Prospan Hoestsiroop 200 ml

Product Information

persist after using the product for 7 days, if shortness of breath, fever or bloody phlegm occur, if side Antibiotics for viral URTIs and bronchitis are ineffective and even harmful due to potential side effects as well as the contribution to the development of bacterial resistance [ 4]. Despite widespread knowledge of the associated risks, antibiotics are frequently prescribed to patients with URTIs and bronchitis [ 5]. To combat this issue and to assist physicians in the challenge of alleviating acute cough caused by viral illnesses, a strong evidence base regarding the efficacy and safety of non-antibiotic cough remedies in adults and children is needed. Values are reported as stated in the respective publications. If information is missing (e.g., composition of herbal preparation), the study in question does not provide details

Measuring the efficacy of therapies for acute URTIs and bronchitis is challenging as symptoms typically recede after 5–11 days, regardless of intervention [ 27]. Correspondingly, the clinical condition of participants improved in both treatment and comparison groups. Values for the minimal clinically important difference (MID), or the smallest change perceived by patients as important, are available for two of the tools used to measure cough severity in the studies in our review: 17 mm for the Visual Analog Scale (VAS) and 2 points for the Leicester Cough Questionnaire (LCQ, Online Resource 2) [ 28]. One RCT reported VAS differences of 11.1 and 17.9 mm between treatment and placebo groups at day 3 and at the end of the treatment period, respectively [ 23]. Based on the MID, the effect of ivy leaf treatment at 3 days was likely too small to be perceived as important by patients but the difference after 7 days was potentially clinically noticeable. The CCT reported an LCQ difference of 4.3 at the end of the treatment period, indicating a potentially clinically noticeable difference [ 26]. For blind people or partially sighted the XPIL services can be used at http://xpil.medicines.org.uk/.After the first opening of the bottle, the product must be used within 3 months. 6. FURTHER INFORMATION Active ingredient: Each 5 ml of syrup contains 35 mg of extract (as dry extract) from ivy leaf ( Hedera helix L.) (5 – 7.5 : 1). Do not use it if you are allergic to ivy, sorbitol or any of the other ingredients in Prospan ® by Helixia ®. All allergologists, avg. average, BID twice daily, BSS Bronchitis Severity Scale, C/A children/adults, d days, DE dry extract, DER drug to extract ratio, E% ethanol % in extraction solvent, ENT ears-nose-throat specialist, GP general practitioners or family physicians, I/C number in intervention/control group, LE liquid extract, med. median, N no, n.a. not applicable, NR not reported, Ped pediatricians, Pulm pulmonologists, QID four times daily, tab(s) tablet(s), TID three times daily, VAS visual analog scale, VCD verbal cough diary, y years, Y yes Prospan® Cough Syrup is a light brown, slightly cloudy syrup. It contains a plant extract as the active ingredient and its colour and taste can therefore occasionally vary. This, however, does not affect the quality of the preparation.

Take Prospan ® by Helixia ® for at least 1 week or longer depending on the nature and severity of your condition. It is recommended to keep taking Prospan ® by Helixia ® for 2–3 days after your symptoms have disappeared. Please refer to the above chart for proper dosage by age. Warnings & Precautions

For adults (18 and above) the recommended dose of Prospan 120ml Syrup is 1 to 2 tablespoons taken 3 to 4 times daily. Prospan® Cough Syrup is a light brown, slightly cloudy syrup. It contains a plant extract as the active

Two included studies were at low risk of bias per the Cochrane assessment. This is a minimal improvement to our previous systematic review, in which 1 of 10 included studies was of robust quality per the Jadad scale [ 10]. All but 1 of the remaining studies were at high or critical risk of bias. The standard of reporting was poor. Half of the RCTs and all OSs measured cough severity subjectively using unblinded outcome assessors. Comedication was expressly allowed in 5 studies [ 18, 21, 23– 25] and not specified in 3 [ 16, 17, 26], limiting the validity of conclusions . Read all of this leaflet carefully because it contains important information for you. This medicine is available without prescription. However, you still need touse Prospan® Cough Syrup as directed to get the best results from it. includes any possible side effects not listed in this leaflet. You can also report any side effects directly Have a taste that adults won’t run screaming from (Hey, kids aren’t the only ones with taste buds). Have you tried the new Menthol flavour yet? If you take more than the recommended dose (more than three times the daily dose), you may experience nausea, diarrhoea, vomiting or feel excitable. In this case speak to your doctor, pharmacistor qualified healthcare practitioner and take this leaflet with you.

SISTEM PERNAPASAN

If you take more than the recommended dose (more than three times the daily dose), you may experience nausea, diarrhoea, vomiting or feel excitable. In this case speak to your doctor, pharmacist or qualified healthcare practitioner and take this leaflet with you. If you forget to take this product Ask your doctor or pharmacist for advice before taking any medicine. The safety of this product during pregnancy and breast-feeding has not been established, therefore the use of this product during pregnancy and breast-feeding is not recommended. Important information about some of the ingredients of Prospan® Cough Syrup: if you are allergic (hypersensitive) to the active ingredient, ivy leaf or to any of the excipients ofProspan® Cough Syrup (see section 6). One open-label RCT compared an ivy/thyme preparation to standard care, defined as warm alkaline mineral water, an antipyretic (paracetamol), decongestant drops, and a local antibiotic (fusafungin) in 54 children for 7–10 days [ 18]. Outcomes included the proportion of patients with wet cough and congestion, number of daily coughing fits, fever, and laboratory markers of inflammation. The difference in coughing fits was statistically significant at treatment days 3–4 (approximately 12 vs. 18 fits/day in treatment versus standard care groups, respectively), but not at subsequent follow-up. In the event of persistent symptoms like fever, shortness of breath, or purulent or bloody expectancy, consult a doctor immediately.

If you have difficulty breathing, have a fever or bloody phlegm, consult your doctor or qualifiedhealthcare practitioner. Taking other medicines Standard care: warm alkaline mineral water, antipyretic (paracetamol), decongestant nose drops, local antibiotic (fusafungin spray) as needed b Active ingredient: Each 5 ml of syrup contains 35 mg of extract (as dry extract) from ivy leaf (Hedera helix L.) (5 - 7.5 : 1). During the day you should drink plenty of water or other warm caffeine-free beverages in the period taking it. Ask your doctor or pharmacist for advice before taking any medicine. The safety of this product during pregnancy and breast-feeding has not been established, therefore the use of this product duringpregnancy and breast-feeding is not recommended. Important information about some of the ingredients of Prospan® Cough Syrup:If any of the side effects gets serious, or if you notice any side effects not listed inthis leaflet, please tell your doctor or pharmacist. Consult your doctor or qualified healthcare practitioner if your symptoms worsen or if symptoms persist after using the product for 7 days, if shortness of breath, fever or bloody phlegm occur, if side effects listed in section 4 become serious or if side effects not listed in section 4 occur. such as nausea, vomiting and diarrhoea have been reported. There may be a laxative effect due to the Naturally sourced. Clinically proven. Prospan ® by Helixia ® is an excellent option if you want to be tough on your symptoms—without being hard on your system. Prospan® by Helixia® is clinically proven to help: The ivy leaf extract in Prospan Syrup is believed to have cough-relieving properties, making it a useful option for individuals suffering from acute catarrh of the respiratory tract accompanied by coughing