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Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution

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About the medicine

How to use Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Leaflet: Information for the user

Notus Antitussive and Expectorant 2 mg/ml + 20 mg/ml oral solution

Dextromethorphan hydrobromide / Guaifenesin

Read the entire leaflet carefully before starting to take this medicine because it contains important information for you.

Follow the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist.

  • Keep this leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are not listed in this leaflet.
  • You should consult your doctor if your symptoms worsen or do not improve after 7 days of treatment.

Contents of the leaflet

  1. What Notus Antitussive and Expectorant is and what it is used for
  2. What you need to know before taking Notus Antitussive and Expectorant
  3. How to take Notus Antitussive and Expectorant
  4. Possible side effects
  5. Storage of Notus Antitussive and Expectorant
  6. Package contents and additional information

1. What Notus Antitussive and Expectorant is and what it is used for

It is a medicine that contains dextromethorphan hydrobromide, which is an antitussive, and guaifenesin, which is an expectorant.

It is indicated for the relief of cough and to facilitate the expulsion of excess mucus and phlegm in colds and flu for adults and children from 6 years old.

You should consult your doctor if your symptoms worsen or do not improve after 7 days of treatment.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Notus Antitussive and Expectorant

Do not take Notus Antitussive and Expectorant

  • If you are allergic (hypersensitive) to guaifenesin or dextromethorphan hydrobromide, or to any of the other components of this medicine
  • Children under 2 years old
  • If you have asthma
  • If you have a cough with a large amount of mucus and phlegm
  • If you have a severe lung disease
  • If you are being treated or have been treated in the last 2 weeks with a monoamine oxidase inhibitor (MAOI) used to treat depression or Parkinson's disease or other diseases (see section on use of other medicines)

If you have fructose intolerance (see section on important information about some components of Notus Antitussive and Expectorant).

Warnings and precautions

This medicine can cause dependence. Therefore, treatment should be short-term.

Consult your doctor or pharmacist before taking Notus Antitussive and Expectorant:

  • If you are taking other medicines such as antidepressants or antipsychotics, Notus Antitussive and Expectorant may interact with these medicines and you may experience changes in your mental state (e.g., agitation, hallucinations, coma) and other effects such as body temperature above 38°C, increased heart rate, high blood pressure, and exaggerated reflexes, muscle stiffness, lack of coordination, and/or gastrointestinal symptoms (e.g., nausea, vomiting, and diarrhea).

Patient groups that should consult their doctor before using this medicine:

  • those with liver disease
  • those with atopic dermatitis (inflammatory skin disease characterized by erythema, itching, exudation, crusts, and scaling, which begins in childhood in individuals with a hereditary allergic predisposition).

Patients with persistent or chronic cough, such as that caused by smoking or who are sedated, debilitated, or bedridden should not take this medicine.

There have been cases of abuse with medicines containing dextromethorphan by adolescents. This can cause serious side effects (see section on if you take more Notus Antitussive and Expectorant than you should).

Interference with laboratory tests

If you are going to have any laboratory tests (including blood tests, urine tests, skin tests that use allergens, etc.), inform your doctor that you are taking this medicine, as it may alter the results.

Children and adolescents

This medicine is contraindicated in children under 2 years old. Children between 2-6 years old should not take this medicine.

Taking Notus Antitussive and Expectorant with other medicines

Inform your doctor or pharmacist if you are using or have recently used any other medicine, including those obtained without a prescription.

Note that these instructions may also apply to medicines that have been used before or may be used after.

Do not take this medicine during treatment or in the 2 weeks following treatment with the following medicines, as it may cause excitement, high blood pressure, and fever above 40°C (hyperpyrexia):

  • Medicines used to treat depression such as monoamine oxidase inhibitors (MAOIs) (moclobemide, tranylcypromine) and
  • serotonin reuptake inhibitors (paroxetine, fluoxetine)
  • Bupropion (used to quit smoking)
  • Linezolid (used as an antibacterial)
  • Procarbazine (used to treat cancer)
  • Selegiline (used to treat Parkinson's disease)
  • Sibutramine (used to treat obesity).

If you are using any of the following medicines, it may be necessary to modify the dose of one of them or interrupt treatment:

  • Amiodarone and quinidine (for treating heart arrhythmias)
  • Anti-inflammatory drugs (celecoxib, parecoxib, or valdecoxib)
  • Central nervous system depressants (some of which are used to treat: mental illnesses, allergies, Parkinson's disease, etc.)
  • Expectorants and mucolytics (used to eliminate mucus and phlegm).
  • Haloperidol (antipsychotic).

Taking Notus Antitussive and Expectorant with food and drinks:

Do not consume alcoholic beverages during treatment with this medicine, as it may cause adverse reactions.

Do not take with grapefruit or bitter orange juice, as they may increase the adverse effects of this medicine.

Pregnancy and breastfeeding and fertility:

If you are pregnant or breastfeeding, or think you may be pregnant or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

Pregnant and breastfeeding women should not take this medicine without consulting their doctor.

Driving and using machines:

On rare occasions, during treatment with this medicine, a decrease in reaction capacity or drowsiness and mild dizziness may occur, so if you notice these symptoms, you should not drive or operate machines.

Notus Antitussive and Expectorant contains aspartame, sorbitol, sodium benzoate, and sodium

This medicine contains 7 mg of aspartame per milliliter.

Aspartame contains a source of phenylalanine that may be harmful in case of phenylketonuria (PKU), a rare genetic disease in which phenylalanine accumulates because the body is unable to eliminate it properly.

This medicine contains 0.0575 mg of sorbitol (E-420) per milliliter.

This medicine contains 3 mg of sodium benzoate per milliliter.

This medicine contains less than 1 mmol of sodium (23 mg) per milliliter; i.e., it is essentially "sodium-free".

3. How to take Notus Antitussive and Expectorant

Follow the administration instructions of the medicine contained in this leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist

The recommended dose is

Adults: take 5 ml measured with the dosing cup included in the box, every 6 hours. If necessary, it can be taken every 4 hours. If it is not enough, 10 ml can be taken every 4-6 hours as needed. In any case, the maximum amount of medicine that can be taken in 24 hours is 60 ml, divided into at least 6 doses.

Pediatric population

Severe side effects can occur in children in case of overdose, including neurological disorders. Caregivers should not exceed the recommended dose.

Children between 6 and 12 years old: take 2.5 ml measured with the dosing cup included in the box, every 6 hours. If necessary, it can be taken every 4 hours. If it is not enough, 5 ml can be taken every 4-6 hours as needed. In any case, the maximum amount of medicine that can be taken in 24 hours is 30 ml, divided into at least 6 doses.

Children between 2-6 years old: children under 6 years old should not take this medicine.

Children under 2 years old: children under 2 years old should not take this medicine; it is contraindicated.

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

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Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

Patient groups that should consult their doctor before taking this medicine:

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Patient groups that should consult their doctor before taking this medicine:

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Patient groups that should consult their doctor before taking this medicine:

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Medicine questions

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Online doctors for Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution

Discuss questions about Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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€69
5.0 (63)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management
  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance
  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
  • Pain management: acute and chronic pain, post-surgical care
  • Public health: prevention, health screenings, long-term monitoring
  • Sick leave (Baixa médica) connected to Segurança Social in Portugal
  • IMT medical certificates for driving licence exchange
Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

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€59
5.0 (17)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

  • acute respiratory symptoms (cough, sore throat, runny nose, fever)
  • viral illnesses such as colds and seasonal infections
  • gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
  • sudden changes in how a child or adult feels
  • questions about existing treatment and whether adjustments are needed
  • renewal of prescriptions when clinically appropriate
Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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€50
5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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€80

Frequently Asked Questions

Is a prescription required for Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution?
Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution?
The active ingredient in Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution is opium derivatives and expectorants. This information helps identify medicines with the same composition but different brand names.
Who manufactures Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution?
Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution is manufactured by Teva Pharma S.L.U.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to Notus Antitusive and Expectorant 2 mg/ml + 20 mg/ml oral solution?
Other medicines with the same active substance (opium derivatives and expectorants) include BRONCOMEDICAL with Guaifenesin 10 mg/100 mg ORAL SOLUTION, BRONCOMEDICAL with Sulfoguaiacol 2mg/ml + 10mg/ml Syrup, CINFATOS EXPECTORANT 10 mg + 100 mg ORAL SOLUTION IN SACHETS. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
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