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Natussic

Natussic

Ask a doctor about a prescription for Natussic

5.0(6)
Doctor

Tarek Agami

General medicine10 years of experience

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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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 Natussic

Package Leaflet: Information for the Patient

Natussic, 7.5 mg/5 ml, Syrup

Butamirate Citrate

Read the Package Leaflet Carefully Before Taking the Medication, as it Contains Important Information for the Patient.

This Medication Should Always be Taken Exactly as Described in the Package Leaflet or as Advised by a Doctor or Pharmacist.

  • This Leaflet Should be Kept in Case it Needs to be Read Again.
  • If Advice or Additional Information is Needed, a Pharmacist Should be Consulted.
  • If the Patient Experiences any Side Effects, Including those not Listed in the Leaflet, the Doctor or Pharmacist Should be Informed. See Section 4.
  • If There is no Improvement or the Patient Feels Worse After 5 to 7 Days, the Doctor Should be Consulted.

Table of Contents of the Leaflet

  • 1. What is Natussic and What is it Used For
  • 2. Important Information Before Taking Natussic
  • 3. How to Take Natussic
  • 4. Possible Side Effects
  • 5. How to Store Natussic
  • 6. Package Contents and Other Information

1. What is Natussic and What is it Used For

The Active Substance of Natussic is Butamirate Citrate.
Natussic is a Cough Medication Intended for Symptomatic Treatment of Cough of Various Origins.
If There is no Improvement or the Patient Feels Worse After 5 to 7 Days, the Doctor Should be Consulted.

2. Important Information Before Taking Natussic

When Not to Take Natussic:

  • If the Patient is Allergic to the Active Substance or any of the Other Ingredients of this Medication (Listed in Section 6).

Warnings and Precautions

If the Cough Persists for More than 7 Days, the Doctor Should be Consulted.
Due to the Suppression of the Cough Reflex by Butamirate Citrate, Medications that Induce Coughing Should be Avoided (See "Natussic and Other Medications").

Children

Natussic Syrup Should not be Used in Children Under 3 Years of Age.

Natussic and Other Medications

The Doctor or Pharmacist Should be Informed About all Medications Currently or Recently Taken by the Patient, as well as any Planned Medications.
Concomitant Use of Expectorant Medications Should be Avoided, as it may Lead to Accumulation of Secretions in the Airways, Increasing the Risk of Bronchospasm and Respiratory Tract Infections.

Pregnancy, Breastfeeding, and Fertility

If the Patient is Pregnant, Breastfeeding, or Thinks she may be Pregnant, or is Planning to have a Child, she Should Consult a Doctor or Pharmacist Before Taking this Medication.

Driving and Operating Machinery

Natussic may Cause Drowsiness. Therefore, Caution Should be Exercised When Driving or Operating Machinery.

Natussic Contains 2500 mg of Sorbitol in 5 ml of Syrup

Sorbitol is a Source of Fruuctose. If the Patient has Previously been Diagnosed with Intolerance to some Sugars or has been Diagnosed with Hereditary Fructose Intolerance, a Rare Genetic Disorder in which the Patient's Body does not Break Down Fruuctose, the Patient Should Consult a Doctor Before Taking the Medication or Giving it to a Child. The Energy Value is 2.6 kcal/g of Sorbitol.
Sorbitol may Cause Gastrointestinal Discomfort and may have a Mild Laxative Effect.

Natussic Contains 5 mg of Benzoic Acid in 5 ml of Syrup

Natussic Contains 96% Ethanol

The Medication Contains Small Amounts of Ethanol (Alcohol), Less than 100 mg per Dose.

3. How to Take Natussic

This Medication Should Always be Taken Exactly as Described in the Package Leaflet or as Advised by a Doctor or Pharmacist. In Case of Doubt, the Doctor or Pharmacist Should be Consulted.
Without Consulting a Doctor, Natussic Should not be Used for More than 5 to 7 Days.
Natussic Syrup is Taken Orally.
A Measuring Spoon is Included with the Medication to Measure the Correct Dose of Syrup.
The Measuring Spoon Should be Washed and Dried After Each Use.
The Usual Dose is:
Children from 3 to 6 Years: 5 ml of Syrup Three Times a Day,
Children from 6 to 12 Years: 10 ml of Syrup Three Times a Day,
Adolescents Over 12 Years: 15 ml of Syrup Three Times a Day,
Adults: 15 ml of Syrup Four Times a Day.
Natussic Syrup Should not be Used in Children Under 3 Years of Age.

Taking a Higher Dose of Natussic than Recommended

In Case of Taking a Higher Dose of the Medication than Recommended, the Following Symptoms may Occur:
Drowsiness, Nausea, Vomiting, Diarrhea, Dizziness, and Decreased Blood Pressure.
In Case of Taking a Higher Dose of the Medication than Recommended, the Doctor Should be Consulted Immediately.

Missing a Dose of Natussic

A Double Dose Should not be Taken to Make up for a Missed Dose.
In Case of any Further Doubts About Taking the Medication, the Doctor or Pharmacist Should be Consulted.

4. Possible Side Effects

Like all Medications, Natussic can Cause Side Effects, although not Everybody gets them.
Rare Side Effects (in 1 to 10 per 10,000 People):
Drowsiness,
Nausea,
Diarrhea,
Hives.
If these Symptoms Occur, the Medication Should be Stopped and the Doctor Consulted.

Reporting Side Effects

If any Side Effects Occur, including those not Listed in the Leaflet, the Doctor or Pharmacist Should be Informed. 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,
tel. +48 22 49 21 301, fax: +48 22 49 21 309,
e-mail: [email protected].
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 Medication.

5. How to Store Natussic

Store in a Tight, Original Package, at a Temperature Below 25°C.
The Medication Should be Stored Out of Sight and Reach of Children.
The Medication Should not be Used After the Expiration Date on the Package.
The Expiration Date Refers to the Last Day of the Specified Month.
Shelf Life After First Opening the Bottle: 3 Months.
Medications Should not be Disposed of in Sewers or Household Waste Containers. A Pharmacist Should be Asked how to Dispose of Unused Medications. This will Help Protect the Environment.

6. Package Contents and Other Information

What Natussic Contains

  • The Active Substance of the Medication is Butamirate Citrate. 5 ml of Syrup Contains 7.5 mg of Butamirate Citrate (1 ml of Syrup Contains 1.5 mg of Butamirate Citrate).
  • Other Ingredients (Excipients) are: Liquid Sorbitol, Non-Crystallizing, Glycerol, Sodium Saccharin (E 954), Vanillin, Benzoic Acid (E 210), Sodium Hydroxide, 96% Ethanol (v/v), Purified Water.

What Natussic Looks Like and What the Package Contains

Natussic Syrup is a Colorless, Transparent Syrup with a Characteristic Taste and Vanilla Smell.
The Bottle is Made of Brown Glass Type III with an HDPE Cap and a Foamed PE Seal, with a Measuring Spoon Made of PP, in a Cardboard Box.
Package Sizes:
1 Bottle of 100 ml
1 Bottle of 200 ml

Marketing Authorization Holder and Manufacturer

"PRZEDSIĘBIORSTWO PRODUKCJI FARMACEUTYCZNEJ HASCO-LEK" S.A.
51-131 Wrocław, ul. Żmigrodzka 242 E

Information About the Medication

tel. 22 742 00 22
e-mail: [email protected]

Date of the Last Update of the Leaflet:

Alternatives to Natussic in other countries

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

Alternative to Natussic 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 Natussic 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 Natussic

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

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Doctor

Andrei Popov

General medicine6 years of experience

Dr. Andrei Popov is a licensed pain management specialist and general practitioner based in Spain. He provides expert online care for adults dealing with both chronic and acute pain, as well as a wide range of everyday health concerns.

He specialises in diagnosing and treating pain conditions that affect quality of life, including:

  • 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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Tarek Agami

General medicine10 years of experience

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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Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
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  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
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Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

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  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
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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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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.

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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
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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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Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

  • fever, chills, fatigue and viral symptoms
  • cough, sore throat, nasal congestion, breathing discomfort
  • bronchitis and mild asthma flare-ups
  • nausea, diarrhoea, abdominal pain, digestive infections
  • rashes, allergic reactions, redness, insect bites
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Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

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  • Basic and Advanced Cardiac Life Support (BLS/ACLS)
  • Pediatric Advanced Life Support (PALS)
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  • eFAST and critical care transthoracic echocardiography
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He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.
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Areas of expertise:

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  • 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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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.

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  • 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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