Joelseff Posted October 13, 2014 Share Posted October 13, 2014 I usually write 200. Link to comment Share on other sites More sharing options...
bradtPA Posted October 13, 2014 Share Posted October 13, 2014 I write 200 when they have insurance, 100 uninsured so they can get it for $4. Link to comment Share on other sites More sharing options...
mackjacks Posted October 16, 2014 Share Posted October 16, 2014 I write for 100mg 1-2 tabs tid prn cough, recommending 200 before bed and up to the pt during the day. Started doing that because 200 makes me kind of nauseous during the day, but if I'm nauseous while sleeping I don't know :) Link to comment Share on other sites More sharing options...
Boatswain2PA Posted October 16, 2014 Share Posted October 16, 2014 I'm surprised you guys have had success with tessalon, or any class of cough suppressant for that matter. Many trials have shown that most otc and prescription meds are either no better than placebo or show slight effectiveness at best. http://journal.publications.chestnet.org/article.aspx?articleid=1084262#t1 http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD001831.pub2/abstract;jsessionid=D20DEF464FAEDAA8E41DA902F85CB243.f02t01 Evidence for antitussive use in cough from URI's is not good. i dont do it for antitussive, I do it to treat the carinal pain from coughing so much. Link to comment Share on other sites More sharing options...
cbrsmurf Posted October 16, 2014 Share Posted October 16, 2014 i dont do it for antitussive, I do it to treat the carinal pain from coughing so much. Could you elaborate on that further? Are you treating the pain by getting the patient to cough less or are you talking about some kind of analgesic effect? Link to comment Share on other sites More sharing options...
Boatswain2PA Posted October 16, 2014 Share Posted October 16, 2014 My understanding is it anesthetizes the bronchus.... Which may or may not help coughing, but certainly helps with the deep chest pain. Link to comment Share on other sites More sharing options...
cbrsmurf Posted October 16, 2014 Share Posted October 16, 2014 Oh thanks. Interesting that it's an anesthetic. I honestly didn't really know anything about its pharmacology until I did a little reading just now. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted October 17, 2014 Share Posted October 17, 2014 Yeah, without cheating I think it is a "-caine" type amine, like tetracaine. Not sure why it doesn't anesthetize everything in the gut when it dissolves though.... Link to comment Share on other sites More sharing options...
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