Alcold BM Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of face, lips, or throat
- Fast, irregular, or pounding heartbeat
- Severe drowsiness or confusion
- Blood in cough or vomit
- Yellowing of skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is alcold bm syrup used for?
This medicine is a combination syrup containing bromhexine (mucolytic) and chlorpheniramine maleate (antihistamine) used for relief of cough, mucus, and allergic symptoms. It works by thinning mucus and blocking histamine. It can cause drowsiness, so avoid driving. Take as prescribed by your doctor.
- Generic Name: Bromhexine + Chlorpheniramine Maleate
- Manufacturer: Esquire Drug House
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alcold bm syrup के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और क्लोरफेनिरामाइन मेलिएट का संयोजन है, जिसका उपयोग कफ, बलगम और एलर्जी के लक्षणों जैसे छींक, नाक बहना और आंखों में पानी आना के इलाज के लिए किया जाता है। ब्रोमहेक्सिन बलगम को पतला करता है जिससे उसे खांसकर बाहर निकालना आसान हो जाता है, और क्लोरफेनिरामाइन एलर्जी को कम करता है। यह दवा नींद ला सकती है, इसलिए वाहन चलाने से बचें।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, मुंह सूखना, चक्कर आना और जी मिचलाना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, तेज धड़कन या भ्रम हो सकता है। यदि सांस लेने में कठिनाई, चेहरे या गले में सूजन हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। नींद आ सकती है, इसलिए वाहन चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। यदि आपको ग्लूकोमा, प्रोस्टेट की समस्या, अस्थमा, या लीवर/किडनी की बीमारी है तो डॉक्टर को बताएं। 7 दिनों से अधिक उपयोग न करें। बच्चों की पहुंच से दूर रखें।
💊 alcold bm syrup Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, and watery eyes due to allergies.","evidence":"Well-established"},{"condition":"Common cold with cough and congestion","description":"Provides symptomatic relief of cough and nasal congestion associated with the common cold.","evidence":"Established"}]
Off-label uses: []
Primary treatment for: Cough and cold with allergic rhinitis
Also treats: Productive cough, Allergic rhinitis, Common cold
📋 Drug Information
| Generic Name(s) | Bromhexine + Chlorpheniramine Maleate |
| Brand Name | Aus-Q Tablet |
| Manufacturer | Esquire Drug House |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic + Antihistamine |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. |
| 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
Bromhexine is a mucolytic that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers, thereby facilitating its removal from the respiratory tract. Chlorpheniramine maleate is a first-generation antihistamine that competitively blocks histamine H1 receptors, reducing allergic symptoms such as sneezing, rhinorrhea, and lacrimation. It also has anticholinergic properties that contribute to dry mouth and urinary retention.
Mechanism Steps
💡 How to Take alcold bm syrup
Strength: Each 5 mL contains Bromhexine 4 mg and Chlorpheniramine Maleate 2 mg.
Dosage Information
| Adult Dosage | The usual adult dose is 5-10 mL (1-2 teaspoons) every 4 to 6 hours as needed, not to exceed 6 doses in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the sedative and anticholinergic effects. Use with caution and consider lower doses. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in renal impairment. Dose adjustment may be necessary. Consult your doctor. |
| Hepatic Impairment | Use with caution in hepatic impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | For adults, the maximum daily dose is 60 mL (12 teaspoons) in 24 hours. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alcold bm syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAO inhibitors | Major | |
| Alcohol | Major | |
| Benzodiazepines | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Fluoxetine | Moderate |
🚨 Major Interactions
- MAO inhibitors
- CNS depressants (e.g., alcohol, benzodiazepines, opioids)
⚡ Moderate Interactions
- Anticholinergics (e.g., atropine, tricyclic antidepressants)
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can significantly increase drowsiness, dizziness, and impairment of motor skills. Combining alcohol with chlorpheniramine can also increase the risk of respiratory depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to bromhexine or chlorpheniramine","Newborns and premature infants","Narrow-angle glaucoma","Urinary retention due to prostatic hypertrophy","Severe liver disease","MAO inhibitor therapy within 14 days"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in patients with asthma, glaucoma, or prostatic hypertrophy.","Do not use for chronic cough without medical evaluation.","Not recommended for children under 2 years without medical advice."]
🤱 Lactation Safety
Chlorpheniramine passes into breast milk and may cause drowsiness in the infant. Bromhexine is also excreted in breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause severe drowsiness, confusion, hallucinations, tachycardia, and seizures. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs and provide supportive care.
⏰ 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it can cause drowsiness. Do not drink alcohol while taking this medicine because it can increase drowsiness and dizziness. Inform your doctor if you have glaucoma, an enlarged prostate, difficulty urinating, asthma, or liver or kidney disease. Do not use this medicine for longer than 7 days without consulting a doctor. Keep out of reach of children. If you are pregnant or breastfeeding, consult your doctor before use.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative and anticholinergic effects of chlorpheniramine. Use with caution and consider lower doses. Monitor for confusion, urinary retention, and falls.
🤰 Pregnancy Planning (TTC)
Consult your doctor before using this medicine if you are pregnant, planning to become pregnant, or breastfeeding. The safety of this combination in pregnancy is not well established.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with anesthetic agents and increase sedation.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it can cause dry mouth and may interact with sedatives used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while taking this medicine because it can cause drowsiness and dizziness. Light activity is fine if you feel up to it.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive or operate machinery. It is best to avoid these activities until you know how the medicine affects you. Inform your employer if your job requires alertness.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if symptoms persist beyond 7 days, worsen, or if you experience any serious side effects. Do not stop abruptly if you have been taking it for a long time without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of chlorpheniramine may lead to tolerance and increased side effects. Bromhexine is generally well tolerated for short-term use. Regular monitoring of liver and kidney function may be advised if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and relieve congestion.
Evidence: TraditionalCan help clear nasal passages.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific interactions with vaccines are known. However, if you are scheduled for a vaccine, inform your doctor about this medicine.
📦 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 direct sunlight. If traveling across time zones, continue your regular dosing schedule as prescribed. Check customs regulations for carrying medications. Keep it in your carry-on luggage if flying.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 30 to 60 minutes after taking a dose.
A: It can be taken with or without food, but taking it with food reduces the chance of stomach upset.
A: Pediatric dosing is not established from available information. Consult a pediatrician.
🤔 Common Patient Concerns
🔄 Substitutes for alcold bm syrup
View AllAlternative brands with exact same active ingredient:
-
anticold linctusPatson Laboratories Pvt Ltd ₹23.50 4.4% COSTLIER
-
deril tabletSynokem Pharmaceuticals Ltd ₹23.75 5.6% COSTLIER
-
zed 4 mg/2 mg/10 mg tabletStanford Biotech Pvt Ltd ₹24.00 6.7% COSTLIER
-
lintus syrupLifecom Pharmaceuticals Pvt Ltd ₹24.28 7.9% COSTLIER
-
dm 4 tabletMars Therapeutics & Chemicals Ltd ₹27.05 20.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: It is only for productive cough with mucus and allergic symptoms. It is not effective for dry cough or infections requiring antibiotics. - Myth: It is safe to take with alcohol.
Fact: Alcohol increases drowsiness and can be dangerous. Avoid alcohol completely.
🔄 Alternative Options
Generic Alternatives
- Bromhexine + Chlorpheniramine Maleate syrup (various manufacturers)
Brand Alternatives
- Alcold BM Syrup