Description
Active Ingredient
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Ambroxol Hydrochloride – 15 mg per 5 ml of syrup
Classification
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Belongs to the cough expectorants & mucolytics therapeutic class
Indications
Used for treating productive coughs and various respiratory tract conditions accompanied by thick, sticky mucus, including:
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Acute and chronic bronchitis
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Laryngitis, pharyngitis, sinusitis, rhinitis
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Asthmatic bronchitis or asthma with heavy expectoration
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Bronchiectasis, chronic pneumonia, and other similar inflammatory disorders
Mechanism of Action
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Ambroxol, a metabolite of bromhexine, promotes breakdown of mucoproteins and mucopolysaccharide fibers, reducing mucus viscosity and aiding expectoration.
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It stimulates surfactant (phospholipid) production by alveolar cells to lower surface tension and enhance airway clearance.
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It also exhibits anti-inflammatory, antioxidant, and bronchial hyperactivity–reducing effects, improving airway patency in conditions like COPD
Dosage & Administration
Preferably taken after meals.
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Children (Syrup formulation):
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2–5 years: 2.5 ml (½ tsp), 2–3 times/day
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5–10 years: 5 ml (1 tsp), 2–3 times/day
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10 years and adults: 10 ml (2 tsp), 3 times/day
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Pediatric Drops Alternative:
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0–6 months: 0.5 ml twice daily
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6–12 months: 1 ml twice daily
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1–2 years: 1.25 ml twice daily.
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Contraindications & Interactions
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Should not be used by individuals with known hypersensitivity to ambroxol or bromhexine
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Avoid concomitant use with antitussive agents like codeine, which may inhibit expectoration of liquefied mucus
Side Effects
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Common: mild gastrointestinal discomfort, epigastric pain, feeling of gastric fullness
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Rare: allergic reactions including skin rash, urticaria (hives), and angioneurotic edema
Pregnancy & Lactation
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Animal studies show no teratogenic effects, but use during the first trimester is discouraged, and safety during lactation is not established
Precautions & Warnings
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Use with caution in patients with:
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Gastric or duodenal ulcers
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Convulsive disorders
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Hepatic or renal insufficiency
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Storage
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Store in a dry place, away from direct light, at temperatures not exceeding 30 °C. Keep out of reach of children
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