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Bromhexine

About

Bromhexine belongs to the class of medicines called 'expectorants' primarily used to treat cough associated with mucus. 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. 

The Bromhexine contains bromhexine. It enhances mucus transport by reducing mucus viscosity and activating the ciliated epithelium (mucociliary clearance). This secretolytic and secretomotor effect in the bronchial tract area relieves cough and facilitates expectoration.

Your doctor will recommend how often you take Bromhexine based on your medical condition. Some people may experience nausea, vomiting, drowsiness, headache, dizziness, skin rash, stomach upset, and diarrhoea. Most of these side effects of Bromhexine do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Please tell your doctor if you are allergic to Bromhexine or any other medicines. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Bromhexine. Bromhexine should be used with caution in children below six years. Drink plenty of fluids while taking Bromhexine to loosen mucus. If you have stomach ulcers, asthma, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), or kidney or liver problems, inform your doctor before taking Bromhexine.

Uses of Bromhexine

Cough

Medicinal Benefits

Bromhexine contains Bromhexine. Bromhexine is used in a condition where there is a lot of thick mucus in the airways. It enhances mucus transport by reducing mucus viscosity and by activating the ciliated epithelium (mucociliary clearance). This secretolytic and secretomotor effect in the bronchial tract area relieves cough and facilitates expectoration.

Directions for Use

Tablet: Swallow it as a whole with water; do not crush, break or chew it. Oral Suspension/syrup: Shake the bottle well before each use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Bromhexine

  • Nausea
  • Vomiting
  • Diarrhoea
  • Upper abdominal pain
  • Sweating
  • Angioedema
  • Urticaria
  • Bronchospasm
  • Headache
  • Dizziness
  • Rash
  • Pruritus

In-Depth Precautions and Warning

Drug Warnings

Do not take Bromhexine if you are allergic to any components present in Bromhexine. If you are pregnant or breastfeeding, it is advised to inform your doctor before using the Bromhexine. Bromhexine should be used with caution in children below six years. Drink plenty of fluids while taking Bromhexine to loosen mucus. If you have stomach ulcers, asthma, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), or kidney or liver problems, inform your doctor before taking the Bromhexine.

Drug Interactions

Drug-Drug Interactions: Bromhexine may interact with antibiotics (e.g., erythromycin, cefalexine, ampicillin, amoxicillin, oxytetracycline), non-steroidal anti-inflammatory medicines (e.g., phenylbutazone and oxyphenbutazone).

Drug-Food Interactions: Avoid dairy products such as milk, which may increase mucus production. Also, avoid processed or refined foods to have relief from cough.

Drug-Disease Interactions: If you have stomach ulcers, asthma, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), or kidney or liver problems, inform your doctor before taking Bromhexine.

Drug-Drug Interactions Checker List:

  • ERYTHROMYCIN
  • CEFALEXIN
  • OXYPHENBUTAZONE
  • PHENYLBUTAZONE
  • AMPICILLIN
  • AMOXICILLIN
  • OXYTETRACYCLINE
  • Safety Advice

    • Safety Warning

      Alcohol

      unsafe

      Avoid consumption of alcohol with Bromhexine as it may increase drowsiness. Please consult a doctor before consuming alcohol with Bromhexine.

    • Safety Warning

      Pregnancy

      caution

      The safety of Bromhexine in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      caution

      It is unknown whether Bromhexine is excreted in human milk. Bromhexine is given to breastfeeding mothers only if the doctor thinks benefits are more significant than risks.

    • Safety Warning

      Driving

      caution

      Bromhexine may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking Bromhexine.

    • Safety Warning

      Liver

      caution

      Take Bromhexine with caution, especially if you have a history of Liver diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Kidney

      caution

      Take Bromhexine with caution, especially if you have a history of Kidney diseases/conditions. The dose may be adjusted by your doctor as required.

    • Safety Warning

      Children

      caution

      Bromhexine should be used with caution in children if prescribed by a doctor. The dose may be adjusted by your doctor as required.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • Avoid dairy products such as milk as they may increase mucus production. Also, avoid processed or refined foods to have relief from cough. 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 dry throat while you have a cough and loosen mucus.
    • Avoid citrus fruits as they may worsen the cough.
    • Eat fruits rich in water content such as pears, watermelon, peaches, and pineapples.
    • 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.
    • Quit smoking and avoid passive smoking. Smoking also reduces the effectiveness of the medicine.

    Special Advise

    • You are recommended to inform your doctor that you are taking Bromhexine before undergoing any medical tests or surgery.
    • It is advised to stop using Bromhexine if your cough persists for more than one week and consult your doctor.
    • Do not take Bromhexine if you have taken an MAO inhibitor (anti-depressant medication) in the past 14 days, it may cause serious drug interaction.

    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. 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

    Bromhexine contains 'Bromhexine', which is a mucolytic medication. It thins and loosens mucus (phlegm) in the nose, windpipe, and lungs, making coughing easier.

    Bromhexine should be used with caution in children below six years of age. However, please consult a doctor before giving Bromhexine to children.

    You are recommended to take Bromhexine for as long as your doctor has prescribed it. However, if the symptoms persist or worsen with rash, fever, or persistent headache after one week of using Bromhexine, please consult your doctor.

    You are not recommended to stop taking Bromhexine without consulting your doctor as it may worsen cough or cause recurring symptoms. Therefore, take Bromhexine for as long as your doctor has prescribed it, and if you experience any difficulty while taking Bromhexine, please consult your doctor.

    There is a sugar-free syrup available for diabetes patients. It is always better to consult a doctor before using Bromhexine if you have diabetes.

    No, Bromhexine is not recommended for patients suffering from stomach ulcers, which may worsen the condition. However, please consult a doctor before taking Bromhexine.

    Available Medicines for

    Bromhexine

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