Chestal ® Cough Monograph - Boiron USA for Health Care

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Dry Cough • Chest Congestion • Coughing Fits
The two types of cough, productive (wet cough) and nonproductive (dry, spasmodic cough),
require different types of treatment. A productive cough should not be suppressed, as it
promotes expectoration of phlegm from the air ducts. A dry, fitful cough can be tiresome and
prevent rest at night.
Chestal® and Children’s Chestal® alleviate both types of cough through the relief of tracheal
irritation causing dry cough and facilitating the expectoration of thick mucus in productive
cough. The syrup provides an emollient action, and the filtered honey adds its natural
cough-relieving properties and a pleasant taste.
Chestal and Children’s Chestal are over-the-counter homeopathic medicines that do not cause
drowsiness and are non-habit forming. They can be used by patients taking other medications.
Children’s Chestal is recommended for children 2 years of age and older.
As a first-line treatment for cough, Chestal offers many advantages:
• Safe and simple solution for all types of common cough
• Doesn’t mask symptoms that could lead to an early diagnosis of a more
serious problem
• The syrup base is emollient and the filtered honey soothes dry cough
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COUGH
SIDE EFFECTS/
DISADVANTAGES
HOW IT WORKS
ADVANTAGES
Chestal
Children’s Chestal
Homeopathic symptomspecific activity on different
types of cough: dry,
spasmodic, productive;
emollient action of the syrup;
cough-relieving properties
of the filtered honey
Non-habit forming; for
children 2 years of age and
older, the elderly, and
patients being treated for
concomitant conditions
None known
Codeine Sulfate
Cough suppressant
Fast-acting
Low dosage efficacy is
being disputed; sedative;
not indicated for productive
cough; may cause constipation
in high doses; may mask
the cause of cough
Dextromethorphan
Cough suppressant
Non-habit forming;
fast and lasting action
when given at the
appropriate dosage
Not indicated for productive
cough or for children under
4 years of age; contraindicated
in patients with risk of respiratory failure; overdose induces
CNS depression; may mask
the cause of cough
Diphenhydramine
Probable anticholinergic
action
Relieves cough caused
by allergies
Sedative; anticholinergic
side effects; interacts with
several other drugs
Guaifenesin
Expectorant; reduces the
viscosity of secretions
Well-tolerated
Doesn’t relieve dry or
spasmodic cough; combination
with cough suppressant is
controversial
Increases mucus production
Traditionally used in teas
or herbal preparations as
natural self-medication
Increases blood pressure; may
induce hemostatic disorders;
many contraindications (hepatic
or renal impairment, high blood
pressure, arrhythmia, etc.)
MEDICINES
HERBS
Licorice
(Glycyrrhiza glabra)
Pharmacology
The formula for Chestal and Children’s Chestal combines several homeopathic medicines. These medicines are
manufactured according to the Homeopathic Pharmacopoeia of the United States’ guidelines, using the highest
standards of production and quality control.
Indications for homeopathic medicines have been determined experimentally and verified by years of empirical use
by thousands of physicians. As our knowledge of biochemistry and pharmacology progresses, more and more of
these indications finally make sense. This table shows the relationships between the toxicopharmacological properties
of the strain (in white) and the indications of its homeopathic dilutions (in yellow).
Chestal and Children’s Chestal should be used for their labeled indications.
MEDICINES FOR DRY COUGH
Bryony (Cucurbitaceae)
Bryonia L.
Cucurbitacin glycosides: Cytotoxic
effects, irritation of mucous and serous
membranes with intense dryness and
inflammation
Roasted sponge (Spongidae)
Euspongia officinalis L.
Iodine, bromine and silica: Burning and
constriction of the pharynx and larynx,
with dry, croupy cough
Tree lungwort (Lobariaceae)
Sticta pulmonacea Ach.
Mucilages, tannins, stictinic and
norstictinic acids: Expectorants,
anti-inflammatory; traditionally
used for cough and bronchitis
Bryonia 3C
Dry, painful cough worsened
by the slightest movement
Spongia tosta 3C
Dry, croupy and barking cough,
worse at night, with dyspnea
Sticta pulmonaria 3C
Dry, irritating, hacking cough
worse at night
MEDICINES FOR SPASMODIC COUGH
Yellow dock (Polygonaceae)
Rumex crispus L.
Anthracenic derivatives:
Spasmodic, violent cough
worsened by inhaling cold air
Cochineal (Coccidae)
Dactylopius coccus Costa
Sundew (Droseraceae)
Drosera rotundifolia L.
Ipecac (Rubiaceae)
Cephaelis ipecacuanha
Carmine acid, myristin: The
powder provokes an irritation of the
respiratory mucosa–fits of coughing
followed by thready mucus
Proteases, naphtoquinones:
Laryngeal and tracheal irritation
causing suffocating, spasmodic
cough with gasping for breath
Emetine: Emetic action
Cephaeline: Expectorant;
inhalation of the powder
triggers bronchospasm
Coccus cacti 3C
Drosera 3C
Ipecacuanha 3C
Rumex crispus 6C
Spasmodic cough with
laryngeal tickling
Barking, fitful cough worse
at night and when lying
down
Spasmodic cough associated
with nausea
Dry and fitful cough triggered
by inhaling cold air or by tickling
of supra-sternal notch
MEDICINES FOR PRODUCTIVE COUGH
Antimony potassium tartrate
(C3H4O3 (SbO2)-COOK, 1/2 H2O)
Diluted emetic tartar was used as an expectorant;
ingestion activates pneumogastric area and
secretion of mucus
Wind flower (Ranunculaceae)
Pulsatilla vulgaris Mill.
Ranunculoside, quickly hydrolyzed into anemonin:
inflammation of mucous membrane with abundant,
non-irritating, thick yellow discharge; loose cough
in the day with thick mucus
Antimonium tartaricum 6C
Wet cough with thick mucus difficult
to expectorate, with dsypnea
Pulsatilla 6C
Cough dry at night, becoming wet during
the day, with thick yellowish mucus
References used to prepare this document:
1. Demarque D., MD, et al. Pharmacology and Homeopathic
Materia Medica. Ed. CEDH.
2. Martindale 30th edition. The Pharmaceutical Press,
London, UK.
3. PDR for Herbal Medicines 3rd Edition. Thomson PD.R
4. U.S. Food and Drug Administration. Sec. 400.400
Conditions Under Which Homeopathic Drugs May
Be Marked (CPG7132.15). Available at:
www.fda.gov/ora/compliance_ref/cpg/cpgdrg/
cpg400-400.html.
5. Chevallier A. The Encyclopedia of Medicinal Plants.
Ed DK Publishing. 1996
6. Berardi R, et al. Handbook of nonprescription Drugs:
An Interactive Approach to Self0Care. 5th Edition.
American Pharmacists Association. 2006.
Homeopathic medicines are manufactured and marketed in the U.S.
under the regulatory authority of the Food and Drug Administration.4
Chestal is available in
8.45 fl oz (250 mL) and 4.2 fl oz (125 mL) bottles.
Children’s Chestal is available in
8.45 fl oz (250 mL) and 4.2 fl oz (125 mL) bottles.
Drug Facts (continued)
Drug Facts
Active ingredients
Purpose
Antimonium tartaricum...........Helps loosen thick mucus
6C HPUS
Bryonia.........................................................Relieves dry and
painful cough
3C HPUS
Relieves cough associated
Coccus cacti.............................
.
3C HPUS
with a tickling in the throat
Drosera.............................................Relieves barking cough
3C HPUS
worse at night
.
Relieves cough associated
Ipecacuanha.............................
3C HPUS
with nausea
Relieves wet cough during
Pulsatilla......................................
.
the day becoming dry at night
6C HPUS
. .......................................Relieves dry cough
Rumex crispus
triggered by cold air
6C HPUS
Spongia tosta...............................Relieves dry, croupy and
barking cough
3C HPUS
Sticta pulmonaria..................................Relieves nighttime
3C HPUS
hacking cough
The letters HPUS indicate that this ingredient is
officially included in the Homeopathic Pharmacopoeia
of the United States.
■ cough that lasts or is chronic such as occurs with
smoking, asthma, chronic bronchitis or emphysema.
Stop use and ask a doctor if cough lasts for more
than 7 days, comes back, or is accompanied by
fever, rash or a persistent headache. These could
be signs of a serious condition.
If pregnant or breast-feeding, ask a health professional
before use.
Keep out of reach of children.
Directions
Age
Dose
Adults and children
12 years of age and older
Take 10 ml‡
every 2 hours
Children
2 to 12 years of age
Take 5 ml ‡
every 2 hours
Children
under 2 years of age
Not recommended
‡Dosage cup included. 5 mL = 1 tsp.
Other information
■ do not use if glued carton end flaps are open or if the
seal at base of cap is broken or missing
■ temporarily relieves dry cough due to minor throat and
■ contains 4.1 g of sugar per 5 mL
■ contains 0.001% alcohol
■ store at 68-77°F (20-25°C)
■ helps relieve chest congestion by loosening mucus
Inactive ingredients
Uses
bronchial irritation as may occur with a cold
and thinning bronchial secretions to make coughs more
productive
citric acid, honey, purified water, sodium benzoate,
sucrose
Questions or comments?
Warnings
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[email protected]
1-800-BOIRON-1 (1-800-264-7661)
I2200-MD-06/13
Ask a doctor before use if you have
■ cough that occurs with too much phlegm (mucus)
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