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. 2014 Nov 24;2014(11):CD001831. doi: 10.1002/14651858.CD001831.pub5

1. Overview of studies and outcomes.

Group Study ID Number participants Treatment and duration Outcome and result Notes
1. Antitussives
Antitussives
Adults
Adams 108 Moguisteine
 3.5 days Cough score (10‐point scale)
 MD 0.9 on day 4 NS
  Eccles 81 Codeine
4 days
16‐item cough severity score
 MD 1.6 NS
  Freestone 82 Codeine
Single dose
5‐point symptom rating scale
 MD 1.0 NS
  Lee 44 Dextromethorphan
Single dose
Cough severity score (3‐point scale)
 MD at 180 minutes 0.5 NS
  Parvez 451 Dextromethorphan
Single dose
Cough recordings at 180 minutes Significant reduction in cough counts with treatment
  Pavesi 710 Dextromethorphan
Single dose
Cough recordings at 180 minutes Significant reduction in various cough measures with treatment
Antitussives
Children
Bhattacharya 120 Dextromethorphan
 3 days Composite 5‐item symptom score
 MD 0.4 NS
  Korppi 50 Dextromethorphan
3 days
4‐item cough symptoms score day 3
 MD 0.04 NS
  Paul 100 Dextromethorphan
Single dose
Composite 5‐item symptom score
 MD 0.79 NS
  Taylor 57 Dextromethorphan or codeine (3 arms)
3 nights
4‐item symptom score NS
2. Expectorants
Expectorants
Adults
Albrecht 378 Guaifenesin 1600 mg bd
 7 days 8‐item composite symptom score, day 4
 MD 2.6, P value = 0.04 NS difference at day 7, reported day 4 outcomes
  Kuhn 65 Guaifenesin 480 mg qid
 30 hours Cough recordings and patient‐rated improvement in cough frequency and severity NS
  Robinson 239 Guaifenesin 200 mg qid
 3 days Patient rating as 'helpful'
 Int 75% versus Con 31% P value < 0.01
Expectorants
Children
No studies
3. Mucolytics
Mucolytics
Adults
Nesswetha 99 Bromhexine
4 days
Cough frequency (cough every 2 to 4 minutes)
Int 8.6% versus Con 15.2%
P value < 0.02
Mucolytics
Children
Nespoli 40 Letosteine
 10 days Composite symptom score
 Average 2‐point difference between intervention and control favouring intervention day 4 to 10 P value < 0.01
4. Antihistamine/decongestants
Antihistamine/
decongestants
Adults
Berkowitz 283 Loratadine and pseudoephedrine
 5 days 3‐item cough score
 MD 0.2 NS
  Curley 73 Dexbrompheniramine and pseudoephedrine
7 days
4‐item cough score
 MD 0.6 P value < 0.05
Antihistamine/
decongestants
Children
Clemens 59 Brompheniramine and phenylpropanolamine
2 days
7‐item cough scores
 MD 0.1 NS
  Hutton 96 Brompheniramine and phenylephrine and propanolamine
2 days
9‐item symptom score, % reported as improved
 Int 67% versus Con 58% NS
5. Other combinations
Other combinations
Adults
Kurth 113 Dextromethorphan plus salbutamol
3 days
% improved day 3
 Int 45% versus Con 27% P value = 0.05
  Mizoguchi 485 Combination syrup
 Single dose Cough score
MD 0.42, day 2
P value < 0.0001
  Thackray 70 'Vicks'
 2 days, cross‐over after 24 hours Patient preference
Int 66% versus Con 27%
P value < 0.01
  Tukiainen 108 Dextromethorphan with and without salbutamol
4 days
5‐item symptom score
MD 0.11
NS
Other combinations
Children
Korppi 51 Dextromethorphan plus salbutamol
3 days
Cough symptoms
MD 0.12, day 3
NS
  Reece 43 Combination syrups Satisfactory antitussive response
 Int both 69% versus Con 57% NS
6. Antihistamines
Antihistamines
Adults
Berkowitz 91 Terfenadine
4 to 5 days
3‐item symptom score
MD 0.2
NS
  Gaffey 250 Terfenadine
3.5 days
Symptom score (scores not reported) NS
Antihistamines
Children
Bhattacharya 120 Promethazine
3 days
5‐item symptom score
MD 0.3
NS
  Paul 100 Diphenhydramine
Single dose
5‐item symptom score
 MD 1.73 NS
  Sakchainanont 143 Clemastine and chlorpheniramine
3 days
4‐item symptom score, % reporting improvement
 Int 40% versus Con 28% NS
7. Honey
Honey
Adults
No studies
Honey Children Avner‐Cohen 300 3 types honey (4 arms)
 Single dose 5‐item composite symptom score Significant symptom reductions in all honey groups compared to controls

Con: control
 Int: intervention
 MD: mean difference
 NS: not significant
 qid: 4 times a day