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BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE

About

BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE is used to treat cough associated with vicious and excessive mucus in patients with asthma and COPD (chronic obstructive pulmonary disorder). Coughing (dry or productive) is the body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce any vicious or thick mucus, while a chesty cough (wet cough) produces mucous or sputum. 

BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE contains Guaifenesin, Bromhexine hydrochloride, Terbutaline sulphate and Menthol. Guaifenesin works by increasing the volume of fluid in the airways, thereby reducing the stickiness or viscosity of mucus. Bromhexine hydrochloride works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose, making it easier to cough it out. Terbutaline sulphate relaxes muscles and widens the airways making breathing easier. Menthol produces a cooling sensation and provides relief from minor throat irritation due to cough deposition.

Your doctor will recommend the dose and duration of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE based on your medical condition. Some people may experience common side effects such as diarrhoea, nausea, vomiting, drowsiness, headache, dizziness, skin rash, tremor, stomach upset and fast heartbeats. Most of these side effects of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Consult your doctor if you are pregnant or planning for pregnancy. Avoid taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE may cause dizziness, so drive or operate machinery only if you are alert. BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE should be used with caution in children, especially those below 2 years of age, if prescribed by a doctor. Keep your doctor informed about your health condition and medication to rule out any interactions.

Uses of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE

Cough

Medicinal Benefits

BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE is a combination of four drugs, namely: Guaifenesin (expectorant), Bromhexine hydrochloride (mucolytic agent), Terbutaline sulphate (bronchodilator) and Menthol (cooling agent). Guaifenesin belongs to the class of expectorants that works by increasing the volume of fluid in the airways, thereby reducing the stickiness or viscosity of mucus and making it easier for airway passage. Bromhexine hydrochloride belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose, making it easier to cough it out. Terbutaline sulphate belongs to the class of bronchodilators that relaxes muscles and widens the airways making breathing easier in people with respiratory complications. Menthol is a cooling agent that produces a cooling sensation and provides relief from minor throat irritation due to cough deposition. Together, BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE helps provide relief from cough.

Directions for Use

Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE

  • Diarrhoea
  • Nausea
  • Vomiting
  • Drowsiness
  • Headache
  • Dizziness
  • Stomach upset

In-Depth Precautions and Warning

Drug Warnings

Consult your doctor if you are pregnant or planning for pregnancy. Avoid taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. Inform your doctor if you have diabetes, fits, high blood pressure, glaucoma, chronic bronchitis (swelling and irritation of the lining of airways), emphysema (lung condition resulting in shortness of breath), overactive thyroid, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), ulcers in the stomach or intestines, kidney, liver or heart problems.

Drug Interactions

Drug-Drug Interaction: BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE may interact with an anti-hypertensive agent (propranolol), hormone (epinephrine), water pills (furosemide), anti-allergic drugs (promethazine), uterine stimulant (oxytocin), bronchodilators (formoterol, dyphylline), anti-sickness drug (ondansetron).

Drug-Food Interaction: No interactions found.

Drug-Disease Interaction: Inform your doctor if you have diabetes, fits, high blood pressure, glaucoma, cough from a long time, chronic bronchitis (swelling and irritation of the lining of airways), or emphysema (lung condition resulting in shortness of breath).

Drug-Drug Interactions Checker List:

  • PROPRANOLOL
  • EPINEPHRINE
  • FUROSEMIDE
  • PROMETHAZINE
  • OXYTOCIN
  • FORMOTEROL
  • DYPHYLLINE
  • ONDANSETRON
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      The interaction of alcohol with BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE is unknown. Please consult a doctor before consuming alcohol with BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE.

    • Safety Warning

      Pregnancy

      unsafe

      BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE is contraindicated in pregnant women, especially in the first 3 months of pregnancy, as it may cause birth defects. Therefore, please consult a doctor if you are pregnant or planning for pregnancy.

    • Safety Warning

      Breast Feeding

      unsafe

      BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE is excreted in breast milk and may cause adverse effects in the baby. Hence, it is not recommended for breastfeeding mothers.

    • Safety Warning

      Driving

      caution

      BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE.

    • Safety Warning

      Liver

      caution

      If you have any concerns regarding the use of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE in patients with liver problems, please consult a doctor.

    • Safety Warning

      Kidney

      caution

      If you have any concerns regarding the use of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE in patients with kidney problems, please consult a doctor.

    • Safety Warning

      Children

      caution

      BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE should be used with caution in children, especially below 2 years of age, if prescribed by a doctor.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid dairy products such as milk, as it may increase mucus production. Also, avoid processed or refined foods.
    • Replace baked foods, fried foods, white bread, white pasta, french fries, sugary desserts and chips with green leafy vegetables.
    • Drink plenty of fluids to avoid a dry throat. It also helps loosen mucus.
    • Avoid citrus fruits as it may worsen the cough.
    • Eat fruits rich in water content, such as pears, watermelon, peaches and pineapples.

    Special Advise

    • Regularly monitor blood sugar levels while taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE if you have diabetes, as it may increase blood sugar levels.

    Patients Concern

    Disease/Condition Glossary

    Cough: Coughing is the body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. Cough may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. A dry cough does not produce sputum. Cough is commonly caused as a response to allergy or viral infection but coughing up mucus is possibly an indication of infection in the respiratory tract. 

    FAQs

    BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE contains Guaifenesin, Bromhexine hydrochloride, Terbutaline sulphate and Menthol. Guaifenesin works by increasing the volume of fluid in the airways, reduce the stickiness of mucus and helps to remove it from the airways. Bromhexine hydrochloride works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Thereby, helps to cough out easily. Terbutaline sulphate relaxes muscles and widens the airways. Thereby, makes breathing easier. Menthol produces a cooling sensation and provides relief from minor throat irritation.

    BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE may cause drowsiness or dizziness. It is not necessary for everyone taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE to experience this side effect. Avoid driving if you feel drowsy or dizzy after taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE.

    BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE as it may increase blood sugar levels.

    You are not recommended to take propranolol with BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE as it may reduce the effectiveness of both medicines. Also, propranolol may cause a narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you should consult a doctor before taking other medicines with BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE.

    BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if you have hyperthyroidism so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE.

    You are recommended to take BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE for as long as your doctor has prescribed it. However, if the symptoms persist or worsen with rash, fever or persistent headache, please consult your doctor.

    You are not recommended to stop taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE without consulting your doctor as it may worsen the cough or cause recurring symptoms. Therefore, take BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE for as long as your doctor has prescribed it, and if you experience any difficulty while taking BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE, please consult your doctor.

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    BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE

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