Ambroxol + Salbutamol

Dosage forms available

• Ambroxol + Salbutamol is available in the form of tablets, syrups, and drops for oral administration.

Age and dose restrictions

• Ambroxol + Salbutamol is typically given for adults.

Contraindications

• Ambroxol + Salbutamol is contraindicated in patients with known hypersensitivity to either ambroxol or salbutamol, or any excipients. It should not be used in patients with conditions like tachyarrhythmias (abnormal heart rhythm), hypertrophic obstructive cardiomyopathy, stenotic valvular heart disease (narrowing of the heart valves), active peptic ulceration, hypokalemia (low potassium in the blood), or those taking non-potassium sparing diuretics.

Other medications to avoid

• Ambroxol + Salbutamol may interact with beta-blockers (e.g., propranolol), diuretics (e.g., furosemide and hydrochlorothiazide), digoxin, MAO (mono-amine oxidase) inhibitors and tricyclic antidepressants (e.g., amitriptyline and nortriptyline), corticosteroids (e.g., prednisone), and bronchodialators (e.g., theophylline).

Overdose and missed dose

• An overdose of Ambroxol + Salbutamol may cause symptoms like tachycardia, arrhythmia, palpitations, hypertension or hypotension, chest pain, tremor, headache, nervousness, hypokalemia (low potassium in the blood), hyperglycemia, nausea, and vomiting. If you observe these symptoms after accidental ingestion of more than the recommended dose, inform your doctor immediately.

• If a dose is missed, take it as soon as you remember, unless its time for your next dose. If so, omit the missed dose and continue with your usual dosing regimen. Never take two doses to make up for one that you missed.

Management of side effects

Most side effects of Ambroxol + Salbutamol are temporary and generally harmless and resolve once you stop taking this medicine. However, if you experience any severe side effects or worsening of any symptoms, please consult your doctor.

• Drinking plenty of water can help manage the side effect of dry mouth.

• Resting in a quiet, dark room might help to manage headaches.

• Side effects like nausea and vomiting may be reduced by taking this medicine with food.

Use in Driving and operating machinery

• Ambroxol + Salbutamol may cause side effects such as feeling faint or unclear vision. If you experience these side effects, its best to avoid driving or operating heavy machinery until you know how the medicine affects you.

Use in pregnancy and lactation

• The use of Ambroxol + Salbutamol during pregnancy should only be considered if beneficial. It is particularly advised to avoid this medicine during the first three months of pregnancy. Always check with your doctor before using this medicine.

• Both Salbutamol and Ambroxol pass into breast milk, so nursing mothers should exercise caution when using this medication. Therefore, you should consult your doctor before taking this medicine if you're nursing.

Caution in other conditions

• Patients with peptic ulcer, diabetes, hypertension, arrhythmias, thyroid disorders (especially hyperthyroidism), glaucoma, enlarged prostate, urinary retention, severe renal or hepatic impairment, recent heart attack or ongoing heart disease should exercise caution when taking Ambroxol + Salbutamol.

Special dietary and lifestyle recommendations

• It is recommended to avoid smoking and exposure to second-hand smoke as these can worsen respiratory conditions.

• Limiting exposure to allergens and irritants such as dust and strong smells can help manage respiratory conditions better.