Asthelite PD Syrup: 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
- Irregular or fast heartbeat
- Severe chest pain
- Difficulty breathing or worsening breathlessness
- Seizures or convulsions
- Severe dizziness or fainting
- Signs of allergic reaction such as rash, swelling of face or throat
- Muscle weakness or cramps
If experiencing severe symptoms, call emergency services immediately.
What is asthelite pd syrup used for?
This medicine is a combination bronchodilator syrup containing choline theophyllinate and terbutaline. It is used to treat wheezing and breathlessness in asthma and COPD. It works by relaxing the muscles in the airways. It is a prescription medicine and should only be taken under medical supervision.
- Generic Name: Choline Theophyllinate + Terbutaline
- Manufacturer: Litaka Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 asthelite pd syrup के बारे में (Hindi Summary)
उपयोग: यह दवा श्वसन मार्ग की मांसपेशियों को आराम देकर सांस लेने में मदद करती है। इसका उपयोग दमा (अस्थमा), क्रोनिक ब्रोंकाइटिस और सीओपीडी जैसी बीमारियों में घरघराहट, सीने में जकड़न और सांस फूलने के इलाज के लिए किया जाता है। यह एक प्रिस्क्रिप्शन दवा है और इसे डॉक्टर की सलाह के बिना नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, सिरदर्द, बेचैनी, कंपन और धड़कन तेज होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन दिल की धड़कन अनियमित होना, दौरा पड़ना या गंभीर एलर्जी हो सकती है। अगर आपको सीने में दर्द, सांस लेने में कठिनाई या बेहोशी महसूस हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं या घटाएं। चाय, कॉफी और कोला जैसे कैफीन युक्त पदार्थों का सेवन कम करें। अगर आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या है, तो डॉक्टर को बताएं। अचानक तेज दमे के दौरे के लिए इस दवा का उपयोग न करें; रेस्क्यू इनहेलर का प्रयोग करें।
💊 asthelite pd syrup Uses & Benefits
[{"condition":"Bronchial asthma","description":"Used as an adjunct to inhaled corticosteroids or other controller medications to relieve bronchospasm and improve breathing in patients with reversible airway obstruction.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"May help reduce wheezing and breathlessness in selected patients with COPD when used under medical supervision.","evidence":"Moderate"},{"condition":"Acute bronchospasm","description":"Provides rapid relief of bronchospasm in acute exacerbations, though inhaled short-acting beta-2 agonists are preferred first-line.","evidence":"Limited"}]
Off-label uses: [{"condition":"Apnea of prematurity","description":"Methylxanthines like theophylline have been used off-label in neonatal apnea, but this syrup is not intended for that use.","evidence":"Limited"}]
Primary treatment for: Bronchial asthma
Also treats: Chronic obstructive pulmonary disease (COPD), Chronic bronchitis, Emphysema
📋 Drug Information
| Generic Name(s) | Choline Theophyllinate + Terbutaline |
| Brand Name | Asthelite PD Syrup |
| Manufacturer | Litaka Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator combination (Xanthine derivative + Beta-2 agonist) |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not refrigerate. |
| 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 bronchodilators with complementary mechanisms. Choline theophyllinate is a prodrug that releases theophylline, which inhibits phosphodiesterase enzymes, increasing cyclic AMP levels in bronchial smooth muscle and causing relaxation. Theophylline also blocks adenosine receptors, reducing bronchoconstriction and inflammation. Terbutaline is a selective beta-2 adrenergic agonist that stimulates beta-2 receptors on airway smooth muscle, leading to rapid relaxation and bronchodilation. Together, they widen the airways and ease breathing.
Mechanism Steps
💡 How to Take asthelite pd syrup
Strength: Each 5 mL of syrup contains choline theophyllinate 50 mg and terbutaline 1.25 mg.
Dosage Information
| Adult Dosage | The usual adult dose is 5-10 mL (one to two teaspoons) taken two to three times daily, or as directed by your physician. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to therapy. Do not exceed the prescribed dose. |
| 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 effects of this medicine. Start with a lower dose and monitor closely for cardiac and neurological side effects. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose reduction may be necessary in patients with hepatic impairment due to reduced theophylline metabolism. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed the prescribed amount. Typically, theophylline doses above 10 mg/kg/day require monitoring. Follow your doctor's instructions strictly. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of asthelite pd syrup
✅ 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 | |
| Corticosteroids | Moderate | |
| Diuretics | Moderate | |
| Digoxin | Moderate | |
| Cimetidine | Moderate | |
| Caffeine | Minor | |
| Phenytoin | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Corticosteroids
- Diuretics (loop and thiazide)
- Digoxin
- Cimetidine
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal side effects and dizziness. Avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to theophylline, terbutaline, or any component","Severe cardiac arrhythmias","Uncontrolled hyperthyroidism","Acute severe asthma attack (requires rapid-acting inhaled bronchodilator)","Concurrent use with MAOIs"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease, hypertension, or arrhythmias.","May cause hypokalemia; monitor potassium levels.","Avoid in patients with seizure disorders unless benefits outweigh risks.","Not recommended for children under 6 years without specialist advice.","Do not exceed prescribed dose due to risk of toxicity.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Both theophylline and terbutaline are excreted in breast milk. Caution is advised. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose can cause severe nausea, vomiting, tachycardia, arrhythmias, seizures, and hypokalemia. Seek emergency medical care immediately. Treatment is supportive and symptomatic, including activated charcoal, electrolyte correction, and management of arrhythmias.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without medical advice. Avoid caffeine-containing foods and drinks because they can increase nervousness and heart rate. Inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid disorders, or liver or kidney problems. Do not use this medicine for sudden severe asthma attacks; use your rescue inhaler instead. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. Do not drive or operate heavy machinery if you feel dizzy or shaky after taking this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to cardiac and neurological side effects. Lower doses and close monitoring are recommended.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy. This medicine should be used during pregnancy only if clearly needed.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist about this medicine before surgery. It may interact with anesthetic agents.
🦷 Dental Procedures
Inform your dentist about this medicine before any dental procedure. It may cause dry mouth or interact with local anesthetics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you experience palpitations, dizziness, or breathlessness. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tremor, which can affect driving or operating machinery. Avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Do not stop this medicine abruptly without consulting your doctor. If you experience severe side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine may require regular monitoring of heart rate, blood pressure, and serum potassium levels. Theophylline levels should be checked if available. Prolonged use without medical supervision can lead to toxicity. Regular follow-up with your doctor is essential.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
First-line controller therapy for asthma.
Evidence: Well-establishedOral alternatives for asthma control.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. However, patients with chronic respiratory diseases should receive annual influenza and pneumococcal vaccines as advised by their doctor.
📦 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
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 traveling across time zones, adjust dosing times gradually in consultation with your doctor. 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: This medicine usually starts working within 15-30 minutes after oral administration.
A: Yes, but only under your doctor's supervision. Some combinations may increase side effects.
A: Pediatric dosing is not established from available information. Consult a pediatrician.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can be used for sudden severe asthma attacks.
Fact: This medicine is not a rescue inhaler. For acute attacks, use a rapid-acting inhaled bronchodilator and seek emergency care if needed. - Myth: It is safe to take extra doses if symptoms worsen.
Fact: Taking more than the prescribed dose can cause serious heart and nervous system side effects. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Choline theophyllinate + Terbutaline syrup (generic)
Brand Alternatives
- Asthelite PD Syrup