cofraj syrup - Ammonium Chloride (50mg) + Bromhexine (4mg) medicine

cofraj syrup - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Universal Micro Sciences ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 29, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 29, 2026

What is cofraj syrup used for?

Ambitus Syrup (Ammonium Chloride + Bromhexine) is used to treat RESPIRATORY. It contains Ammonium Chloride (50mg) + Bromhexine (4mg), which Ammonium chloride increases bronchial secretions by osmotic action; Bromhexine r. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Ammonium Chloride + Bromhexine
  • Manufacturer: Universal Micro Sciences
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š cofraj syrup Uses & Benefits

Productive cough associated with respiratory tract infections, bronchitis, asthma, COPD

Off-label uses: None well-established

๐Ÿ“‹ Drug Information

Generic Name(s)Ammonium Chloride + Bromhexine
Brand NameAmbitus Syrup
ManufacturerUniversal Micro Sciences
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassExpectorant and Mucolytic
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionWell absorbed from gastrointestinal tract
DistributionDistributed throughout body fluids
Protein BindingBromhexine: 90-99% bound to plasma proteins
MetabolismBromhexine: Hepatic metabolism to active metabolite ambroxol
Half-LifeBromhexine: 12 hours; Ammonium chloride: variable
ExcretionBromhexine: Renal (90% as metabolites); Ammonium chloride: Renal
BioavailabilityBromhexine: 75-80%
Onset of Action30-60 minutes
Peak Plasma TimeBromhexine: 1-2 hours
Duration of Action6-8 hours

How It Works

Ammonium chloride increases bronchial secretions by osmotic action; Bromhexine reduces mucus viscosity by depolymerizing mucopolysaccharides

Mechanism Steps

1Ammonium chloride is converted to ammonia and chloride ions in the body
2Ammonia stimulates gastric mucosa, reflexly increasing bronchial secretions
3Bromhexine depolymerizes mucopolysaccharides in mucus, reducing viscosity

๐Ÿ’ก How to Take cofraj syrup

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cofraj syrup

โœ… Common Side Effects

  • Nausea
  • Vomiting
  • Diarrhea
  • Dizziness
  • Headache

๐Ÿšจ Serious Side Effects

  • Metabolic acidosis (with high doses of ammonium chloride)
  • Bronchospasm (rare)

โš ๏ธ Rare Side Effects

  • Allergic reactions
  • Hypokalemia
  • Hyperchloremia

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Codeine Major Reduced cough clearance due to suppressed cough reflex
Atropine Major Antagonism of bronchial secretion effects
Hydrochlorothiazide Moderate Increased risk of electrolyte imbalance
Prednisolone Moderate Possible increased potassium loss
Antacids Minor Reduced absorption of bromhexine

๐Ÿšจ Major Interactions

  • Cough suppressants (e.g., codeine)
  • Anticholinergics

โšก Moderate Interactions

  • Diuretics
  • Corticosteroids

โ„น๏ธ Minor Interactions

  • Antacids
  • Food

๐Ÿฝ๏ธ Food Interactions

No significant food interactions

๐Ÿท Alcohol Interaction

May increase sedation risk; avoid concurrent use

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to any component, severe renal impairment, metabolic alkalosis

๐Ÿ“Š Monitoring Parameters

Cough frequency and sputum characteristics, electrolyte levels, renal function

๐Ÿคฑ Lactation Safety

Excreted in breast milk; caution advised

๐Ÿ’Š Overdose Management

Gastric lavage, supportive measures; monitor electrolytes and acid-base balance

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose; do not double dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 29, 2026

๐Ÿ”— View Profile

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