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Atussan

Atussan

Ask a doctor about a prescription for Atussan

5.0(38)
Doctor

Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Atussan

Package Leaflet: Information for the User

ATUSSAN, 1.5 mg/ml, syrup

Butamirate citrate

Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in this package leaflet or as directed by a doctor or pharmacist.

  • Keep this package leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including those not listed in this package leaflet, they should inform their doctor or pharmacist. See section 4.
  • If after 7 days there is no improvement or the patient feels worse, they should contact their doctor.

Table of Contents of the Package Leaflet:

  • 1. What is Atussan and what is it used for
  • 2. Important information before taking Atussan
  • 3. How to take Atussan
  • 4. Possible side effects
  • 5. How to store Atussan
  • 6. Contents of the pack and other information

1. What is Atussan and what is it used for

Atussan contains the active substance butamirate citrate. It is a non-opioid cough medicine.

Indications:

  • Symptomatic treatment of cough of various origins.

2. Important information before taking Atussan

When not to take Atussan:

Warnings and precautions

Before starting to take Atussan, the patient should discuss it with their doctor or pharmacist:

Atussan and other medicines

The patient should tell their doctor or pharmacist about all medicines they are taking or have recently taken, as well as any medicines they plan to take.
They should avoid taking expectorant medicines(which increase the production of secretions) at the same time. This may cause secretions to accumulate in the airways. The risk of bronchospasm and respiratory tract infection will increase.

Atussan with food and drink

Atussan should be taken before a meal.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult their doctor or pharmacist before taking this medicine.
Atussan should be avoided in the first trimester of pregnancy. In the second and third trimesters, the medicine may be used if the doctor considers it absolutely necessary.
For safety reasons, butamirate citrate should not be used during breastfeeding.

Driving and using machines

Atussan may cause dizziness or drowsiness, so the patient should be cautious when driving or operating machinery.

Atussan contains sorbitol, glycerol, sodium benzoate, ethanol, and sodium

The medicine contains 450 mg of sorbitolper 1 ml of syrup. Sorbitol is a source of fructose. If the patient has been diagnosed with intolerance to some sugars or has a rare genetic disorder, hereditary fructose intolerance, they should consult their doctor before taking the medicine or giving it to their child. Sorbitol may cause gastrointestinal discomfort and may have a mild laxative effect. Energy value: 2.6 kcal/g of sorbitol.
Atussan also contains glycerol(0.25 g per 1 ml of syrup), which may cause headache, stomach upset, and diarrhea.
Atussan also contains sodium benzoate(E 211). The medicine contains 1 mg of benzoic acid salt per 1 ml of syrup.
Atussan contains small amounts of ethanolas part of the flavoring. This medicine contains 6.96 mg of alcohol (ethanol) per 5 ml of syrup. In the case of the maximum daily dose, the amount of alcohol is equivalent to:

  • in children from 3 to 6 years - less than 1 ml of beer and less than 1 ml of wine,
  • in children from 6 to 12 years - less than 2 ml of beer and less than 1 ml of wine,
  • in adolescents over 12 years - less than 2 ml of beer and less than 1 ml of wine,
  • in adults - less than 2 ml of beer and 1 ml of wine. The small amount of alcohol in this medicine will not cause noticeable effects.

This medicine contains less than 1 mmol (23 mg) of sodiumper 1 ml of syrup, which means the medicine is considered "sodium-free".

3. How to take Atussan

This medicine should always be taken exactly as described in this package leaflet or as directed by a doctor or pharmacist. If in doubt, the patient should consult their doctor or pharmacist. Without consulting a doctor, Atussan should not be taken for more than 7 days.

Usual dose:

Children and adolescents
Adults
15 ml of syrup (22.5 mg of butamirate citrate) 4 times a day.

  • Atussan should not be taken by children under 3 years of age.
  • Atussan should be taken before a meal.

A measuring cup with a scale to facilitate dosing is attached to the packaging.

Overdose of Atussan

In case of taking a higher dose of the medicine than recommended, the patient should immediately inform their doctor or pharmacist.
The following overdose symptomsmay occur:

  • drowsiness;
  • vomiting, diarrhea, nausea;
  • dizziness;
  • hypotension.

Missed dose of Atussan

In case of missing a dose, the patient should take the dose as soon as possible and continue treatment as directed.
A double dose should not be taken to make up for a missed dose.

Stopping treatment with Atussan

In case of any further doubts about taking this medicine, the patient should consult their doctor or pharmacist.

4. Possible side effects

Like all medicines, Atussan can cause side effects, although not everybody gets them.
Rare side effects(more than 1 in 10,000 people and less than 1 in 1,000 people):

  • drowsiness;
  • nausea, diarrhea;
  • hives.

Reporting side effects

If any side effects occur, including those not listed in the package leaflet, the patient should inform their doctor or pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181C
02-222 Warsaw
Phone: 22 49-21-301,
Fax: 22 49-21-309
Website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medicine.

5. How to store Atussan

The medicine should be stored out of sight and reach of children.
Store in a temperature below 25°C. Store in the original packaging.
Do not use this medicine after the expiry date stated on the carton and label after "EXP". The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

What Atussan contains

  • The active substance of the medicine is butamirate citrate. 1 ml of syrup contains 1.5 mg of butamirate citrate.
  • The other ingredients are: sodium benzoate (E 211), liquid, non-crystallizing sorbitol (E 420), glycerol (E 422), sodium saccharin, orange flavor liquid (contains, among others, ethanol), citric acid monohydrate, sodium citrate, purified water.

What Atussan looks like and contents of the pack

Atussan is a clear syrup with an orange flavor and smell.
A brown glass or polyethylene terephthalate (PET) bottle, closed with an aluminum or polyethylene (PE) cap, containing 100 ml or 150 ml or 200 ml of syrup, placed in a cardboard box. A measuring cup is attached to the packaging.

Marketing authorization holder and manufacturer

Polfarmex S.A.
ul. Józefów 9
99-300 Kutno
Poland (Poland)
Phone: (24) 357 44 44
Fax: (24) 357 45 45
e-mail: [email protected]

Date of last revision of the package leaflet:

AgeDose
To be taken 3 times a day:
3 to 6 years5 ml of syrup (7.5 mg of butamirate citrate)
6 to 12 years10 ml of syrup (15 mg of butamirate citrate)
over 12 years15 ml of syrup (22.5 mg of butamirate citrate)

Alternatives to Atussan in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Atussan in Ukraine

Dosage form: syrup, 0.15% in 200 ml bottle
Active substance: butamirate
Prescription not required
Dosage form: drops, 20 ml in a bottle
Active substance: butamirate
Prescription not required
Dosage form: syrup, 1.5 mg/ml; 100 ml or 200 ml in a bottle
Active substance: butamirate
Manufacturer: Haleon KH S.a.r.l.
Prescription not required
Dosage form: drops, 5 mg/ml; 20 ml in a bottle
Active substance: butamirate
Prescription not required

Alternative to Atussan in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 35.4 mg
Active substance: cloperastine
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 3.54 mg cloperastine fendizoate/ml
Active substance: cloperastine
Manufacturer: Almirall S.A.
Prescription not required
Dosage form: TABLET, 45 mg
Active substance: gefapixant
Prescription required
Dosage form: ORAL SOLUTION/SUSPENSION, 3.54 mg/ml
Active substance: cloperastine
Manufacturer: Kern Pharma S.L.
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 12.5 mg/ml + 9.09 mg/ml + 10 mg/ml
Active substance: combinations
Manufacturer: Kwizda Pharma Gmbh
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 6 mg/ml
Active substance: levodropropizine
Manufacturer: Laboratorio Stada S.L.
Prescription not required

Online doctors for Atussan

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Atussan – subject to medical assessment and local rules.

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Jonathan Marshall Ben Ami

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Dr. Jonathan Marshall Ben Ami is a licensed family medicine doctor in Spain. He provides comprehensive care for adults and children, combining general medicine with emergency care expertise to address both acute and chronic health concerns.

Dr. Ben Ami offers expert diagnosis, treatment, and follow-up for:

  • Respiratory infections (cold, flu, bronchitis, pneumonia).
  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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Yevgen Yakovenko

General surgery11 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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His clinical background includes:

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  • follow-up after hospital discharge
  • interpretation of test results
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Dr Cayatte earned his degree from the University of Lisbon and taught internal medicine at Boston University School of Medicine. He holds active medical registrations in both Portugal and the UK and is a Fellow of the American Heart Association.

Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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  • Chronic pain lasting more than 3 months.
  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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  • Post-COVID-19 cardiac monitoring and care.
Endocrinology – Diabetes, thyroid, metabolism:
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  • Individual treatment plans including oral medications and insulin therapy.
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  • Thyroid disorders – hypothyroidism, hyperthyroidism, autoimmune thyroid diseases (Hashimoto’s, Graves’ disease).
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Gastroenterology – Digestive health:
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General internal medicine and preventive care:
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Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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Dr. Tabeshadze takes a patient-centred approach based on evidence-based medicine. Her goal is to help patients achieve hormonal balance, manage chronic conditions effectively, and improve overall well-being through targeted, personalised care.
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  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
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Additional care areas:

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Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.

If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

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Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
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