Tipepidine

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Tipepidine

Chemical structure of Tipepidine

Tipepidine is a cough suppressant medication that is used primarily in Japan. It is known for its antitussive properties and is often prescribed for the treatment of cough associated with respiratory tract infections.

Pharmacology

Tipepidine acts as a sigma receptor agonist, which is believed to contribute to its cough suppressant effects. Unlike many other cough suppressants, it does not act on the opioid receptors, which reduces the risk of addiction and respiratory depression.

Mechanism of Action

The exact mechanism by which tipepidine suppresses cough is not fully understood. However, it is thought to modulate the central nervous system by interacting with sigma receptors, which are involved in the regulation of neurotransmitter release and neuroplasticity.

Clinical Use

Tipepidine is primarily used in the treatment of coughs associated with upper respiratory tract infections. It is available in various formulations, including syrups and tablets. The medication is generally well-tolerated, with a low incidence of side effects.

Side Effects

Common side effects of tipepidine may include mild drowsiness, nausea, and dizziness. Serious side effects are rare, making it a preferred choice for patients who require long-term cough management.

History

Tipepidine was first developed in the 1950s and has been used in clinical practice in Japan for several decades. It has not been widely adopted outside of Japan, but it remains a popular choice for cough suppression in the region.

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Contributors: Prab R. Tumpati, MD