?????R?????????

???????????????????????????The American College of Chest Physicians (??????????ACCP??9??????????????????????????????OTC??????????????????????????????????????????

New Cough Guidelines Urge Adult Whooping Cough Vaccine?
?Many OTC Medications Not Recommended for Cough Treatmen
??(ACCP Press Release 2006.1.9)
???http://www.chestnet.org/about/press/releases/2006/010906a.php

Diagnosis and Management of Cough Executive Summary
??(ACCP Evidence-Based Clinical Practice Guidelines)
???http://www.chestnet.org/downloads/journal/exec_sum.pdf

??????????????????????????????????????????????????

• ???OTC??????????????????????????????????????
• ??(????)?????????????????????????????????????????
• ???????????????????????????????????????????????????????????????????????????????????????
• ?????OTC???????????????????????
• ??????????????????????????????????????????????ACE??????????????????????????????????

???4.??????????????????????????????2004????????????????????????????????????????????OTC???????????????????????????

Effect of Dextromethorphan, Diphenhydramine, and Placebo on Nocturnal Cough and Sleep Quality for Coughing Children and Their Parents
?PEDIATRICS Vol. 114 No. 1 July 2004, pp. e85-e90?
??http://pediatrics.aappublications.org/cgi/content/abstract/114/1/e85
??http://pediatrics.aappublications.org/cgi/content/full/114/1/e85

Toxicity of Over-the-Counter Cough and Cold Medications
?PEDIATRICS Vol. 108 No. 3 September 2001, p. e52?
??http://pediatrics.aappublications.org/cgi/content/abstract/108/3/e52

Use of Codeine- and Dextromethorphan-Containing Cough Remedies in Children
??Committee on Drugs?PEDIATRICS Vol. 99 No. 6 June 1997, pp. 918-920?
??http://pediatrics.aappublications.org/cgi/content/abstract/99/6/918

?FDA???????????????????????????????????????????ACCP??????????????????????????????????????????????????????????OTC????????????????????????????????????????????????????????????

?????????????????????????????????????????????????????????????????????????????????????????????????

?????????????????OTC????????????????????????????????????????????????????????????????????

????Most Over-the-Counter Cough Remedies Have No Value
?????Medpage TODAY 2006.1.10?
??????http://www.medpagetoday.com/InfectiousDisease/URItheFlu/tb/2454
??????????????2006.1.11?
??????http://www.jc-press.com/kaigai/200601/011102.htm
????No evidence cough syrups work: panel
?????ABC NEWS 2006.1.9 ?????????
??????http://abcnews.go.com/US/wireStory?id=1488356
????Doctors: OTC Cough Syrups Not Effective
?????ABC NEWS 2006.1.9 AP?????
??????http://abcnews.go.com/Health/wireStory?id=1488378
????Cough medicines ‘of little help’?BBC NEWS 2006.1.9?
??????http://news.bbc.co.uk/1/hi/health/4598006.stm
????????