Antitussives: Halting the Coughing Reflex (Codeine, Dextromethorphan, Tessalon)

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  • Опубліковано 17 гру 2024

КОМЕНТАРІ • 87

  • @glennpearson9348
    @glennpearson9348 Рік тому +10

    Coughing seems a lot easier to do than to explain. Holy cow! I can see now why the main ingredient in Robitussin is Dextromethorphan. Thankfully, I haven't had to use Robitussin in quite some time, but I do recall experiencing some of the side-effects that Professor Dave describes. Very information, Professor Dave. Nice work, as always!

  • @TetanicRain
    @TetanicRain Рік тому +13

    You know, I love your debunking content, but I also love your normal stuff. Keep up the good work!

    • @QuethLevi
      @QuethLevi Рік тому

      reading from a script, isnt good work :)

    • @Prod-MellowDrama
      @Prod-MellowDrama 2 місяці тому

      @@QuethLevibruh ignoring all tha editing and writing

  • @Psychx_
    @Psychx_ Рік тому +14

    I recently caught a viral throat infection and was surprised to see that I was still able to develop nightly dry caugh despite using ungodly amounts of Kratom (physical dependence). What helped in the end was lots of mallow tea, liquorice and other sources of mucilage that can form a protective film, aswell as saponines.

    • @borttorbbq2556
      @borttorbbq2556 Рік тому +2

      I'm just going to be honest with you while kratom does have a number of analogous proteins to opiates they aren't the same they act by different Pathways it does stimulate some of the opiate ones why it can help opiate addiction.

    • @Psychx_
      @Psychx_ Рік тому +4

      @@borttorbbq2556 It's not proteins, it's alkaloids. Kratom does produce its effects by agonist action on µ and antagonist action at δ and ĸ opioid receptors, aswell as many other sites (mixed agonist-antagonist action at serotonin, noradrenalin and dopamine receptors, likely also weak mAch, AMPA and NMDA antagonism).
      What makes its pharmacologically active substances different to regular opioids is that the agonist action on µ is partial (there is a ceiling effect, Emax is between 35% and 65% relative to DAMGO for the different compounds) and biased (beta-arrestin recruitment doesn't happen much, hence reduced tolerance development and less respiratory depression).
      Kratom is able to to cause physical and mental dependence, including withdrawls when abruptly stopping use. These phenomena are orders of magnitude less severe than with full, non-biased opioids though.
      So thanks, no need to be honest. I'm studying pharmacology.

    • @markiefufu
      @markiefufu Рік тому +1

      Probably not a good thing, but I use ungodly amounts of Kratom too. I swear I have a physical and mental addiction to it. I'm not wanting to stop completely, but I think I did better when I drank a cup of it in the mornings only, not 5-6 cups a day. 🫤

    • @SquishyThing
      @SquishyThing Рік тому

      @@markiefufu Ive been addicted to oxycodone for a few years now, kratom never really did much in terms of withdrawal, how do you prepare the tea? I'd love to give it another go

    • @rambles2727
      @rambles2727 Рік тому +1

      Kratom is only a partial m opioid agonist. 30 mg dextromethorphan usually works wonders for my coughs.

  • @waelfadlallah8939
    @waelfadlallah8939 Рік тому +1

    As always anticipating future videos with lots of enthusiasm.

  • @Grrey
    @Grrey 6 місяців тому

    I’m a very curious person and love to learn about pharmacology. I was recently prescribed Codeine for recurring cough + exacerbated asthma, after 20 days of nothing else working. I have to say it’s a miracle! It works wonders and allows me to sleep. I’m done with it and my cough hasn’t come back. (Had antibiotics prescribed as well). I’ve had opioids in the past and have no issues with them, since I use them as prescribed only. I know that’s not always the case, but it’s important to remark that as long as you’re careful and use your prescriptions as intended, they’re a good tool. Thankfully my doctors trust me and I trust them to have my best interests at heart.

  • @ProdWowEthan
    @ProdWowEthan Рік тому +4

    Any videos about psychedelics like DMT, LSD, and Psylocibin and how three target serotonin receptors?

  • @Nxck2440
    @Nxck2440 Рік тому +1

    I'm interested in learning about the pathways from mu opioid receptors, will you ever come back to this?

  • @GatorAidMedical
    @GatorAidMedical Рік тому +3

    Poor response to anti tussives should call for re evaluation of other causes of cough such as tuberculosis and bordetella

  • @RichardRaj-d7e
    @RichardRaj-d7e 8 місяців тому +1

    Where codeine combo helped to calm a bothersome cough, the DXM combo miserably failed to touch even the fringe. It is my considered opinion that pharmacology turns its full concentration on a very effective antitussive akin to opioid in action minus addictive disposition. This area still remains ineffectively explored !

  • @YellowPenetrator
    @YellowPenetrator Рік тому +5

    but codeine is not optimal because it is only a pro drug and some people have no effect while others are prone to overdose

    • @mikek4025
      @mikek4025 Рік тому

      Yes totally right, although it’s better than the other opioid drugs which have much higher risk of side effects - resp depression and addiction

    • @jabroski69
      @jabroski69 5 місяців тому

      What if a MF wants to get fucked up when they are sick?!? Kinda changes your whole attitude about being sick

  • @hyperwerefox3542
    @hyperwerefox3542 Рік тому +1

    Can you cover the mandlebrot set?

  • @palantir135
    @palantir135 Рік тому +1

    Can you tell me why these drugs often contain lactose.
    I recently had broomhexine and codeïne and both contained it. My intestines can’t cope with lactose.
    Broomhexine make the slime layer in your lungs less viscous so you don’t need to cough to get rid of it.

    • @taylorteehungpiao4814
      @taylorteehungpiao4814 3 місяці тому +1

      Lactose is one of the best fillers (inactive ingredients) as it is often inert and does not react with other ingredients in the medicine. In pharmacy, you will see most medicine to be filled with lactose, or otherwise your drug will be too concentrated.

    • @palantir135
      @palantir135 3 місяці тому

      @@taylorteehungpiao4814 it’s a disaster for people with lactose intolerance, certainly if they have several medications. Depending on the rate of intolerance, the total amount of lactose then reaches the threshold and they get diarrhea, intestines pumped up with gas etc.

    • @DkDT-no9rf
      @DkDT-no9rf Місяць тому

      @@palantir135I mean I have lactose intolerance and it doesn’t stop me from taking any of these medications… Are you absolutely positive you’ll have a terrible reaction to any drug containing lactose? Try experimenting.

    • @palantir135
      @palantir135 Місяць тому

      @@DkDT-no9rf yes, positive. I can only tolerate very very low concentrations of lactose.
      You know that cheese contains lactose but the amount decreases the older the cheese gets. I can only eat the ‘Old’ variety I found out because that contains zero lactose.

  • @EvTheBadConlanger
    @EvTheBadConlanger Рік тому +1

    Hey, I was wondering if there is a playlist on things that cover the different time periods of Earth life ( it has a name but I forgot ). If not, it would be interesting to see one!

    • @ProfessorDaveExplains
      @ProfessorDaveExplains  Рік тому +4

      Geology playlist!

    • @EvTheBadConlanger
      @EvTheBadConlanger Рік тому +2

      @@ProfessorDaveExplains Thank you!

    • @tshkrel
      @tshkrel Рік тому +1

      Institute for Creation Research is your best bet.

    • @Onio_Saiyan
      @Onio_Saiyan Рік тому +3

      @@tshkrel from Wikipedia: The Institute for Creation Research is a Creationist apologetics institute in Dallas, Texas, that specializes in media promotion of pseudoscientific creation science and interpretation of the Genesis creation narrative as a historical event.
      Sorry. You just gave bad advice.

  • @fartsoundeffect5217
    @fartsoundeffect5217 Рік тому +3

    i once drank an entire bottle of dayquil tryna trip but i just stayed up all night watching better call saul

  • @jasinatiger
    @jasinatiger Місяць тому

    what about levodropizine, and Ambroxol

  • @athuik
    @athuik Рік тому

    well, good timing on that one in the middle of the flue season, been coughing up a storm here and tried staying at home and masked, hopefully i won't propagate it too much ...

    • @peergynt6515
      @peergynt6515 Рік тому +1

      I cough for months after corona, that is the worst part of it.

    • @AsmodeusMictian
      @AsmodeusMictian Рік тому +1

      Awash in a sea of ignorant people who equate masking with emasculation....I just wanted to say thank you for just staying home and trying to get better. What I used to take for granted (people NOT trying to get other folks sick just because...) now seems to be a luxury, and it makes me very sad. Cheers, and get well soon!

    • @athuik
      @athuik Рік тому +1

      @@AsmodeusMictian human are just jerks sometimes, and sometimes they are just forced to go work :/ so yeah, you are shamefully right, thanks bunches !

  • @ChisomOkolie12
    @ChisomOkolie12 3 місяці тому

    Thank you 💫

  • @PotatoChips-jy9pk
    @PotatoChips-jy9pk Рік тому +4

    i CAN'T STOP COUGHING, GONNA TAKE 200 MG DEXTROMETHORPHAN

    • @gundymetre7571
      @gundymetre7571 11 місяців тому +2

      How was the trip?

    • @PotatoChips-jy9pk
      @PotatoChips-jy9pk 11 місяців тому

      @@gundymetre7571 Just basic sedation. I also took my Adderall around an hour ago, I already feel that levo hitting me because my increased heart rate. Not one day goes by that I don't take something, I want it to remain this way until my end ;p

  • @J0ker0314
    @J0ker0314 Рік тому +1

    We need more flat earth/evolution debates! I thoroughly enjoy watching you demolish their arguments, and them dancing around every answer and question your throw at them lol

    • @rachel.p1712
      @rachel.p1712 Рік тому

      Have you seen Flat Out Truth. Maybe you will find the answers you're not looking for there.

  • @Psychx_
    @Psychx_ Рік тому

    Thank you for the video! Benzydamine would have been worth mentioning IMO.

    • @mikek4025
      @mikek4025 Рік тому

      You should check out the NSAID tutorial! I think this drug has a relatively unclear pharmacology beyond it’s NSAID function but good note

    • @Psychx_
      @Psychx_ Рік тому +1

      @@mikek4025 Will do, thank you! In some countries, recreational use of this substance has been observed. Seems like high doses (around the 500mg mark) have deliriant and stimulating properties.
      Other papers suggested that it also acts on the cannabinoid receptors, but there's no hard evidence yet.
      Also, it's not even an NSAID in the usual sense, since it doesn't inhibit COX1/2. Super fascinating IMO.

  • @marcustopinka6943
    @marcustopinka6943 Рік тому

    Dave -your teaching of mechanism of action is superb- however mechanism of action is level 3 evidence. Rcts. Are number one. Despite the best and correct physiology when trialed they do not work. This has happened countless times in my medical career. Physiology and pharmacology are good places to start but when you put them to trial the opposite happens often. For example years ago a lipid agent decreased cholesterol by 25%. Good. Decreased heart attack good. BUT increased total mortality learning the physiology is important but the mechanism leads to many physicians astray. Largest evidence based medicine think tanks do not recommend cough suppressants

  • @THEHITMEN
    @THEHITMEN Рік тому

    Debate witsit gets it on a fair platform!!

    • @ProfessorDaveExplains
      @ProfessorDaveExplains  Рік тому +1

      I offered to. He declined because he’s scared. Ok little boy? Go bother him instead.

  • @amitsinghbhadoriya6318
    @amitsinghbhadoriya6318 Рік тому

    Thanks

  • @batch0
    @batch0 8 місяців тому

    You forget butamirate dihydrogen citrate

  • @mqxe
    @mqxe Місяць тому

    watching this high on dxm

  • @tommyheron464
    @tommyheron464 Рік тому +1

    Yeah

    • @tracyannbanks123_
      @tracyannbanks123_ Рік тому

      Seems like a lot of people are being led astray.

    • @tracyannbanks123_
      @tracyannbanks123_ Рік тому

      Id love to know you better, thats if you dont mind

    • @tommyheron464
      @tommyheron464 Рік тому

      @Tracy ann by day I watch you tube. What else you wanna know?

    • @tracyannbanks123_
      @tracyannbanks123_ Рік тому

      @@tommyheron464 I’m originally from VA but currently living with my aunt here In Mississippi. Where are you from?

    • @tracyannbanks123_.
      @tracyannbanks123_. Рік тому

      @@tommyheron464 hi how are you doing and what have you been up to these days.

  • @eremite2693
    @eremite2693 Рік тому

    So, you just read from a textbook.

    • @ProfessorDaveExplains
      @ProfessorDaveExplains  Рік тому +3

      No, I read from scripts written by a pharmacologist. Did you have a problem with that, sweetie?

  • @michaelinhouston9086
    @michaelinhouston9086 Рік тому

    Yeah yeah yeah - blah blah blah - if you want to stop coughing, just give him a dose of Paregoric and send him to bed - lol Man, 52 years on and I can still taste that horrible stuff - lol

  • @i8764theKevassitant
    @i8764theKevassitant Рік тому +2

    Plumbus ass words.

  • @sagan2652
    @sagan2652 Рік тому

    You should go get your phd

  • @desmond3828
    @desmond3828 Рік тому

    immunology

  • @2ahdcat
    @2ahdcat Рік тому

    Check e-mail! 😸

  • @BrandonBDN
    @BrandonBDN 6 місяців тому

    Am I just stupid or is this video nearly useless to someone who doesn't have exceptional knowledge on human biology..?

    • @ProfessorDaveExplains
      @ProfessorDaveExplains  6 місяців тому +1

      These pharmacology tutorials assume basic knowledge in chemistry and biology. I have playlists with all the basic information if you need to review.

  • @yuusufliibaan1380
    @yuusufliibaan1380 Рік тому

    🙏🙏🙏👍👍👍

  • @someguy5438
    @someguy5438 Рік тому +1

    James tours is acting like he's dunking on you Dave. Can you please put him in his place once and for all

    • @tshkrel
      @tshkrel Рік тому

      You're dreaming. This fella is not on the same level as Tour

    • @someguy5438
      @someguy5438 Рік тому

      @@tshkrel you are correct. Tours sells nonsense and Dave uses science. Not the same level at all. Tours is despicable. He uses his education to sell his fantasy to those who don't know better.

    • @ProfessorDaveExplains
      @ProfessorDaveExplains  Рік тому +3

      Yeah I’m going to bury him, sit tight.

    • @someguy5438
      @someguy5438 Рік тому +1

      @@ProfessorDaveExplains please do, and thank you.

    • @DkDT-no9rf
      @DkDT-no9rf Місяць тому +1

      @@tshkrelNoticed how no one responded to you. That’s how little you matter. The only reason I responded was because I honestly felt bad for you. But after this reply, it’ll be the last time anyone pays you any attention.

  • @rambles2727
    @rambles2727 Рік тому

    I was watching this to understand dxm and nmda and i understood it all very well and learned a lot :) then i realized "oh hey this is the guy that made matt walsh butthurt" hahahaha
    God, matt walsh is a very convincing but pseudo intellectual