Algnil Cf 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
- Difficulty breathing or worsening of breathing
- Chest pain or palpitations
- Severe allergic reaction (rash, swelling of face or throat)
- Blood in cough or vomit
- Severe dizziness or fainting
- Irregular heartbeat
- Yellowing of skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is bronchosolvin syrup used for?
This medicine is a combination syrup containing terbutaline and bromhexine. It helps relieve cough with thick mucus by opening the airways and thinning mucus. It is used for short-term symptomatic relief and should be taken only as prescribed by a doctor.
- Generic Name: Terbutaline + Bromhexine
- Manufacturer: Ipca Laboratories Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 bronchosolvin syrup के बारे में (Hindi Summary)
उपयोग: यह दवा टर्ब्यूटलीन और ब्रोमहेक्सिन का संयोजन है। यह गाढ़े बलगम वाली खांसी में राहत देती है। टर्ब्यूटलीन श्वास नलियों को फैलाता है और ब्रोमहेक्सिन बलगम को पतला करता है जिससे खांसी में आसानी होती है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथ-पैर कांपना, घबराहट, सिरदर्द, जी मिचलाना और दिल की धड़कन तेज होना शामिल है। गंभीर दुष्प्रभाव जैसे एलर्जी, सांस लेने में तकलीफ, या छाती में दर्द होने पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से ज्यादा न लें। दवा लेने से पहले बोतल को अच्छी तरह हिलाएं। अगर आपको चक्कर या कंपन महसूस हो तो वाहन न चलाएं। शराब का सेवन न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें।
💊 bronchosolvin syrup Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus in the airways, making it easier to cough out.","evidence":"Well-established for short-term use"},{"condition":"Mild bronchospasm associated with respiratory infections","description":"Terbutaline relaxes airway muscles to ease breathing when mucus causes congestion.","evidence":"Limited to short-term symptomatic relief"},{"condition":"Acute bronchitis with mucus hypersecretion","description":"Used as an adjunct to help clear secretions and improve cough efficiency.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Chronic obstructive pulmonary disease (COPD) with mucus","description":"Sometimes used for short-term symptom relief, but not a replacement for standard COPD therapy.","evidence":"Limited"}]
Primary treatment for: Productive cough with thick mucus
Also treats: Acute bronchitis, Mild bronchospasm associated with respiratory infections
📋 Drug Information
| Generic Name(s) | Terbutaline + Bromhexine |
| Brand Name | Askafex TR Suspension |
| Manufacturer | Ipca Laboratories Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator + Mucolytic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from light and moisture. Do not refrigerate. Keep the bottle tightly closed. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the expiry date. |
| 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 on the smooth muscle of the airways, causing relaxation and widening of the bronchi. Bromhexine is a mucolytic agent that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers, making secretions thinner and easier to expel. Together, they help open the airways and clear mucus, providing symptomatic relief from cough and congestion.
Mechanism Steps
💡 How to Take bronchosolvin syrup
Strength: Each 5 mL of syrup contains Terbutaline 1.25 mg and Bromhexine 4 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5 to 10 mL taken two to three times a day, or as directed by your doctor. The dose may vary depending on the severity of symptoms and your response to treatment. Do not exceed the recommended dose. 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 for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of terbutaline, especially cardiac effects. Use with caution and follow your doctor's instructions. Dose adjustment may be needed based on kidney and heart function. |
| Renal Impairment | Caution is advised in patients with kidney disease. Dose adjustment may be necessary. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Caution is advised in patients with liver disease. Dose adjustment may be necessary. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose should not exceed the amount prescribed by your doctor. Do not exceed 30 mL per day unless directed by a clinician. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of bronchosolvin syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Beta-blockers | Major | |
| Tricyclic antidepressants | Major | |
| Diuretics | Moderate | |
| Digoxin | Moderate | |
| Other sympathomimetics | Moderate | |
| Antacids | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Beta-blockers (e.g., propranolol)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Digoxin
- Other sympathomimetics
🍷 Alcohol Interaction
Alcohol may increase drowsiness, dizziness, and heart rate when taken with this medicine. It is best to avoid alcohol while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to terbutaline, bromhexine, or any component of this medicine","Severe heart disease or uncontrolled hypertension","Use within 14 days of taking monoamine oxidase inhibitors","Children below the age recommended by the prescribing doctor","Severe liver or kidney impairment without medical supervision"]
⚠️ Warnings & Precautions
["Use with caution in patients with heart disease, high blood pressure, diabetes, thyroid disorders, or seizures.","Do not exceed the recommended dose.","Avoid driving or operating machinery if you feel dizzy or shaky.","Do not use for prolonged periods without medical advice.","Keep out of reach of children.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Do not use if the syrup is discolored or the seal is broken."]
🤱 Lactation Safety
It is not known whether terbutaline and bromhexine are excreted in human breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause severe tremor, palpitations, chest pain, nausea, vomiting, and restlessness. Seek immediate medical attention. Treatment is supportive and symptomatic. Do not induce vomiting unless instructed by a healthcare professional.
⏰ 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 the dose or take it more often than directed. Shake the bottle well before each use and measure the dose with the provided spoon or cup. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Do not drink alcohol while taking this medicine because it can increase drowsiness and heart rate. Tell your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, or seizures before using this medicine. Do not use this medicine for more than the recommended duration without consulting your doctor. Keep this medicine out of the reach of children. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Do not use this medicine if the seal is broken or if the syrup has changed color or consistency.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiac effects of terbutaline. Monitor heart rate and blood pressure closely. Dose adjustment may be needed based on kidney and heart function.
🤰 Pregnancy Planning (TTC)
Consult your doctor before using this medicine if you are planning pregnancy. The safety of this medicine during pregnancy is not well established.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with certain anesthetic agents.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may cause dry mouth, which can affect dental health. Maintain good oral hygiene.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel dizzy, shaky, or have a rapid heartbeat. Light activity like walking is generally safe. Consult your doctor before starting any exercise routine.
🥗 Diet Recommendations
💼 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 usually safe to continue desk work.
🛑 When to Stop This Medicine
Stop taking this medicine if your symptoms improve or as advised by your doctor. Do not stop abruptly if you have been taking it for a long time without consulting your doctor. If you experience serious side effects, stop and seek medical help immediately.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without 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 needed. Consult your doctor for alternative treatments if symptoms persist.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and ease breathing.
Evidence: Well-established for symptom reliefCan help clear nasal congestion and postnasal drip.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, consult your doctor before receiving any vaccine while taking this medicine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate
✅ 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 at room temperature and protect it from direct sunlight. If traveling across time zones, continue with your regular dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines. Keep it in your carry-on luggage if possible.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Terbutaline starts working within 30 minutes, but the full effect on mucus may take a few hours. Follow your doctor's advice.
A: Yes, you can take it with or without food. If it upsets your stomach, take it with a meal or snack.
A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate use in children.
🤔 Common Patient Concerns
🔄 Substitutes for bronchosolvin syrup
View AllAlternative brands with exact same active ingredient:
-
bromline expectorantZeelab Pharmacy Pvt Ltd ₹25.00 8.1% CHEAPER
-
mt 4 syrupAbron Healthcare ₹26.25 3.5% CHEAPER
-
sorcure syrupScala Pharmaceuticals ₹30.47 12.1% COSTLIER
-
Turbocure SyrupBalsons Pharmaceutical ₹30.94 13.8% COSTLIER
-
browin-tg expectorantWintech Pharmaceuticals ₹33.75 24.1% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: This medicine is only for productive cough with thick mucus. It is not effective for dry cough or other types of cough. - Myth: It is safe to take this medicine for a long time.
Fact: This medicine is for short-term use only. Prolonged use without medical supervision can be harmful. - Myth: More medicine means faster relief.
Fact: Taking more than the prescribed dose can cause serious side effects. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Terbutaline + Bromhexine syrup (generic)