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Antitussive activity and respiratory system effects of levodropropizine in man.

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TLDR
Levodropropizine dose-dependently reduced cough frequency and had no effects on the rheological properties of mucus nor on ciliary activity of airway epithelium, and did not affect spirometric parameters.
Abstract
Antitussive activity of the new antitussive drug, levodropropizine (S(-)-3-(4-phenyl-piperazin-1-yl)-propane-1,2-diol, DF 526), was evaluated in healthy volunteers by the classical method of citric acid-induced coughing. Levodropropizine dose-dependently reduced cough frequency. Maximal inhibition was observed at 6 h after administration. Cough intensity was also reduced, as shown by the analysis of cough noise. Levodropropizine, at the dosage of 60 mg t.i.d., had no adverse effects on respiratory function nor on airway clearance mechanisms: in fact, it did not affect spirometric parameters. Levodropropizine had no effects on the rheological properties of mucus nor on ciliary activity of airway epithelium.

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Journal ArticleDOI

Antitussive drugs--past, present, and future

TL;DR: A review of the current understanding of the pathogenesis of cough and the hypertussive state characterizing a number of diseases as well as reviewing the evidence for the different classes of antitussive drug currently in clinical use can be found in this paper.
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Peripheral site of action of levodropropizine in experimentally-induced cough: role of sensory neuropeptides.

TL;DR: The results support the suggestion that levodropropizine has a peripheral site of action and the interference with the sensory neuropeptide system may explain, at least in part, its activity in experimentally-induced cough.
Journal ArticleDOI

A systematic review of methods of citric acid cough reflex testing

TL;DR: Considerable methodological variability exists for citric acid CRT in published literature, and it is suggested that caution is warranted in comparingcitric acid cough thresholds across studies.
Journal ArticleDOI

Levodropropizine in the management of cough associated with cancer or nonmalignant chronic disease--a systematic review.

TL;DR: The authors conclude that the evidence for the antitussive efficacy of levodropropizine in these patients is scarce, and is further limited by the methodological weaknesses of the primary studies.
Journal ArticleDOI

Antitussive therapy: A role for levodropropizine

TL;DR: An international group of experts specialized in cough met to discuss the need to identify an effective antitussive treatment with a good tolerability profile and to increase the knowledge about the cough mechanism and the activity of levodropropizine, a peripherally acting antitussives drug.
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