Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial

Cough is one of the most prevalent symptoms of COVID-19, affecting over 60% of patients. This symptom significantly diminishes quality of life, causing fatigue, insomnia, dysphonia, musculoskeletal pain, and urinary incontinence. Honey Zufa herbal syrup is a well-known antitussive remedy in the Ira...

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Main Authors: Marziyeh Heydari, Hossein Kazemi Zadeh, Soha Namazi, Hamid Emadi Koochak, Nasim Khajavi Rad, Mahnaz Khanavi, Arman Zargaran
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-11-01
Series:Acta Medica Iranica
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Online Access:https://acta.tums.ac.ir/index.php/acta/article/view/11167
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author Marziyeh Heydari
Hossein Kazemi Zadeh
Soha Namazi
Hamid Emadi Koochak
Nasim Khajavi Rad
Mahnaz Khanavi
Arman Zargaran
author_facet Marziyeh Heydari
Hossein Kazemi Zadeh
Soha Namazi
Hamid Emadi Koochak
Nasim Khajavi Rad
Mahnaz Khanavi
Arman Zargaran
author_sort Marziyeh Heydari
collection DOAJ
description Cough is one of the most prevalent symptoms of COVID-19, affecting over 60% of patients. This symptom significantly diminishes quality of life, causing fatigue, insomnia, dysphonia, musculoskeletal pain, and urinary incontinence. Honey Zufa herbal syrup is a well-known antitussive remedy in the Iranian market and was evaluated for its potential to alleviate this symptom. This study aimed to assess the efficacy and safety of Honey Zufa herbal syrup in treating acute cough resulting from mild to moderate COVID-19. A randomized controlled trial was conducted with 200 patients assigned to either the treatment group, receiving Honey Zufa herbal syrup, or the placebo group, receiving a placebo. Both groups also received standard cough control medications. Cough severity was measured using three different scoring systems. The impact of Honey Zufa on cough severity, the influence of other medications, and changes in laboratory parameters were monitored over a 14-day period. Honey Zufa herbal syrup significantly reduced cough severity compared to the placebo across all scoring systems. The treatment group experienced a greater reduction in cough severity than the placebo group. However, there was no significant difference between the groups in terms of antitussive medication regimens. Laboratory parameters remained stable, and no significant side effects were observed. Honey Zufa herbal syrup effectively reduces cough severity in patients with mild to moderate COVID-19, suggesting it could serve as a useful complementary and alternative treatment option for COVID-19-induced cough.
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issn 0044-6025
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publishDate 2024-11-01
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spelling doaj-art-870fc0ec74db496eafa758687cb5d4db2025-01-06T08:34:11ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942024-11-0162310.18502/acta.v62i3.17116Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical TrialMarziyeh Heydari0Hossein Kazemi Zadeh1Soha Namazi2Hamid Emadi Koochak3Nasim Khajavi Rad4Mahnaz Khanavi5Arman Zargaran6Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.Advanced Thoracic Research Center, Tehran University of Medical Sciences, Tehran, Iran.Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran. AND Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran.Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Internal Medicine, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.Department of Pharmacognosy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran.Department of Traditional Pharmacy, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran. Cough is one of the most prevalent symptoms of COVID-19, affecting over 60% of patients. This symptom significantly diminishes quality of life, causing fatigue, insomnia, dysphonia, musculoskeletal pain, and urinary incontinence. Honey Zufa herbal syrup is a well-known antitussive remedy in the Iranian market and was evaluated for its potential to alleviate this symptom. This study aimed to assess the efficacy and safety of Honey Zufa herbal syrup in treating acute cough resulting from mild to moderate COVID-19. A randomized controlled trial was conducted with 200 patients assigned to either the treatment group, receiving Honey Zufa herbal syrup, or the placebo group, receiving a placebo. Both groups also received standard cough control medications. Cough severity was measured using three different scoring systems. The impact of Honey Zufa on cough severity, the influence of other medications, and changes in laboratory parameters were monitored over a 14-day period. Honey Zufa herbal syrup significantly reduced cough severity compared to the placebo across all scoring systems. The treatment group experienced a greater reduction in cough severity than the placebo group. However, there was no significant difference between the groups in terms of antitussive medication regimens. Laboratory parameters remained stable, and no significant side effects were observed. Honey Zufa herbal syrup effectively reduces cough severity in patients with mild to moderate COVID-19, suggesting it could serve as a useful complementary and alternative treatment option for COVID-19-induced cough. https://acta.tums.ac.ir/index.php/acta/article/view/11167Persian medicineCOVID-19CoughHerbal medicine
spellingShingle Marziyeh Heydari
Hossein Kazemi Zadeh
Soha Namazi
Hamid Emadi Koochak
Nasim Khajavi Rad
Mahnaz Khanavi
Arman Zargaran
Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
Acta Medica Iranica
Persian medicine
COVID-19
Cough
Herbal medicine
title Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
title_full Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
title_fullStr Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
title_full_unstemmed Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
title_short Evaluation of the Effect of “Honey Zufa” Herbal Syrup on Cough in Hospitalized Patients With COVID-19: A Double Blind Randomized Clinical Trial
title_sort evaluation of the effect of honey zufa herbal syrup on cough in hospitalized patients with covid 19 a double blind randomized clinical trial
topic Persian medicine
COVID-19
Cough
Herbal medicine
url https://acta.tums.ac.ir/index.php/acta/article/view/11167
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