Anihist Syrup: Complete Guide to Uses, Dosage, 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
- Difficulty breathing or shortness of breath
- Swelling of the face, lips, tongue, or throat
- Severe rash, itching, or hives
- Chest pain or fast heartbeat
- Coughing up blood
- High fever with chills
- Symptoms lasting more than 7 days or worsening
If experiencing severe symptoms, call emergency services immediately.
What is anihist syrup used for?
This medicine is a combination of bromhexine and guaifenesin, used to treat productive cough by loosening mucus and making it easier to cough out. It is taken orally as a syrup, usually 5-10 mL three to four times a day for adults, but follow your doctor's advice.
- Generic Name: Bromhexine + Guaifenesin
- Manufacturer: Anikem Laboratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 anihist syrup के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और गुआइफेनेसिन का संयोजन है, जिसका उपयोग कफ और बलगम को ढीला करने और बाहर निकालने में मदद करने के लिए किया जाता है। यह गीली खांसी, छाती में जकड़न और बलगम वाली खांसी के लिए प्रभावी है। यह बलगम को पतला करती है जिससे खांसी आसानी से आती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट खराब, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको एलर्जी, सांस लेने में कठिनाई, चेहरे या गले में सूजन, या त्वचा पर गंभीर दाने हों तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अधिक मात्रा में न लें। दवा लेते समय खूब पानी पिएं। यदि आपको चक्कर या नींद आती है तो वाहन चलाने या मशीन चलाने से बचें। सूखी खांसी के लिए इस दवा का उपयोग न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 anihist syrup Uses & Benefits
[{"condition":"Productive cough (wet cough)","description":"Helps loosen thick mucus in the airways, making it easier to cough out and relieving chest congestion.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Used to reduce mucus viscosity and improve clearance in acute inflammation of the bronchi.","evidence":"Moderate"},{"condition":"Chronic bronchitis","description":"May help manage chronic mucus hypersecretion and improve symptoms in chronic bronchitis.","evidence":"Moderate"},{"condition":"COPD (chronic obstructive pulmonary disease)","description":"Sometimes used as an adjunct to help with mucus clearance in COPD patients with thick secretions.","evidence":"Limited"}]
Off-label uses: [{"condition":"Sinusitis","description":"May be used off-label to help thin mucus in sinus congestion, but evidence is limited.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally used off-label to help clear middle ear fluid, but not routinely recommended.","evidence":"Limited"}]
Primary treatment for: Productive cough
Also treats: Acute bronchitis, Chronic bronchitis, COPD
📋 Drug Information
| Generic Name(s) | Bromhexine + Guaifenesin |
| Brand Name | Ascoril Plus Expectorant |
| Manufacturer | Anikem Laboratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic and Expectorant |
| 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, unless otherwise stated on the packaging. |
| 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. Bromhexine is a mucolytic that breaks down the structure of mucus by depolymerizing mucopolysaccharide fibers, reducing mucus viscosity. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of secretions in the respiratory tract, likely by stimulating gastric reflexes and increasing water content in mucus. Together, they make cough more productive and help clear airways.
Mechanism Steps
💡 How to Take anihist syrup
Strength: Each 5 mL of syrup contains bromhexine 2 mg and guaifenesin 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 mL (one to two teaspoons) taken three to four times a day, or as directed by your doctor. The dose may vary depending on the severity of your 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 Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, such as dizziness and drowsiness. Use with caution and follow your doctor's advice. Dose adjustment may be needed based on kidney and liver function. |
| Renal Impairment | No specific dose adjustment guidelines are available for patients with kidney disease. Consult your doctor for appropriate dosing. |
| Hepatic Impairment | No specific dose adjustment guidelines are available for patients with liver disease. Consult your doctor for appropriate dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed the amount recommended by your doctor. Typically, do not exceed 40 mL (8 teaspoons) in 24 hours for adults, but this may vary. Always follow your doctor's instructions. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of anihist syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Codeine | Major | |
| Dextromethorphan | Major | |
| Amoxicillin | Moderate | |
| Cefuroxime | Moderate | |
| Atropine | Moderate | |
| Hyoscyamine | Moderate | |
| Furosemide | Minor |
🚨 Major Interactions
- Cough suppressants (e.g., codeine, dextromethorphan)
⚡ Moderate Interactions
- Antibiotics (e.g., amoxicillin, cefuroxime)
- Anticholinergic drugs (e.g., atropine, hyoscyamine)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and stomach upset while taking this medicine. It is best to avoid alcohol during treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity or allergy to bromhexine, guaifenesin, or any component of the formulation","Children under the age recommended by the manufacturer or doctor (typically under 2 years, but consult a pediatrician)","Use in patients with severe liver or kidney impairment without medical supervision"]
⚠️ Warnings & Precautions
["Do not use for a dry cough or for cough lasting more than 7 days without medical advice.","Drink plenty of water to help loosen mucus.","Avoid driving or operating machinery if you experience dizziness or drowsiness.","Consult a doctor before use if you have a history of kidney or liver disease.","Do not exceed the recommended dose.","Keep out of reach of children.","If symptoms worsen or do not improve, seek medical advice."]
🤱 Lactation Safety
It is not known whether this medicine passes into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include severe nausea, vomiting, diarrhea, and dizziness. 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
Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose. Drink plenty of water while taking this medicine to help loosen mucus. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not use this medicine for a dry cough or for more than the recommended duration without consulting a doctor. If you are pregnant, planning to become pregnant, or breastfeeding, talk to your doctor before using this medicine. Keep this medicine out of reach of children. Do not use it after the expiry date. If your symptoms do not improve within a few days or if they worsen, contact your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and drowsiness. They may also have reduced kidney or liver function, which can affect drug clearance. Use with caution and follow your doctor's advice.
🤰 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, and it should only be used if clearly needed.
🏥 Post-Surgery Considerations
If you have recently had surgery, consult your doctor before using this medicine. It may interact with other medications or affect recovery. Do not self-medicate.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It is generally safe, but your dentist may want to know about all medications you are taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have a cough or difficulty breathing. Light activity like walking is fine if you feel up to it. If you experience dizziness or shortness of breath, stop and rest.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. If affected, avoid driving, operating machinery, or performing tasks that require alertness. Otherwise, it should not significantly impact your daily activities. Take it as prescribed and rest when needed.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your cough does not improve within 7 days, if it worsens, or if you experience any severe side effects. Do not stop abruptly if you have been on 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 may lead to unnecessary side effects and may mask underlying conditions. If you need to use it for more than 7 days, consult your doctor to determine the cause of your cough and appropriate treatment.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen mucus and relieve congestion.
Evidence: Well-establishedUsing saline sprays or rinses can help clear nasal passages and reduce postnasal drip.
Evidence: ModerateHoney can soothe the throat and warm fluids help thin mucus.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are due for a vaccination, inform your healthcare provider that you are taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container with cap tightly closed
❌ 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 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 the medicine at your usual intervals, but adjust as advised by your doctor. Do not leave it in a hot car or checked luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts to loosen mucus within a few hours, but noticeable relief may take 1-2 days. If symptoms persist beyond 7 days, consult your doctor.
A: No, this medicine is for productive (wet) cough with mucus. It is not effective for dry cough and may be harmful if used incorrectly.
A: Bromhexine may increase the concentration of some antibiotics in lung tissue, which can be beneficial. However, always inform your doctor about all medicines you are taking.
A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant. The safety profile is not well established.
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.
🤔 Common Patient Concerns
🔄 Substitutes for anihist syrup
View AllAlternative brands with exact same active ingredient:
-
salfin br syrupOrison Pharma International ₹19.97 49.3% CHEAPER
-
Sancoril ExpectorantSanjivani Drugs Pvt Ltd ₹28.41 27.9% CHEAPER
-
kuff q syrupIntas Pharmaceuticals Ltd ₹29.06 26.2% CHEAPER
-
salbrom gm expectorantPramukh Swami Pharma Ltd ₹30.94 21.4% CHEAPER
-
ventsolv syrupVista Health Care ₹30.94 21.4% CHEAPER
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 (wet) cough with mucus. It is not effective for dry cough and may be harmful if used incorrectly. - Myth: More syrup means faster relief.
Fact: Taking more than the recommended dose does not speed up recovery and can increase side effects. Always follow the prescribed dose. - Myth: It is safe to take this medicine with any other cough medicine.
Fact: Combining with cough suppressants can be dangerous as it may lead to mucus buildup. Always consult a doctor before combining medicines.
🔄 Alternative Options
Generic Alternatives
- Bromhexine + Guaifenesin syrup (generic)
Brand Alternatives
- Anihist Syrup