Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline

Uses	Wet cough
Therapy	Cough Cold Preparation
Side Effects	Headache, shivering, muscle spasm, irregular heartbeat, low potassium level

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available

NPPA
Regulated

Molecule Description

Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline is used to treat cough associated with mucus. It works by loosening and thinning the mucus in the nose, throat, and lungs, making it easier to expel through coughing. It also helps relax and widen the airway muscles, allowing easier breathing. Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline can be taken with or without food, strictly in the dose and duration prescribed by your doctor. The dosage depends on your medical condition and your response to the treatment. Continue taking the medicine for the full course advised by your doctor, as stopping it too early may cause your symptoms to return or worsen. Consult your doctor if any side effect persists or becomes bothersome. This medicine may cause drowsiness, so avoid driving or performing tasks that require alertness until you understand how it affects you. According to the advisory issued by the Union Health Ministry, cough and cold medications should not be prescribed or dispensed to children under two years of age. These medications are generally not recommended for children under five years old. For children above that age, any use should be based on careful clinical evaluation and close supervision.

Uses

Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline is mainly prescribed for the treatment of productive cough (cough with mucus) and related respiratory conditions, including bronchitis, bronchial asthma, and chronic obstructive pulmonary disease (COPD). It is not recommended for the management of dry cough.

Contraindications

When should one not use Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline

If you are allergic to ambroxol, guaiphenesin, terbutaline or any other ingredients of Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline.
If you are suffering from gastric ulcers.
If you have any heart conditions or prone to heart disorders.

Side effects

Common side effects of this drug are:

Headache
Shivering
Muscle spasm
Irregular heartbeats
Low potassium level
Dizziness

Precautions and Warnings

Pregnancy

Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline is generally not recommended during pregnancy. Hence, it is recommended to avoid this medicine during pregnancy and use this only if it is prescribed by the doctor.

Breast Feeding

Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline is secreted into the breastmilk and may cause unwanted effects in the newborn baby. Hence, it is recommended to avoid this medicine if you are breastfeeding.

Driving

This medicine may cause drowsiness or dizziness in some people. If you experience any side effects, avoid driving or operating machinery.

Alcohol

No information is available on the interactions of this medicine when taken with alcohol, consult your doctor or pharmacist for further information.

Other General Warnings

Talk to your doctor if

You are pregnant or are breastfeeding.
You have any underlying medical condition like high blood pressure, diabetes, fits, thyroid or other heart diseases.
You may experience a sudden drop of potassium level in your blood on concomitant treatment. In such situations, a doctor may recommend monitoring potassium serum level closely and asking for specific blood tests.
You are suffering from liver or kidney problems.
If you don't feel any relief in symptoms and your cough lasts for more than 5 days, consult a doctor immediately.
You are suffering from high pressure inside the eyes (glaucoma) or having any kind of allergies.

Mode of Action

How Does It Work?

Ambroxol acts as a mucolytic agent. It works by loosening/thinning up the mucous in the respiratory passages and makes the mucous less sticky. Thereby helping in removing the cough out.
Terbutaline has bronchodilator properties. It relaxes the muscles of the airways and inhibits the release of inflammation-causing chemical substances. Thereby, it improves airflow to the lungs and helps make breathing easier.
Guaifenesin is an expectorant; it helps thin the mucous in the airways and makes it easier to cough out and clear the airways.
Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline works by the combined action of its three components and helps in easing the symptoms of bronchospasm (spasm or constriction in the airways).

Interactions

Interactions with other medicines

Discuss with your doctor about any other medicines, herbal preparations and supplements you are taking currently to avoid any possible drug interactions.
Especially, if you are already taking other cough medicines.
Concomitant use of Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline and medicines used to treat high blood pressure like propranolol should be avoided as it may affect the activity of this medicine.
This medicine should be used with caution if you are already taking medicines to treat heart problem and blood pressure-related problems.
Monoamine oxidase inhibitors (MAOIs) like phenelzine and selegiline can increase the effect of Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline when used together, which may result in increased side effects.

Dosage

Overdose

Symptoms of an overdose include headache, anxiety, fits, abdominal cramps, irregular heartbeats and sometimes, a drop in blood pressure. If you think you have taken too much of this medicine, contact your doctor immediately or visit the nearest hospital.

Missed a Dose

If you have missed taking any dose of this medicine, take it as soon as you remember. If it's time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose of this medicine to compensate for the missed one. Do not stop taking Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline without consulting your doctor.

Frequently Asked Questions (FAQs)

This medicine is generally used for wet cough only. It helps to loosen up the mucous so that it can be removed easily through coughing. Your doctor will suggest you this medicine after examining you only, whether it's a dry cough or wet cough.

Ambroxol+Guaiphenesin / Guaifenesin+Terbutaline does not contain any substances reported to become habit-forming. However, it is advised that this medicine should not be used for more than the prescribed time. It also should not be used in any cough without consultation from a registered medical practitioner.