Efficacy and safety of Pranabb® syrup to reduce cough and improve sleep quality in children compared to usual recommended hydration measures

Cynthia Crespo, Amparo Fernández, Alexandra Mascret, Cristina Álvarez, Eva Pacheco, Carme Valls, Florencio Valle, Abdesselam Zhiri
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Abstract

Background: Coughing is crucial for protecting the airways, but associated to unpleasant symptoms that often lead to pediatrician visits. Natural remedies like honey and essentials oils are being increasingly used to effectively relieve symptoms associated with cough. Objectives: Evaluate the efficacy and safety of Pranabb® cough syrup, an organic honey-based natural formulation tailored for pediatric patients, in relieving cough symptoms. Methods: One-week multicenter comparative clinical study of 50 children, 28 in the treatment group and 22 in the control group with supportive measures (increased hydration). Pediatrician appointments were scheduled at the baseline and on day 7, with a progress check call on day 3. Parents kept a daily cough diary. Results: Day 3 results show a significant decrease in daytime cough, night-time cough and global score more pronounced and statistically significant in the study group, although the more severe baseline level in the study group. On day 7, decrease in daytime and overall cough scores was greater in the study group (p<0.05). The frequency of awakenings due to coughing decreased on day 3 only in the study group (p<0.05) and on day 7 for both groups, although it was higher and more significant in the study group (-1.82 p<0.01 vs -1.25 p<0.05). In addition, the safety analysis confirms that the syrup is not toxic to children. Conclusion: Pranabb® Cough Syrup is safe and effective, reducing cough severity and nighttime awakenings in children and improving parents’ ability to sleep. More randomized clinical trials will be interesting to get more homogeneity between the two groups at baseline.
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与通常推荐的水合措施相比,Pranabb®糖浆在减轻儿童咳嗽和改善睡眠质量方面的有效性和安全性
背景:咳嗽是保护呼吸道的关键,但却会引起不愉快的症状,常常导致儿科就诊。蜂蜜和精油等天然疗法正被越来越多地用于有效缓解咳嗽症状。目标评估 Pranabb® 止咳糖浆在缓解咳嗽症状方面的有效性和安全性,该糖浆是专为儿科患者量身定制的有机蜂蜜天然配方。方法对 50 名儿童进行为期一周的多中心比较临床研究,其中治疗组 28 人,对照组 22 人,采取支持性措施(增加水分)。基线期和第 7 天预约儿科医生,第 3 天打电话检查进展情况。家长每天记录咳嗽日记。结果第 3 天的结果显示,研究组的日间咳嗽、夜间咳嗽和总体评分均有明显下降,尽管研究组的基线水平更严重,但研究组的下降更为明显,且具有统计学意义。第 7 天,研究组的日间咳嗽和总体咳嗽评分下降幅度更大(P<0.05)。只有研究组在第 3 天和第 7 天因咳嗽而觉醒的次数都有所减少(p<0.05),但研究组的减少幅度更大、更显著(-1.82 p<0.01 vs -1.25 p<0.05)。此外,安全性分析证实糖浆对儿童无毒性。结论Pranabb® 止咳糖浆安全有效,可降低儿童咳嗽的严重程度和夜间觉醒次数,改善父母的睡眠能力。更多的随机临床试验将有助于提高基线两组之间的同质性。
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