Abstract

Cough is a common pediatric complaint, resulting in frequent doctor’s office or hospital visits. In Brazil, the leaves of chambá (Justicia pectoralis) have been used extensively in herbal preparations for the treatment of many respiratory problems such as cough, bronchitis, and asthma. Thus, this study aimed to assess the effectiveness of chambá syrup for the treatment of cough and respiratory symptoms in children. Between November 2017 and February 2018, patients aged 1 to 12 years with respiratory symptoms and cough, and onset of symptoms greater than 48 h were enrolled in this trial. Participants were randomized to receive either chambá syrup in three daily doses or placebo. Effectiveness was assessed through a questionnaire, to measure the intensity of cough and respiratory symptoms, before the intervention and 48 h after, using Likert scale responses. A total of 114 children, 56 in the chambá group and 58 in the placebo group, participated in the study. After 48 h, there was a significant reduction in frequency of cough, severity of cough, severity of nasal congestion, and in improvement in the ability to sleep for both the child and caregiver in the chambá group (p< .0001 for all variables); for participants in the placebo group, there were no significant differences after intervention, in comparison with baseline. In this study population, chambá syrup was effective in the treatment of cough and respiratory symptoms, providing an overall improvement of symptoms when compared to placebo, as well as improving the ability to sleep. Key words: Cough, clinical trial, pediatrics, Justicia pectoralis. &nbsp

Highlights

  • Cough is one of the most common pediatric problems for which parents seek medical attention

  • After 48 h, there was a significant reduction in frequency of cough, severity of cough, severity of nasal congestion, and in improvement in the ability to sleep for both the child and caregiver in the chambá group (p< .0001 for all variables); for participants in the placebo group, there were no significant differences after intervention, in comparison with baseline

  • Chambá syrup was effective in the treatment of cough and respiratory symptoms, providing an overall improvement of symptoms when compared to placebo, as well as improving the ability to sleep

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Summary

Introduction

Cough is one of the most common pediatric problems for which parents seek medical attention. Lanceolate, acute or attenuated apex, acute or narrow base and whole margin with trichomes on both sides It has small, sessile flowers with green goblet and white or lilac corolla. In Brazil, the leaves of Justicia pectoralis are popularly used in homemade preparations for treatment of respiratory tract disorders, such as cough, bronchitis, and asthma. Its syrup is widely produced and distributed by the public phytotherapy program called “Farmácias Vivas” (Living Pharmacies). This species belongs to the National Record of Plants of Interest to the National Health System (Ministry of Health, 2009) and the national phytotherapy formulary (Leal et al, 2017)

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