Noscapine
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
- Contraindicated
- Use is contraindicated in women if childbearing age
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 oldsyrupGeneric· 2 products
from R1.74/unit| Product | Strength | Pack | Sched | SEP | Unit | Disp fee | NAPPI |
|---|---|---|---|---|---|---|---|
| Nitepax | 25 mg/5ml | 200 | S2 | R347.92 | R1.74 | R120.92 | 747114013 |
| Nitepax | 25 mg/5ml | 100 | S2 | R191.69 | R1.92 | R78.20 | 747114005 |
- Nitepax
Medical aid coverage
data 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.
- BonClassic—
- BonComprehensive—
- BonEssential—
- BonFit Select—
- BonSave—
- BonStart—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Beryl—
- Emerald—
- Onyx—
- Ruby—
- Sapphire—
- Tanzanite One—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.
- Aquarium Option—
- Efficiency Option—
- Marine Option—
Formulary scraper pending — coverage tier, co-pay and authorisation requirements will appear here once data is ingested.