neobookRx
DrugsLevel 4 LocalisationS1/S2SUSEML

Noscapine

Opium alkaloidAntitussive

Indications

Registered South African indications:

  • Cough

Cautions

Contraindications

  • Hypersensitivity to noscapine of any of its excipients
  • Women of childbearing age
    - Pregnancy
    - Breastfeeding

Cautions

  • Renal impairment
  • Hepatic impairment
  • Elderly

Adult dosage

Forms avail. in SA and covered in this monograph: syr

Non-productive cough

  • Oral (syr): 25-50mg, 8hrly, depending on severity

Paediatric dosage

Paed. forms avail. in SA and covered in this monograph: syr

Non-productive cough

Younger than 4 months

  • Not established for use

Between 4-12 months

  • Oral (syr):  2.5-7.5mg, 8hrly

Between 1-7 years

  • Oral (syr): 7.5-12.5mg, 8hrly 

Between 7-12 years

  • Oral (syr): 12.5-25mg, 8hrly 

Older than 12 years

  • See adult dosage

Special populations

Pregnancy

  • Contraindicated
  • Use is contraindicated in women if childbearing age

Breastfeeding

Renal Impairment

Hepatic Impairment

Elderly

Porphyria Information

Drugs in Sport

  • Permitted - No warnings 

Adverse reactions

Central Nervous System Disorders

  • Drowsiness
  • Dizziness
  • Headache

Respiratory Disorders

  • Allergic rhinitis

Gastrointestinal Disorders

  • Nausea

Skin and Subcutaneous Tissue Disorders

  • Skin rash

Sensory Disorders

  • Conjunctivitis

Interactions

No information available

Monitoring

None routine

Mechanism of action

Noscapine is a non-narcotic alkaloid derived from the opium poppy that exerts its antitussive effects via activation of sigma opioid receptors.

Dosage forms

  • Suspension

Formulation

Syrup (per 5ml) 25mg

  • Nitepax (Pharmacare) originator

References

1. SAMF_12th Edition_Page 561 2. PI: Nitepax suspension, Pharmacare Ltd:Date of registration: 07 Jul 1974 [http://home.intekom.com/pharm/lagamed/nitepax.html] 3. Pubmed: https://pubchem.ncbi.nlm.nih.gov/compound/noscapine#section=Top (accessed 10/2/2017) 4. PI: Nitepax suspension, Pharmacare Ltd:Date of registration: 07 Jul 1974 [https://drive.google.com/drive/folders/0B0xnChtF7vduejItc0NRWFZ5T1E] 5. NAPOS: The Drug Database for Acute Porphyria: Noscapine; Accessed online 23 Jan 2019 [http://www.drugs-porphyria.org/languages/UnitedKingdom/s3.php?l=gbr&atc_code=R05DA07] 6. South African Institute for Drug-Free Sport: Nitepax; Accessed online 23 Jan 2019 [http://www.drugfreesport.org.za/online-medication-check/] *No SPC available *No UTD, Epocrates or Drugs.com

Brands & products

2 products · stale NAPPI snapshot · refreshed 5/28/2026 · 159 days old

syrupGeneric· 2 products

from R1.74/unit
ProductStrengthPackSchedSEPUnitDisp feeNAPPI
Nitepax25 mg/5ml200S2R347.92R1.74R120.92747114013
Nitepax25 mg/5ml100S2R191.69R1.92R78.20747114005
Trade names (1)
  • Nitepax

Medical aid coverage

data not yet integrated
Discovery Health
not yet integrated
  • Comprehensive Series—
  • Executive Plan—
  • KeyCare Series—
  • Priority Series—
  • Saver Series—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

Bonitas Medical Fund
not yet integrated
  • BonClassic—
  • BonComprehensive—
  • BonEssential—
  • BonFit Select—
  • BonSave—
  • BonStart—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

GEMS — Government Employees Medical Scheme
not yet integrated
  • Beryl—
  • Emerald—
  • Onyx—
  • Ruby—
  • Sapphire—
  • Tanzanite One—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

POLMED — Police Medical Aid Scheme
not yet integrated
  • Aquarium Option—
  • Efficiency Option—
  • Marine Option—

Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.

NeoHealth® ID 16141 · updated 10/15/2022