ASCORIL-BT EXP.

# Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL Syrup ## Short Description **Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL** is a combination cough syrup containing a **mucolytic, bronchodilator, and soothing agent**. It may be used for cough associated with **thick mucus and bronchospasm**, when a healthcare professional considers these ingredients appropriate. * **Bromhexine** helps thin and loosen thick mucus, making it easier to cough up. * **Terbutaline** is a bronchodilator that relaxes airway muscles and helps improve airflow. * **Menthol** provides a cooling and soothing sensation in the throat and may help relieve minor throat irritation. --- # Key Benefits * Helps **loosen and thin thick mucus** in the respiratory tract. * Helps make **productive coughs easier to clear**. * Terbutaline helps relax narrowed airway muscles and may improve breathing in bronchospasm. * Menthol provides a **cooling and soothing effect** for irritated throat. * May help relieve cough associated with conditions involving **mucus congestion and airway narrowing**. * Combines mucolytic and bronchodilator actions in one formulation. > **Important:** This medicine is not appropriate for every type of cough. A persistent, severe, or unexplained cough should be medically evaluated. --- # Uses / Indications This combination may be prescribed for respiratory conditions associated with **thick mucus and bronchospasm**, such as: * Productive or mucus-producing cough * Chest congestion associated with excessive or thick respiratory secretions * Bronchitis with bronchospasm * Certain obstructive airway conditions accompanied by mucus and wheezing * Other respiratory conditions when specifically recommended by a healthcare professional ### Important This syrup is **not an antibiotic** and does not treat bacterial infections directly. It should not be used simply for every cough, especially when the cause of the cough is unknown. --- # How It Works ### Bromhexine Bromhexine is a **mucolytic agent**. It helps reduce the thickness and stickiness of respiratory mucus, making secretions easier to move and cough out. This can help clear mucus from the airways and improve the effectiveness of a productive cough. ### Terbutaline Sulfate Terbutaline is a **beta-2 adrenergic bronchodilator**. It stimulates beta-2 receptors in the smooth muscles of the airways, causing them to relax and helping to: * Open narrowed airways * Improve airflow * Reduce bronchospasm * Relieve wheezing associated with reversible airway narrowing ### Menthol Menthol provides a **cooling and soothing sensation** in the mouth and throat and may help relieve minor throat irritation associated with coughing. --- # Dosage & Administration **Use this medicine exactly as directed by your doctor or according to the product label.** The appropriate dose depends on: * Age * Weight * Severity of symptoms * Underlying respiratory condition * Other medicines being used ### General Administration * Shake the bottle well before use. * Measure the syrup using a **proper measuring cup, oral syringe, or dosing spoon**. * Do not use a household teaspoon because it may not provide an accurate dose. * Take the medicine at the recommended intervals. * It may be taken with or without food unless otherwise directed. * Drink adequate fluids unless your doctor has advised fluid restriction. ### Children The dose for children must be based on **age, weight, and the specific product labeling**. Do not give this combination to young children without medical advice. ### Missed Dose If a dose is missed, take it when remembered unless it is close to the next scheduled dose. **Do not give or take a double dose** to compensate for a missed dose. --- # Side Effects Possible side effects may include: ### Bromhexine-Related Effects * Nausea * Vomiting * Diarrhea * Stomach discomfort * Headache * Dizziness * Skin rash ### Terbutaline-Related Effects * Tremor or shakiness * Nervousness * Restlessness * Headache * Palpitations * Increased heart rate * Muscle cramps * Difficulty sleeping Terbutaline can sometimes cause changes in **blood potassium or blood glucose**, particularly with higher doses or prolonged use. ### Menthol-Related Effects Menthol is generally well tolerated but may occasionally cause local irritation or sensitivity. ### Seek Medical Attention If You develop: * Severe or worsening breathing difficulty * Significant palpitations or chest discomfort * Severe allergic reaction * Swelling of the face, lips, tongue, or throat * Severe skin rash or blistering --- # Precautions & Warnings ### 1. Heart Conditions Tell your doctor if you have: * Heart disease * Abnormal heart rhythm * High blood pressure * Angina * A history of palpitations Terbutaline may increase heart rate and can cause palpitations. ### 2. Diabetes Terbutaline may affect blood glucose levels. Patients with diabetes may require additional monitoring. ### 3. Low Potassium Beta-2 agonists such as terbutaline can sometimes reduce blood potassium levels, particularly with high doses or prolonged treatment. Tell your doctor if you have a history of electrolyte abnormalities. ### 4. Thyroid Disease Inform your doctor if you have **hyperthyroidism**, as beta-2 agonists may require additional caution. ### 5. Seizure Disorders Tell your healthcare professional if you have a history of seizures. ### 6. Pregnancy and Breastfeeding If you are pregnant, planning pregnancy, or breastfeeding, consult your healthcare professional before using this medicine. ### 7. Persistent Cough Seek medical evaluation if the cough: * Lasts for several weeks * Becomes progressively worse * Is associated with blood * Is accompanied by significant chest pain * Is associated with unexplained weight loss * Causes significant breathing difficulty ### 8. Severe Breathing Difficulty This cough syrup should **not be relied upon as emergency treatment for a severe asthma or breathing attack**. Follow your prescribed emergency inhaler or other rescue-treatment plan. --- # Drug Interactions Tell your doctor or pharmacist about all medicines, vitamins, and supplements you use. Potentially important interactions may involve: ### Beta-Blockers Non-selective beta-blockers may reduce the bronchodilator effect of terbutaline and can potentially cause bronchospasm in susceptible patients. ### Other Sympathomimetics Combining terbutaline with other medicines that stimulate the sympathetic nervous system may increase effects such as: * Tremor * Palpitations * Increased heart rate * Changes in blood pressure ### Diuretics Some diuretics may increase the risk of **low potassium levels** when used with beta-2 agonists. ### Digoxin Changes in potassium levels may be clinically important in patients taking digoxin. ### MAO Inhibitors and Tricyclic Antidepressants These medicines may increase cardiovascular effects associated with beta-agonists. ### Other Respiratory Medicines Tell your doctor about other bronchodilators, corticosteroids, or respiratory medicines you are using. --- # Storage Information * Store according to the **manufacturer's recommended temperature**. * Keep the bottle tightly closed. * Protect from excessive heat and direct sunlight. * Keep away from moisture. * Keep out of reach of children. * Do not freeze unless specifically instructed by the manufacturer. * Use within the period specified after opening, if the product label provides an in-use period. * Do not use after the expiry date. * Do not use if the syrup has developed an unusual color, odor, or appearance. Always follow the storage instructions printed on the specific product package. --- # Prescription Status **Prescription status varies depending on the country, manufacturer, formulation, and local regulations.** Because this product contains **terbutaline**, a bronchodilator that can affect heart rate and other cardiovascular parameters, it may be prescription or pharmacy-controlled in some markets. Use it according to the requirements applicable to the specific registered product in your country. For Nepal, follow the applicable local medicine regulations and dispensing requirements. --- # Genuine Medicine Assurance When purchasing **Bromhexine + Menthol + Terbutaline Sulfate Syrup**, ensure that: * You purchase it from a **licensed pharmacy or authorized medicine supplier**. * The bottle is properly sealed and the packaging is undamaged. * The manufacturer's name and product details are clearly printed. * The **batch/lot number and expiry date** are present and readable. * The stated concentrations match the product ordered or prescribed. * The liquid does not show unusual changes in color, odor, or consistency. * You retain the pharmacy invoice or receipt where possible. * Avoid products from unauthorized sellers or suspicious sources. * Where available, verify the medicine using the manufacturer's or relevant medicines regulatory authority's authentication system. --- # FAQ – Bromhexine + Menthol + Terbutaline Syrup ### 1. What is Bromhexine + Menthol + Terbutaline syrup used for? It may be used for **productive cough associated with thick mucus and bronchospasm**, when this combination is considered appropriate by a healthcare professional. ### 2. What does Bromhexine do? Bromhexine is a **mucolytic** that helps thin and loosen thick respiratory mucus, making it easier to cough up. ### 3. What does Terbutaline do? Terbutaline is a **bronchodilator** that relaxes airway muscles and helps improve airflow when the airways are narrowed. ### 4. What is the purpose of Menthol in this syrup? Menthol provides a **cooling and soothing sensation** and may help relieve minor throat irritation associated with coughing. ### 5. Is this syrup an antibiotic? **No.** Bromhexine, menthol, and terbutaline are not antibiotics. The syrup does not directly treat bacterial infections. ### 6. Is this syrup good for dry cough? It is primarily intended for situations involving **mucus and/or bronchospasm**. A simple dry cough may not benefit from a mucolytic such as bromhexine. The cause of the cough should be considered before treatment. ### 7. Can this syrup be used for asthma? Terbutaline is a bronchodilator, but this syrup should **not be considered a replacement for prescribed asthma controller or rescue inhalers**. Use it for asthma only when specifically recommended by your healthcare professional. ### 8. Can children take this syrup? Children should receive this medicine only according to **age- and weight-appropriate medical advice and the specific product label**. Do not self-medicate young children with combination cough syrups. ### 9. Can I take this syrup with other cough medicines? Combining multiple cough and cold medicines can result in duplicate ingredients or unwanted interactions. Consult a doctor or pharmacist before combining products. ### 10. Can Terbutaline cause a fast heartbeat? Yes. Terbutaline can cause **increased heart rate or palpitations**, particularly at higher doses or in sensitive individuals. ### 11. Can Terbutaline cause shaking? Yes. **Tremor or shakiness** is a recognized effect of beta-2 agonists such as terbutaline. ### 12. Can this syrup affect blood sugar? Terbutaline may sometimes affect blood glucose levels. People with diabetes should use it under appropriate medical supervision. ### 13. Can this medicine reduce mucus? Yes. Bromhexine helps **thin and loosen mucus**, making it easier to remove from the respiratory tract. ### 14. Should I drink more water while taking Bromhexine? Adequate hydration can help maintain less viscous respiratory secretions, provided you have no medical condition requiring fluid restriction. ### 15. Can I take this syrup during pregnancy? If you are pregnant or planning pregnancy, consult your doctor before taking this combination. The healthcare professional can assess whether the expected benefits outweigh potential risks. ### 16. Can I take this medicine while breastfeeding? Consult your healthcare professional before using it while breastfeeding, particularly because the formulation contains multiple active ingredients. ### 17. What happens if I take too much of this syrup? Overdose may increase adverse effects, particularly those related to terbutaline, such as **rapid heartbeat, tremor, agitation, changes in blood pressure, and low potassium**. Seek medical advice promptly if an overdose occurs. ### 18. What should I do if my cough does not improve? If the cough persists, becomes worse, or is accompanied by fever, chest pain, blood in sputum, wheezing, or significant breathing difficulty, consult a healthcare professional to determine the underlying cause. --- # Medical Disclaimer **This information is provided for educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.** The appropriate use, dosage, age restrictions, prescription status, and approved indications for **Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL** may vary by manufacturer and country. This combination contains **terbutaline**, which can affect heart rate, blood pressure, potassium levels, and blood glucose. Use it only according to the product label or as directed by a qualified healthcare professional. Do not use this medicine to self-treat persistent or severe breathing problems. **Severe difficulty breathing, blue lips, chest pain, confusion, or rapidly worsening symptoms require urgent medical attention.** # Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL Syrup ## Short Description **Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL** is a combination cough syrup containing a **mucolytic, bronchodilator, and soothing agent**. It may be used for cough associated with **thick mucus and bronchospasm**, when a healthcare professional considers these ingredients appropriate. * **Bromhexine** helps thin and loosen thick mucus, making it easier to cough up. * **Terbutaline** is a bronchodilator that relaxes airway muscles and helps improve airflow. * **Menthol** provides a cooling and soothing sensation in the throat and may help relieve minor throat irritation. --- # Key Benefits * Helps **loosen and thin thick mucus** in the respiratory tract. * Helps make **productive coughs easier to clear**. * Terbutaline helps relax narrowed airway muscles and may improve breathing in bronchospasm. * Menthol provides a **cooling and soothing effect** for irritated throat. * May help relieve cough associated with conditions involving **mucus congestion and airway narrowing**. * Combines mucolytic and bronchodilator actions in one formulation. > **Important:** This medicine is not appropriate for every type of cough. A persistent, severe, or unexplained cough should be medically evaluated. --- # Uses / Indications This combination may be prescribed for respiratory conditions associated with **thick mucus and bronchospasm**, such as: * Productive or mucus-producing cough * Chest congestion associated with excessive or thick respiratory secretions * Bronchitis with bronchospasm * Certain obstructive airway conditions accompanied by mucus and wheezing * Other respiratory conditions when specifically recommended by a healthcare professional ### Important This syrup is **not an antibiotic** and does not treat bacterial infections directly. It should not be used simply for every cough, especially when the cause of the cough is unknown. --- # How It Works ### Bromhexine Bromhexine is a **mucolytic agent**. It helps reduce the thickness and stickiness of respiratory mucus, making secretions easier to move and cough out. This can help clear mucus from the airways and improve the effectiveness of a productive cough. ### Terbutaline Sulfate Terbutaline is a **beta-2 adrenergic bronchodilator**. It stimulates beta-2 receptors in the smooth muscles of the airways, causing them to relax and helping to: * Open narrowed airways * Improve airflow * Reduce bronchospasm * Relieve wheezing associated with reversible airway narrowing ### Menthol Menthol provides a **cooling and soothing sensation** in the mouth and throat and may help relieve minor throat irritation associated with coughing. --- # Dosage & Administration **Use this medicine exactly as directed by your doctor or according to the product label.** The appropriate dose depends on: * Age * Weight * Severity of symptoms * Underlying respiratory condition * Other medicines being used ### General Administration * Shake the bottle well before use. * Measure the syrup using a **proper measuring cup, oral syringe, or dosing spoon**. * Do not use a household teaspoon because it may not provide an accurate dose. * Take the medicine at the recommended intervals. * It may be taken with or without food unless otherwise directed. * Drink adequate fluids unless your doctor has advised fluid restriction. ### Children The dose for children must be based on **age, weight, and the specific product labeling**. Do not give this combination to young children without medical advice. ### Missed Dose If a dose is missed, take it when remembered unless it is close to the next scheduled dose. **Do not give or take a double dose** to compensate for a missed dose. --- # Side Effects Possible side effects may include: ### Bromhexine-Related Effects * Nausea * Vomiting * Diarrhea * Stomach discomfort * Headache * Dizziness * Skin rash ### Terbutaline-Related Effects * Tremor or shakiness * Nervousness * Restlessness * Headache * Palpitations * Increased heart rate * Muscle cramps * Difficulty sleeping Terbutaline can sometimes cause changes in **blood potassium or blood glucose**, particularly with higher doses or prolonged use. ### Menthol-Related Effects Menthol is generally well tolerated but may occasionally cause local irritation or sensitivity. ### Seek Medical Attention If You develop: * Severe or worsening breathing difficulty * Significant palpitations or chest discomfort * Severe allergic reaction * Swelling of the face, lips, tongue, or throat * Severe skin rash or blistering --- # Precautions & Warnings ### 1. Heart Conditions Tell your doctor if you have: * Heart disease * Abnormal heart rhythm * High blood pressure * Angina * A history of palpitations Terbutaline may increase heart rate and can cause palpitations. ### 2. Diabetes Terbutaline may affect blood glucose levels. Patients with diabetes may require additional monitoring. ### 3. Low Potassium Beta-2 agonists such as terbutaline can sometimes reduce blood potassium levels, particularly with high doses or prolonged treatment. Tell your doctor if you have a history of electrolyte abnormalities. ### 4. Thyroid Disease Inform your doctor if you have **hyperthyroidism**, as beta-2 agonists may require additional caution. ### 5. Seizure Disorders Tell your healthcare professional if you have a history of seizures. ### 6. Pregnancy and Breastfeeding If you are pregnant, planning pregnancy, or breastfeeding, consult your healthcare professional before using this medicine. ### 7. Persistent Cough Seek medical evaluation if the cough: * Lasts for several weeks * Becomes progressively worse * Is associated with blood * Is accompanied by significant chest pain * Is associated with unexplained weight loss * Causes significant breathing difficulty ### 8. Severe Breathing Difficulty This cough syrup should **not be relied upon as emergency treatment for a severe asthma or breathing attack**. Follow your prescribed emergency inhaler or other rescue-treatment plan. --- # Drug Interactions Tell your doctor or pharmacist about all medicines, vitamins, and supplements you use. Potentially important interactions may involve: ### Beta-Blockers Non-selective beta-blockers may reduce the bronchodilator effect of terbutaline and can potentially cause bronchospasm in susceptible patients. ### Other Sympathomimetics Combining terbutaline with other medicines that stimulate the sympathetic nervous system may increase effects such as: * Tremor * Palpitations * Increased heart rate * Changes in blood pressure ### Diuretics Some diuretics may increase the risk of **low potassium levels** when used with beta-2 agonists. ### Digoxin Changes in potassium levels may be clinically important in patients taking digoxin. ### MAO Inhibitors and Tricyclic Antidepressants These medicines may increase cardiovascular effects associated with beta-agonists. ### Other Respiratory Medicines Tell your doctor about other bronchodilators, corticosteroids, or respiratory medicines you are using. --- # Storage Information * Store according to the **manufacturer's recommended temperature**. * Keep the bottle tightly closed. * Protect from excessive heat and direct sunlight. * Keep away from moisture. * Keep out of reach of children. * Do not freeze unless specifically instructed by the manufacturer. * Use within the period specified after opening, if the product label provides an in-use period. * Do not use after the expiry date. * Do not use if the syrup has developed an unusual color, odor, or appearance. Always follow the storage instructions printed on the specific product package. --- # Prescription Status **Prescription status varies depending on the country, manufacturer, formulation, and local regulations.** Because this product contains **terbutaline**, a bronchodilator that can affect heart rate and other cardiovascular parameters, it may be prescription or pharmacy-controlled in some markets. Use it according to the requirements applicable to the specific registered product in your country. For Nepal, follow the applicable local medicine regulations and dispensing requirements. --- # Genuine Medicine Assurance When purchasing **Bromhexine + Menthol + Terbutaline Sulfate Syrup**, ensure that: * You purchase it from a **licensed pharmacy or authorized medicine supplier**. * The bottle is properly sealed and the packaging is undamaged. * The manufacturer's name and product details are clearly printed. * The **batch/lot number and expiry date** are present and readable. * The stated concentrations match the product ordered or prescribed. * The liquid does not show unusual changes in color, odor, or consistency. * You retain the pharmacy invoice or receipt where possible. * Avoid products from unauthorized sellers or suspicious sources. * Where available, verify the medicine using the manufacturer's or relevant medicines regulatory authority's authentication system. --- # FAQ – Bromhexine + Menthol + Terbutaline Syrup ### 1. What is Bromhexine + Menthol + Terbutaline syrup used for? It may be used for **productive cough associated with thick mucus and bronchospasm**, when this combination is considered appropriate by a healthcare professional. ### 2. What does Bromhexine do? Bromhexine is a **mucolytic** that helps thin and loosen thick respiratory mucus, making it easier to cough up. ### 3. What does Terbutaline do? Terbutaline is a **bronchodilator** that relaxes airway muscles and helps improve airflow when the airways are narrowed. ### 4. What is the purpose of Menthol in this syrup? Menthol provides a **cooling and soothing sensation** and may help relieve minor throat irritation associated with coughing. ### 5. Is this syrup an antibiotic? **No.** Bromhexine, menthol, and terbutaline are not antibiotics. The syrup does not directly treat bacterial infections. ### 6. Is this syrup good for dry cough? It is primarily intended for situations involving **mucus and/or bronchospasm**. A simple dry cough may not benefit from a mucolytic such as bromhexine. The cause of the cough should be considered before treatment. ### 7. Can this syrup be used for asthma? Terbutaline is a bronchodilator, but this syrup should **not be considered a replacement for prescribed asthma controller or rescue inhalers**. Use it for asthma only when specifically recommended by your healthcare professional. ### 8. Can children take this syrup? Children should receive this medicine only according to **age- and weight-appropriate medical advice and the specific product label**. Do not self-medicate young children with combination cough syrups. ### 9. Can I take this syrup with other cough medicines? Combining multiple cough and cold medicines can result in duplicate ingredients or unwanted interactions. Consult a doctor or pharmacist before combining products. ### 10. Can Terbutaline cause a fast heartbeat? Yes. Terbutaline can cause **increased heart rate or palpitations**, particularly at higher doses or in sensitive individuals. ### 11. Can Terbutaline cause shaking? Yes. **Tremor or shakiness** is a recognized effect of beta-2 agonists such as terbutaline. ### 12. Can this syrup affect blood sugar? Terbutaline may sometimes affect blood glucose levels. People with diabetes should use it under appropriate medical supervision. ### 13. Can this medicine reduce mucus? Yes. Bromhexine helps **thin and loosen mucus**, making it easier to remove from the respiratory tract. ### 14. Should I drink more water while taking Bromhexine? Adequate hydration can help maintain less viscous respiratory secretions, provided you have no medical condition requiring fluid restriction. ### 15. Can I take this syrup during pregnancy? If you are pregnant or planning pregnancy, consult your doctor before taking this combination. The healthcare professional can assess whether the expected benefits outweigh potential risks. ### 16. Can I take this medicine while breastfeeding? Consult your healthcare professional before using it while breastfeeding, particularly because the formulation contains multiple active ingredients. ### 17. What happens if I take too much of this syrup? Overdose may increase adverse effects, particularly those related to terbutaline, such as **rapid heartbeat, tremor, agitation, changes in blood pressure, and low potassium**. Seek medical advice promptly if an overdose occurs. ### 18. What should I do if my cough does not improve? If the cough persists, becomes worse, or is accompanied by fever, chest pain, blood in sputum, wheezing, or significant breathing difficulty, consult a healthcare professional to determine the underlying cause. --- # Medical Disclaimer **This information is provided for educational and informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.** The appropriate use, dosage, age restrictions, prescription status, and approved indications for **Bromhexine 2 mg/5 mL + Menthol 0.5 mg/5 mL + Terbutaline Sulfate 1.25 mg/5 mL** may vary by manufacturer and country. This combination contains **terbutaline**, which can affect heart rate, blood pressure, potassium levels, and blood glucose. Use it only according to the product label or as directed by a qualified healthcare professional. Do not use this medicine to self-treat persistent or severe breathing problems. **Severe difficulty breathing, blue lips, chest pain, confusion, or rapidly worsening symptoms require urgent medical attention.**