26295/OS.2020.41.94.014 (in Russian).

2. National Institute for Health and Care Excellence (NICE) in collaboration with NHS England and NHS Improvement [corporate author]. Managing COVID-19 symptoms (including at the end of life) in the community: summary of NICE guidelines. BMJ. 2020; 369: m1461. DOI: 10.1136/bmj.m1461.

3. Lovato A., Filippis C. Clinical presentation of COVID-19: a systematic review focusing on upper airway symptoms. Ear Nose Throat J. 2020; 99 (9): 569–576. DOI: 10.1177/0145561320920762.

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).

5. Yong S.J. Long COVID or post-COVID-19 syndrome: putative pathophysiology, risk factors, and treatments. Infect. Dis. (Lond.). 2021; 53 (10): 737–754. DOI: 10.1080/23744235.2021.1924397.

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3