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Medically reviewed by Militian Inessa Mesropovna, PharmD. Last updated on 26.06.2023

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Zicol is a non-narcotic oral antitussive (cough suppressant) drug which works by anesthetizing the tissues of the lungs and pleura responsible for the cough reflex. It is chemically related to other ester anesthetics such as procaine. It has an anesthetic (numbing) action similar to that of benzocaine and "numbs" the stretch sensors in the lungs. It is the stretching of these sensors with breathing that causes the cough. It was approved by the FDA in 1958
Zicol is a medication taken orally to suppress coughs. It has an anesthetic (numbing) action similar to that of benzocaine and "numbs" the stretch sensors in the lungs. It is the stretching of these sensors with breathing that causes the cough. Zicol begins to work within 15 to 20 minutes, and its effects last for approximately 3 hours. Zicol is unrelated to narcotics such as codeine which are frequently used to suppress coughs. (Another frequently used cough suppressant, dextromethorphan, which is found in many over-the-counter cough and cold preparations, is a derivative of the narcotics.) Zicol was approved by the FDA in 1958.
Zicol is used to relieve coughs due to colds or influenza (flu). It is not to be used for chronic cough that occurs with smoking, asthma, or emphysema or when there is an unusually large amount of mucus or phlegm with the cough.
Zicol relieves cough by acting directly on the lungs and the breathing passages. It may also act on the cough center in the brain.
Zicol is available only with your doctor's prescription.
Adults and Children over 10 years of age: Usual dose is one 100 mg or 200 mg capsule three times a day as needed for cough. If necessary to control cough, up to 600 mg daily in three divided doses may be given. Zicol Capsules should be swallowed whole. Zicol Capsules are not to be broken, chewed, dissolved, cut or crushed.
How supplied
Zicol capsules USP, 100 mg are light yellow-colored, round-shaped soft gelatin capsules, imprinted with “Z” containing pale yellow-colored clear viscous liquid and are supplied as follows:
NDC 65841-614-01 in bottle of 100 capsules
NDC 65841-614-05 in bottle of 500 capsules
Zicol capsules USP, 200 mg are light yellow-colored, round-shaped soft gelatin capsules, imprinted with “β” containing pale yellow-colored clear viscous liquid and are supplied as follows:
NDC 65841-615-01 in bottle of 100 capsules
Store at 20° - 25°C (68° - 77°F).
Dispense in a tight, light-resistant container.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
Manufactured by: Cadila Healthcare Ltd., Ahmedabad, India. Revised: 11/03/2011
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What is the most important information I should know about Zicol?
You should not use this medication if you are allergic to Zicol or topical numbing medicines such as tetracaine or procaine (found in some insect bite and sunburn creams).
Never suck or chew on a Zicol capsule. Swallow the pill whole. Sucking or chewing the capsule may cause your mouth and throat to feel numb or cause other serious side effects.
Serious side effects of Zicol include choking feeling, chest pain or numbness, feeling like you might pass out, confusion, or hallucinations. Some of these side effects may result from chewing or sucking on a Zicol capsule.
Do not give this medication to a child younger than 10 years old without medical advice. An overdose of Zicol can be fatal to a child.
Use Zicol as directed by your doctor. Check the label on the medicine for exact dosing instructions.
- Take Zicol by mouth with or without food.
- Swallow Zicol whole. Do not break, crush, chew, dissolve, or suck on Zicol before swallowing.
- If you miss a dose of Zicol, skip the missed dose and go back to your regular dosing schedule. Do not take 2 doses at once.
Ask your health care provider any questions you may have about how to use Zicol.
There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.Use: Labeled Indications
Cough: Symptomatic relief of cough
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What other drugs will affect Zicol?
There are no known drug interactions with Zicol.
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What are the possible side effects of Zicol?
Applies to Zicol: oral capsule, oral capsule liquid filled
As well as its needed effects, Zicol (the active ingredient contained in Zicol) may cause unwanted side effects that require medical attention.
Major Side Effects
If any of the following side effects occur while taking Zicol, check with your doctor immediately:
Rare
- Confusion
- difficult breathing
- difficulty with speaking
- seeing things that are not there
- shortness of breath
- tightness in the chest
- wheezing
If any of the following symptoms of overdose occur while taking Zicol, get emergency help immediately:
Symptoms of overdose:
- Change in consciousness
- convulsions (seizures)
- loss of consciousness
- no blood pressure or pulse
- restlessness
- shakiness in the legs, arms, hands, or feet
- stopping of the heart
- trembling or shaking of the hands or feet
- unconsciousness
Minor Side Effects
Some Zicol side effects may not need any medical attention. As your body gets used to the medicine these side effects may disappear. Your health care professional may be able to help you prevent or reduce these side effects, but do check with them if any of the following side effects continue, or if you are concerned about them:
Less common or rare:
- Burning sensation in the eyes
- constipation
- dizziness (mild)
- drowsiness (mild)
- headache
- itching
- nausea or vomiting
- skin rash
- stuffy nose