Asthamax AX 400mg/30mg 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
- Blood in stool 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
- Irregular or very fast heartbeat
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is asthamax ax 400mg/30mg tablet used for?
This medicine is a combination of Doxofylline (a bronchodilator) and Ambroxol (a mucolytic) used to treat breathing difficulties in conditions like COPD and chronic bronchitis. It helps relax airways and thin mucus, making it easier to breathe and cough. It is not for sudden asthma attacks.
- Generic Name: Doxofylline + Ambroxol
- Manufacturer: Lemford Biotech Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asthamax ax 400mg/30mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा डॉक्सोफाइलिन और एम्ब्रोक्सोल का संयोजन है, जिसका उपयोग सीओपीडी (क्रॉनिक ऑब्सट्रक्टिव पल्मोनरी डिजीज), क्रॉनिक ब्रोंकाइटिस और अस्थमा जैसी सांस की बीमारियों में किया जाता है। यह वायुमार्ग की मांसपेशियों को आराम देकर सांस लेना आसान बनाती है और बलगम को पतला करके खांसी के साथ बाहर निकालने में मदद करती है। यह दवा अचानक होने वाले गंभीर अस्थमा अटैक के लिए नहीं है। इसे डॉक्टर के निर्देशानुसार ही लें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, पेट में असहजता, सिरदर्द और चक्कर आना शामिल हैं। कुछ लोगों को दिल की धड़कन तेज होना या हाथ-पैर कांपना भी महसूस हो सकता है। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर सांस लेने में तकलीफ, चेहरे या गले में सूजन, या दिल की अनियमित धड़कन हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। गोली को चबाएं नहीं, पूरा निगलें। इसे भोजन के साथ या बिना भोजन के ले सकते हैं, लेकिन भोजन के साथ लेने से पेट की जलन कम होती है। इस दवा के साथ शराब न लें। अगर आपको चक्कर या कंपन महसूस हो, तो वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। दवा को बंद करने से पहले डॉक्टर से पूछें।
💊 asthamax ax 400mg/30mg tablet Uses & Benefits
[{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"Helps relieve bronchospasm and reduce mucus viscosity, improving breathing and cough clearance.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Used to manage chronic bronchitis by relaxing airways and thinning mucus, making it easier to expectorate.","evidence":"Well-established"},{"condition":"Bronchial asthma","description":"May be used as add-on therapy for asthma to improve bronchodilation and mucus clearance, but not for acute attacks.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Acute respiratory distress syndrome (ARDS)","description":"Sometimes used off-label for its mucolytic and anti-inflammatory effects, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Chronic obstructive pulmonary disease (COPD)
Also treats: Chronic bronchitis, Bronchial asthma
📋 Drug Information
| Generic Name(s) | Doxofylline + Ambroxol |
| Brand Name | Asthamax AX 400mg/30mg Tablet |
| Manufacturer | Lemford Biotech Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Respiratory |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Keep away from moisture, heat, and direct sunlight. Keep in the original container, 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. Doxofylline is a xanthine derivative that inhibits phosphodiesterase enzymes, leading to increased cyclic AMP levels in bronchial smooth muscle cells. This causes relaxation of the airways and improved airflow. It also has mild anti-inflammatory effects and may enhance diaphragm contractility. Ambroxol is a mucolytic that reduces mucus viscosity by breaking down acidic mucopolysaccharide fibers and stimulating surfactant production, which helps thin secretions and aids their removal by coughing. Together, they provide bronchodilation and mucus clearance.
Mechanism Steps
💡 How to Take asthamax ax 400mg/30mg tablet
Strength: Each tablet contains Doxofylline 400 mg and Ambroxol 30 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally two to three times daily, or as directed by your physician. The exact dose and frequency depend on the condition being treated, its severity, and your response to therapy. 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 whole with water, with or without food. |
| 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 cardiac effects. Dose may need to be reduced based on kidney and liver function. Close monitoring is advised. |
| Renal Impairment | In patients with renal impairment, dose reduction may be necessary. Consult your doctor for individualized dosing. |
| Hepatic Impairment | In patients with hepatic impairment, dose reduction may be necessary. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (1200 mg Doxofylline and 90 mg Ambroxol) per day, but this must be confirmed by your doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asthamax ax 400mg/30mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ciprofloxacin | Major | |
| Erythromycin | Major | |
| Propranolol | Major | |
| Phenytoin | Moderate | |
| Rifampicin | Moderate | |
| Cimetidine | Moderate | |
| Furosemide | Moderate | |
| Antacids | Minor | |
| Caffeine | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Ciprofloxacin
- Erythromycin
- Propranolol
- Phenytoin
⚡ Moderate Interactions
- Rifampicin
- Cimetidine
- Diuretics (e.g., furosemide)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Both Doxofylline and alcohol can increase heart rate and cause dizziness or drowsiness. Combining them may worsen these effects and increase the risk of falls or accidents. It may also put extra strain on the liver.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to Doxofylline, Ambroxol, or any component of the formulation","Acute myocardial infarction","Severe cardiac arrhythmias","Severe liver disease","Severe renal impairment","Children under 12 years (safety not established)","Breastfeeding (unless advised by doctor)"]
⚠️ Warnings & Precautions
["Use with caution in patients with heart disease, hypertension, or arrhythmias.","May impair ability to drive or operate machinery; avoid until you know how it affects you.","Avoid alcohol consumption.","Do not exceed the prescribed dose.","Consult doctor before use in pregnancy or breastfeeding.","May interact with other medications; inform your doctor about all medicines you take.","Not for acute asthma attacks; seek emergency care for sudden severe breathing difficulty."]
🤱 Lactation Safety
Not established from the available information. Doxofylline and Ambroxol may pass into breast milk. Consult your doctor before breastfeeding while on this medicine.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, rapid heart rate, seizures, or irregular heartbeat. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs and cardiac rhythm.
⏰ 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 crush, chew, or break the tablet; swallow it whole with a glass of water. It can be taken with or without food, but taking it with food may reduce stomach upset. Avoid alcohol while taking this medicine, as it can increase drowsiness and heart rate. Do not drive or operate heavy machinery if you feel dizzy or shaky. Inform your doctor if you have heart disease, high blood pressure, liver or kidney problems, or if you are pregnant or breastfeeding. Do not stop taking this medicine suddenly without consulting your doctor. Keep it out of reach of children. Store at room temperature, away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiac and central nervous system effects of this medicine. Dose reduction may be needed based on kidney and liver function. Close monitoring for side effects is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established. Your doctor may consider alternative treatments.
🏥 Post-Surgery Considerations
If you have recently had surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with anesthetic agents and affect heart rate. Your doctor may advise temporary discontinuation.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth or interact with local anesthetics. No major precautions are typically needed, but your dentist may adjust treatment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may feel dizzy or have a rapid heartbeat. Avoid strenuous exercise until you know how the medicine affects you. Light to moderate exercise is generally safe, but consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or palpitations, 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, your doctor may advise stopping or changing the medicine. If your symptoms improve and you feel you no longer need it, consult your doctor before stopping.
📅 Long-Term Use Effects
Long-term use of this medicine may require periodic monitoring of heart rate, liver function, and kidney function. Some patients may develop tolerance to the bronchodilator effect. It is important to have regular follow-ups with your doctor to assess the continued need and adjust the dose if necessary. Rarely, long-term use may be associated with cardiac arrhythmias or liver enzyme elevations.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
A program of exercise, education, and support to improve breathing and quality of life.
Evidence: Well-establishedCan help loosen mucus and ease breathing temporarily.
Evidence: LimitedTechniques to help clear mucus from the airways.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Patients with chronic respiratory diseases are advised to receive influenza and pneumococcal vaccines as per guidelines. This medicine does not interact with vaccines, but consult your doctor for timing.
📦 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 a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust dosing times gradually as advised by your doctor. Keep enough supply for your trip. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Bronchodilation begins within 30 minutes to 1 hour, but full benefits for mucus clearance may take a few days of regular use.
A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.
A: Take it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue your regular schedule. Do not double dose.
A: Consult your doctor. The safety of this medicine during pregnancy is not well established.
A: Do not stop without consulting your doctor. Sudden discontinuation may worsen symptoms.
🤔 Common Patient Concerns
🔄 Substitutes for asthamax ax 400mg/30mg tablet
View AllAlternative brands with exact same active ingredient:
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doxoll plus 400mg/30mg tabletFloreat Medica Pvt Ltd ₹55.31 7.3% COSTLIER
-
doxif a 400mg/30mg tabletPride Pharma ₹56.25 9.1% COSTLIER
-
ventihope 400mg/30mg tabletKiansons Formulation Pvt Ltd ₹56.25 9.1% COSTLIER
-
broncocet dx tabletSeagull Laboratories (I) Pvt Ltd ₹64.69 25.5% COSTLIER
-
dofasma a 400mg/30mg tabletTas Med India Pvt Ltd ₹67.03 30% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma permanently.
Fact: This medicine helps manage symptoms but does not cure asthma or COPD. It should be used as part of a comprehensive treatment plan. - Myth: It can be taken for any cough.
Fact: This medicine is specifically for respiratory conditions with bronchospasm and thick mucus. It is not for dry cough or cough due to cold. - Myth: More tablets mean faster relief.
Fact: Taking more than the prescribed dose can cause serious side effects. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Doxofylline 400 mg + Ambroxol 30 mg tablet (various manufacturers)
Brand Alternatives
- Asthamax AX 400mg/30mg Tablet