amlody syrup - Ambroxol (15mg) + Menthol (1mg) medicine

Anacof Syrup: Complete Medicine Guide

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🏭 Malody Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for mucolytic effects of Ambroxol; limited for Menthol in this combination.
Reviewed by
SaathiMed Expert Panel | Oct 22, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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 sputum 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

If experiencing severe symptoms, call emergency services immediately.

What is amlody syrup used for?

This medicine is a combination syrup containing Ambroxol (15 mg) and Menthol (1 mg) per 5 ml. It is used to treat productive cough by thinning mucus and soothing the throat. It is not a cough suppressant and should not be used for dry cough.

  • Generic Name: Ambroxol + Menthol
  • Manufacturer: Malody Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 amlody syrup के बारे में (Hindi Summary)

उपयोग: यह दवा एक ओरल सिरप है जिसमें एम्ब्रोक्सोल (15 मिलीग्राम) और मेंथॉल (1 मिलीग्राम) होते हैं। यह कफ को पतला करके बाहर निकालने में मदद करती है और गले की जलन को शांत करती है। इसका उपयोग बलगम वाले खांसी (गीली खांसी) के इलाज में किया जाता है। यह सूखी खांसी के लिए नहीं है।

साइड इफेक्ट्स: आमतौर पर यह दवा सही तरीके से लेने पर अच्छी तरह सहन की जाती है। कुछ लोगों को हल्की मतली, पेट में असहजता, या गले में जलन हो सकती है। कभी-कभी नींद आ सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको एलर्जी, सूजन, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से ज्यादा न लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले कप या चम्मच का उपयोग करें। अन्य खांसी की दवाओं के साथ लेने से पहले डॉक्टर से सलाह लें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें। नींद आने पर वाहन न चलाएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 amlody syrup Uses & Benefits

[{"condition":"Productive cough (wet cough)","description":"Helps loosen thick mucus in the airways, making it easier to cough out and clear the chest.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Used as a supportive treatment to relieve cough and mucus congestion associated with acute bronchitis.","evidence":"Moderate"},{"condition":"Chronic obstructive pulmonary disease (COPD) exacerbations","description":"May be used to help clear mucus during flare-ups of COPD, but only under medical supervision.","evidence":"Limited"}]

Off-label uses: [{"condition":"Throat irritation","description":"Menthol provides a soothing effect on the throat, which may relieve minor irritation, though this is not a primary approved use.","evidence":"Limited"}]

Primary treatment for: Productive cough

Also treats: Acute bronchitis, COPD exacerbation

📋 Drug Information

Generic Name(s)Ambroxol + Menthol
Brand NameAmbrex Syrup
ManufacturerMalody Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassMucolytic and Expectorant
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight. Do not freeze.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day to help thin mucus.
3
Avoid alcohol while taking this medicine as it may increase drowsiness.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.
7
Do not use this medicine for dry cough.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmbroxol is rapidly absorbed from the gastrointestinal tract after oral administration. Menthol is also absorbed through the oral mucosa and gastrointestinal tract.
DistributionAmbroxol distributes widely in the body, with high concentrations in the lungs and respiratory tissues. Menthol distributes to various tissues, including the oral mucosa and respiratory tract.
Protein BindingAmbroxol is approximately 90% bound to plasma proteins. Menthol binding is not well established.
MetabolismAmbroxol is metabolized in the liver, primarily by conjugation to glucuronic acid and sulfate. Menthol undergoes phase I and phase II metabolism in the liver.
Half-LifeThe elimination half-life of Ambroxol is approximately 7 to 12 hours. The half-life of Menthol is not well established.
ExcretionAmbroxol and its metabolites are excreted mainly in the urine. Menthol metabolites are excreted in urine and bile.
BioavailabilityThe oral bioavailability of Ambroxol is approximately 70-80% due to first-pass metabolism. Menthol bioavailability is not well established.
Onset of ActionThe soothing effect of Menthol is felt within minutes. Ambroxol's mucolytic effect typically begins within 30 to 60 minutes after oral administration.
Peak Plasma TimePeak plasma concentration of Ambroxol is reached approximately 1 to 3 hours after oral administration. Menthol peak time is not well established.
Duration of ActionThe mucolytic effect of Ambroxol lasts for about 6 to 8 hours. Menthol's cooling effect lasts for a shorter duration, typically 15 to 30 minutes.

How It Works

Ambroxol increases the production of serous fluid in the airways and reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers. This makes the mucus thinner and easier to expel. Menthol acts on cold-sensitive receptors in the mouth and throat, producing a cooling sensation that can temporarily relieve throat irritation and the perception of congestion. Together, they help clear the airways and make coughing more productive.

Mechanism Steps

1
Ambroxol enhances serous secretion: Ambroxol stimulates the serous cells of the respiratory tract to produce more fluid, which helps dilute thick mucus.
2
Ambroxol breaks down mucus fibers: It depolymerizes acidic mucopolysaccharide fibers, reducing mucus viscosity and making it easier to clear.
3
Menthol activates TRPM8 receptors: Menthol binds to TRPM8 cold receptors in the oral and pharyngeal mucosa, producing a cooling sensation that temporarily relieves throat irritation.
4
Enhanced mucociliary clearance: The combined effect leads to improved movement of mucus out of the airways, facilitating a productive cough.

💡 How to Take amlody syrup

Strength: Each 5 ml of syrup contains Ambroxol 15 mg and Menthol 1 mg.

1Shake the bottle well before each use.
2Measure the correct dose using the measuring cup or spoon provided.
3Take the syrup orally, with or without food.
4If it upsets your stomach, take it with a meal or snack.
5Do not exceed the recommended dose.
6Wash the measuring cup after each use.

Dosage Information

Adult DosageThe usual adult dose is 10 ml (two teaspoons) of this syrup two to three times a day, or as directed by your doctor. Dosage may vary depending on the severity of the condition and your response to treatment. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Use with caution and follow your doctor's advice. Dose adjustment may be needed based on kidney and liver function.
Renal ImpairmentUse with caution in patients with kidney impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with liver impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 30 ml (6 teaspoons) in divided doses, or as prescribed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
No known interaction
No significant interaction reported.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of amlody syrup

✅ Common Side Effects

Nausea (Common (1-10%))
Take the medicine with food to reduce nausea. If it persists, consult your doctor.
Stomach discomfort (Common (1-10%))
Take with meals. Avoid taking on an empty stomach.
Drowsiness (Uncommon (0.1-1%))
Avoid driving or operating machinery if you feel drowsy.
Throat irritation (Uncommon (0.1-1%))
Usually temporary. Drink water to soothe the throat.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you develop a painful rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Heartburn
Take with food. If persistent, consult your doctor.
Dry mouth
Stay hydrated. Chew sugar-free gum if needed.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Codeine Major
Amoxicillin Moderate
Furosemide Moderate
Alcohol Moderate

🚨 Major Interactions

  • Cough suppressants (e.g., codeine, dextromethorphan)

⚡ Moderate Interactions

  • Antibiotics (e.g., amoxicillin, cefuroxime)
  • Diuretics

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness caused by 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

["Known allergy to Ambroxol, Menthol, or any component of this medicine.","Children under 2 years of age.","Severe liver or kidney impairment without medical supervision.","Active peptic ulcer disease."]

⚠️ Warnings & Precautions

["Do not use this medicine for a dry, non-productive cough.","Avoid using with other cough suppressants unless directed by a doctor.","Use with caution in patients with a history of stomach ulcers.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor if symptoms persist beyond 7 days or worsen.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether Ambroxol and Menthol pass into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include severe nausea, vomiting, drowsiness, or allergic reactions. Treatment is supportive and symptomatic.

⏰ 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Shake the bottle well before each use. Use a proper measuring cup or spoon to ensure accurate dosing. Avoid taking this medicine with other cough and cold products without consulting your doctor, as they may contain overlapping ingredients. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not drive or operate heavy machinery if you feel drowsy after taking this medicine. Keep this medicine out of the reach of children. Store it in a cool, dry place away from direct sunlight. Do not use this medicine after the expiry date printed on the pack.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, especially drowsiness. Use with caution and follow your doctor's advice. Dose adjustment may be needed based on kidney and liver function.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this medicine during pregnancy is not well established.

🏥 Post-Surgery Considerations

If you have recently had surgery, consult your doctor before using this medicine, as it may affect cough reflex and mucus clearance.

🦷 Dental Procedures

No specific precautions. However, inform your dentist if you are taking this medicine.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce respiratory strain.
🥗
Regular low-impact exercise like walking or swimming.
😴
Practice good posture to help clear airways.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to support immune function.
🌞
Avoid smoking and exposure to secondhand smoke.

🏋️ Exercise Considerations

If you feel drowsy after taking this medicine, avoid exercising or operating machinery. Otherwise, light exercise is generally safe.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated
Avoid dairy if it thickens your mucus

💼 Impact on Daily Work & Life

This medicine may cause drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It should not significantly impact your ability to work if you are not drowsy.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects. Do not stop abruptly if you have been on it for a long time without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may mask underlying conditions. If you need to use it for more than 7 days, consult your doctor. Regular monitoring of liver and kidney function may be advised in patients with pre-existing conditions.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Can help loosen mucus and soothe airways.

Evidence: Well-established
Saline nasal irrigation

Helps clear nasal congestion and mucus.

Evidence: Well-established
Honey and warm fluids

Can soothe throat irritation and reduce cough.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you are unwell with a fever, consult your doctor before vaccination.

📦 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

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs. Store it in a cool, dry place away from direct sunlight. If you are crossing time zones, continue taking your doses at the same intervals as prescribed. Do not leave it in a hot car or checked luggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis
He was prescribed this medicine for a productive cough. After taking it for 3 days, he noticed that his cough became more productive and his chest felt less congested. He took it with food to avoid stomach upset and drank plenty of water.
💡 Lesson: Taking this medicine with food and staying hydrated improves tolerability and helps clear mucus.
👤 A 50-year-old woman with COPD exacerbation
She used this medicine as part of her treatment for a COPD flare-up. It helped loosen her mucus, making it easier to cough out. She was advised to avoid other cough suppressants and to monitor for any allergic reactions.
💡 Lesson: This medicine can be helpful in COPD exacerbations but should be used under medical supervision and not combined with cough suppressants.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: The soothing effect of Menthol is felt within minutes, while Ambroxol's mucolytic effect typically begins within 30 to 60 minutes.

Q: Can I take this medicine with antibiotics?

A: Yes, but consult your doctor. Ambroxol may increase the concentration of certain antibiotics in the lungs, which can be beneficial.

Q: Is this medicine safe for children?

A: It is not recommended for children under 2 years. For older children, consult a pediatrician for appropriate dosing.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for amlody syrup

View All

Alternative brands with exact same active ingredient:

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 productive cough with mucus. It is not effective for dry cough.
  • Myth: It is safe to take this medicine with other cough syrups.
    Fact: Combining with other cough syrups may lead to harmful interactions or excessive drowsiness. Always consult a doctor.
  • Myth: This medicine is safe for children of all ages.
    Fact: It is not recommended for children under 2 years. For older children, consult a pediatrician.

🔄 Alternative Options

Generic Alternatives

  • Ambroxol + Menthol syrup (generic)

Brand Alternatives

  • Anacof syrup

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredient":"Ambroxol + Menthol","primary_use":"Productive cough","route":"Oral"},{"medicine":"Ambroxol alone","active_ingredient":"Ambroxol","primary_use":"Productive cough","route":"Oral"},{"medicine":"Guaifenesin","active_ingredient":"Guaifenesin","primary_use":"Productive cough","route":"Oral"}]

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