TERBUTALINE SULPHATE+BROMHEXINE
About
TERBUTALINE SULPHATE+BROMHEXINE belongs to the class of medications called 'Expectorants' primarily used to treat cough associated with asthma, bronchitis (inflamed airways) and other airways (bronchopulmonary) problems. 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.
TERBUTALINE SULPHATE+BROMHEXINE is a combination of two drugs, namely: Terbutaline sulphate and Bromhexine. Terbutaline sulphate belongs to the class of bronchodilators that dilates (expands) and relaxes the air passages in the lungs, thereby making breathing easier, especially in people with airways problems or obstructive respiratory disorders. On the other hand, Bromhexine belongs to the class of mucolytic agents (mucus/cough/phlegm thinner) that works by thinning and loosening mucus in the lungs, windpipe and nose, which helps ease coughing out.
Your doctor will recommend how often you need to take TERBUTALINE SULPHATE+BROMHEXINE based on your medical condition. Some people may experience nausea, chest pain, vomiting, drowsiness, headache, dizziness, skin rash, tremor, nervousness, diarrhoea and fast heartbeats. Most of these side effects of TERBUTALINE SULPHATE+BROMHEXINE 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 allergic to TERBUTALINE SULPHATE+BROMHEXINE or any other medicines, please tell your doctor. If you are pregnant or breastfeeding, it is advised to inform your doctor before using TERBUTALINE SULPHATE+BROMHEXINE. TERBUTALINE SULPHATE+BROMHEXINE is not recommended for children below six years of age, as the safety and effectiveness were not established. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking TERBUTALINE SULPHATE+BROMHEXINE. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking TERBUTALINE SULPHATE+BROMHEXINE.
Uses of TERBUTALINE SULPHATE+BROMHEXINE
Medicinal Benefits
TERBUTALINE SULPHATE+BROMHEXINE is a combination of two drugs, namely: Terbutaline sulphate and Bromhexine used to treat cough in people with asthma, COPD and other obstructive respiratory diseases. Terbutaline sulphate belongs to the class of bronchodilators that relaxes muscles and widen the airways, thereby, making breathing easier. Bromhexine belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in lungs, windpipe and nose, making it easier to cough out easily.
Directions for Use
Storage
Side Effects of TERBUTALINE SULPHATE+BROMHEXINE
- Nausea
- Chest pain
- Vomiting
- Drowsiness
- Headache
- Dizziness
- Skin rash
- Tremor
- Nervousness
- Diarrhoea
- Fast heartbeats
In-Depth Precautions and Warning
Drug Warnings
If you are pregnant or breastfeeding, it is advised to inform your doctor before using TERBUTALINE SULPHATE+BROMHEXINE. If you are suffering from fits (epilepsy/seizures) or have a history of fits, please inform your doctor before taking TERBUTALINE SULPHATE+BROMHEXINE as it may increase the risk of recurrent fits. TERBUTALINE SULPHATE+BROMHEXINE 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 TERBUTALINE SULPHATE+BROMHEXINE. If you experience constipation, leg cramps, numbness or tingling sensation, increased urination or thirst, muscle weakness or irregular heartbeats, contact your doctor as it may be due to low potassium levels in the blood. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking TERBUTALINE SULPHATE+BROMHEXINE.
Drug Interactions
Drug-Drug Interaction: TERBUTALINE SULPHATE+BROMHEXINE may have interaction with medicines used to lower high blood pressure (propranolol), water pills/diuretics (furosemide), anti-allergic drugs (promethazine), uterine stimulant (oxytocin), bronchodilators (formoterol, dyphylline), anti-sickness drug (ondansetron).
Drug-Food Interaction: TERBUTALINE SULPHATE+BROMHEXINE may interact with caffeine. Therefore, avoid caffeine intake with TERBUTALINE SULPHATE+BROMHEXINE.
Drug-Disease Interaction: Use TERBUTALINE SULPHATE+BROMHEXINE with caution in patients with diabetes, epilepsy (fits), high blood pressure, overactive thyroid or heart problems.
Drug-Drug Interactions Checker List:
Safety Advice
Alcohol
cautionInteraction of alcohol with TERBUTALINE SULPHATE+BROMHEXINE is unknown. Please consult a doctor before consuming alcohol with TERBUTALINE SULPHATE+BROMHEXINE.
Pregnancy
cautionThe safety of TERBUTALINE SULPHATE+BROMHEXINE in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks benefits outweigh risks.
Breast Feeding
cautionIt is unknown whether TERBUTALINE SULPHATE+BROMHEXINE is excreted in human milk. TERBUTALINE SULPHATE+BROMHEXINE is given to breastfeeding mothers only if the doctor thinks benefits are greater than risks.
Driving
cautionTERBUTALINE SULPHATE+BROMHEXINE may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking TERBUTALINE SULPHATE+BROMHEXINE.
Liver
cautionTake TERBUTALINE SULPHATE+BROMHEXINE with caution, especially if you have a history of liver diseases/conditions. The dose may be adjusted by your doctor as required.
Kidney
cautionTake TERBUTALINE SULPHATE+BROMHEXINE with caution, especially if you have a history of kidney diseases/conditions. The dose may be adjusted by your doctor as required.
Children
cautionTERBUTALINE SULPHATE+BROMHEXINE should be used with caution in children and only if prescribed by a doctor. However, it should not be given to children less than 6 years of age and body weight less than 25 kg.
Habit Forming
Diet & Lifestyle Advise
- Avoid dairy products such as milk as it may increase mucus production.
- Avoid processed or refined foods to have relief from cough, instead replace it with 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. It also helps loosen mucus.
- Avoid citrus fruits as they may worsen the cough.
- Eat fruits rich in water content such as pears, watermelon, peaches and pineapples.
Special Advise
- Regularly monitor blood sugar levels, and serum potassium level is required while taking TERBUTALINE SULPHATE+BROMHEXINE.
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ECG (electrocardiogram) of the heart is recommended, and heartbeat should be closely monitored.
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, whereas the dry cough does not bring up sputum. 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
TERBUTALINE SULPHATE+BROMHEXINE contains Terbutaline sulphate and Bromhexine. Terbutaline sulphate relaxes muscles and widens the airways making breathing easier. Bromhexine works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose, which helps to expel cough out easily.
TERBUTALINE SULPHATE+BROMHEXINE should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if you have hyperthyroidism before taking TERBUTALINE SULPHATE+BROMHEXINE so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking TERBUTALINE SULPHATE+BROMHEXINE.
TERBUTALINE SULPHATE+BROMHEXINE may cause drowsiness or dizziness. It is not necessary for everyone taking TERBUTALINE SULPHATE+BROMHEXINE to experience this side effect. However, avoid driving if you feel drowsy or dizzy after taking TERBUTALINE SULPHATE+BROMHEXINE.
You are not recommended to take propranolol or other beta-blockers used to lower raised blood pressure with TERBUTALINE SULPHATE+BROMHEXINE as it may reduce the effectiveness of both 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 TERBUTALINE SULPHATE+BROMHEXINE.
TERBUTALINE SULPHATE+BROMHEXINE should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking TERBUTALINE SULPHATE+BROMHEXINE as it may increase blood sugar levels.
You are recommended to take TERBUTALINE SULPHATE+BROMHEXINE 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 TERBUTALINE SULPHATE+BROMHEXINE, please consult your doctor.
You are not recommended to stop taking TERBUTALINE SULPHATE+BROMHEXINE without consulting your doctor as it may worsen cough or cause recurring symptoms. Therefore, take TERBUTALINE SULPHATE+BROMHEXINE for as long as your doctor has prescribed it, and if you experience any difficulty while taking TERBUTALINE SULPHATE+BROMHEXINE, please consult your doctor.
TERBUTALINE SULPHATE+BROMHEXINE contains terbutaline sulphate which may decrease the level of potassium in your body, leading to hypokalemia. So, if you have a low potassium level, let your doctor about this before taking TERBUTALINE SULPHATE+BROMHEXINE.
