BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL
About
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL belongs to a class of respiratory medications called 'expectorant' primarily used to treat cough. Coughing (dry or productive) is a body's way of clearing irritants (like allergens, mucus or smoke) from airways. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce any thick mucus, while a chesty cough (wet cough) produces mucous or sputum that helps clear the airways.
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL consists of Bromhexine (mucolytic), Dextromethorphan (cough suppressant), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine is a 'mucolytic agent' that makes sputum less viscous and makes it easier to cough out. Dextromethorphan belongs to the class of cough suppressants, which relieves cough by reducing cough receptor activity, thereby affecting signals in the brain that trigger cough reflex. Ammonium chloride is an expectorant which works by decreasing the stickiness of airway secretions and helps in their removal from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.
Take BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL as prescribed by your doctor. Some people may experience nausea, diarrhoea, bloating, indigestion, vomiting, stomach upset, sweating, dizziness, headache and skin rash. Most of these side effects of BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL 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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL 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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. This medicine can cause sleepiness, hence avoid taking alcohol while using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL 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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL
Medicinal Benefits
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL is a respiratory medication primarily used to treat cough. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL consists of four medicines: Bromhexine (mucolytic), Dextromethorphan (cough suppressant), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine is a 'mucolytic agent' that makes sputum less viscous and makes it easier to cough out. Dextromethorphan belongs to the class of cough suppressants, which relieves cough by reducing cough receptor activity, thereby affecting signals in the brain that trigger cough reflex. Ammonium chloride is an expectorant which works by decreasing the stickiness of airway secretions and helps in their removal from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.
Directions for Use
Storage
Side Effects of BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL
- Nausea
- Diarrhoea
- Bloating
- Indigestion
- Vomiting
- Stomach upset
- Sweating
- Dizziness
- Headache
- Skin rash
In-Depth Precautions and Warning
Drug Warnings
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL should be used with caution in patients with a heart, liver, kidney diseases, depression, and Parkinson's disease. If you feel like you need to take the Dextromethorphan containing BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL though you feel well, it can be a symptom of addiction to BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. Please consult your doctor if you notice any addiction symptoms. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL is not recommended for stomach ulcer use since mucolytics like Bromohexine may disrupt the gastric mucosal barrier; therefore, it is to be cautiously administered in patients with a stomach ulcer. Avoid consuming alcohol along with BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL as it could lead to increased drowsiness or dizziness. Drive only if you are alert since BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL may cause sleepiness/shakiness/increased heart rate in some people. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL is not recommended for use in children.
Drug Interactions
Drug-Drug Interaction: BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL may interact with central nervous system stimulants (dextroamphetamine), anti-depressants (duloxetine, escitalopram, phenelzine, rasagiline), 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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionIt is not known whether it is safe to consume alcohol with BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. Please consult your doctor before using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. However, it is better to avoid alcohol to prevent the incidence of side effects.
Pregnancy
cautionThere is a limited data on how BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL affects pregnancy. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL may be unsafe to use during pregnancy since it may show harmful effects on the developing baby. Consult your doctor before using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL, if you are pregnant or planning to conceive.
Breast Feeding
cautionIt is not known if BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL affects breastfeeding and passes into breastmilk. Please consult your doctor before starting BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL.
Driving
cautionDo not drive or operate machinery if you experience sleepiness, dizziness, increased/uneven heart rate and shakiness while using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.
Liver
cautionBROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL.
Kidney
cautionBROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+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 BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL.
Children
cautionBROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL is not recommended for use in children. Please consult your doctor for more information.
Habit Forming
Diet & Lifestyle Advise
- 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.
- Drink extra fluids while you take BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL to help loosen congestion and lubricate the throat.
- Gargle with salt water for relief from sore throat.
- Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.
Special Advise
- You are recommended to inform your doctor that you are taking BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL before undergoing any medical tests or surgery.
- It is advised to stop using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL if your cough persists for more than one week and consult your doctor.
Patients Concern
Disease/Condition Glossary
Coughing 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 infection in the respiratory tract, and a yellow or green mucus indicates a respiratory infection.
FAQs
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL consists of four medicines: Bromhexine, Dextromethorphan, Ammonium chloride, and Menthol. BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL reliefs 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.
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL should preferably be used after taking your meal to decrease the occurrence of side effects. Please follow your doctor's advice on how you should use this medicine.
Inform your doctor before taking BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL, if you have any heart, liver, kidney diseases, depression and Parkinson's disease.
You may experience headaches and shakiness after using BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL. Drink plenty of water and take rest to manage your headache. Shakiness goes away gradually. Consult your doctor if these symptoms persist longer.
BROMHEXINE+DEXTROMETHORPHAN+AMMONIUM CHLORIDE+MENTHOL 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.
Take the missed dose as soon as possible. However, if it is time for the next dose, skip the missed dose and go back to your regular dosing schedule.