Ambroxol+Salbutamol / Albuterol

When should one not use Ambroxol+Salbutamol / Albuterol

Common side effects of this drug are:

• Diarrhoea
• Nausea
• Vomiting
• Headache
• Dizziness
• Fever

Other General Warnings

• You have problems with your kidney or liver.
• You have stomach ulcers or diabetes.
• You have increased blood pressure or heart disease.
• You have a past or present history of treatment for fits.
• You have thyroid disease.
• You have glaucoma or asthma.
• You are taking any other medicine to treat your cough or cold.
• You develop a serious skin allergy after taking this medicine.

How Does It Work?

• Ambroxol+Salbutamol / Albuterol acts on the inner lining of the respiratory tract and it acts via two different mechanisms:
• Ambroxol in the medicine causes an increase in the secretions of the respiratory tract. It helps in the loosening of thick mucus and facilitates its removal. Mucus is removed by coughing it out and thus improves cough and congestion.
• Salbutamol acts on the muscles of the airway and causes their relaxation. It causes the airway to open up (dilate) and improves airflow reducing the difficulty in breathing. It also inhibits the release of substances causing allergy which reduces secretions, reducing cough and blockage of the airway.

Interactions with other medicines

• Cough Suppressants: Using cough suppressants alongside Ambroxol+Salbutamol / Albuterol can worsen congestion by preventing the effective removal of loosened mucus.
• Antibiotics: Combining Ambroxol+Salbutamol / Albuterol with antibiotics like Amoxycillin, Cefuroxime, and Erythromycin can increase their levels in the body, potentially leading to an increased risk of side effects.
• Asthma Medications: Concurrent use of Ambroxol+Salbutamol / Albuterol with asthma medications (like Phenylephrine, Levosalbutamol, Terbutaline, Arformoterol, Salmeterol) and nasal decongestants (like Xylometazoline) may cause chest pain, palpitations, nervousness, and blood pressure fluctuations.
• Psychiatric Medications: Combining Ambroxol+Salbutamol / Albuterol with certain psychiatric medications (like Imipramine, Trimipramine, Rasagiline, and Selegiline) can increase the risk of high blood pressure, rapid heartbeat, and tremors.
• Blood Pressure Medications: Using Ambroxol+Salbutamol / Albuterol with blood pressure medications like Propranolol and Timolol may counteract the effects of Ambroxol+Salbutamol / Albuterol and worsen breathing difficulties.
• Diuretics: Combining Ambroxol+Salbutamol / Albuterol with diuretics (water pills) can potentially cause changes in heart rate.
• Digoxin: Caution is advised when using Ambroxol+Salbutamol / Albuterol with Digoxin, a medication used to treat heart failure.

Interactions with food items

Overdose

• Symptoms of an overdose are fits, chest pain, rise or fall of blood pressure, increased heartbeats, nervousness, headache, tremors, dryness in the mouth, nausea, dizziness, weakness, and sleeplessness.
• If you think you have taken too much Ambroxol+Salbutamol / Albuterol or experience these symptoms after starting this medicine, contact your treating physician immediately or visit the nearest hospital.

Missed a Dose

• You should remember to take doses at the appropriate time for the desired effect. If you forget to take a dose of Ambroxol+Salbutamol / Albuterol, it should be taken as soon as you remember, unless it is nearly time for your next dose.
• In this case, you should skip the missed dose and take the remaining dose as normal. You should avoid taking a double dose to make up for a forgotten dose.