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Atussan

Atussan

Ask a doctor about a prescription for Atussan

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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.

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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Areas of expertise:

  • interpretation of test results and personalised treatment planning
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  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
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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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  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.
  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.
  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.
  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.
  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.
  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.
  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.
  • Medical advice and follow-up consultations.
  • Test interpretation and diagnostic guidance.
  • Structured support for undiagnosed complaints.
  • Second opinion on diagnoses and treatment plans.
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  • Immunity support and strategies to reduce frequency of infections.

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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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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  • 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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  • 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:
  • Respiratory infections (colds, bronchitis, pneumonia).
  • 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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Her focus is on helping patients regain health through deep understanding of symptoms, personalised nutrition plans, and evidence-based correction of deficiencies, stress-related conditions, and metabolic imbalances. Dr Fedoryshyn works with adults experiencing chronic conditions, fatigue, hormonal disruption, and post-stress exhaustion.

She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

  • Chronic condition management and medical counselling
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  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
  • Chest pain, shortness of breath, arrhythmias (tachycardia, bradycardia, palpitations).
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  • EKG interpretation, lipid profile evaluation, cardiovascular risk assessment (heart attack, stroke).
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Endocrinology – Diabetes, thyroid, metabolism:
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  • Metabolic syndrome – obesity, lipid disorders, insulin resistance.
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General internal medicine and preventive care:
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  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
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  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
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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