Asmatide BR 8 mg/4 mg/200 mg 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
- Difficulty breathing or worsening of asthma symptoms
- Chest pain or irregular heartbeat
- Severe allergic reaction (rash, swelling of face, lips, or throat)
- Muscle weakness or cramps (possible low potassium)
- Severe headache or dizziness
- Blood in mucus or vomit
If experiencing severe symptoms, call emergency services immediately.
What is asmatide br 8 mg/4 mg/200 mg tablet used for?
This medicine is a combination of bromhexine and salbutamol used to treat asthma, chronic bronchitis, and other obstructive airway diseases. It works by loosening mucus and relaxing airway muscles to make breathing easier.
- Generic Name: Bromhexine + Salbutamol
- Manufacturer: Systopic Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asmatide br 8 mg/4 mg/200 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और साल्बुटामोल का संयोजन है, जिसका उपयोग अस्थमा, क्रोनिक ब्रोंकाइटिस और अन्य श्वसन रोगों में किया जाता है। यह बलगम को पतला करके और श्वास नलियों की मांसपेशियों को आराम देकर सांस लेने में मदद करती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, सिरदर्द, हाथ-पैर कांपना, धड़कन बढ़ना और पेट खराब होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चकत्ते, या दिल की धड़कन अनियमित लगे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसे भोजन के बाद पानी के साथ निगलें, चबाएं नहीं। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या है तो डॉक्टर को बताएं। इस दवा के सेवन के दौरान शराब न पिएं। गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको इसका असर पता न चल जाए। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 asmatide br 8 mg/4 mg/200 mg tablet Uses & Benefits
[{"condition":"Asthma","description":"Helps relieve bronchospasm and loosen mucus, making breathing easier.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Used to manage chronic bronchitis by reducing mucus viscosity and improving airflow.","evidence":"Well-established"},{"condition":"COPD","description":"May be used in COPD to relieve bronchospasm and aid mucus clearance.","evidence":"Moderate"},{"condition":"Productive cough","description":"Helps in loosening thick mucus, making it easier to cough out.","evidence":"Well-established"}]
Off-label uses: []
Primary treatment for: Asthma and other obstructive airway diseases
Also treats: Chronic bronchitis, COPD, Productive cough
📋 Drug Information
| Generic Name(s) | Bromhexine + Salbutamol |
| Brand Name | Asmatide BR 8 mg/4 mg/200 mg Tablet |
| Manufacturer | Systopic Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic + Bronchodilator |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| 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. Bromhexine is a mucolytic agent that works by breaking down the structure of mucus, reducing its viscosity and making it easier to expel. Salbutamol is a selective beta-2 adrenergic agonist that relaxes the smooth muscles of the airways, leading to bronchodilation and easier breathing. Together, they help relieve bronchospasm and clear mucus from the respiratory tract.
Mechanism Steps
💡 How to Take asmatide br 8 mg/4 mg/200 mg tablet
Strength: Tablet containing Bromhexine 8 mg and Salbutamol 4 mg.
Dosage Information
| Adult Dosage | The usual adult dose is one tablet taken orally two to three 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. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended 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 this medicine, especially cardiovascular effects. Use with caution and follow your doctor's advice. |
| Renal Impairment | Dose adjustment may be needed in patients with severe renal impairment. Consult your doctor. |
| Hepatic Impairment | Dose adjustment may be needed in patients with severe hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets in 24 hours, unless otherwise directed by your doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asmatide br 8 mg/4 mg/200 mg 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 | Minor | |
| Theophylline | Minor | |
| Caffeine | Minor | |
| Alcohol | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Digoxin
🍷 Alcohol Interaction
Alcohol may increase the risk of drowsiness, dizziness, and rapid 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 bromhexine, salbutamol, or any component of the formulation","Severe cardiovascular disease, including severe heart failure and arrhythmias","Uncontrolled hypertension","Severe hyperthyroidism","History of severe allergic reactions to beta-agonists"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause hypokalemia; monitor potassium levels in patients at risk.","Use with caution in patients with diabetes mellitus, as salbutamol may increase blood glucose levels.","May cause tremors and nervousness; avoid driving or operating machinery until effects are known.","Not recommended for children under 12 years without medical advice.","Do not exceed the recommended dose; excessive use may lead to serious cardiovascular effects.","Consult your doctor if symptoms persist or worsen after 7 days of treatment."]
🤱 Lactation Safety
Salbutamol is excreted in breast milk. It is generally considered safe for use during breastfeeding, but consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose may cause severe tachycardia, tremors, palpitations, hypokalemia, and hyperglycemia. Seek immediate medical attention. Treatment is supportive and symptomatic, including monitoring of vital signs and electrolyte levels. 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not take more or less than the recommended dose. Swallow the tablet whole with a glass of water, preferably after meals to reduce stomach upset. Do not crush or chew the tablet. If you have heart disease, high blood pressure, diabetes, or thyroid problems, inform your doctor before taking this medicine. Avoid drinking alcohol while taking this medicine, as it can increase drowsiness and heart rate. Do not drive or operate heavy machinery until you know how this medicine affects you. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use it 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.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The benefits and risks should be weighed.
🏥 Post-Surgery Considerations
Consult your doctor before resuming this medicine after surgery, especially if you have had cardiac or respiratory surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain anesthetics or medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have acute breathing difficulties. Consult your doctor before starting any exercise program. If exercise triggers your symptoms, use your rescue inhaler as prescribed.
🥗 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, but take breaks if you feel dizzy.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your symptoms worsen, contact your doctor immediately. Your doctor will advise you on whether to stop or adjust the dose.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to tolerance to salbutamol's effects and reduced responsiveness. It may also cause hypokalemia and cardiac effects. Regular monitoring of heart rate, blood pressure, and potassium levels is advised. Use the lowest effective dose for the shortest duration necessary.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaled salbutamol provides targeted relief with fewer systemic side effects.
Evidence: Well-establishedHelps loosen mucus and soothe airways.
Evidence: Traditional💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. Consult your doctor regarding vaccinations, especially if you have chronic respiratory disease.
📦 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 along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If you are crossing time zones, adjust your dosing schedule gradually as advised by your doctor. Check local customs regulations regarding 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, while bromhexine's mucolytic effect may take a few hours. You may notice easier breathing relatively quickly.
A: Inform your doctor about all medicines you take, especially beta-blockers, diuretics, and antidepressants, as they may interact with this medicine.
A: Consult your doctor. Salbutamol is generally considered safe, but the combination should be used only if clearly needed.
🤔 Common Patient Concerns
🔄 Substitutes for asmatide br 8 mg/4 mg/200 mg tablet
View AllAlternative brands with exact same active ingredient:
-
ventil-b forte 4mg/8mg tabletMount Mettur Pharmaceuticals Ltd ₹5.86 66% COSTLIER
-
Salexine SyrupMaitri Healthcare Pvt Ltd ₹16.88 378.2% COSTLIER
-
Respy BX FT 8mg/4mg/200mg TabletMedicraft Group ₹33.00 834.8% COSTLIER
-
brosmin forte tabletSynthiko Formulations & Pharma Pvt Ltd ₹33.75 856.1% COSTLIER
-
salorex tabletSynmedic Laboratories ₹130.00 3582.7% 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 extra doses if symptoms worsen.
Fact: Taking more than the prescribed dose can cause serious heart and electrolyte problems. Always follow your doctor's advice.
🔄 Alternative Options
Generic Alternatives
- Bromhexine + Salbutamol tablet