Amoxicillin + Bromhexine

Dosage Forms Available

• Amoxicillin + Bromhexine is available for oral administration in the form of tablets, oral suspensions, and sachets.

Age and Dose Restrictions

• This combination is suitable for both adults and children. The specific age at which children can begin taking this combination varies based on the formulation and should be confirmed with a doctor.

Contraindications

• Amoxicillin + Bromhexine is contraindicated in individuals allergic to penicillins or cephalosporins, with liver dysfunction, with cholestatic jaundice from amoxicillin, or with infectious mononucleosis owing to an increased rash risk.

Other Medications to Avoid

• Amoxicillin + Bromhexine may interact with antigout medicines (like probenecid, probalan), xanthine oxidase inhibitors (like allopurinol), anticoagulants (like warfarin) and antimetabolites (like methotrexate).

Overdose and Missed Dose

• Overdosing can lead to severe nausea, vomiting, diarrhoea, skin rash, and kidney problems. If you suspect an overdose, seek medical attention immediately.

• If you miss a dose, take it as soon as you remember. If it is close to the time for your next dose, skip the missed dose and resume your dosing schedule. Do not double the dose to catch up.

Management of Side Effects

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

• Drinking plenty of fluids can help alleviate some of the gastrointestinal side effects, like diarrhoea and nausea.

• For mild diarrhoea or stomach upset, consider taking the combination with food or adjusting the timing slightly.

Use in Driving and Operating Machinery

• This combination may cause dizziness, confusion, and blurred vision, which might affect your ability to drive or operate heavy machinery. You should avoid these activities if you experience these side effects.

Use in Pregnancy and Lactation

• Amoxicillin + Bromhexine should only be used during pregnancy or while breastfeeding if deemed necessary by a doctor. It is important to discuss all potential risks and benefits with your doctor if you are pregnant or breastfeeding.

Caution in Other Conditions

• Patients with kidney disease may need dose adjustments when using this combination owing to its excretion paths.

• Those with a history of gastric ulcers or bleeding should use this combination cautiously, as Bromhexine may aggravate these conditions.

Special Dietary and Lifestyle Recommendations

• Drink at least 8-10 glasses of water daily to help keep mucus thin and improve the effectiveness of Bromhexine.

• High-fat foods can slow down the absorption of Amoxicillin. Opt for a diet with moderate fat content to ensure proper absorption.

• Avoid smoking and exposure to pollutants; these can exacerbate respiratory conditions.