Bromhexine

Bromhexine hydrochloride is an oral mucolytic that thins and loosens phlegm so you can cough it up more easily. It is available as 8 mg tablets, 4 mg/5 ml syrup, and soluble drops.

Any productive cough where thick, sticky mucus blocks the airways, common colds, influenza, acute or chronic bronchitis, COPD flare-ups, and even post-operative atelectasis, where clearing secretions speeds lung recovery.

Your liver converts bromhexine to ambroxol, which:

• Increases the watery part of mucus, lowering its viscosity
• Activates cilia that sweep mucus upward
• Stimulates lung surfactant, preventing airway collapse

For adults 8 mg three times daily. 

Sputum begins thinning within 30 minutes and noticeably loosens over 48 hours. Complete relief depends on infection severity.

Take it when remembered if within two hours of schedule; otherwise skip. Never double the next dose.

• Common: mild stomach ache, nausea, runny nose.
• Occasional: sore throat, dry mouth, slight diarrhoea.
• Rare but serious: skin rash, itching, severe allergic reaction (Stevens-Johnson syndrome) - extremely uncommon but listed in the leaflet.

Yes, though rarely. Stop at once and seek help if you develop hives, facial swelling, or breathing difficulty.

Yes, there are no significant interactions, but combining with antitussives (codeine, dextromethorphan) can clog loosened mucus, pair only under medical advice. Antibiotics and bronchodilators are fine.

Chronic use for COPD is acceptable under medical supervision with periodic liver tests. For acute colds, limit to 7-10 days.

Animal studies show no harm, but human data are limited. Avoid in the first trimester. The drug passes into milk in tiny amounts, consult your doctor.

Unlikely. Occasional dizziness has been reported, rare at standard doses.

Alcohol may irritate the stomach and counteract hydration. Keep intake low while sick.

Swallow tablets with water or measure syrup accurately with the cup, followed by additional fluids. Store below 30 °C, syrup tightly capped.

Avoid if allergic to bromhexine or ambroxol. Use cautiously in gastric ulcer, severe liver or kidney disease. Not recommended during the first trimester of pregnancy.

Overdose rarely causes more than mild stomach upset or nausea but contact a doctor if vomiting or diarrhoea develop.

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