Ascodex SF Syrup Sugar Free: 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 swallowing
- Swelling of face, lips, or throat
- Chest pain or irregular heartbeat
- Severe dizziness or fainting
- Blood in cough or vomit
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is cofman junior syrup used for?
This medicine is a sugar-free syrup containing guaifenesin (expectorant) and terbutaline (bronchodilator). It helps relieve cough with thick mucus and improves breathing by opening airways. It is used for conditions like bronchitis. Always take as prescribed by your doctor.
- Generic Name: Guaifenesin + Terbutaline
- Manufacturer: Shalman Pharma Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cofman junior syrup के बारे में (Hindi Summary)
उपयोग: यह दवा गुआइफेनेसिन और टर्बुटालीन का संयोजन है, जिसका उपयोग बलगम वाली खांसी और सांस की तकलीफ में राहत के लिए किया जाता है। यह बलगम को पतला करके निकालने में मदद करती है और श्वास नलियों को खोलती है।
साइड इफेक्ट्स: आम दुष्प्रभावों में जी मिचलाना, सिरदर्द, चक्कर आना, घबराहट, कंपन, धड़कन तेज होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सीने में दर्द, अनियमित धड़कन हो सकते हैं।
सुरक्षा सलाह: इस दवा को डॉक्टर की सलाह के बिना न लें। हृदय रोग, उच्च रक्तचाप, मधुमेह, थायरॉइड की समस्या हो तो डॉक्टर को बताएं। गर्भावस्था या स्तनपान के दौरान डॉक्टर से परामर्श करें। शराब न पिएं। वाहन चलाते समय सावधानी बरतें।
💊 cofman junior syrup Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus, making it easier to cough out, while also opening airways to improve breathing.","evidence":"Well-established"},{"condition":"Bronchitis","description":"Used to relieve cough and improve airflow in acute or chronic bronchitis.","evidence":"Well-established"},{"condition":"Respiratory conditions with bronchospasm and mucus","description":"May be used in conditions like COPD or asthma with mucus, but only under medical supervision.","evidence":"Limited"}]
Off-label uses: []
Primary treatment for: Productive cough with bronchospasm
Also treats: Bronchitis, COPD with mucus, Asthma with mucus (under supervision)
📋 Drug Information
| Generic Name(s) | Guaifenesin + Terbutaline |
| Brand Name | Asthakind Expectorant Sugar Free |
| Manufacturer | Shalman Pharma Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Expectorant and Bronchodilator |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from 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 an expectorant (guaifenesin) and a bronchodilator (terbutaline). Guaifenesin works by increasing the volume and reducing the viscosity of mucus in the respiratory tract, making it easier to clear. Terbutaline stimulates beta-2 adrenergic receptors in the airways, causing relaxation of bronchial smooth muscle and widening of the airways. Together, they help relieve cough and improve breathing.
Mechanism Steps
💡 How to Take cofman junior syrup
Strength: Each 5 ml contains Guaifenesin 50 mg and Terbutaline 1.25 mg.
Dosage Information
| Adult Dosage | The usual adult dose is 5-10 ml every 4-6 hours as needed, not to exceed 60 ml in 24 hours. 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. |
| Elderly Dosage | Elderly patients may be more sensitive to side effects; dose adjustment may be needed. Consult doctor. |
| Renal Impairment | Use with caution in renal impairment; dose adjustment may be necessary. Consult doctor. |
| Hepatic Impairment | Use with caution in hepatic impairment; dose adjustment may be necessary. Consult doctor. |
| Maximum Daily Dose | 60 ml in 24 hours for adults. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cofman junior 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 | |
| MAO inhibitors | Major | |
| Tricyclic antidepressants | Major | |
| Diuretics | Moderate | |
| Digoxin | Moderate | |
| Corticosteroids | Moderate | |
| Anticholinergics | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol)
- MAO inhibitors
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics
- Digoxin
- Corticosteroids
🍷 Alcohol Interaction
Alcohol may increase drowsiness 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 guaifenesin or terbutaline","Severe cardiac disease","Hypertension","Diabetes mellitus","Hyperthyroidism","Seizure disorders"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease.","May cause dizziness; avoid driving until effects known.","Not for children under 2 years without medical advice.","Do not exceed recommended dose.","Consult doctor if symptoms persist beyond 7 days."]
🤱 Lactation Safety
Terbutaline is excreted in breast milk; guaifenesin may also be. Consult doctor before use.
💊 Overdose Management
Overdose may cause severe tachycardia, tremor, hypokalemia, and seizures. Seek immediate medical attention. Treatment is supportive and symptomatic.
⏰ 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 dose.
Additional Safety Advice
Before taking this medicine, inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, seizures, or any other medical conditions. Do not take this medicine if you are allergic to guaifenesin, terbutaline, or any other ingredients. This medicine may cause dizziness or drowsiness; avoid driving or operating machinery until you know how it affects you. Do not drink alcohol while taking this medicine as it may 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 use this medicine for a longer period than prescribed. Keep out of reach of children. Store at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to cardiovascular effects. Use with caution and monitor heart rate and blood pressure.
🤰 Pregnancy Planning (TTC)
Consult your doctor if you are planning pregnancy. Terbutaline may affect uterine contractions; use only if clearly needed.
🏥 Post-Surgery Considerations
Consult your doctor before use after surgery, especially if you have heart conditions.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain anesthetics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you experience palpitations or dizziness. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
May cause dizziness or drowsiness; avoid driving or operating heavy machinery until you know how it affects you. Take rest if needed.
🛑 When to Stop This Medicine
Stop and consult your doctor if symptoms worsen or if you experience severe side effects. Do not stop abruptly without medical advice.
📅 Long-Term Use Effects
Long-term use of terbutaline may lead to tolerance and reduced effectiveness. Prolonged use of guaifenesin is generally safe but should be under medical supervision. Regular monitoring of heart rate and potassium may be needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and ease breathing.
Evidence: TraditionalCan help clear nasal congestion.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions known. Consult your doctor before any vaccination.
📦 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, away from direct sunlight. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Terbutaline starts working within 30 minutes, while guaifenesin may take a few hours to thin mucus.
A: Consult your doctor before combining with other cough medicines to avoid interactions.
🤔 Common Patient Concerns
🔄 Substitutes for cofman junior syrup
View AllAlternative brands with exact same active ingredient:
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b-kof expectorantBewell Labs Pvt Ltd ₹26.62 45.7% CHEAPER
-
winnow x syrupTyrant Pharma Pvt Ltd ₹37.50 23.5% CHEAPER
-
nt kuf m syrupHauz Pharma Pvt Ltd ₹42.19 13.9% CHEAPER
-
vindopen pd syrupLabinduss Ltd ₹45.00 8.2% CHEAPER
-
dilocus br syrupCurasia Medilabs ₹46.88 4.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: It is only for productive cough with mucus and bronchospasm; not for dry cough. - Myth: It is safe to take without prescription.
Fact: It contains terbutaline, which can cause serious side effects; use only under medical advice.
🔄 Alternative Options
Generic Alternatives
- Guaifenesin + Terbutaline syrup (various manufacturers)