Ambroxol + Guaifenesin + Menthol + Salbutamol

Dosage Forms Available

• Ambroxol + Guaifenesin + Menthol + Salbutamol is available for use via the oral route in different forms such as syrup or suspension, tablets, soft gelatin capsules, and lozenges.

Age and Dose Restrictions

• The medication is meant for adults and children above 6 years of age. The dosage and type of formulation may vary based on age and the severity of the symptoms.

Contraindications

• This combination medicine is contraindicated in patients with hypersensitivity to any of the ingredients.

• Additionally, it should not be used for chronic or persistent coughs associated with smoking, asthma, chronic bronchitis, or emphysema.

• It is also not recommended for coughs accompanied by excessive mucus or in children below the age of 6 years.

Other Medications to Avoid

• This medication can interact with monoamine oxidase inhibitors (MAOIs, such as phenelzine and selegiline), beta-blockers (such as propranolol and atenolol), digoxin, diuretics (like furosemide and hydrochlorothiazide) , tricyclic antidepressants (such as amitriptyline and nortriptyline), and other sympathomimetic amines (like ephedrine, phenylephrine).

• Always inform your doctor about any prescription, over-the-counter medications or supplements you are taking to avoid unwanted interactions.

Overdose and Missed Dose

• An overdose of this medication can lead to symptoms such as nausea, vomiting, rapid heartbeat, tremors, restlessness, low potassium levels in the blood, or in severe cases - seizures, cardiac arrhythmias, and coma. If you experience any of these symptoms, seek immediate medical attention.

• In case you miss a dose, take it as soon as you remember. But if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to make up for a missed one.

Management of Side Effects

Most side effects of this medicine are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience any severe side effects or worsening of any of the symptoms, please consult your doctor.

• Drinking plenty of fluids and taking the medication with meals can help reduce gastrointestinal side effects like nausea, vomiting and stomach discomfort.

• Sucking on hard candy or lozenges can help manage dry mouth caused by this medication.

Use in Driving and Operating Machinery

• This medicine might cause drowsiness or dizziness. As such, driving or operating heavy machinery should be avoided after taking this medication.

Use in Pregnancy and Lactation

• The safety of Ambroxol + Guaifenesin + Menthol + Salbutamol during pregnancy and lactation is not fully established. Therefore, it is advisable to consult your doctor before using this medicine if you are pregnant, planning to become pregnant, or breastfeeding.

Caution in Other Conditions

• Caution should be exercised while using this medicine in patients with heart disease, high blood pressure, diabetes, thyroid disorders, glaucoma, or difficulty in urination due to an enlarged prostate gland.

• Salbutamol can cause low potassium levels, especially at high doses; hence, potassium levels need to be monitored closely.

Special Dietary and Lifestyle Recommendations

• Maintain a balanced diet rich in fruits and vegetables to boost your immunity and help manage respiratory conditions.

• Regular hydration can aid in thinning mucus and relieving congestion.

• Avoid exposure to allergens or irritants that may trigger respiratory problems.

• Quitting smoking and avoiding second-hand smoke can greatly improve your lung health and reduce symptoms.

• Practice breathing exercises or physiotherapy as recommended by your doctor to improve lung capacity and relieve symptoms.