Bromhexine+guaifenesin+terbutaline+menthol
About
Bromhexine+guaifenesin+terbutaline+menthol belongs to a class of respiratory medication called ‘expectorant' primarily used to treat vicious and excessive mucus in patients with asthma and COPD (chronic obstructive pulmonary disorder) having a cough. It helps in dissolving hard phlegm (sputum/cough) which makes breathing difficult usually in respiratory problems like allergies, sinusitis, common cold, bronchitis, flu, etc. Coughing (dry or productive) is a body’s way of clearing irritants (like allergens, mucus, or smoke) from airways and preventing infection.
Bromhexine+guaifenesin+terbutaline+menthol is a combination of four drugs, namely: Guaifenesin (expectorant), Bromhexine (mucolytic agent), Terbutaline (bronchodilator), and Menthol (cooling agent). Guaifenesin belongs to the class of expectorants that works by increasing the volume of fluid in the airways, thereby reducing the stickiness or viscosity of mucus, and making it easier for airway passage. Bromhexine belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose, making it easier to cough it out. Terbutaline belongs to the class of bronchodilators that relaxes muscles and widens the airways making breathing easier in people with respiratory complications. Menthol is a cooling agent that produces a cooling sensation and provides relief from minor throat irritation due to cough deposition.
Take Bromhexine+guaifenesin+terbutaline+menthol as prescribed. Your doctor will recommend how often you take Bromhexine+guaifenesin+terbutaline+menthol based on your medical condition. Some people may experience diarrhoea, nausea, vomiting, drowsiness, headache, dizziness, skin rash, tremor, stomach upset, and fast heartbeats. Most of these side effects of Bromhexine+guaifenesin+terbutaline+menthol do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.
If you are known to be allergic to Bromhexine+guaifenesin+terbutaline+menthol or any other medicines, please tell your doctor. If you are pregnant or planning for pregnancy, it is advised to inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol. Avoid taking Bromhexine+guaifenesin+terbutaline+menthol while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. If you are suffering from fits or have a history of fits, please inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol as it may increase the risk of recurrent fits. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Bromhexine+guaifenesin+terbutaline+menthol. If you have diabetes, fits, high blood pressure, glaucoma, cough for a long time, chronic bronchitis (swelling and irritation of the lining of airways), emphysema (lung condition resulting in shortness of breath), overactive thyroid, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), ulcers in the stomach or intestines, kidney, liver or heart problems, please inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol.
Uses of Bromhexine+guaifenesin+terbutaline+menthol
Medicinal Benefits
Bromhexine+guaifenesin+terbutaline+menthol is a combination of four drugs, namely: Guaifenesin (expectorant), Bromhexine (mucolytic agent), Terbutaline (bronchodilator), and Menthol (cooling agent). Guaifenesin belongs to the class of expectorants that works by increasing the volume of fluid in the airways, thereby reducing the stickiness or viscosity of mucus, and making it easier for airway passage. Bromhexine belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose, making it easier to cough it out. Terbutaline belongs to the class of bronchodilators that relaxes muscles and widens the airways making breathing easier in people with respiratory complications. Menthol is a cooling agent that produces a cooling sensation and provides relief from minor throat irritation due to cough deposition.
Directions for Use
Storage
Side Effects of Bromhexine+guaifenesin+terbutaline+menthol
- Diarrhoea
- Nausea
- Vomiting
- Drowsiness
- Headache
- Dizziness
- Skin rash
- Tremor
- Stomach upset
- Fast heartbeats
In-Depth Precautions and Warning
Drug Warnings
If you are known to be allergic to Bromhexine+guaifenesin+terbutaline+menthol or any other medicines, pregnant or planning for pregnancy, it is advised to inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol. Avoid taking Bromhexine+guaifenesin+terbutaline+menthol while breastfeeding as it is excreted in breast milk and may cause adverse effects in the baby. If you are suffering from fits (epilepsy) or have a history of fits, please inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol as it may increase the risk of recurrent fits. If you have diabetes, fits, high blood pressure, glaucoma, cough from a long time, chronic bronchitis (swelling and irritation of the lining of airways), emphysema (lung condition resulting in shortness of breath), overactive thyroid, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), ulcers in the stomach or intestines, kidney, liver or heart problems, please inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol.
Drug Interactions
Drug-Drug Interaction: Bromhexine+guaifenesin+terbutaline+menthol may have interaction with medicines used to lower high blood pressure (propranolol), hormone (epinephrine), water pills (furosemide), anti-allergic drugs (promethazine), uterine stimulant (oxytocin), bronchodilators (formoterol, dyphylline), anti-sickness drug (ondansetron).
Drug-Food Interaction: No interactions found.
Drug-Disease Interaction: If you have diabetes, fits, high blood pressure, glaucoma, cough from a long time, chronic bronchitis (swelling and irritation of the lining of airways), emphysema (lung condition resulting in shortness of breath), overactive thyroid, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), ulcers in the stomach or intestines, kidney, liver or heart problems, please inform your doctor before taking Bromhexine+guaifenesin+terbutaline+menthol.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionInteraction of alcohol with Bromhexine+guaifenesin+terbutaline+menthol is unknown. Please consult a doctor before consuming alcohol with Bromhexine+guaifenesin+terbutaline+menthol.
Pregnancy
unsafeBromhexine+guaifenesin+terbutaline+menthol is contraindicated in pregnant women, especially in the first 3 months of pregnancy as it may cause birth defects. Therefore, please consult a doctor if you are pregnant or planning for pregnancy.
Breast Feeding
unsafeBromhexine+guaifenesin+terbutaline+menthol is excreted in breast milk and may cause adverse effects in the baby. Hence, it is not recommended for breastfeeding mothers.
Driving
cautionBromhexine+guaifenesin+terbutaline+menthol may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking Bromhexine+guaifenesin+terbutaline+menthol.
Liver
safe if prescribedIf you have any concerns regarding the use of Bromhexine+guaifenesin+terbutaline+menthol in patients with Liver problems, please consult a doctor.
Kidney
safe if prescribedIf you have any concerns regarding the use of Bromhexine+guaifenesin+terbutaline+menthol in patients with Kidney problems, please consult a doctor.
Children
cautionBromhexine+guaifenesin+terbutaline+menthol should be used with caution in children, especially below 2 years of age if prescribed by a doctor.
Habit Forming
Diet & Lifestyle Advise
- Avoid dairy products such as milk as it 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 it may worsen the cough. Eat fruits rich in water content such as pears, watermelon, peaches and pineapples.
Special Advise
Regularly monitor blood sugar levels while taking Bromhexine+guaifenesin+terbutaline+menthol if you have diabetes as it may increase blood sugar levels.
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. 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-colored, 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+guaifenesin+terbutaline+menthol contains Guaifenesin, Bromhexine, Terbutaline and Menthol. Guaifenesin is an expectorant that works by increasing the volume of fluid in the airways, reduce the stickiness of mucus and helps to remove it from airways. Bromhexine is a mucolytic agent (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in lungs, windpipe and nose. Thereby, helps to cough out easily. Terbutaline is a bronchodilator that relaxes muscles and widens the airways. Thereby, makes breathing easier. Menthol is a cooling agent that produces cooling sensation and provides relief from minor throat irritation.
Yes, Bromhexine+guaifenesin+terbutaline+menthol may cause drowsiness or dizziness. It is not necessary for everyone taking Bromhexine+guaifenesin+terbutaline+menthol to experience this side effect. Therefore, avoid driving if you feel drowsy or dizzy after taking Bromhexine+guaifenesin+terbutaline+menthol.
Bromhexine+guaifenesin+terbutaline+menthol should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking Bromhexine+guaifenesin+terbutaline+menthol as it may increase blood sugar levels.
No, you are not recommended to take propranolol with Bromhexine+guaifenesin+terbutaline+menthol as it may reduce the effectiveness of both the medicines. Also, propranolol may cause narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you are recommended to consult a doctor before using other medicines with Bromhexine+guaifenesin+terbutaline+menthol.
Bromhexine+guaifenesin+terbutaline+menthol should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if have hyperthyroidism before taking Bromhexine+guaifenesin+terbutaline+menthol so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking Bromhexine+guaifenesin+terbutaline+menthol.
You are recommended to take Bromhexine+guaifenesin+terbutaline+menthol for as long as your doctor has prescribed it. However, if the symptoms persist or worsen with rash, fever or persistent headache after 1 week of using Bromhexine+guaifenesin+terbutaline+menthol, please consult your doctor.
No, you are not recommended to stop taking Bromhexine+guaifenesin+terbutaline+menthol without consulting your doctor as it may worsen cough or cause recurring symptoms. Therefore, take Bromhexine+guaifenesin+terbutaline+menthol for as long as your doctor has prescribed it, and if you experience any difficulty while taking Bromhexine+guaifenesin+terbutaline+menthol, please consult your doctor.
