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About BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE

BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE belongs to a class of respiratory medication called 'expectorant' primarily used to treat cough. It helps in dissolving hard phlegm (sputum/cough), which makes breathing difficult, usually in respiratory problems like allergies, sinusitis, common cold, bronchitis, flu etc. Coughing (dry or productive) is the body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. 

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

Take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE as prescribed. Your doctor will recommend how often you need to take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE based on your medical condition. Some people may experience certain 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+GUAIFENESIN+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.

If you are pregnant or planning for pregnancy, it is advised to inform your doctor before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE. Avoid taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. If you are suffering from fits or have a history of fits, please inform your doctor before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE as it may increase the risk of recurrent fits. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE. BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE may cause dizziness, so drive with caution.

Uses of BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE

Cough

Medicinal Benefits

BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE is a combination of four drugs, namely: Bromhexine hydrochloride (mucolytic agent), Guaifenesin (expectorant), Menthol (cooling agent) and Terbutaline sulphate (bronchodilator). 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. 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, making it easier for airways passage. Menthol is a cooling agent that produces a cooling sensation and provides relief from minor throat irritation due to cough deposition. Terbutaline sulphate belongs to the class of bronchodilators that relaxes muscles and widens the airways making breathing easier in people with respiratory complications.

Directions for Use

Shake the bottle well before use. Check the label for directions before using BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE and take it as advised by your doctor with the help of a measuring cup provided with the pack.

Storage

Store in a cool and dry place away from sunlight

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

  • Diarrhoea
  • Nausea
  • Vomiting
  • Drowsiness
  • Headache
  • Dizziness
  • Skin rash
  • Tremor
  • Stomach upset
  • Fast heartbeats

In-Depth Precautions and Warning

Drug Warnings

If you are known to be allergic to BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE or any other medicines, pregnant or planning for pregnancy, it is advised to inform your doctor before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE. Avoid taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. If you have diabetes, fits, high blood pressure, glaucoma, cough from a long time, 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, please inform your doctor before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE.

Drug Interactions

Drug-Drug Interaction: BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE may have interaction with medicines such as 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: If you have diabetes, fits, high blood pressure, glaucoma, cough from a long time, chronic bronchitis (swelling and irritation of the lining of airways), emphysema (lung condition resulting in shortness of breath), overactive thyroid, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), ulcers in the stomach or intestines, kidney, liver or heart problems, please inform your doctor before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE.

Drug-Drug Interactions Checker List:

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

    • Safety Warning

      Alcohol

      caution

      Interaction of alcohol with BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE is unknown. Please consult a doctor before consuming alcohol with BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE.

    • Safety Warning

      Pregnancy

      unsafe

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

    • Safety Warning

      Liver

      safe if prescribed

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

    • Safety Warning

      Kidney

      safe if prescribed

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

    • Safety Warning

      Children

      caution

      BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+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. Instead, 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+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE if you have diabetes as it may increase blood sugar levels.

    Patients Concern

    Disease/Condition Glossary

    Cough: Coughing is a body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. Coughs may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. 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. If you are coughing thick, solid white mucus, it indicates you may have a bacterial infection in the airways. If the mucus is clear or light-coloured, it indicates you may have allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

    FAQs

    How does BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE work?

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

    Does BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE cause drowsiness?

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

    Is BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE safe for diabetic patients?

    BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+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+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE as it may increase blood sugar levels.

    Can I take propranolol with BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE?

    No, you are not recommended to take propranolol with BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE as it may reduce the effectiveness of both medicines. Also, propranolol may cause narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you are recommended to consult a doctor before taking other medicines with BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE.

    Can a hyperthyroid patient take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE?

    BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+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 before taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE.

    How long should I take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE?

    You are recommended to take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+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 after 1 week of using BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE, please consult your doctor.

    Can I stop taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE on my own?

    No, you are not recommended to stop taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE without consulting your doctor as it may worsen cough or cause recurring symptoms. Therefore, take BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE for as long as your doctor has prescribed it, and if you experience any difficulty while taking BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE, please consult your doctor.

    Available Medicines for

    BROMHEXINE HYDROCHLORIDE+GUAIFENESIN+MENTHOL+TERBUTALINE SULPHATE