Acybronk Tablet: Complete Guide to Uses, Side Effects, and Safety
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Severe allergic rash or blistering
If experiencing severe symptoms, call emergency services immediately.
What is acybronk tablet used for?
This medicine is a combination of acetylcysteine and ambroxol, used to treat respiratory conditions with thick mucus. It works by thinning mucus and helping you cough it out more easily. It is taken orally, usually twice daily with food. Do not use it for more than 7 days without consulting a doctor.
- Generic Name: Acetylcysteine (200mg) + Ambroxol (30mg)
- Manufacturer: Cascade India Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 acybronk tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एसिटाइलसिस्टीन और एम्ब्रोक्सोल का संयोजन है, जिसका उपयोग श्वसन संबंधी समस्याओं में गाढ़े बलगम को पतला करने और उसे आसानी से बाहर निकालने के लिए किया जाता है। यह ब्रोंकाइटिस, सीओपीडी और अन्य स्थितियों में लाभकारी है जहां बलगम गाढ़ा और चिपचिपा हो जाता है। यह दवा मुंह से ली जाती है और आमतौर पर भोजन के साथ दिन में दो बार लेने की सलाह दी जाती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असहजता, और जलन शामिल हैं। कुछ लोगों को मुंह सूखना, स्वाद में बदलाव, या नाक बहना भी हो सकता है। दुर्लभ मामलों में एलर्जी प्रतिक्रिया जैसे त्वचा पर चकत्ते, खुजली, या चेहरे, होंठ, या गले में सूजन हो सकती है, जिसके लिए तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। गोली को पानी के साथ पूरा निगलें, चबाएं नहीं। इसे भोजन के साथ लेने से पेट की परेशानी कम होती है। यदि आपको पेप्टिक अल्सर, अस्थमा, या गुर्दे या यकृत की समस्या है, तो डॉक्टर को बताएं। इस दवा के साथ शराब न लें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।
💊 acybronk tablet Uses & Benefits
[{"condition":"Acute bronchitis","description":"Helps thin and clear thick mucus, making cough more productive and relieving chest congestion.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Reduces mucus viscosity and improves clearance of secretions in chronic bronchitis.","evidence":"Well-established"},{"condition":"COPD (Chronic Obstructive Pulmonary Disease)","description":"Used as a mucolytic to ease expectoration and improve symptoms in COPD patients with thick secretions.","evidence":"Moderate"},{"condition":"Bronchiectasis","description":"May help in clearing excessive mucus in bronchiectasis, but evidence is limited.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prevention of contrast-induced nephropathy","description":"Acetylcysteine has been studied for preventing kidney damage from contrast dyes, but evidence is conflicting and it is not a standard use for this combination.","evidence":"Limited"},{"condition":"Infertility (cervical mucus thickening)","description":"Acetylcysteine has been used off-label to thin cervical mucus in fertility treatment, but this is not a standard use for this combination product.","evidence":"Limited"}]
Primary treatment for: Respiratory conditions with thick mucus (e.g., bronchitis, COPD)
Also treats: Chronic bronchitis, COPD, Bronchiectasis, Acute bronchitis
📋 Drug Information
| Generic Name(s) | Acetylcysteine (200mg) + Ambroxol (30mg) |
| Brand Name | acybronk tablet |
| Manufacturer | Cascade India Pharmaceuticals |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep the tablets in their original container. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two mucoactive agents. Acetylcysteine is a mucolytic that breaks disulfide bonds in mucoproteins, reducing mucus viscosity. Ambroxol is a mucokinetic agent that stimulates serous cell secretion, increases ciliary motility, and promotes surfactant production, thereby enhancing mucus clearance. Together, they thin and mobilize respiratory secretions, making cough more effective.
Mechanism Steps
💡 How to Take acybronk tablet
Strength: Each immediate-release tablet contains acetylcysteine 200 mg and ambroxol 30 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken two to three times daily, depending on the severity of the condition and your doctor's recommendation. The dose may be adjusted based on your response and tolerance. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. Take the tablet with a glass of water, preferably with food. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult your doctor for appropriate dosing. |
| Renal Impairment | In patients with mild to moderate renal impairment, no dose adjustment is usually necessary. In severe renal impairment, caution is advised and dose reduction may be considered. Consult your doctor. |
| Hepatic Impairment | In patients with mild to moderate hepatic impairment, no dose adjustment is usually necessary. In severe hepatic impairment, caution is advised and dose reduction may be considered. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 2 tablets (i.e., acetylcysteine 400 mg and ambroxol 60 mg) in divided doses, unless otherwise directed by a physician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of acybronk tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Nitroglycerin | Major | |
| Codeine | Major | |
| Dextromethorphan | Major | |
| Amoxicillin | Moderate | |
| Cefuroxime | Moderate | |
| Tetracycline | Moderate | |
| Activated charcoal | Minor |
🚨 Major Interactions
- Nitroglycerin
- Antitussives (e.g., codeine, dextromethorphan)
⚡ Moderate Interactions
- Antibiotics (e.g., amoxicillin, cefuroxime, tetracycline)
- Cough suppressants
🍷 Alcohol Interaction
Alcohol may increase the risk of stomach irritation and nausea when taken with this medicine. It is advisable to avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to acetylcysteine, ambroxol, or any component of the formulation","Active peptic ulcer disease","Children under 12 years of age (unless directed by a physician)","Severe hepatic impairment (relative contraindication)","Severe renal impairment (relative contraindication)"]
⚠️ Warnings & Precautions
["Use with caution in patients with asthma or bronchospasm, as acetylcysteine may rarely cause bronchospasm.","Use with caution in patients with a history of peptic ulcer disease, as acetylcysteine may increase gastric irritation.","Avoid use in patients with phenylketonuria if the formulation contains aspartame (not applicable to this tablet).","Do not use for prolonged periods without medical supervision.","If symptoms persist or worsen after 7 days of treatment, consult a doctor.","The safety and efficacy in children under 12 years have not been established.","Use with caution in elderly patients with renal or hepatic impairment."]
🤱 Lactation Safety
It is not known whether acetylcysteine and ambroxol are excreted in human breast milk. Caution is advised when used by breastfeeding women. Consult your doctor before use.
💊 Overdose Management
Overdose with this medicine may cause nausea, vomiting, and diarrhea. In severe cases, acetylcysteine overdose can lead to bronchospasm, and ambroxol overdose may cause restlessness, tremor, or convulsions. If overdose is suspected, seek immediate medical attention. Treatment is symptomatic and supportive. Activated charcoal may be administered if the patient presents early. There is no specific antidote.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose. Swallow the tablet whole with a glass of water; do not crush or chew it. It is best taken with food to reduce stomach upset. If you have a history of peptic ulcer, asthma, or kidney or liver problems, inform your doctor before taking this medicine. Avoid alcohol while taking this medicine as it may increase stomach irritation. Do not use this medicine for more than the prescribed duration without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to side effects such as dizziness. Dose adjustment may be needed based on renal and hepatic function. Monitor for falls.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. Use only if clearly needed.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have difficulty coughing or are on other medications.
🦷 Dental Procedures
No specific precautions are known. Inform your dentist if you are taking this medicine.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have difficulty breathing. Gentle activities like walking may help. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness in some people. Avoid driving or operating heavy machinery if you feel dizzy. Otherwise, it usually does not interfere with daily activities.
🛑 When to Stop This Medicine
Stop this medicine and consult your doctor if symptoms worsen or do not improve after 7 days, or if you experience any serious side effects. Do not stop abruptly if you have been on long-term therapy without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine beyond the prescribed duration is not recommended without medical supervision. Prolonged use may lead to unnecessary medication exposure. Regular monitoring of symptoms and renal/hepatic function may be needed in patients with underlying conditions.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help loosen mucus and ease breathing.
Evidence: LimitedDrinking fluids and using a humidifier can thin mucus.
Evidence: Well-establishedTechniques to help clear secretions from the lungs.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, if you have a respiratory infection, consult your doctor about timing of vaccinations.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from moisture. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying prescription medicines. Keep enough supply for your trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to notice thinning of mucus within 30 minutes to 1 hour, but full benefits may take 1-2 days of regular use.
A: Yes, but ambroxol may increase antibiotic levels in the lungs. This is often beneficial, but inform your doctor.
A: Consult your doctor. Use only if clearly needed.
A: No, this medicine is for cough with thick mucus. It is not effective for dry cough.
🤔 Common Patient Concerns
🔄 Substitutes for acybronk tablet
View AllAlternative brands with exact same active ingredient:
-
nactal tabletSalud Care India Pvt Ltd ₹46.88 32.1% CHEAPER
-
koxcure 200mg/30mg capsulePlenteous Pharmaceuticals Ltd ₹50.00 27.5% CHEAPER
-
nacivent 200mg/30mg tabletSatven And Mer ₹52.48 23.9% CHEAPER
-
solutab tabletCaptab Biotec ₹80.00 15.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: This medicine is only for cough with thick mucus. It is not effective for dry cough or cough due to allergies. - Myth: It is safe to take this medicine for a long time without doctor supervision.
Fact: Prolonged use without medical supervision is not recommended. Consult your doctor if symptoms persist beyond 7 days. - Myth: This medicine can be taken with cough syrups that suppress cough.
Fact: Combining with cough suppressants may prevent mucus clearance and should be avoided unless directed by a doctor.
🔄 Alternative Options
Generic Alternatives
- Acetylcysteine + Ambroxol combination tablets from other manufacturers
Brand Alternatives
- Acybronk Tablet