-5%
Bukof is used to relieve dry (non-productive) cough, including:
- Cough due to recent viral infections
- Pre- and post-operative cough
- Sedation before procedures such as bronchoscopy
- Acute cough of any cause
- Whooping cough
- Cough associated with lower respiratory tract infections (e.g., tracheitis, laryngitis, bronchitis)
Bukof contains Butamirate Citrate, which acts directly on the brain’s cough center to suppress coughing.
It is a non-opioid, non-sedating antitussive, unrelated to opium derivatives.
After oral administration, it is rapidly absorbed, reaching peak levels (for sustained-release form) within about 9 hours. It is highly protein-bound, with an elimination half-life of approximately 13 hours. Its active metabolites also contribute to cough suppression.
Dosage & Administration
Adults
- Tablet (50 mg): 2–3 tablets daily
- Syrup: 15 ml, 4 times daily
Children & Adolescents
- Tablet (≥12 years): 1–2 tablets daily
- Syrup:
- 3–6 years: 5 ml, 3 times daily
- 6–12 years: 10 ml, 3 times daily
- Adolescents: 15 ml, 3 times daily
- Pediatric Drops:
- 2 months–1 year: 0.5 ml, 4 times daily
- 1–3 years: 0.75 ml, 4 times daily
Drug Interactions
- Avoid using with expectorants, as it may lead to mucus accumulation in the airways
Contraindications
- Known hypersensitivity to Butamirate Citrate or any component
Adverse Effects
Bukof is generally well tolerated. Rare side effects may include:
- Rash
- Nausea
- Diarrhea
- Dizziness
These usually resolve after dose adjustment or discontinuation.
Pregnancy & Lactation
- First trimester: Not recommended
- Later pregnancy: Use only if prescribed, with caution
- Breastfeeding: Use only if benefits outweigh potential risks, as data are limited
Precautions & Warnings
- Do not combine with expectorants (risk of mucus retention and bronchospasm)
- Consult a doctor if:
- Cough persists >7 days in adults
- Cough persists >3 days in children under 12
Overdose Effects
Symptoms may include:
- Drowsiness
- Nausea, vomiting, diarrhea
- Loss of balance
- Low blood pressure
Management includes supportive care such as activated charcoal and standard emergency treatment.
Therapeutic Class
- Cough suppressant (antitussive)
Storage Conditions
- Store below 30°C
- Protect from light and moisture
- Keep out of reach of children
