Instaryl BM Expectorant 100 ml belongs to the class of medications called 'Expectorants' primarily used to treat cough associated with asthma, bronchitis (inflamed airways) and other airways (bronchopulmonary) problems. 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) means mucous or sputum is produced to help clear your airways.

Instaryl BM Expectorant 100 ml is a combination of two drugs, namely: Terbutaline sulphate and Bromhexine. Terbutaline sulphate belongs to the class of bronchodilators that dilates (expands) and relaxes the air passages in the lungs, thereby making breathing easier, especially in people with airways problems or obstructive respiratory disorders. On the other hand, Bromhexine belongs to the class of mucolytic agents (mucus/cough/phlegm thinner) that works by thinning and loosening mucus in the lungs, windpipe and nose, which helps ease coughing out.

Your doctor will recommend how often you need to take Instaryl BM Expectorant 100 ml based on your medical condition. Some people may experience nausea, chest pain, vomiting, drowsiness, headache, dizziness, skin rash, tremor, nervousness, diarrhoea and fast heartbeats. Most of these side effects of Instaryl BM Expectorant 100 ml 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 allergic to Instaryl BM Expectorant 100 ml or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Instaryl BM Expectorant 100 ml. Instaryl BM Expectorant 100 ml is not recommended for children below six years of age, as the safety and effectiveness were not established. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Instaryl BM Expectorant 100 ml. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking Instaryl BM Expectorant 100 ml.

Instaryl BM Expectorant 100 ml is a combination of two drugs, namely: Terbutaline sulphate and Bromhexine used to treat cough in people with asthma, COPD and other obstructive respiratory diseases. Terbutaline sulphate belongs to the class of bronchodilators that relaxes muscles and widen the airways, thereby, making breathing easier. Bromhexine belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in lungs, windpipe and nose, making it easier to cough out easily.

• Nausea
• Chest pain
• Vomiting
• Drowsiness
• Headache
• Dizziness
• Skin rash
• Tremor
• Nervousness
• Diarrhoea
• Fast heartbeats

If you are pregnant or breastfeeding, it is advised to inform your doctor before using Instaryl BM Expectorant 100 ml. If you are suffering from fits (epilepsy/seizures) or have a history of fits, please inform your doctor before taking Instaryl BM Expectorant 100 ml as it may increase the risk of recurrent fits. Instaryl BM Expectorant 100 ml is not recommended for children below 6 years of age and body weight less than 25 kg, as the safety and effectiveness were not established. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Instaryl BM Expectorant 100 ml. If you experience constipation, leg cramps, numbness or tingling sensation, increased urination or thirst, muscle weakness or irregular heartbeats, contact your doctor as it may be due to low potassium levels in the blood. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking Instaryl BM Expectorant 100 ml.

Drug-Drug Interaction: Instaryl BM Expectorant 100 ml may have interaction with medicines used to lower high blood pressure (propranolol), water pills/diuretics (furosemide), anti-allergic drugs (promethazine), uterine stimulant (oxytocin), bronchodilators (formoterol, dyphylline), anti-sickness drug (ondansetron).

Drug-Food Interaction: Instaryl BM Expectorant 100 ml may interact with caffeine. Therefore, avoid caffeine intake with Instaryl BM Expectorant 100 ml.

Drug-Disease Interaction: Use Instaryl BM Expectorant 100 ml with caution in patients with diabetes, epilepsy (fits), high blood pressure, overactive thyroid or heart problems.

• PROPRANOLOL
• FUROSEMIDE
• PROMETHAZINE
• OXYTOCIN
• FORMOTEROL
• DYPHYLLINE
• ONDANSETRON

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

• Regularly monitor blood sugar levels, and serum potassium level is required while taking Instaryl BM Expectorant 100 ml.

• ECG (electrocardiogram) of the heart is recommended, and heartbeat should be closely monitored.

Cough: Coughing is the 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, whereas the dry cough does not bring up 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. 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.