broncho tussin ls drop - Ambroxol (7.5mg/ml) + Levosalbutamol (0.25mg/ml) medicine

Altex Oral Drops: Comprehensive Medicine Guide

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🏭 Synchem Lab 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for combination in respiratory conditions with mucus and bronchospasm.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or worsening of asthma symptoms after taking the medicine.
  • Severe allergic reaction: rash, itching, swelling of face, lips, or throat.
  • Chest pain, fast or irregular heartbeat.
  • Severe dizziness or fainting.
  • Muscle weakness or cramps that do not resolve.
  • Blood in sputum or vomit.
  • Yellowing of skin or eyes (jaundice).

If experiencing severe symptoms, call emergency services immediately.

What is broncho tussin ls drop used for?

This medicine is a combination of ambroxol and levosalbutamol used to treat productive cough with bronchospasm. It works by thinning mucus and opening airways.

  • Generic Name: Ambroxol (7.5mg/ml) + Levosalbutamol (0.25mg/ml)
  • Manufacturer: Synchem Lab
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 broncho tussin ls drop के बारे में (Hindi Summary)

उपयोग: यह दवा एम्ब्रोक्सोल और लेवोसाल्बुटामोल का संयोजन है, जिसका उपयोग बलगम वाली खांसी और सांस की नली में सिकुड़न (ब्रोंकोस्पाज्म) के इलाज के लिए किया जाता है। यह बलगम को पतला करके निकालने में मदद करती है और सांस लेने में आसानी प्रदान करती है। यह तीव्र ब्रोंकाइटिस, सीओपीडी और अस्थमा जैसी स्थितियों में उपयोगी है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असहजता, सिरदर्द, चक्कर आना, कंपन, धड़कन बढ़ना और बेचैनी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि एलर्जी, सांस लेने में कठिनाई, या दिल की धड़कन तेज हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं और ड्रॉपर से सही मात्रा नापें। यह दवा चक्कर या कंपन पैदा कर सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह, थायरॉइड विकार, या लीवर/किडनी की समस्या है तो डॉक्टर को बताएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 broncho tussin ls drop Uses & Benefits

[{"condition":"Acute bronchitis with productive cough","description":"Helps loosen mucus and relieve bronchospasm, making cough more productive.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD) exacerbation","description":"Used to reduce mucus viscosity and improve breathing in COPD patients with bronchospasm.","evidence":"Moderate"},{"condition":"Asthma with mucus plugging","description":"Adjunctive therapy to relieve bronchospasm and thin mucus in asthma patients.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Post-operative pulmonary complications","description":"Sometimes used to prevent mucus retention after surgery.","evidence":"Limited"}]

Primary treatment for: Productive cough with bronchospasm

Also treats: Acute bronchitis, Chronic obstructive pulmonary disease (COPD), Asthma

📋 Drug Information

Generic Name(s)Ambroxol (7.5mg/ml) + Levosalbutamol (0.25mg/ml)
Brand Namebroncho tussin ls drop
ManufacturerSynchem Lab
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Do not freeze. Keep out of reach of children.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Always prescribe this medicine after confirming the presence of productive cough with bronchospasm.
2
Advise patients to take the medicine with food to minimize gastrointestinal upset.
3
Warn patients about the potential for tremor and palpitations, especially at higher doses.
4
Monitor potassium levels in patients on concomitant diuretics or with risk factors for hypokalemia.
5
Instruct patients not to exceed the recommended dose and to report any worsening of breathing.
6
Use with caution in patients with cardiovascular disease and in the elderly.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Productive cough with thick mucus
This medicine is commonly prescribed for this.
Likely Use
Wheezing and breathlessness
Levosalbutamol helps relieve bronchospasm.
Likely Use
Dry cough
This medicine is not for dry cough; it is for productive cough.
Not Primary
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevosalbutamol is rapidly absorbed after oral administration, with peak plasma concentrations typically reached within 1 to 2 hours. Ambroxol is also well absorbed orally, with peak levels occurring around 1 to 3 hours. The oral drops formulation allows for rapid absorption due to the liquid form.
DistributionLevosalbutamol distributes widely into body tissues, including the lungs. It crosses the placenta and is excreted in breast milk. Ambroxol also distributes extensively, with high concentrations in lung tissue, and crosses the blood-brain barrier and placental barrier.
Protein BindingLevosalbutamol is approximately 10% bound to plasma proteins. Ambroxol is about 80-90% bound to plasma proteins.
MetabolismLevosalbutamol undergoes extensive first-pass metabolism in the liver, primarily by sulfation to inactive sulfate conjugates. Ambroxol is metabolized in the liver by cytochrome P450 enzymes, mainly CYP3A4, to inactive metabolites.
Half-LifeThe elimination half-life of levosalbutamol is approximately 3 to 4 hours. Ambroxol has a half-life of about 7 to 12 hours.
ExcretionLevosalbutamol and its metabolites are primarily excreted in urine, with a small fraction in feces. Ambroxol metabolites are excreted mainly in urine (about 90%) and feces (about 10%).
BioavailabilityOral bioavailability of levosalbutamol is approximately 20-30% due to first-pass metabolism. Ambroxol oral bioavailability is about 70-80%.
Onset of ActionBronchodilation from levosalbutamol occurs within 15-30 minutes after oral administration. Ambroxol's mucolytic effect begins within 30-60 minutes.
Peak Plasma TimeLevosalbutamol peak plasma levels occur at 1-2 hours; ambroxol at 1-3 hours.
Duration of ActionBronchodilation lasts for 4-6 hours. Mucolytic effect lasts for several hours, requiring multiple daily doses.

How It Works

This medicine combines two active ingredients with complementary actions. Ambroxol is a mucolytic that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance. Levosalbutamol is the R-enantiomer of salbutamol and acts as a selective beta-2 adrenergic receptor agonist, causing relaxation of bronchial smooth muscle and bronchodilation. Together, they improve airway clearance and breathing.

Mechanism Steps

1
Beta-2 receptor activation: Levosalbutamol binds to beta-2 adrenergic receptors on bronchial smooth muscle, activating adenylate cyclase and increasing cyclic AMP.
2
Bronchial smooth muscle relaxation: Increased cyclic AMP leads to relaxation of bronchial smooth muscle, resulting in bronchodilation and improved airflow.
3
Mucus viscosity reduction: Ambroxol stimulates serous secretion and breaks down acidic mucopolysaccharides, reducing mucus thickness and making it easier to expel.
4
Enhanced mucociliary clearance: Ambroxol promotes ciliary movement and surfactant production, aiding in the transport and expulsion of mucus from the airways.

💡 How to Take broncho tussin ls drop

Strength: Oral drops: Ambroxol 7.5 mg/ml + Levosalbutamol 0.25 mg/ml

1Shake the bottle well before each use.
2Use the dropper provided to measure the exact dose prescribed.
3Squeeze the dropper to release the drops directly into the mouth or mix with a small amount of water or juice.
4Take with food to reduce stomach upset.
5Wash the dropper after use and close the bottle tightly.

Dosage Information

Adult DosageThe usual adult dose is 2-4 ml (15-30 mg ambroxol and 0.5-1 mg levosalbutamol) two to three times daily, or as directed by a physician. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing.
Elderly DosageElderly patients may be more sensitive to the effects of levosalbutamol. Start with a lower dose and monitor for cardiovascular side effects. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor.
Maximum Daily DoseThe maximum recommended daily dose is 12 ml (90 mg ambroxol and 3 mg levosalbutamol) in divided doses, but this must be individualized by a clinician.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Caffeine
Limit
May increase nervousness and palpitations.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of broncho tussin ls drop

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce stomach upset. Consult doctor if persistent.
Tremor (Common (5-10%))
Usually resolves with continued use. Avoid caffeine. Consult doctor if severe.
Headache (Common (5-10%))
Rest and stay hydrated. Consult doctor if headache persists.
Palpitations (Uncommon (1-5%))
Report to doctor if persistent or accompanied by chest pain.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling, or difficulty breathing.
Paradoxical bronchospasm (Rare (<0.1%))
Stop the medicine and seek immediate medical help if breathing worsens after use.
Hypokalemia (Rare (<0.1%))
Report muscle weakness or cramps to your doctor. May require monitoring.

⚠️ Rare Side Effects

Tachycardia
Consult doctor if heart rate remains elevated.
Muscle cramps
Stay hydrated and consult doctor if persistent.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Propranolol Major
Furosemide Moderate
Digoxin Moderate
MAOIs Major

🚨 Major Interactions

  • Non-selective beta-blockers (e.g., propranolol)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide)
  • Digoxin

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and tremor. Avoid or limit alcohol consumption while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to ambroxol, levosalbutamol, or any component of the formulation","Severe cardiovascular disorders","Hyperthyroidism","Diabetes mellitus (uncontrolled)","Severe hepatic or renal impairment"]

⚠️ Warnings & Precautions

["May cause paradoxical bronchospasm; discontinue if occurs.","Use with caution in patients with cardiovascular disease, arrhythmias, or hypertension.","May cause hypokalemia; monitor potassium levels.","May impair ability to drive or operate machinery due to dizziness or tremor.","Not recommended for children under 2 years without medical advice.","Do not exceed prescribed dose."]

🤱 Lactation Safety

Levosalbutamol and ambroxol are excreted in breast milk. Caution is advised. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Symptoms of overdose may include severe tremor, tachycardia, palpitations, 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Shake the bottle well before use and measure the dose with the dropper provided. This medicine may cause dizziness or tremors; avoid driving or operating heavy machinery until you know how it affects you. 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 a prolonged period without medical supervision. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. Do not freeze.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to cardiovascular effects like tachycardia and tremor. Use with caution and monitor closely.

🤰 Pregnancy Planning (TTC)

Consult your doctor if you are planning pregnancy or are pregnant. The safety of this medicine during pregnancy is not fully established.

🏥 Post-Surgery Considerations

Use with caution after surgery, especially if you have cardiovascular instability. Consult your surgeon or anesthesiologist.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with certain medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Avoid smoking and exposure to secondhand smoke.
😴
Use a humidifier to keep airways moist.
💧
Practice deep breathing exercises.
🧘
Get adequate rest to support recovery.

🏋️ Exercise Considerations

Avoid strenuous exercise if you experience dizziness, tremor, or palpitations. Consult your doctor before starting any exercise program while on this medicine.

🥗 Diet Recommendations

Include warm fluids like soups and herbal teas.
Avoid cold and sugary drinks that can thicken mucus.
Eat a balanced diet rich in fruits and vegetables.
Limit caffeine intake.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or tremor, 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 for office work.

🛑 When to Stop This Medicine

Do not stop this medicine abruptly without consulting your doctor. If you experience severe side effects or no improvement, contact your healthcare provider. They will advise whether to adjust or stop the treatment.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use of levosalbutamol may lead to tolerance and reduced effectiveness. Regular monitoring of heart rate, blood pressure, and potassium levels is advised. Do not use for longer than prescribed without consulting your doctor.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Can help loosen mucus and ease breathing.

Evidence: Traditional
Chest physiotherapy

Techniques to help clear mucus from airways.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, consult your doctor about timing if you are acutely ill.

📦 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 at room temperature and protect from extreme heat or cold. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis and thick mucus
He was prescribed this medicine three times daily. After two days, he noticed his cough became more productive and breathing improved. He experienced mild tremor initially, which subsided after a few days. He was advised to take it with food to avoid nausea.
💡 Lesson: Taking the medicine with food reduces stomach upset, and mild side effects often diminish with continued use.
👤 A 60-year-old woman with COPD exacerbation
She started this medicine along with her regular inhalers. Her mucus became easier to cough out, and wheezing decreased. She was monitored for potassium levels due to concurrent diuretic use. No serious side effects occurred.
💡 Lesson: Combining this medicine with other respiratory treatments can be effective, but monitoring for electrolyte imbalances is important.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Bronchodilation occurs within 15-30 minutes, while mucolytic effects begin within 30-60 minutes.

Q: Can I take it with other cough medicines?

A: Consult your doctor before combining with other cough medicines to avoid interactions.

Q: Is it safe for children?

A: Pediatric dosing is not established; consult a pediatrician.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for broncho tussin ls drop

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any type of cough.
    Fact: It is specifically for productive cough with bronchospasm, not for dry cough or infections requiring antibiotics.
  • Myth: It is safe to take without a prescription.
    Fact: It is a prescription medicine and should only be used under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Ambroxol + Levosalbutamol oral drops (generic versions may be available)

📊 Comparison with Similar Medicines

[{"medicine":"Ambroxol + Levosalbutamol","key_difference":"Combines mucolytic and bronchodilator for productive cough with bronchospasm."},{"medicine":"Ambroxol alone","key_difference":"Only mucolytic, no bronchodilation."},{"medicine":"Levosalbutamol alone","key_difference":"Only bronchodilator, no mucolytic action."}]

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