cortex syrup - Codeine (10mg/5ml) + Triprolidine (1.25mg/5ml) medicine

cortex syrup

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๐Ÿญ Progressive Life Care ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Sep 2, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Sep 02, 2026

What is cortex syrup used for?

Avkof Syrup (Codeine + Triprolidine) is used to treat RESPIRATORY. It contains Codeine (10mg/5ml) + Triprolidine (1.25mg/5ml), which Codeine: Prodrug converted to morphine, which binds to mu-opioid receptors in CN. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Codeine + Triprolidine
  • Manufacturer: Progressive Life Care
  • Form: Allopathy
  • Pregnancy Category: C
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š cortex syrup Uses & Benefits

Symptomatic relief of cough and allergic rhinitis

Off-label uses: Pain (codeine component), insomnia (triprolidine)

๐Ÿ“‹ Drug Information

Generic Name(s)Codeine + Triprolidine
Brand NameAvkof Syrup
ManufacturerProgressive Life Care
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntitussive + Antihistamine
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionWell absorbed from gastrointestinal tract
DistributionDistributed throughout body; crosses blood-brain barrier
Protein BindingCodeine: 7-25%; Triprolidine: ~90%
MetabolismCodeine: Hepatic via CYP2D6 to morphine; Triprolidine: Hepatic
Half-LifeCodeine: 2.5-3.5 hours; Triprolidine: 3-5 hours
ExcretionRenal (primarily as metabolites)
BioavailabilityCodeine: ~50-60%; Triprolidine: Not well defined
Onset of ActionCodeine: 30-60 minutes; Triprolidine: 15-30 minutes
Peak Plasma TimeCodeine: 1-2 hours; Triprolidine: 1-2 hours
Duration of ActionCodeine: 4-6 hours; Triprolidine: 4-6 hours

How It Works

Codeine: Prodrug converted to morphine, which binds to mu-opioid receptors in CNS to suppress cough reflex. Triprolidine: H1-receptor antagonist, reduces histamine effects.

Mechanism Steps

1Codeine is metabolized by CYP2D6 to morphine
2Morphine binds to mu-opioid receptors in the medulla oblongata
3Activation of mu-receptors suppresses cough reflex

๐Ÿ’ก How to Take cortex syrup

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cortex syrup

โœ… Common Side Effects

  • Drowsiness
  • Dizziness
  • Nausea
  • Constipation
  • Dry mouth

๐Ÿšจ Serious Side Effects

  • Respiratory depression
  • Hypotension
  • Seizures
  • Serotonin syndrome

โš ๏ธ Rare Side Effects

  • QT prolongation
  • Torsades de pointes
  • Hepatotoxicity

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Hypertensive crisis, serotonin syndrome
CNS depressants Major Additive sedation, respiratory depression
CYP2D6 inhibitors Major Reduced codeine efficacy
Anticholinergics Moderate Increased anticholinergic effects
Alcohol Major Enhanced sedation and respiratory depression

๐Ÿšจ Major Interactions

  • MAOIs
  • CNS depressants (alcohol, benzodiazepines)
  • CYP2D6 inhibitors (paroxetine, fluoxetine)

โšก Moderate Interactions

  • Anticholinergics
  • Other antihistamines
  • Opioid agonists

โ„น๏ธ Minor Interactions

  • Cimetidine
  • Rifampin

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase codeine levels

๐Ÿท Alcohol Interaction

Increased CNS depression and sedation

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, respiratory depression, acute asthma, MAOI use within 14 days, children < 12 years (codeine risk)

๐Ÿ“Š Monitoring Parameters

Respiratory rate, sedation level, cough frequency

๐Ÿคฑ Lactation Safety

Not recommended; codeine excreted in breast milk, may cause infant sedation

๐Ÿ’Š Overdose Management

Naloxone for codeine overdose; supportive care for antihistamine effects

โฐ Missed Dose

Take as soon as remembered; skip if near next dose; do not double

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Sep 02, 2026

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