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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Combither Syrup is used to treat and prevent malaria in children above 2 months of age. It contains Artemether and Lumefantrine which interfere with Plasmodium parasite's growth in the red blood cells of the human body. It is a combination medicine used to treat non-severe malaria caused by a parasite called Plasmodium falciparum. It may cause common side effects such as headache, dizziness, loss of appetite, weakness, fever, chills, tiredness, muscle/joint pain, nausea, vomiting, abdominal pain, cough and trouble sleeping. Before using this medicine, you should tell your doctor if your child is allergic to any of its components and about all the medications you are giving and pre-existing medical conditions.

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Manufacturer/Marketer :

Aristo Pharmaceuticals Pvt Ltd

Consume Type :

ORAL

Return Policy :

Not Returnable

Expires on or after :

About Combither Syrup

Combither Syrup belongs to the class of 'anti-malarial drugs', primarily used to treat and prevent malaria in children. Malaria is a disease caused by a plasmodium parasite, transmitted by the bite of infected Anopheles mosquitoes. When an infected mosquito bites a healthy person, it sends the 'Plasmodium parasite' into the bloodstream, which affects the red blood cells and liver cells. Malaria symptoms typically begin 10 days to 4 weeks after infection. They include chills, high fever, profuse sweating, headache, nausea, vomiting, abdominal pain, diarrhoea, anaemia, muscle pain, convulsions, coma and bloody stools.

Combither Syrup contains two medicines, namely: Artemether and Lumefantrine. These are anti-malarial drugs that interfere with the Plasmodium parasite's growth in the red blood cells of the human body. Combither Syrup is a combination that is used to treat non-severe malaria caused by a parasite called 'Plasmodium falciparum,' and other Plasmodium species. It works by inhibiting nucleic acid and protein synthesis in Plasmodium falciparum. Artemether is known to reduce parasite biomass, and Lumefantrine eliminates residual parasites.

Your paediatrician will decide the dose and duration based on your child's medical condition. Common side effects of Combither Syrup include headache, dizziness, loss of appetite, weakness, fever, chills, tiredness, muscle/joint pain, nausea, vomiting, abdominal pain, cough and trouble sleeping. These side effects are not familiar to everyone and vary from person to person. If you notice any side effects that are not manageable, please consult your doctor.

Before using Combither Syrup, inform your doctor about any recently used prescription and non-prescription medications for your child, including other anti-malarial or antibiotic drugs. Let your doctor know if your child is allergic to Combither Syrup or its components. Let your doctor know if you have any liver or kidney problems, severe heart disease or electrolyte imbalance. This medicine is not recommended for use in pregnant and breastfeeding mothers as it is for pediatric use only.

Uses of Combither Syrup

Combither Syrup is used in the treatment of malaria. The detailed uses of Combither Syrup are as follows:
• Malaria Treatment: Combither Syrup is frequently used to treat and prevent malaria, especially in regions where the parasite that causes the disease is resistant to other drugs.
• Prevention of Some Autoimmune illnesses: It can be used to avoid flare-ups in people with autoimmune diseasess, which helps them manage their conditions over the long term.

Directions for Use

  • Combither Syrup should be given with food to prevent stomach upset or as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication.
  • Before giving, mix the contents with the sterile water provided along with the medicine. Make up the volume by adding more water.
  • Shake the bottle well before use.

Medicinal Benefits

Combither Syrup contains two anti-malarial drugs, namely: Artemether and Lumefantrine. It is a combination that treats non-severe malaria caused by a parasite called 'Plasmodium falciparum', and other Plasmodium species. It interferes with the growth of Plasmodium parasites in the red blood cells of the human body. Combither Syrup works by inhibiting nucleic acid and protein synthesis in Plasmodium falciparum. Artemether reduces parasite biomass, and Lumefantrine eliminates residual parasites.

How Combither Syrup Works

Combither Syrup contains two medicines, namely, artemether and lumefantrine. These are anti-malarial drugs that interfere with the Plasmodium parasite's growth in the red blood cells of the human body. Combither Syrup is a combination that is used to treat non-severe malaria caused by a parasite called 'Plasmodium falciparum,' and other Plasmodium species. It works by inhibiting nucleic acid and protein synthesis in Plasmodium falciparum. Artemether is known to reduce parasite biomass, and Lumefantrine eliminates residual parasites.

Storage

Store in a cool and dry place away from sunlight

What if I have taken an overdose of Combither Syrup

Do not take more than the prescribed dose of Combither Syrup as it may cause an overdose. The symptoms of overdose include fainting, severe dizziness and irregular or slow heartbeat. If you suspect you have taken an overdose or notice signs of an overdose, please consult a doctor immediately.

Drug Warnings

Let your doctor know if you use any antibiotic drugs on your child or have recently undergone treatment with other anti-malarial drugs. Brief your child's medical history to the doctor, like any liver or kidney problems, malarial infection of the brain, lungs or kidneys, severe heart diseases and electrolyte imbalance. It is essential to inform your doctor if your child has hypokalemia (low potassium levels) or hypomagnesemia (low magnesium levels) before using this medicine. Combither Syrup may affect QT prolongation, which can cause severe fast/irregular heartbeat. Hence, it is advised to inform your doctor if you have any heart-related problems like heart failure, slow heartbeat, QT prolongation in EKG or ECG (electrocardiogram), and a family history of heart diseases.

Drug-Drug Interactions

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Drug-Drug Interactions

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How does the drug interact with Combither Syrup 60 ml:
Using Carbamazepine with Combither Syrup 60 ml may decrease the blood levels of Combither Syrup 60 ml, which may make Combither Syrup 60 ml less effective in treating your malaria.

How to manage the interaction:
Taking Carbamazepine with Combither Syrup 60 ml is not recommended, but can be taken if prescribed by the doctor. However, if you experience any unusual symptoms, consult the doctor. Do not discontinue any medications without consulting a doctor.
How does the drug interact with Combither Syrup 60 ml:
Both Metoprolol and Combither Syrup 60 ml may increase the blood levels and effects of metoprolol activity.

How to manage the interaction:
Taking Metoprolol and Combither Syrup 60 ml together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience blurry vision, confusion, dizziness, fainting, lightheadedness, nausea or vomiting, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

Drug-Food Interactions

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ARTEMETHER-40MG+LUMEFANTRINE-240MGGrapefruit and Grapefruit Juice
Moderate

Drug-Food Interactions

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ARTEMETHER-40MG+LUMEFANTRINE-240MGGrapefruit and Grapefruit Juice
Moderate
Common Foods to Avoid:
Grapefruit, Grapefruit Juice

How to manage the interaction:
Coadministration with grapefruit juice may increase the plasma concentrations of artemether and lumefantrine Avoid consumption of grapefruit juice and grape fruit.

Diet & Lifestyle Advise

  • Take nutritious food, including fresh fruits and vegetables that help in recovering from malarial fever.
  • During malarial fever, the patient may experience appetite loss. In such cases, drink glucose water, fresh fruit juices and coconut water.
  • Include high fibre foods like green leafy vegetables and fruits to aid digestion.
  • Take proper rest to help your body relax and heal faster.
  • Avoid or limit the intake of alcohol and caffeine.

Habit Forming

No

Therapeutic Class

ANTI- MALARIALS
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Alcohol

Not applicable

For paedictric use only

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Pregnancy

Not applicable

For paedictric use only

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Breast Feeding

Not applicable

For paedictric use only

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Driving

Not applicable

For paedictric use only

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Liver

Caution

Close monitoring of patients with liver diseases while being treated with Combither Syrup is required. Let your doctor know if your child have any history of liver diseases before using Combither Syrup.

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Kidney

Caution

Therapy with Combither Syrup is to be cautiously administered in patients with renal impairment. Let your doctor know if your child have any history of kidney diseases before using Combither Syrup.

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Children

Safe if prescribed

Combither Syrup is safe for use in children above 2 months of age. Your doctor will decide the dose based on your child's age and bodyweight.

Have a query?

FAQs

Combither Syrup belongs to the class of anti-malarial drugs, used to treat and prevent malaria.

Combither Syrup contains a combination of anti-malarial drugs, Artemether and Lumefantrine. It treats malaria by interfering with Plasmodium parasite's growth in the red blood cells of the human body.

Combither Syrup is not recommended in cases of any liver or kidney problems, malarial infection of the brain, lungs or kidneys, severe heart diseases and electrolyte imbalance. Also, let your doctor know if you have recently undergone treatment with other anti-malarial drugs.

Give the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and go back to your regular dosing schedule.

Follow your doctor's instructions on the dosage and timing of this medication. Before giving, mix the contents with the sterile water provided along with the medicine. Make up the volume by adding more water. Shake the bottle well before use.

Combither Syrup is not recommended for use in pregnant women as it is intended for paediatric use only.

Combither Syrup is contraindicated if you are allergic to any of its components.

Combither Syrup may cause side effects like headache, dizziness, loss of appetite, weakness, fever, chills, tiredness, muscle/joint pain, nausea, vomiting, abdominal pain, cough and trouble sleeping. These side effects are not familiar to everyone and vary individually. If you notice any side effects that are not manageable, please consult your doctor.

Do not discontinue Combither Syrup without consulting your doctor. To treat your child condition effectively, keep giving Combither Syrup for the prescribed duration.

Country of origin

India

Manufacturer/Marketer address

Mercantile Chamber, 3rd Floor, 12, J.N. Heredia Marg, Ballard Estate, Mumbai – 400 001, India.
Other Info - COM0152

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