Asphyllin Tablet: 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
- Severe allergic reaction: rash, itching, swelling of face, lips, or throat, difficulty breathing.
- Irregular or fast heartbeat, palpitations, or chest pain.
- Severe dizziness or fainting.
- Paradoxical bronchospasm: worsening of breathing after taking the medicine.
- Signs of low potassium: muscle weakness, cramps, or irregular heartbeat.
- Severe skin reactions: blistering, peeling, or sores in the mouth.
- Yellowing of skin or eyes (jaundice).
- Decreased urine output.
If experiencing severe symptoms, call emergency services immediately.
What is ambro s tablet used for?
This medicine is a combination of Ambroxol (a mucolytic) and Salbutamol (a bronchodilator) used to treat productive cough with thick mucus and associated breathing difficulty. It works by thinning mucus and opening airways. It is available as an oral tablet and should be taken as prescribed by a doctor.
- Generic Name: Ambroxol + Salbutamol
- Manufacturer: Strides shasun Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ambro s tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एम्ब्रोक्सोल और साल्ब्यूटामोल का संयोजन है, जिसका उपयोग बलगम वाली खांसी और सांस लेने में कठिनाई के इलाज के लिए किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है और श्वास नलियों को खोलती है। यह मुख्य रूप से ब्रोंकाइटिस, अस्थमा और सीओपीडी जैसी स्थितियों में उपयोग की जाती है। इस दवा को डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, पेट में असुविधा, सिरदर्द, चक्कर आना, घबराहट, हाथ कांपना, धड़कन तेज होना और मांसपेशियों में ऐंठन शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको त्वचा पर चकत्ते, सूजन, सांस लेने में कठिनाई, अनियमित दिल की धड़कन या सीने में दर्द हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। गोली को पानी के साथ पूरा निगलें, चबाएं नहीं। इस दवा के साथ शराब न लें। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह, थायरॉइड या गुर्दे/यकृत की समस्या है, तो डॉक्टर को बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। दवा को बच्चों से दूर रखें। यदि लक्षण ठीक न हों या बिगड़ें, तो डॉक्टर से मिलें।
💊 ambro s tablet Uses & Benefits
[{"condition":"Productive cough with thick mucus (acute bronchitis)","description":"Helps loosen and thin mucus, making it easier to cough out, while Salbutamol relieves associated bronchospasm.","evidence":"Well-established"},{"condition":"Chronic bronchitis with mucus hypersecretion","description":"Used to improve mucus clearance and reduce breathlessness in chronic bronchitis patients.","evidence":"Moderate"},{"condition":"Asthma with mucus plugging","description":"Provides symptomatic relief of bronchospasm and helps clear mucus plugs in asthma exacerbations.","evidence":"Moderate"},{"condition":"COPD with productive cough","description":"May be used to ease breathing and assist in mucus expectoration in COPD patients.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prevention of bronchospasm during anesthesia","description":"Salbutamol component may be used off-label to prevent bronchospasm in patients with reactive airway disease undergoing anesthesia.","evidence":"Limited"},{"condition":"Mucus clearance in cystic fibrosis","description":"Ambroxol may be used off-label to help clear thick secretions in cystic fibrosis, though evidence is limited.","evidence":"Limited"}]
Primary treatment for: Productive cough with bronchospasm
Also treats: Acute bronchitis, Chronic bronchitis, Asthma, COPD
📋 Drug Information
| Generic Name(s) | Ambroxol + Salbutamol |
| Brand Name | Ambrodil-S Syrup |
| Manufacturer | Strides shasun Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic + Beta-2 Adrenergic Agonist |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in the 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 active ingredients with complementary actions. Ambroxol is a mucolytic agent that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers and stimulating serous secretion, thereby thinning secretions and promoting cough clearance. It also has antioxidant and local anesthetic properties. Salbutamol is a selective beta-2 adrenergic receptor agonist that relaxes bronchial smooth muscle by increasing cyclic AMP levels, leading to bronchodilation and relief of bronchospasm. Together, they improve airway patency and mucus clearance.
Mechanism Steps
💡 How to Take ambro s tablet
Strength: Tablet containing Ambroxol 30 mg and Salbutamol 2 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to three times a day, or as directed by your physician. The exact dose and frequency depend on the severity of your condition, your age, weight, and kidney and liver function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Take the tablet with a glass of water, preferably with food to reduce stomach upset. Do not exceed the maximum recommended daily dose. |
| 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 Salbutamol, especially cardiac effects. Use with caution and lower doses may be considered. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (90 mg Ambroxol and 6 mg Salbutamol) per day, unless otherwise prescribed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ambro s tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Propranolol | Major | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Digoxin | Moderate | |
| Ipratropium | Moderate | |
| Caffeine | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Digoxin
- Anticholinergics (e.g., ipratropium)
🍷 Alcohol Interaction
Alcohol may increase drowsiness, dizziness, and heart rate 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 Ambroxol, Salbutamol, or any component of the formulation","Severe cardiovascular disease (e.g., severe heart failure, uncontrolled hypertension)","Cardiac arrhythmias (e.g., tachyarrhythmia)","Hyperthyroidism","Diabetes mellitus (uncontrolled)","Severe hepatic or renal impairment","Children under 12 years of age (unless prescribed by a doctor)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular diseases, including coronary insufficiency, cardiac arrhythmias, and hypertension.","Salbutamol may cause significant hypokalemia, which can predispose to cardiac arrhythmias. Monitor potassium levels.","Use with caution in patients with diabetes mellitus as Salbutamol may increase blood glucose levels.","Use with caution in patients with hyperthyroidism as Salbutamol may increase thyroid hormone effects.","Ambroxol may cause severe skin reactions; discontinue if rash or mucosal lesions appear.","Do not exceed the recommended dose. Excessive use may lead to tachyphylaxis and increased side effects.","This medicine may impair your ability to drive or operate machinery due to dizziness or tremor.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Keep out of reach of children.","Do not use after the expiry date."]
🤱 Lactation Safety
Salbutamol and Ambroxol may pass into breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose may cause severe tachycardia, tremor, palpitations, hypokalemia, and hypotension. Seek immediate medical attention. Treatment is supportive and symptomatic. Monitor cardiac function, potassium levels, and blood glucose. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Contact a poison control center if available.
⏰ 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. Swallow the tablet whole with a glass of water; do not crush or chew it. This medicine is for oral use only. Avoid alcohol while taking this medicine as it may increase drowsiness and heart rate. If you have heart disease, high blood pressure, diabetes, thyroid problems, or liver or kidney disease, inform your doctor before taking this medicine. Do not use this medicine for a prolonged period without medical supervision. If your symptoms do not improve within a few days or worsen, consult your doctor. Keep this medicine out of reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not share this medicine with others, even if they have similar symptoms. Pregnant or breastfeeding women should consult their doctor before using this medicine. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiac effects of Salbutamol, such as increased heart rate and palpitations. Use with caution and monitor heart rate and blood pressure. Dose adjustment may be necessary based on renal and hepatic function.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination during pregnancy is not well established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
If you have recently undergone surgery, inform your surgeon and anesthesiologist about this medicine. Salbutamol may interact with certain anesthetic agents and can affect heart rate and blood pressure during surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, especially before any dental procedure that may involve anesthesia or cause stress. Salbutamol may increase heart rate, which can be relevant during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while you are experiencing acute respiratory symptoms. Gentle activities like walking may be beneficial, but consult your doctor before resuming intense exercise. If you experience shortness of breath, dizziness, or chest pain during exercise, stop immediately and seek medical advice.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, tremor, or nervousness, which can affect your ability to drive or operate machinery. Avoid driving or operating heavy machinery until you know how this medicine affects you. It is advisable to inform your employer if your work involves such activities.
🛑 When to Stop This Medicine
Do not stop taking this medicine abruptly without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. The duration of treatment should be determined by your doctor based on your condition.
📅 Long-Term Use Effects
Long-term use of this medicine without medical supervision may lead to tolerance to Salbutamol, increased risk of cardiac side effects, and electrolyte imbalances such as hypokalemia. Regular monitoring of heart rate, blood pressure, and potassium levels may be required. Prolonged use should be avoided unless prescribed and monitored by a doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help loosen mucus and ease breathing.
Evidence: Well-establishedTechniques to help clear mucus from the airways.
Evidence: ModerateMay help with nasal congestion and postnasal drip.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about all medicines you are taking.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, adjust your dosing schedule gradually under medical advice. Check customs regulations for carrying prescription medicines. Always keep enough supply for the duration of your trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Salbutamol starts working within 15-30 minutes to relieve bronchospasm, while Ambroxol's mucolytic effect may take several hours to days to become noticeable.
A: Yes, it is recommended to take this medicine with food to reduce stomach upset.
A: 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.
A: Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant. The safety profile is not well established.
A: It is advisable to avoid alcohol as it may increase drowsiness, dizziness, and heart rate.
🤔 Common Patient Concerns
🔄 Substitutes for ambro s tablet
View AllAlternative brands with exact same active ingredient:
-
asphyllin tabletPharma Fabrikon ₹12.31 1.8% COSTLIER
-
Respolite S 30 mg/2 mg TabletSresan Pharmaceuticals ₹12.92 6.9% COSTLIER
-
siokof as tabletAlbert David Ltd ₹12.99 7.4% COSTLIER
-
ambryl 30mg/2mg tabletSuzikem Drugs Pvt Ltd ₹15.00 24.1% COSTLIER
-
amcoryl 30mg/2mg tabletSuzikem Drugs Pvt Ltd ₹15.00 24.1% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any cough.
Fact: This medicine is specifically for productive cough with thick mucus and bronchospasm. It is not effective for dry cough or cough due to other causes. - Myth: It is safe to take this medicine for a long time without doctor's advice.
Fact: Prolonged use without medical supervision can lead to side effects and may mask underlying conditions. Always follow your doctor's advice. - Myth: You can stop taking this medicine as soon as you feel better.
Fact: Complete the prescribed course to prevent recurrence or complications. Consult your doctor before stopping.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Salbutamol tablet (various manufacturers)