Bromhexine+dextromethorphan+phenylephrine+menthol
About
Bromhexine+dextromethorphan+phenylephrine+menthol 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.
Bromhexine+dextromethorphan+phenylephrine+menthol consists of four medicines, namely: Bromhexine (mucolytic), Dextromethorphan (cough suppressant), Phenylephrine (decongestant), and Menthol (Coolant). Bromhexine makes sputum less viscous and makes it easier to cough out. Dextromethorphan relieves cough by reducing cough receptor activity, thereby affecting signals in the brain that trigger the cough reflex. Phenylephrine helps shrink the blood vessels in the nostrils and the passage and reduces stuffy noses. Menthol produces a cooling sensation and relieves throat irritation.
Bromhexine+dextromethorphan+phenylephrine+menthol should be taken as prescribed by the 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+phenylephrine+menthol do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.
Do not use Bromhexine+dextromethorphan+phenylephrine+menthol if you are allergic to any components present in it. 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+phenylephrine+menthol. Bromhexine+dextromethorphan+phenylephrine+menthol can cause sleepiness; hence avoid taking alcohol while using Bromhexine+dextromethorphan+phenylephrine+menthol. Bromhexine+dextromethorphan+phenylephrine+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, breastfeeding, or taking other prescribed or non-prescribed drugs.
Uses of Bromhexine+dextromethorphan+phenylephrine+menthol
Medicinal Benefits
Bromhexine+dextromethorphan+phenylephrine+menthol belongs to a class of medication called 'expectorants,' containing four medicines, namely: Bromhexine (mucolytic), Dextromethorphan (cough suppressant), Phenylephrine (decongestant), Menthol (Coolant). Bromhexine makes sputum less viscous and makes it easier to cough out. Dextromethorphan relieves cough by reducing cough receptor activity, thereby affecting signals in the brain that trigger the cough reflex. Phenylephrine helps shrink the blood vessels in the nostrils and the passage and reduces stuffy nose. Menthol produces a cooling sensation and relieves throat irritation.
Directions for Use
Storage
Side Effects of Bromhexine+dextromethorphan+phenylephrine+menthol
- Nausea
- Diarrhoea
- Bloating
- Indigestion
- Vomiting
- Stomach upset
- Sweating
- Dizziness
- Headache
- Skin rash
In-Depth Precautions and Warning
Drug Warnings
Bromhexine+dextromethorphan+phenylephrine+menthol should be used with caution in patients with heart, liver, kidney diseases, depression, and Parkinson's disease. Anti-tussive agents like Dextromethorphan can cause withdrawal symptoms like restlessness, difficulty sleeping, irritability, anxiety, feeling your heartbeat (palpitations), increased blood pressure, feeling or being sick, diarrhoea, shaking, shivering or sweating. If you feel like you need to take the Dextromethorphan containing Bromhexine+dextromethorphan+phenylephrine+menthol though you feel well, it can be a symptom of addiction to Bromhexine+dextromethorphan+phenylephrine+menthol. Please consult your doctor if you notice any addiction symptoms. Bromhexine+dextromethorphan+phenylephrine+menthol is not recommended for stomach ulcer use since mucolytics like Bromohexine may disrupt the gastric mucosal barrier; therefore cautiously administered in patients with a stomach ulcer. Avoid consuming alcohol along with Bromhexine+dextromethorphan+phenylephrine+menthol as it could lead to increased drowsiness or dizziness. Drive only if you are alert since Bromhexine+dextromethorphan+phenylephrine+menthol may cause sleepiness/shakiness/increased heart rate in some people.
Drug Interactions
Drug-Drug Interactions: Bromhexine+dextromethorphan+phenylephrine+menthol 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 Interactions: Limit alcohol intake since it may worsen the side effects like dizziness and shakiness.
Drug-Disease Interactions: 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, or Parkinson's disease before taking Bromhexine+dextromethorphan+phenylephrine+menthol.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionIt is not known whether it is safe to consume alcohol with Bromhexine+dextromethorphan+phenylephrine+menthol. Please consult your doctor before using Bromhexine+dextromethorphan+phenylephrine+menthol. However, it is better to avoid alcohol to prevent the incidence of side effects.
Pregnancy
cautionThere are no adequate and well-controlled studies on pregnant women. Please inform your doctor if you are pregnant or planning for pregnancy; your doctor will prescribe only if the benefits outweigh the risks.
Breast Feeding
cautionConsult your doctor; there is no substantial research yet on using Bromhexine+dextromethorphan+phenylephrine+menthol in breastfeeding/nursing mothers. Your doctor will prescribe only if the benefits outweigh the risks.
Driving
cautionDo not drive or operate machinery if you experience sleepiness, dizziness, increased/uneven heart rate and shakiness while using Bromhexine+dextromethorphan+phenylephrine+menthol. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.
Liver
cautionBromhexine+dextromethorphan+phenylephrine+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+phenylephrine+menthol.
Kidney
cautionBromhexine+dextromethorphan+phenylephrine+menthol should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Bromhexine+dextromethorphan+phenylephrine+menthol.
Children
cautionBromhexine+dextromethorphan+phenylephrine+menthol is not recommended for use in children less than four 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 Bromhexine+dextromethorphan+phenylephrine+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 extra fluids while you take Bromhexine+dextromethorphan+phenylephrine+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.
Special Advise
- You are recommended to inform your doctor that you are taking Bromhexine+dextromethorphan+phenylephrine+menthol before undergoing any medical tests or surgery.
- It is advised to stop using Bromhexine+dextromethorphan+phenylephrine+menthol if your cough persists for more than one week and consult your doctor.
Patients Concern
Disease/Condition Glossary
Coughing: Coughing occurs as a reflex action in the throat when there is mucus or other foreign irritant. 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
Bromhexine+dextromethorphan+phenylephrine+menthol consists of four medicines, namely: Bromhexine (mucolytic), Dextromethorphan (cough suppressant), Phenylephrine (decongestant), Menthol (Coolant). Bromhexine makes sputum less viscous and makes it easier to cough out. Dextromethorphan relieves cough by reducing cough receptor activity, thereby affecting signals in the brain that trigger cough reflex. Phenylephrine helps in shrinking the blood vessels in the nostrils and the passage and reducing stuffy nose. Menthol produces a cooling sensation and relieves throat irritation.
Bromhexine+dextromethorphan+phenylephrine+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+phenylephrine+menthol, if you have any heart, liver, kidney diseases, depression and Parkinson's disease.
Yes, you may experience headaches and shakiness after using Bromhexine+dextromethorphan+phenylephrine+menthol. Drink plenty of water and take a rest to manage your headache. Shakiness goes away gradually. Consult your doctor if these symptoms persist longer.
Bromhexine+dextromethorphan+phenylephrine+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.