TUSSICALIN 7.5 mg/5 ml Syrup

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Discuss your symptoms and possible next steps in a quick online consultation.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
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 Tussicalin

Contents of the leaflet

  1. Package Leaflet: Information for the User
  2. Tussicalin, 1.5 mg/ml, Syrup
    1. Read the package leaflet carefully before taking the medicine, as it contains important information for the patient.
    2. Table of Contents of the Package Leaflet:
  3. What is Tussicalin and what is it used for
  4. Important information before taking Tussicalin
    1. When not to take Tussicalin
    2. Children
    3. Tussicalin and other medicines
    4. Pregnancy, breastfeeding, and fertility
    5. Driving and using machines
    6. Tussicalin contains propylene glycol
    7. Tussicalin contains sorbitol
    8. Tussicalin contains sodium benzoate
    9. Tussicalin contains sodium
  5. How to take Tussicalin
    1. Overdose of Tussicalin
    2. Missed dose of Tussicalin
  6. Possible side effects
    1. Reporting side effects
  7. How to store Tussicalin
  8. Contents of the package and other information
    1. What Tussicalin contains
    2. What Tussicalin looks like and contents of the pack
    3. Marketing authorization holder and manufacturer
    4. This medicine is authorized in the Member States of the European Economic Area under the following names:
    5. Date of last revision of the package leaflet:

Package Leaflet: Information for the User

Tussicalin, 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 further information, ask your pharmacist.
  • If you experience any side effects, including those not listed in this package leaflet, tell your doctor or pharmacist. See section 4.
  • If after 5 days (3 days in children) there is no improvement or the patient feels worse, contact a doctor.

Table of Contents of the Package Leaflet:

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

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Discuss your symptoms and treatment with a doctor online.

1. What is Tussicalin and what is it used for

Tussicalin contains the active substance butamirate citrate, which belongs to the group of cough suppressants.
Tussicalin in the form of a syrup is used for the symptomatic treatment of dry, irritating cough of various origins.
This medicine can be used without consulting a doctor only for short-term treatment of acute cough, e.g. acute infection of the upper and lower respiratory tract, trachea, and bronchi. This medicine may be used for the treatment of chronic cough only on the advice of a doctor.
A doctor should be consulted if there is no improvement or the patient feels worse after 5 days of taking the medicine (after 3 days in children under 12 years of age).

2. Important information before taking Tussicalin

When not to take Tussicalin

  • if the patient is allergic to butamirate citrate or any of the other ingredients of this medicine (listed in section 6).

Children

Tussicalin can be used by adults, adolescents, and children over 3 years of age.
Tussicalin should not be used in children under 3 years of age, as the measuring cup is not suitable for measuring the correct dose. For this age group, other pharmaceutical forms are more suitable.

Tussicalin and other medicines

The doctor or pharmacist should be informed about all medicines currently being taken or recently taken, as well as any medicines that the patient plans to take.
This medicine should not be taken at the same time as so-called "expectorant" medicines (which facilitate the discharge of mucus), as such a combination of these medicines may lead to the accumulation of secretions in the respiratory tract.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult a doctor or pharmacist before taking this medicine.
If the patient is pregnant or breastfeeding, Tussicalin should not be taken unless advised by a doctor.

Driving and using machines

Tussicalin may rarely cause drowsiness in some people. In such cases, vehicles should not be driven or machines operated.
During treatment with Tussicalin, children should not ride bicycles or scooters.

Tussicalin contains propylene glycol

The medicine contains 50.75 mg of propylene glycol in 15 ml of syrup, which corresponds to 3.38 mg/ml.
The maximum recommended daily dose (60 ml) contains 203 mg of propylene glycol.

Tussicalin contains sorbitol

The medicine contains 6,750 mg of sorbitol in 15 ml of syrup, which corresponds to 450 mg/ml. The maximum recommended daily dose (60 ml) contains 27 g of sorbitol. Sorbitol is a source of fructose. If it has been previously determined that the patient has intolerance to some sugars or has been previously diagnosed with hereditary fructose intolerance, a rare genetic disorder in which the patient's body does not break down fructose, the patient should consult a doctor before taking the medicine or giving it to a child. Sorbitol may cause gastrointestinal discomfort and may have a mild laxative effect.

Tussicalin contains sodium benzoate

The medicine contains 15 mg of sodium benzoate in 15 ml of syrup, which corresponds to 1 mg/ml. Sodium benzoate may increase the risk of jaundice (yellowing of the skin and whites of the eyes) in newborns (up to 4 weeks of life).

Tussicalin contains sodium

The medicine contains less than 1 mmol (23 mg) of sodium per dose, which means the medicine is considered "sodium-free".

Medicine questions

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Discuss your symptoms and treatment with a doctor online.

3. How to take Tussicalin

This medicine should always be taken exactly as described in this package leaflet or as directed by a doctor or pharmacist. In case of doubts, consult a doctor or pharmacist.
Usually, the recommended dose is:

Body weight (kg)AgeDose
11-16 kg3-6 years5 ml (7.5 mg) 3 times a day
17-39 kg6-12 years10 ml (15 mg) 3 times a day
Adolescents 40 kg and aboveAbove 12 years15 ml (22.5 mg) 3 times a day

To measure the dose correctly, use the measuring cup provided. The measuring cup should be washed and dried after each use. Do not pour the syrup back into the bottle from the measuring cup.
Without consulting a doctor, Tussicalin should not be taken for more than 7 days.
If symptoms worsen or do not improve within 5 days (3 days in children under 12 years of age) and/or fever, rash, or persistent headache occur, consult a doctor.
In the case of chronic cough, the medicine can be taken only after the doctor's recommendation, who will determine the appropriate dose and duration of treatment.
Always use the smallest possible dose for the shortest time necessary to alleviate symptoms.
Do not exceed the recommended dose.

Overdose of Tussicalin

In case of taking a higher dose of the medicine than recommended, consult a doctor immediately.

Missed dose of Tussicalin

If a dose is missed, take it as soon as possible. Do not take a double dose to make up for the missed dose.
In case of further doubts about taking the medicine, consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, Tussicalin can cause side effects, although not everybody gets them.
The following symptoms may occur in rare cases (may affect up to 1 in 1,000 people):

  • drowsiness,
  • nausea,
  • diarrhea,
  • skin rash (hives).

These side effects should disappear after reducing the dose or stopping treatment. If these symptoms persist, stop taking Tussicalin and consult a doctor or pharmacist.

Reporting side effects

If any side effects occur, including those not listed in this package leaflet, tell your doctor or pharmacist. 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, website: https://smz.ezdrowie.gov.pl
Side effects can also be reported to the marketing authorization holder.

Adults over 61 kgAdults15 ml (22.5 mg) 4 times a day

By reporting side effects, more information can be collected on the safety of the medicine.

5. How to store Tussicalin

Do not store above 25°C. Do not store in the refrigerator or freeze.
Shelf life after first opening: 6 months.
Keep the medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the packaging, on the label, and on the carton, after EXP. The expiry date refers to the last day of the month.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer needed. This will help protect the environment.

6. Contents of the package and other information

What Tussicalin contains

  • The active substance of Tussicalin is butamirate citrate. One ml of syrup contains 1.5 mg of butamirate citrate.
  • The other ingredients are: sorbitol (E 420), glycerol, sucralose (E 955), sodium benzoate (E 211), citric acid monohydrate, caramel flavor (also containing propylene glycol (E 1520)), bitter chocolate flavor F 2428 (also containing propylene glycol (E 1520)), purified water.

What Tussicalin looks like and contents of the pack

Tussicalin syrup is a colorless or light yellow liquid.
Tussicalin syrup is packaged in glass or plastic bottles with a plastic cap, containing 100 ml or 200 ml. Each package includes a measuring cup with a scale of 5, 10, 15, 20, 25, and 30 ml.
Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:
Dr.Max Pharma s.r.o.
Na Florenci 2116/15
110 00 Prague
Czech Republic
Manufacturer:
Balkanpharma Troyan AD
Krayrechna Str. 1
5600 Troyan
Bulgaria

This medicine is authorized in the Member States of the European Economic Area under the following names:

Czech Republic
Tussical
Poland
Tussicalin
Slovakia
Tussical

Date of last revision of the package leaflet:

Online doctors for Tussicalin

Discuss questions about Tussicalin, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

Family medicine12 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.

Book a video appointment
€72
Doctor
5.0(3)

Lina Travkina

Family medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.

Areas of medical care include:

  • 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.
  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.
  • Post-operative recovery support and pain management.
  • Preconception counselling and postpartum support.
  • 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.

Book a video appointment
€75
Doctor
5.0(2)

Dmytro Horobets

Family medicineEndocrinology7 years of experience

Dr. Dmytro Horobets is a licensed family medicine physician in Poland, specialising in endocrinology, diabetology, obesity management, gastroenterology, pediatrics, general surgery, and pain medicine. He offers online consultations for adults and children, providing personalised medical support for a wide range of acute and chronic health concerns.

Areas of expertise:

  • Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
  • Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
  • Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
  • Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
  • General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
  • Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
  • Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
  • Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

Book a video appointment
€71
Doctor
5.0(19)

Nuno Tavares Lopes

Family medicineGeneral medicine18 years of experience

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.

Book a video appointment
€70

Get Tussicalin Prescription Online

1

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Tell us your symptoms, history, and what medicine you're requesting.

2

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3

Doctor reviews your case

Usually within 30 minutes. They may ask follow-up questions via chat.

4

Collect from any pharmacy

Electronic prescription sent to your email — valid across Spain.

Frequently Asked Questions

Is a prescription required for Tussicalin?

Tussicalin does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Tussicalin?

The active ingredient in Tussicalin is butamirate. This information helps identify medicines with the same composition but different brand names.

Who manufactures Tussicalin?

Tussicalin is manufactured by Balkanpharma-Troyan AD. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Tussicalin 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 Tussicalin is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

How to buy Tussicalin in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy Tussicalin in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to Tussicalin?

Other medicines with the same active substance (butamirate) include Atussan, Maxipulmon, Natussic. 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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