Bromhexine + Phenylephrine + Salbutamol

Dosage forms available

• Bromhexine + Phenylephrine + Salbutamol is available as tablets, syrups, and drops for oral administration.
• Each form is taken by mouth, with the syrup and drops being easier for children or those who have difficulty swallowing tablets.

Age and dose restrictions

• This medicine is suitable for adults and children; however, the specific dosage varies by age group.

Contraindications

• Bromhexine + Phenylephrine + Salbutamol is contraindicated in patients with severe kidney or liver problems.
• It should not be used by those with a peptic ulcer or patients currently taking or having recently taken MAO inhibitor antidepressants.

Other medications to avoid

• This combination may interact with antidepressants (such as MAOIs, SSRIs like fluoxetine, tricyclics like amitriptyline), cold and flu medicines containing similar ingredients, antibiotics (like erythromycin and ketoconazole), beta-blocker medicines for high blood pressure or heart problems (such as atenolol), digoxin for heart failure, diuretics (water pills like furosemide), and theophylline for breathing problems.

Overdose and Missed Dose

• An overdose of Bromhexine + Phenylephrine + Salbutamol might result in symptoms like rapid heart rate, severe dizziness, vomiting, and convulsions. Immediate medical attention is required in such cases.
• If you miss a dose of this medicine, take it as soon as you remember unless it is almost time for your next dose. In that case, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a forgotten dose.

Management of side effects

Most side effects 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.

• If experiencing dry mouth or throat, sip water regularly.
• For dizziness or sleepiness, try resting and avoiding activities that require alertness until these feelings pass.

Use in driving and operating machinery

• Bromhexine + Phenylephrine + Salbutamol may cause dizziness or sleepiness. You should not drive or operate heavy machinery if you are affected in this way.

Use in pregnancy and lactation

• Bromhexine + Phenylephrine + Salbutamol is not recommended during pregnancy and while breastfeeding. If you are pregnant or breastfeeding, consult your doctor before taking this medicine.

Caution in other conditions

• Patients with high blood pressure, heart disease, diabetes, thyroid problems, an enlarged prostate, glaucoma, or those who have had epilepsy or seizures should exercise caution when using this medication.

Special dietary and lifestyle recommendations

• Since this medication is used to manage symptoms associated with respiratory tract infections, following a diet rich in vitamins C and E can help strengthen the immune system.
• Staying hydrated helps thin mucus, making it easier to cough up; aim for 8-10 glasses of water daily.
• Avoid exposure to irritants such as tobacco smoke and pollution which can worsen respiratory symptoms.
• Practising breathing exercises can help improve lung capacity and ease breathing difficulties. Consider consulting a respiratory therapist for guidance on effective techniques.
• Maintaining a warm and humid environment at home can help loosen mucus in the airways. Use a humidifier if needed.