About BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE
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
Storage
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:
Safety Advice
Alcohol
cautionThe 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.
Pregnancy
unsafeBROMHEXINE 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.
Breast Feeding
unsafeBROMHEXINE 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.
Driving
cautionBROMHEXINE 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.
Liver
cautionIf you have any concerns regarding the use of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE in patients with liver problems, please consult a doctor.
Kidney
cautionIf you have any concerns regarding the use of BROMHEXINE HYDROCHLORIDE+GUAIPHENESIN+MENTHOL+TERBUTALINE SULPHATE in patients with kidney problems, please consult a doctor.
Children
cautionBROMHEXINE 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
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.
