Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol

Dosage Forms Available

• Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol can be taken orally in the form of a syrup and as tablets.

Age and Dose Restrictions

• This combination medicine is intended for adults and children aged 12 years and older.

Contraindications

• The medicine is contraindicated in patients with known hypersensitivity to any of the ingredients.

• It should be used with caution in patients with persistent cough, cough accompanied by excessive mucus secretion, history of peptic ulcer disease, liver or kidney disease, diabetes, hypertension, glaucoma, enlarged prostate gland, urinary retention, seizure disorders and psychiatric disorders.

Other Medications to Avoid

• This combination may interact with MAO inhibitors (e.g., isocarboxazid and phenelzine), antidepressants such as SSRIs (e.g., fluoxetine, sertraline) and tricyclics (e.g., amoxapine, desipramine), antihistamines (e.g., loratadine, desloratadine), opioids (e.g., morphine, tramadol), sedatives (e.g., amobarbital), tranquilisers (e.g., chlorpromazine), sleeping pills (e.g., zopiclone, zolpidem), muscle relaxants (e.g., baclofen, diazepam), and medications for Parkinson's disease (e.g., levodapa, dopamine) and other psychiatric disorders.

Overdose and Missed Dose

• An overdose of this medication can lead to severe drowsiness, dizziness, confusion, slowed or laboured breathing, blurred vision, seizures or even coma. If you observe these symptoms, inform your doctor and follow their advice.

• If you miss a dose of this medication, take it as soon as you remember unless it is almost time for your next dose.

Management of Side Effects

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

• To manage side effects such as nausea or vomiting, taking this medication with a meal or snack and drinking plenty of fluids may be helpful.

• For dizziness or drowsiness, avoid sudden position changes and rise slowly from a seated or lying position.

Use in Driving and Operating Machinery

• This medication may cause dizziness, drowsiness, blurred vision, or nervousness, which can affect your ability to drive or operate machinery. Avoid such activities until these symptoms pass.

Use in Pregnancy and Lactation

• This medication should not be used during pregnancy unless clearly needed, and the benefits outweigh the risks. Always consult with your doctor before using this medication.

• It is not known if this combination is excreted in breast milk. Therefore, caution should be exercised when administering to nursing mothers.

Caution in Other Conditions

• Patients with liver or kidney disease, diabetes, hypertension, glaucoma, enlarged prostate gland, urinary retention, seizure disorders and psychiatric disorders should exercise caution when taking this medication.

Special Dietary and Lifestyle Recommendations

• Avoid exposure to allergens and irritants such as dust and smoke.

• Regularly practice breathing exercises to improve lung capacity.