Ambroxol+terbutaline+guaifenesin+menthol
About
Ambroxol+terbutaline+guaifenesin+menthol is a combination medication which promotes the secretion of sputum (phlegm) by the airways (bronchi), used to treat coughs. It treats respiratory conditions including chronic obstructive pulmonary diseases (COPD) like bronchitis (inflammation of bronchial tubes), emphysema (shortness of breath), and upper respiratory tract infections. COPD is a chronic inflammatory lung disease caused by the obstructed airflow in the lungs. An upper respiratory tract infection is a contagious infection caused by a bacteria or virus infecting the nose, throat, pharynx, larynx, and bronchi.
Ambroxol+terbutaline+guaifenesin+menthol consists of Ambroxol, Terbutaline, Guaifenesin, and Menthol. Ambroxol is an 'expectorant' that promotes the secretion of sputum/cough. It is also a 'mucolytic agent' that makes sputum less viscous and makes breathing easier. Terbutaline is a bronchodilator and works by widening and relaxing the airways (bronchi) of the lungs. Guaifenesin is also an 'expectorant'. It reduces the thickness or viscosity of bronchial secretions (phlegm) and increases mucus flow making it easier to cough. Menthol is an organic flavour additive which produces a sensation of coolness and relieves throat irritation.
Your doctor will decide the dose and duration of the course based on the severity of your medical condition. Like every other medication, Ambroxol+terbutaline+guaifenesin+menthol also has common side effects like nausea, diarrhoea, vomiting, stomach discomfort, sweating and muscle cramps, dizziness, headache, rash, tremor (shakiness), palpitations (uneven heartbeat), and increased heart rate. These side effects, if occurred, generally go away during the treatment. However, if the side effects are persistent, reach out to your doctor.
Let your doctor know if you have any allergic reactions to Ambroxol+terbutaline+guaifenesin+menthol or any other medication. It is mandatory to inform your doctor if you have heart, liver, kidney diseases, stomach ulcers, seizures (fits), high blood pressure, thyroid disorders, diabetes, inflammation of air passages, lung disorders, and difficulty breathing before taking Ambroxol+terbutaline+guaifenesin+menthol. Check with your doctor if you plan to conceive, are pregnant or breastfeeding. Avoid alcohol while taking Ambroxol+terbutaline+guaifenesin+menthol, since it can worsen the dizziness and sleepiness.
Uses of Ambroxol+terbutaline+guaifenesin+menthol
Medicinal Benefits
Ambroxol+terbutaline+guaifenesin+menthol is an expectorant (cough syrup), which contains Ambroxol, Terbutaline, Guaifenesin, and Menthol. Ambroxol is an 'expectorant' that promotes the secretion of sputum/cough and a 'mucolytic agent' that makes sputum less viscous and makes breathing easier. Terbutaline is a bronchodilator and works by widening and relaxing the airways (bronchi) of the lungs. Guaifenesin is also an 'expectorant'. It reduces the thickness or viscosity of bronchial secretions (phlegm) and increases mucus flow making it easier to cough. Menthol is an organic flavour additive which produces a sensation of coolness and relieves throat irritation.
Directions for Use
Storage
Side Effects of Ambroxol+terbutaline+guaifenesin+menthol
- Nausea
- Diarrhoea
- Vomiting
- Stomach discomfort
- Dizziness
- Headache
- Rash
- Tremor (shakiness)
- Sweating
- Muscle cramps
- Palpitations (uneven heartbeat)
- Increased heart rate
In-Depth Precautions and Warning
Drug Warnings
Ambroxol+terbutaline+guaifenesin+menthol should be used with caution in patients with heart, liver, kidney diseases, stomach ulcers, high blood pressure, thyroid disorders, inflammation of air passages, lung disorders, seizures, diabetes, hypokalemia (low potassium levels in the blood), and difficulty breathing. Pregnant and breastfeeding women should use Ambroxol+terbutaline+guaifenesin+menthol with proper consultation and caution. Avoid consuming alcohol with Ambroxol+terbutaline+guaifenesin+menthol as it could lead to increased drowsiness or dizziness. Do not drive if you feel sleepy or have an increased heart rate or shakiness after taking Ambroxol+terbutaline+guaifenesin+menthol. Ambroxol+terbutaline+guaifenesin+menthol is not recommended in children below two years of age.
Drug Interactions
Drug-Drug Interaction: Ambroxol+terbutaline+guaifenesin+menthol may interact with hormones (epinephrine, oxytocin), heart-related drugs (digoxin), Parkinson's disease medication (safinamide), blood pressure medicines (propranolol), vomiting medication (ondansetron, promethazine), corticosteroids (budesonide), respiratory-related medicines (aminophylline, formoterol), fluid retention drugs (furosemide), and antidepressants.
Drug-Food Interaction: Limit alcohol intake since it may worsen the side effects like dizziness and shakiness.
Drug-Disease Interaction: Ambroxol+terbutaline+guaifenesin+menthol should be administered with caution in patients with pre-existing ischaemic heart, liver, kidney diseases, thyroid disorders, bronchospasm, stomach ulcer, fits, high blood pressure, diabetes, inflammation of air passages, lung disorders, and difficulty breathing.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionAvoid consuming alcohol with Ambroxol+terbutaline+guaifenesin+menthol as it could lead to increased drowsiness or dizziness.
Pregnancy
cautionThere are limited studies on how Ambroxol+terbutaline+guaifenesin+menthol affects pregnancy. Please consult your doctor before using Ambroxol+terbutaline+guaifenesin+menthol, if you are pregnant or planning to conceive.
Breast Feeding
cautionThere is limited data on how Ambroxol+terbutaline+guaifenesin+menthol affects breastfeeding. Please consult your doctor before starting Ambroxol+terbutaline+guaifenesin+menthol.
Driving
cautionDo not drive or operate machinery if you experience sleepiness, dizziness, increased/uneven heart rate and shakiness while using Ambroxol+terbutaline+guaifenesin+menthol. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.
Liver
cautionAmbroxol+terbutaline+guaifenesin+menthol should be used with caution in patients with liver diseases. Let your doctor know if you have any history of liver diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Ambroxol+terbutaline+guaifenesin+menthol.
Kidney
cautionAmbroxol+terbutaline+guaifenesin+menthol should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Ambroxol+terbutaline+guaifenesin+menthol.
Children
cautionAmbroxol+terbutaline+guaifenesin+menthol is not recommended for children less than two years of age. However, it can be given to the children above two years of age if prescribed by the doctor.
Habit Forming
Diet & Lifestyle Advise
- Take the medication as directed by the doctor and at regular intervals. Do not use other over the counter medications, herbal or vitamin supplements without informing your pharmacist or doctor when you take Ambroxol+terbutaline+guaifenesin+menthol.
- Know your triggers like allergens, such as pollen, dust, and food items that make your asthma and other respiratory diseases severe.
- Quit smoking and avoid passive smoking. Smoking also reduces the effectiveness of the medicine.
- Drink warm fluids while you take Ambroxol+terbutaline+guaifenesin+menthol to help loosen congestion and lubricate the throat.
- Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
- Learning breathing exercises will help you move more air in and out of your lungs.
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. 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. If you are coughing thick, solid white mucus, it indicates a bacterial infection in the airways. If the mucus is clear or light-coloured, it indicates allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.
Chronic obstructive pulmonary disease (COPD): It is a chronic inflammatory lung disease caused by the obstructed airflow in the lungs. Emphysema is a lung condition caused by shortness of breath, and chronic bronchitis is the inflammation of the lining of bronchial tubes. An upper respiratory tract infection is a contagious infection caused by a bacteria or virus infecting nose, throat, pharynx, larynx, and bronchi.
FAQs
Ambroxol+terbutaline+guaifenesin+menthol works by widening and relaxing the airways and thinning the mucus by making it less viscous. This helps in easy coughing out of phlegm and makes breathing easier.
Inform your doctor before taking Ambroxol+terbutaline+guaifenesin+menthol, if you have any pre-existing ischemic heart disease, liver and kidney diseases, stomach ulcer, seizure (fits), thyroid disorders, high blood pressure, diabetes, stomach ulcer, inflammation of air passages, lung disorders, and difficulty in breathing.
Ambroxol+terbutaline+guaifenesin+menthol may lower the blood sugar/blood glucose levels. You are advised to regularly monitor your blood glucose levels while taking Ambroxol+terbutaline+guaifenesin+menthol. Inform your doctor if you have diabetes before consuming Ambroxol+terbutaline+guaifenesin+menthol.
Ambroxol+terbutaline+guaifenesin+menthol consists of Ambroxol which can cause hypokalaemia (low potassium levels in the blood), therefore should be used with caution in patients with bronchospasm (narrowed airways with wheezing sound while breathing).
Yes, Ambroxol+terbutaline+guaifenesin+menthol may cause diarrhea or dysentery as one of its side effects. So it is advisable to drink plenty of water and fluids to stay hydrated. Please consult your doctor if you experience excessive diarrhea or blood in the stools.
Do not stop taking Ambroxol+terbutaline+guaifenesin+menthol even if you feel better, as it may worsen your condition. For the best advice, consult your doctor and do as recommended.
