Askafex TR Suspension: 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
- Rapid, irregular, or pounding heartbeat
- Chest pain or tightness
- Severe allergic reaction (rash, itching, swelling of face, lips, tongue, or throat, difficulty breathing)
- Worsening of breathing or bronchospasm
- Severe dizziness or fainting
- Muscle weakness or cramps (possible low potassium)
- Yellowing of skin or eyes (jaundice)
If experiencing severe symptoms, call emergency services immediately.
What is askafex tr suspension used for?
This medicine is a combination of terbutaline (a bronchodilator) and bromhexine (a mucolytic) used to relieve cough with thick mucus in conditions like bronchitis and asthma. It works by relaxing airways and thinning mucus, making it easier to cough up.
- Generic Name: Terbutaline + Bromhexine
- Manufacturer: Asklepios Remedies Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 askafex tr suspension के बारे में (Hindi Summary)
उपयोग: यह दवा टर्ब्यूटलाइन और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग खांसी के इलाज में किया जाता है जिसमें गाढ़ा बलगम होता है। यह ब्रोंकाइटिस, अस्थमा और अन्य श्वसन संक्रमणों में राहत देती है। यह वायुमार्ग को फैलाकर और बलगम को पतला करके काम करती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कंपन, घबराहट, सिरदर्द, मतली और उल्टी शामिल हैं। गंभीर दुष्प्रभावों में तेज़ धड़कन, छाती में दर्द, और एलर्जी की प्रतिक्रिया शामिल हो सकती है। यदि आपको कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक बढ़ाएं या घटाएं नहीं। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले कप का उपयोग करें। यदि आपको चक्कर या कंपन महसूस हो तो वाहन न चलाएं। अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं के बारे में बताएं।
💊 askafex tr suspension Uses & Benefits
[{"condition":"Productive cough associated with bronchitis","description":"Helps to loosen mucus and relax airways, making it easier to cough up phlegm.","evidence":"Well-established"},{"condition":"Asthma with thick mucus","description":"Provides symptomatic relief by bronchodilation and mucolysis.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD) with mucus hypersecretion","description":"May help in clearing secretions and improving breathing.","evidence":"Limited"}]
Off-label uses: []
Primary treatment for: Productive cough associated with respiratory tract infections
Also treats: Asthma, Bronchitis, COPD
📋 Drug Information
| Generic Name(s) | Terbutaline + Bromhexine |
| Brand Name | Askafex TR Suspension |
| Manufacturer | Asklepios Remedies Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator + Mucolytic |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight. Do not freeze. 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
This medicine combines two active ingredients with complementary actions. Terbutaline is a selective beta-2 adrenergic agonist that binds to beta-2 receptors in the airways, leading to relaxation of bronchial smooth muscle and bronchodilation. Bromhexine is a mucolytic agent that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers, thereby facilitating its removal from the respiratory tract.
Mechanism Steps
💡 How to Take askafex tr suspension
Strength: Each 5 ml of suspension contains Terbutaline 2.5 mg and Bromhexine 8 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 ml (containing terbutaline 2.5-5 mg and bromhexine 8-16 mg) taken three times a day, or as directed by your physician. The dose may be adjusted based on the severity of the condition and the patient's response. 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 effects of terbutaline, especially cardiovascular effects. Use with caution and start with a lower dose. Dose must be individualized by a qualified clinician. |
| 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 30 ml (terbutaline 15 mg and bromhexine 48 mg) in divided doses. Do not exceed this dose without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of askafex tr suspension
✅ 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 | |
| Theophylline | Moderate | |
| Erythromycin | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Xanthine derivatives (e.g., theophylline)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and cardiovascular side effects. 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 terbutaline, bromhexine, or any component of the formulation","Severe cardiovascular disease (e.g., severe hypertension, arrhythmias)","Hyperthyroidism","Diabetes mellitus (uncontrolled)","Severe hepatic or renal impairment"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremors and nervousness; avoid driving or operating machinery if affected.","Use with caution in patients with diabetes, as terbutaline may increase blood glucose levels.","Use with caution in patients with hyperthyroidism.","Not recommended for children under 2 years of age unless prescribed by a doctor.","Do not exceed the recommended dose; excessive use may lead to cardiac side effects."]
🤱 Lactation Safety
Terbutaline is excreted in breast milk and may cause adverse effects in the nursing infant. Bromhexine is also likely excreted in breast milk. Consult your doctor before breastfeeding while taking this medicine.
💊 Overdose Management
Overdose may cause severe tachycardia, palpitations, tremors, nausea, and vomiting. Seek immediate medical attention. Treatment is supportive and symptomatic. 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 double the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without consulting your healthcare provider. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to measure the dose accurately. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Inform your doctor if you have a history of heart disease, high blood pressure, diabetes, or thyroid problems. Do not take this medicine for a longer period than recommended unless advised by your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to cardiovascular side effects such as tachycardia and arrhythmias. Use with caution and monitor closely. Dose adjustment may be necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Terbutaline is FDA pregnancy category C; bromhexine is not classified. Use only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with anesthetic agents and affect heart rate and blood pressure.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may cause dry mouth or interact with medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you experience tremors, dizziness, or rapid heartbeat after taking this medicine. Light activity like walking is generally safe, but consult your doctor before starting any exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tremors, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is generally safe to continue desk work.
🛑 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 taking it for a long time without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use of terbutaline may lead to tolerance and reduced effectiveness. Regular monitoring of heart rate, blood pressure, and potassium levels may be required. Do not use for extended periods without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps to loosen mucus and ease breathing.
Evidence: Well-establishedTechniques to help clear mucus from the airways.
Evidence: Well-established💉 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
❌ 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 traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Keep it in your carry-on luggage to avoid temperature extremes in checked baggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect starts within 30-60 minutes, but the mucolytic effect may take 2-3 days of regular use.
A: It can be taken with or without food, but taking it with food reduces the risk of stomach upset.
A: It should only be used in children under medical supervision. Pediatric dosing is not established from available information.
🤔 Common Patient Concerns
🔄 Substitutes for askafex tr suspension
View AllAlternative brands with exact same active ingredient:
-
bronq t syrupDutech Remedies Pvt Ltd ₹33.75 23.4% CHEAPER
-
edvent t syrupEsquire Drug House ₹45.00 2.1% COSTLIER
-
leecough bm syrupDr Lee & Morris Pharma Pvt Ltd ₹60.94 38.3% COSTLIER
-
collintus-bm syrupMedley Pharmaceuticals ₹79.69 80.9% COSTLIER
-
instaryl expectorantAglowmed Limited ₹82.50 87.2% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma permanently.
Fact: This medicine provides symptomatic relief but does not cure asthma. Asthma management requires a comprehensive plan. - Myth: It is safe to take this medicine without a prescription.
Fact: This is a prescription medicine and should only be taken under medical supervision.