Ammonium Chloride+bromhexine+menthol+terbutaline
About
Ammonium Chloride+bromhexine+menthol+terbutaline belongs to a class of respiratory medications called 'expectorant' primarily used to treat cough. Coughing (dry or productive) is the body's way of clearing irritants (like allergens, mucus or smoke) from the airways. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce thick mucus, while a chesty cough (wet cough) produces mucous or sputum that helps clear the airways.
Ammonium Chloride+bromhexine+menthol+terbutaline consists of four medicines, namely: Bromohexine (mucolytic), Terbutaline (bronchodilator), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine makes sputum less viscous and makes it easier to cough out. Terbutaline works by dilating (expanding) and relaxing the air passages in the lungs, making breathing easier, especially in people with airway problems or respiratory obstructive disorders. Ammonium chloride is an expectorant that decreases the stickiness of mucous and helps remove it from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.
Ammonium Chloride+bromhexine+menthol+terbutaline is available in oral syrup and suspension. The most common side effects of Ammonium Chloride+bromhexine+menthol+terbutaline are nausea, diarrhoea, bloating, indigestion, vomiting, stomach upset, sweating, dizziness, headache and skin rash. Most of these side effects of Ammonium Chloride+bromhexine+menthol+terbutaline do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Let your doctor know if you have any allergic reactions to Ammonium Chloride+bromhexine+menthol+terbutaline or any other medication. Brief your medical history to the doctor if you have any heart, liver, kidney, lung diseases, depression and Parkinson's disease before taking Ammonium Chloride+bromhexine+menthol+terbutaline. Ammonium Chloride+bromhexine+menthol+terbutaline can cause sleepiness; hence avoid taking alcohol while using Ammonium Chloride+bromhexine+menthol+terbutaline. Ammonium Chloride+bromhexine+menthol+terbutaline may affect your ability to drive. It is advised not to drive whilst taking this medicine. Check with your doctor if you are pregnant, currently breastfeeding or taking any other prescribed or non-prescribed drugs.
Uses of Ammonium Chloride+bromhexine+menthol+terbutaline
Medicinal Benefits
Ammonium Chloride+bromhexine+menthol+terbutaline is a respiratory medication primarily used to treat cough. Ammonium Chloride+bromhexine+menthol+terbutaline consists of four medicines: Bromhexine (mucolytic), Terbutaline (bronchodilator), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine is a 'mucolytic agent' that makes sputum less viscous and easier to cough. Terbutaline belongs to the bronchodilators class that dilates (expands) and relaxes the air passages in the lungs, making breathing easier, especially in people with airway problems or respiratory obstructive disorders. Ammonium chloride is an expectorant that decreases the stickiness of mucous and helps remove it from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.
Directions for Use
Storage
Side Effects of Ammonium Chloride+bromhexine+menthol+terbutaline
- Nausea
- Diarrhea
- Bloating
- Indigestion
- Vomiting
- Stomach upset
- Sweating
- Dizziness
- Headache
- Skin rash
In-Depth Precautions and Warning
Drug Warnings
If you are pregnant or breastfeeding, it is advised to inform your doctor before using Ammonium Chloride+bromhexine+menthol+terbutaline. If you are suffering from fits (epilepsy/seizures) or have a history of fits, please inform your doctor before taking Ammonium Chloride+bromhexine+menthol+terbutaline as it may increase the risk of recurrent fits. Ammonium Chloride+bromhexine+menthol+terbutaline 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 Ammonium Chloride+bromhexine+menthol+terbutaline. If you experience constipation, leg cramps, numbness or tingling, increased urination or thirst, muscle weakness or irregular heartbeats, contact your doctor, as it may be due to low potassium levels in the blood. Drink plenty of fluids while taking Ammonium Chloride+bromhexine+menthol+terbutaline to loosen mucus. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking Ammonium Chloride+bromhexine+menthol+terbutaline.
Drug Interactions
Drug-Drug Interaction: Ammonium Chloride+bromhexine+menthol+terbutaline may interact with central nervous system stimulants (dextroamphetamine, amphetamine), anti-depressants (duloxetine, escitalopram, quetiapine, sertraline, isocarboxazid, selegiline, phenelzine, rasagiline, tranylcypromine), alcohol (ethanol), anti-allergic drugs (diphenhydramine), pain medicine (codeine), fits drugs (pregabalin), heart-related drugs (quinidine), anxiety treating drugs (alprazolam) and staining agents (methylene blue).
Drug-Food Interaction: Limit alcohol intake since it may worsen the side effects like dizziness and shakiness.
Drug-Disease Interaction: Brief your medical history if you have any heart, liver, or kidney diseases, stomach ulcers, inflammation of air passages, lung disorders, difficulty breathing, severe asthma, depression and Parkinson's disease before taking Ammonium Chloride+bromhexine+menthol+terbutaline.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionIt is not known whether it is safe to consume alcohol with Ammonium Chloride+bromhexine+menthol+terbutaline. Please consult your doctor before using Ammonium Chloride+bromhexine+menthol+terbutaline. However, it is better to avoid alcohol to prevent side effects.
Pregnancy
cautionThere is limited data on how Ammonium Chloride+bromhexine+menthol+terbutaline affects pregnancy. Ammonium Chloride+bromhexine+menthol+terbutaline may be unsafe to use during pregnancy since it may harm the developing baby. Consult your doctor before using Ammonium Chloride+bromhexine+menthol+terbutaline, if you are pregnant or planning to conceive.
Breast Feeding
cautionIt is not known if Ammonium Chloride+bromhexine+menthol+terbutaline affects breastfeeding and passes into breast milk. Please consult your doctor before starting Ammonium Chloride+bromhexine+menthol+terbutaline.
Driving
cautionDo not drive or operate machinery if you experience sleepiness, dizziness, increased/uneven heart rate and shakiness while using Ammonium Chloride+bromhexine+menthol+terbutaline. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.
Liver
cautionAmmonium Chloride+bromhexine+menthol+terbutaline 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 Ammonium Chloride+bromhexine+menthol+terbutaline.
Kidney
cautionAmmonium Chloride+bromhexine+menthol+terbutaline 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 Ammonium Chloride+bromhexine+menthol+terbutaline.
Children
cautionAmmonium Chloride+bromhexine+menthol+terbutaline is not recommended for use in children less than six years of age. The dose may have to be adjusted by your doctor, depending on the condition of your child's symptoms and age.
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 Ammonium Chloride+bromhexine+menthol+terbutaline.
- 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 extra fluids while you take Ammonium Chloride+bromhexine+menthol+terbutaline 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.
Special Advise
- Regularly monitoring blood sugar levels and serum potassium levels is required while taking Ammonium Chloride+bromhexine+menthol+terbutaline.
- ECG (electrocardiogram) of the heart is recommended, and the heartbeat should be closely monitored.
- Ammonium Chloride+bromhexine+menthol+terbutaline should not be given to children less than 6 years of age and weighing less than 25 kg.
Patients Concern
Disease/Condition Glossary
Cough: It occurs as a reflex action in the throat when there is mucus or any other foreign irritant in it. Cough can be dry or productive. A productive cough (wet cough) develops sputum (phlegm or mucus) 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 out thick, solid white mucus, it indicates that you may have a bacterial infection in the airways. Clear or light-coloured mucus indicates allergies or minor infections in the respiratory tract, and yellow or green mucus indicates a respiratory infection.
FAQs
Ammonium Chloride+bromhexine+menthol+terbutaline consists of four medicines: Bromhexine, Terbutaline, Ammonium chloride, and Menthol. Ammonium Chloride+bromhexine+menthol+terbutaline relieves cough symptoms by thinning the cough/mucus, making it less viscous, suppressing coughing and decreasing throat irritation by providing a soothing effect. This helps in easy coughing out of phlegm and makes breathing easier.
Yes, you may experience headaches and shakiness after using Ammonium Chloride+bromhexine+menthol+terbutaline. Drink plenty of water and take rest to manage your headache. Shakiness goes away gradually. Consult your doctor if these symptoms persist longer.
Ammonium Chloride+bromhexine+menthol+terbutaline is not recommended for use if you have a stomach ulcer since mucolytics like Bromohexine may disrupt the gastric mucosal barrier; therefore cautiously administered in patients with a stomach ulcer.
No, you are not recommended to take propranolol or other beta-blockers used to lower raised blood pressure with Ammonium Chloride+bromhexine+menthol+terbutaline as it may reduce the effectiveness of both medicines. Also, propranolol may cause a narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you should consult a doctor before using other medicines with Ammonium Chloride+bromhexine+menthol+terbutaline.
Ammonium Chloride+bromhexine+menthol+terbutaline should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking Ammonium Chloride+bromhexine+menthol+terbutaline as it may increase blood sugar levels.
Ammonium Chloride+bromhexine+menthol+terbutaline contains terbutaline, which may decrease the potassium levels in your body, leading to hypokalemia. If you have a low potassium level, let your doctor know this before taking the Ammonium Chloride+bromhexine+menthol+terbutaline.
