Coughcin Br 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 shortness of breath
- Chest pain or palpitations
- Severe allergic reaction (rash, itching, swelling of face/lips/throat)
- Blood in cough or sputum
- High fever with chills
- Yellowing of skin or eyes (jaundice)
- Severe dizziness or fainting
- Uncontrollable shaking or tremor
If experiencing severe symptoms, call emergency services immediately.
What is cetvent br syrup used for?
This medicine is a combination of terbutaline and bromhexine used to treat productive cough by relaxing airways and thinning mucus. It is available as a syrup and is taken orally, usually 5-10 ml two to three times daily as prescribed.
- Generic Name: Terbutaline + Bromhexine
- Manufacturer: Mikail Pharma Private Limited
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cetvent br syrup के बारे में (Hindi Summary)
उपयोग: यह दवा टर्ब्यूटलाइन और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग बलगम वाली खांसी के इलाज के लिए किया जाता है। यह श्वसन मार्ग की मांसपेशियों को आराम देकर सांस लेना आसान बनाती है और गाढ़े बलगम को पतला करके बाहर निकालने में मदद करती है। यह दवा ब्रोंकाइटिस और अन्य श्वसन संबंधी समस्याओं में प्रभावी है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथ-पैर कांपना, घबराहट, सिरदर्द, चक्कर आना, जी मिचलाना और पेट खराब होना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, दिल की धड़कन तेज होना, या चेहरे पर सूजन हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या है, तो सावधानी बरतें। गर्भावस्था या स्तनपान के दौरान डॉक्टर की सलाह के बिना इसका उपयोग न करें। शराब का सेवन न करें। दवा लेते समय वाहन चलाने से बचें।
💊 cetvent br syrup Uses & Benefits
[{"condition":"Productive cough associated with acute bronchitis","description":"Helps to loosen thick mucus and relax airways, making it easier to cough out secretions and breathe more comfortably.","evidence":"Well-established"},{"condition":"Productive cough associated with chronic bronchitis","description":"Used to manage chronic mucus hypersecretion and bronchospasm in conditions like chronic obstructive pulmonary disease (COPD) exacerbations.","evidence":"Well-established"},{"condition":"Cough with bronchospasm","description":"Provides symptomatic relief when cough is accompanied by mild airway constriction, due to the bronchodilator action of terbutaline.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Asthma with thick mucus","description":"Sometimes prescribed off-label to help with mucus clearance in asthma patients, though inhaled therapies are preferred.","evidence":"Limited"}]
Primary treatment for: Productive cough associated with bronchitis
Also treats: Chronic obstructive pulmonary disease (COPD) with mucus, Asthma with thick mucus
📋 Drug Information
| Generic Name(s) | Terbutaline + Bromhexine |
| Brand Name | Askafex TR Suspension |
| Manufacturer | Mikail Pharma Private Limited |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Bronchodilator + Mucolytic |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| 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 receptor agonist that binds to beta-2 receptors on the smooth muscle cells of the airways, leading to relaxation and bronchodilation. Bromhexine is a mucolytic agent that works by breaking down the structure of mucus, reducing its viscosity and making it easier to expel. Together, they help to open the airways and clear mucus, providing relief from cough and breathing difficulty.
Mechanism Steps
💡 How to Take cetvent br 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 5-10 ml (one to two teaspoons) taken 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. 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 this medicine, especially cardiovascular effects such as increased heart rate and tremor. Use with caution and start with a lower dose as directed by a doctor. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | In patients with renal impairment, dose adjustment may be necessary. Consult your doctor for appropriate dosing. Dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | In patients with hepatic impairment, dose adjustment may be necessary. Consult your doctor for appropriate dosing. Dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum recommended daily dose is 30 ml (6 teaspoons) per day, or as directed 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 cetvent br 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 | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Theophylline | Moderate | |
| Anticholinergics | Minor |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Xanthine derivatives (e.g., theophylline)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can increase drowsiness, dizziness, and the risk of other central nervous system side effects. It may also exacerbate cardiovascular effects such as increased heart rate.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to terbutaline, bromhexine, or any component of the formulation","Severe cardiovascular disease, including arrhythmias and severe coronary insufficiency","Uncontrolled hypertension","Hyperthyroidism","Diabetes mellitus (uncontrolled)","Severe hepatic or renal impairment","Pregnancy (especially first trimester) unless clearly needed","Breastfeeding"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremor, nervousness, and increased heart rate; advise patients to avoid driving if affected.","Use with caution in patients with diabetes, as terbutaline may increase blood glucose levels.","Use with caution in patients with hyperthyroidism, as terbutaline may exacerbate symptoms.","May cause hypokalemia; monitor potassium levels, especially with concomitant use of diuretics or corticosteroids.","Not recommended for children under 2 years of age unless prescribed by a pediatrician.","Do not exceed the recommended dose or duration of treatment without medical advice.","If symptoms persist or worsen, consult a doctor."]
🤱 Lactation Safety
Terbutaline is excreted in breast milk and may cause side effects in a nursing infant. Bromhexine is also likely to be excreted in breast milk. This medicine is not recommended during breastfeeding unless the potential benefit outweighs the risk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause symptoms such as severe tremor, palpitations, chest pain, dizziness, nausea, vomiting, and hypotension. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and electrolytes.
⏰ 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
Before taking this medicine, inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, or a history of seizures. Do not take this medicine if you are allergic to terbutaline, bromhexine, or any other ingredients. This medicine may cause dizziness or drowsiness; avoid driving or operating heavy machinery until you know how it affects you. Do not drink alcohol while taking this medicine, as it can increase drowsiness and other side effects. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not share this medicine with others, even if they have similar symptoms. Keep out of reach of children. Do not exceed the prescribed dose or duration of treatment. If your cough does not improve within a few days or if you develop a fever, rash, or difficulty breathing, stop the medicine and contact your doctor immediately.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiovascular and central nervous system effects of this medicine. Use with caution, starting at a lower dose. Monitor heart rate, blood pressure, and for signs of tremor or dizziness.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. It is not recommended during pregnancy unless clearly needed. Discuss alternative treatments if you are trying to conceive.
🏥 Post-Surgery Considerations
If you have recently undergone surgery, inform your surgeon and anesthesiologist that you are taking this medicine. It may interact with certain anesthetic agents and affect heart rate and blood pressure.
🦷 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 containing epinephrine, potentially increasing heart rate.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness, tremor, or increased heart rate. Avoid strenuous exercise until you know how the medicine affects you. Light activity like walking may be fine, but consult your doctor before resuming intense workouts.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause dizziness, drowsiness, or tremor, which may affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to inform your employer if your job involves operating heavy machinery.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your cough does not improve within 7 days, if it worsens, or if you develop new symptoms such as fever, rash, or difficulty breathing. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine should be under 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 required. Bromhexine is generally well-tolerated for short-term use. Do not use this medicine for extended periods without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen mucus and soothe airways.
Evidence: LimitedHelps clear nasal congestion and post-nasal drip.
Evidence: ModerateCan soothe throat and reduce cough frequency.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are due for a vaccination, inform your healthcare provider that you are taking this medicine.
📦 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 the prescription label intact. Bring a copy of your prescription in case you need to show it at customs or to a healthcare provider. Store it at room temperature and protect it from extreme heat or direct sunlight. If you are crossing time zones, adjust your dosing schedule gradually, but consult your doctor for specific advice. Always pack enough medicine for your entire trip and a few extra days in case of delays.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: You may start to feel relief from cough and congestion within 30 to 60 minutes after taking a dose, but the full effect may take a few hours. Consistent use as prescribed will provide the best results.
A: Do not take other cough medicines without consulting your doctor, as they may contain overlapping ingredients or interact with this medicine.
A: This medicine is not recommended during pregnancy unless clearly needed. Consult your doctor if you are pregnant or planning to become pregnant.
A: Mild side effects like tremor or nausea usually go away. If you experience severe or persistent side effects, contact your doctor immediately.
🤔 Common Patient Concerns
🔄 Substitutes for cetvent br syrup
View AllAlternative brands with exact same active ingredient:
-
zycof syrupHos & Ins ₹39.38 47.5% CHEAPER
-
kofkil syrupUnilite Medicare Pvt Ltd ₹42.00 44% CHEAPER
-
flolin syrupHi Tech Pharmaceuticals Pvt Ltd ₹43.61 41.9% CHEAPER
-
koflatch-x syrupLiza Life Sciences ₹48.75 35% CHEAPER
-
coughcin br syrupSBM Pharmaceuticals ₹51.56 31.3% CHEAPER
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 specifically for productive cough with thick mucus. It is not effective for dry cough or cough due to other causes. - Myth: It is safe to take without a prescription.
Fact: This is a prescription medicine. It should only be taken under a doctor's supervision due to potential side effects and interactions. - Myth: More medicine means faster relief.
Fact: Taking more than the prescribed dose can increase the risk of side effects and does not provide faster relief.
🔄 Alternative Options
Generic Alternatives
- Terbutaline + Bromhexine syrup (generic)
Brand Alternatives
- Coughcin BR Syrup