Schwabe Kaloba Pelargonium Cough and Cold Relief Tablets, 30 g

Product Information

Whether you’re considering using herbs for colds, flu, and boosting your immune system it’s best to see a qualified Herbalist. Honey had no significant effect on children's or parents' sleep quality compared with placebo or dextromethorphan, but was significantly better compared with no treatment or diphenhydramine (by about 0.5 to 1 point on a 7-point Likert scale; low to moderate quality evidence). P. sidoides tablets (any dosage) significantly reduced 'failure to resolve all symptoms' by day 7 (92.7% versus 99.0%; low quality evidence) and 'failure to resolve cough' by day 7 (low quality evidence) compared with placebo in adults with acute bronchitis, although, individually, only the 30‑mg dose achieved a significant reduction for 'failure to resolve cough' (low quality evidence). Oral dextromethorphan with salbutamol was no more effective than placebo or dextromethorphan alone in reducing cough frequency (very low quality evidence) or daytime cough severity (low quality evidence) in 1 RCT of adults with acute cough. Dextromethorphan with salbutamol was superior to placebo or dextromethorphan alone in relieving cough at night (mean symptom score 0.19 versus 0.67 and 0.44, respectively on day 4, p<0.01; low quality evidence). However, more tremors were reported in the dextromethorphan with salbutamol group than in the placebo group (no figures given, p<0.05; low quality evidence). The committee recommended that ideally antibiotics should only be considered after people have been assessed face-to-face but this may not always be possible.

If other adverse reactions not mentioned above occur, a doctor or a qualified health care practitioner should be consulted. 4.9 Overdose Antibiotics are not normally prescribed for coughs. A GP will only prescribe them if you need them – for example, if you have a bacterial infection or you're at risk of complications. What causes coughs Over-the-counter cough medicines containing the cough suppressants dextromethorphan and pholcodine are subject to MHRA advice. They should not be used in children under 6 years of age (pholcodine) or 12 years of age (dextromethorphan) and pholcodine is only available in pharmacies for use in children from 6 to 12 years where advice can be given. Over-the-counter cough medicines containing codeine should not be used in children under 12 years and are not recommended for young people under 18 years with breathing problems ( MHRA advice). In subgroup analysis by antibiotic, there was no significant difference in clinical improvement between doxycycline and placebo (3 RCTs), erythromycin and placebo (2 RCTs) or amoxicillin and placebo (2 RCTs; low to moderate quality evidence). However, cefuroxime significantly increased clinical improvement at follow-up in adults with acute bronchitis compared with placebo (1 RCT, n=343, 92.4% versus 79.1%; low quality evidence).This product is a traditional herbal medicinal product containing Pelargonium sidoides DC root dried extract. 100g (=93.985 ml) syrup contain 0.2506g dried liquid extract from the roots of Pelargonium sidoides DC (EPs ® 7630). The committee reviewed evidence for several herbal products: Andrographis paniculata, ivy, primrose and thyme as a combined product, echinacea, and pelargonium. Kaloba is of pharmaceutical quality and has been manufactured to European Good Manufacturing Practice (GMP) Guidelines Pelargonium sidoides are generally meant for short-term use, which is no longer than five to seven days at most. The supplements and remedies are readily available online and at many local health-food stores. The Bottom Line The three-way effect stabilises the immune system, preventing a re-infection, shortens the recovery phase.

A. Fever, diarrhoea, restlessness, dark coloured urine, fatigue and stomach disturbances are some common side effects. However, due to insufficient research, some individuals like pregnant mothers, lactating mothers and even children should refrain from its consumption. Q. How can you use geranium oil? Scientists claim that Pelargonium Sidoides can help fight upper respiratory tract infections like bronchitis, sinusitis, and the common cold. That is because it naturally increases the body’s healing ability. For example, individuals with acute bronchitis ultimately can resolve the symptoms within a week of its consumption. Antibiotics (erythromycin, cefuroxime, doxycycline or co-amoxiclav) did not significantly reduce the number of adults and children with acute bronchitis without improvement at physician follow-up compared with placebo (very low quality evidence). When a subgroup of people with non-purulent tracheo-bronchitis from an upper respiratory tract infection study was omitted, antibiotics were significantly better than placebo (5 RCTs, n=816, 7.7% versus 17.6%; NNT 11 [7 to 19]; moderate quality evidence). However, only 1 RCT in this analysis of cefuroxime versus placebo (accounting for 35.5% of the weight in the meta‑analysis) showed a significant improvement compared with placebo. The possibility of pregnancy should be considered in women of childbearing age. Doxycycline should not be used in pregnancy. Amoxicillin is the preferred antibiotic in pregnancy. Erythromycin is preferred if a macrolide is needed in pregnancy, for example, if there is true penicillin allergy and the benefits of antibiotic treatment outweigh the harms. See the MHRA Public Assessment Report on the safety of macrolide antibiotics in pregnancy.Paul IM, Yoder KE, Crowell KR, et al. Effect of dextromethorphan, diphenhydramine, and placebo on nocturnal cough and sleep quality for coughing children and their parents. Pediatrics. 2004;114(1):e85-e90. Due to its anti-bacterial and immune-modulating characteristics Pelargonium appears to be a good alternative to the conventional therapy of treating respiratory illnesses with antibiotics. Chuchalin AG, Berman B, Lehmacher W. Treatment of acute bronchitis in adults with a pelargonium sidoides preparation (EPs 7630): a randomized, double-blind, placebo-controlled trial. Explore (NY). 2005;1(6):437-445.

Consult a doctor immediately if your condition does not improve within one week, in case of fever lasting for several days or in case of shortness of breath or blood in the sputum. Dry cough causes an irritation of the already affected mucous membranes and leads to increased mucus production, and thus antitussive treatment is indicated [ 20]. Productive cough should, however, not be suppressed as it enables the evacuation of mucus from the bronchi [ 21]. A study involving 105 people with bacterial sinusitis, in which symptoms had been present for at least one week, showed that taking Pelargonium extracts three times daily for up to 22 days produced significant improvements in symptoms, with faster recovery than those taking placebo, and no significant side effects. Pelargonium and tonsillitis Yale SH, Liu K. Echinacea purpurea therapy for the treatment of the common cold: a randomized, double-blind, placebo-controlled clinical trial. Arch Intern Med. 2004;164(11):1237-1241. Viral acute respiratory tract infections (ARTIs) are the most prevalent diseases in primary care, regardless of patient age and sex [ 1-3]. In ARTIs such as acute bronchitis (AB) and the common cold (CC), cough is a leading symptom [ 4], causing over 50% of new patient attendance in primary care and being the major source of consultation in pharmacies [ 5-7].

Possible side-effects

The committee agreed that the evidence for dextromethorphan was mixed. There was some evidence that suggests a single, high dose reduced cough symptoms in adults with an acute cough but other evidence that it had no effect, and it may increase adverse effects (mainly gastrointestinal and dizziness). The clinical significance of any benefit it may have is unclear. Coughing is a leading symptom of viral ARTIs such as AB and CC which may have an annoying and grueling effect on children and adults alike, causing interference with essential activities of daily living and disruption of sleep in patients and their nuclear families [ 5, 16, 17]. In ARTIs, cough may persist for several weeks, causing persistent distress and reduced well-being [ 16, 52]. It is therefore a clinically important treatment target.