Pharmacodynamics
The antitussive effects are due to an attack of the cough center in the brainstem. Activation of sigma opioid receptors induces cell division inhibitory effects. Because of this mechanism of action, noscapine is also a potential agent for tumor treatment.
Pharmacokinetics
The pharmacokinetic properties are comparable to those of codeine. The drug is absorbed through the gastrointestinal tract, with only about 5-10% of the administered dose being converted to morphine in the liver. The remaining components are broken down to ineffective intermediates and excreted renally. After about three hours, the plasma concentration of the compound drops to half of the initial level.
Drug Interactions
Concurrent use of noscapine with sleeping pills, sedatives, antidepressants, antipsychotics, opioids, and alcohol is not recommended.