ASMAREX PLUS

# Bromhexine 4 mg/5 mL + Salbutamol Sulphate 2 mg/5 mL ## Short Description Bromhexine 4 mg/5 mL + Salbutamol Sulphate 2 mg/5 mL is a combination oral syrup used for respiratory conditions associated with **thick mucus, cough and difficulty in breathing**. Bromhexine helps loosen and thin mucus, while salbutamol helps relax the muscles of the airways and improve airflow. ## Key Benefits * Helps loosen thick and sticky mucus * Makes phlegm easier to cough out * Helps relieve bronchial congestion * Helps relax and open narrowed airways * May help ease wheezing and breathing difficulty associated with bronchospasm * Combines mucolytic and bronchodilator effects ## Uses / Indications This combination may be prescribed for respiratory conditions associated with excessive or thick mucus and bronchospasm, such as: * Bronchitis * Productive cough with thick mucus * Bronchial congestion * Respiratory conditions associated with wheezing * Bronchospasm associated with reversible airway obstruction * Other respiratory conditions as prescribed by a doctor ## How It Works ### Bromhexine Bromhexine is a **mucolytic agent**. It helps reduce the thickness and stickiness of mucus, making phlegm easier to clear from the airways. ### Salbutamol Salbutamol is a **bronchodilator**. It stimulates beta-2 receptors in the airway muscles, causing them to relax and helping widen the airways. This can improve airflow and relieve wheezing and breathing difficulty. ## Dosage & Administration * Take this syrup exactly as prescribed by your doctor * The appropriate dose depends on age, symptoms and medical condition * Measure the syrup using the supplied measuring device rather than a household spoon * Shake the bottle well before use if instructed on the product label * Take the medicine at the recommended intervals * Do not exceed the prescribed dose * Children should receive this medicine only according to a healthcare professional's advice * If you miss a dose, take it when remembered unless it is nearly time for the next dose * Do not take a double dose to compensate for a missed dose ## Side Effects Possible side effects may include: * Tremor or shakiness * Headache * Dizziness * Nausea * Vomiting * Stomach discomfort * Increased heart rate or palpitations * Muscle cramps * Nervousness or restlessness Seek medical attention if you experience severe breathing difficulty, chest pain, significant or persistent palpitations, severe allergic reactions or worsening symptoms. ## Precautions & Warnings * Use only as directed by your doctor * Tell your doctor if you have heart disease, high blood pressure or an abnormal heart rhythm * Inform your doctor if you have diabetes, thyroid problems or low potassium levels * Use with caution in patients with a history of seizures * Tell your doctor about any other medicines you are taking * Do not exceed the recommended dose, as excessive salbutamol may cause significant cardiovascular or metabolic effects * Seek medical attention if breathing problems become severe or do not improve * Consult your doctor before use during pregnancy or breastfeeding * Keep out of reach of children ## Drug Interactions Tell your doctor or pharmacist about all medicines, vitamins and supplements you are taking. Potentially important interactions may occur with: * Beta-blockers such as propranolol * Other bronchodilators * Diuretics such as furosemide * Corticosteroids * Digoxin * Certain antidepressants, particularly monoamine oxidase inhibitors and tricyclic antidepressants * Other medicines that may lower potassium levels Combining medicines that affect heart rate, blood pressure or potassium levels may require medical monitoring. ## Storage Information * Store according to the temperature instructions on the product label * Keep the bottle tightly closed * Protect from excessive heat, moisture and direct sunlight * Do not freeze unless specifically instructed * Keep out of reach and sight of children * Do not use after the expiry date * Follow the manufacturer's instructions regarding use after opening ## Prescription Status The prescription status of Bromhexine + Salbutamol syrup can vary depending on the **country, formulation and local regulations**. Use it according to the advice of a qualified healthcare professional, particularly for children or patients with breathing or heart conditions. ## Genuine Medicine Assurance * Purchase the medicine only from a licensed and reputable pharmacy * Check the product name, strength, batch number and expiry date * Ensure the bottle, cap and packaging are intact * Do not use products with damaged, altered or suspicious packaging * Check that the strength matches your prescription or healthcare professional's recommendation * Purchase medicines from authorized sources * If you suspect the product is counterfeit, consult a pharmacist or the relevant medicine regulatory authority ## Frequently Asked Questions ### What is Bromhexine + Salbutamol syrup used for? It is used for certain respiratory conditions involving thick mucus and narrowed airways. Bromhexine helps loosen mucus, while salbutamol helps open the airways. ### What is Bromhexine used for? Bromhexine is a mucolytic medicine that helps thin and loosen thick mucus so that it can be cleared more easily from the respiratory tract. ### What is Salbutamol used for? Salbutamol is a bronchodilator that relaxes airway muscles and helps improve airflow. It is commonly used to relieve symptoms such as wheezing and bronchospasm. ### Does Bromhexine + Salbutamol stop coughing? It does not simply suppress the cough reflex. Bromhexine helps make mucus easier to clear, while salbutamol can improve airflow when bronchospasm is present. ### Can this syrup be used for a dry cough? This combination is generally more appropriate when cough is associated with mucus and/or bronchospasm. A dry cough may have many different causes, so medical advice is recommended before use. ### Can children take Bromhexine + Salbutamol syrup? Children may require different doses depending on their age and medical condition. Use this combination in children only according to a doctor's or qualified healthcare professional's advice. ### Can Bromhexine + Salbutamol cause increased heartbeat? Yes. Salbutamol can sometimes cause a faster heartbeat or palpitations. If these symptoms are severe, persistent or accompanied by chest pain, seek medical attention. ### Does this medicine cause sleepiness? Sleepiness is not a typical effect of salbutamol, although dizziness can occur in some people. Individual responses may vary. ### Can I take this syrup with other cough medicines? Do not combine it with other cough, cold or respiratory medicines without checking with a doctor or pharmacist, as the ingredients may overlap or interact. ### Can I take Bromhexine + Salbutamol during pregnancy? Consult your doctor before using this medicine during pregnancy. Your doctor will determine whether the expected benefits outweigh potential risks. ### Can I use this syrup for asthma? Salbutamol can be used to relieve bronchospasm in asthma, but this combination syrup should not automatically replace a prescribed asthma treatment plan. Follow your doctor's instructions. ### What should I do if I miss a dose? Take the missed dose when you remember unless it is almost time for the next dose. Do not take two doses together to make up for a missed dose. ### How should Bromhexine + Salbutamol syrup be stored? Store it according to the manufacturer's instructions, generally away from excessive heat, moisture and direct sunlight. Keep the bottle tightly closed and out of children's reach. ## Medical Disclaimer This information is provided for general educational purposes only and is not a substitute for professional medical advice, diagnosis or treatment. The appropriate dose and duration of Bromhexine + Salbutamol depend on the patient's age, medical condition, symptoms and the specific product formulation. Always follow the doctor's instructions and read the product label before use. Seek urgent medical attention for severe or rapidly worsening breathing difficulty, chest pain, severe palpitations or signs of a serious allergic reaction.