colace plus syrup - Guaifenesin (50mg/5ml) + Ambroxol (15mg/5ml) medicine

Ambrohist Plus Syrup: Complete Medicine Guide

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🏭 Capricorn Biotech 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for guaifenesin and ambroxol individually; limited for the combination.
Reviewed by
SaathiMed Expert Panel | Oct 23, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is colace plus syrup used for?

This medicine is a combination cough syrup containing guaifenesin and ambroxol. It works by thinning and loosening mucus in the airways, making it easier to cough out. It is used for productive cough and should be taken as prescribed by a doctor.

  • Generic Name: Guaifenesin + Ambroxol
  • Manufacturer: Capricorn Biotech
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 colace plus syrup के बारे में (Hindi Summary)

उपयोग: यह दवा गुआइफेनेसिन और एम्ब्रोक्सोल का संयोजन है, जिसका उपयोग बलगम वाली खांसी के इलाज के लिए किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है। यह तीव्र और दीर्घकालिक ब्रोंकाइटिस, सीओपीडी जैसी स्थितियों में उपयोगी है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में परेशानी, दस्त, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी प्रतिक्रिया या सांस लेने में कठिनाई हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुद से दवा की मात्रा न बढ़ाएं। इस दवा को लेते समय भरपूर पानी पिएं। अगर आपको चक्कर या नींद आती है तो वाहन चलाने या मशीन चलाने से बचें। 7 दिनों से अधिक इस दवा का उपयोग बिना डॉक्टर की सलाह के न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 colace plus syrup Uses & Benefits

[{"condition":"Productive cough","description":"Helps loosen and thin mucus, making it easier to cough out.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Provides symptomatic relief by clearing chest congestion.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Used to manage thick secretions in chronic obstructive pulmonary disease (COPD) and chronic bronchitis.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Sinusitis","description":"Sometimes used to help thin mucus in sinus infections, but not a primary treatment.","evidence":"Limited"}]

Primary treatment for: Productive cough

Also treats: Acute bronchitis, Chronic bronchitis, COPD

📋 Drug Information

Generic Name(s)Guaifenesin + Ambroxol
Brand NameAmbrohist Plus Syrup
ManufacturerCapricorn Biotech
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassExpectorant and Mucolytic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not refrigerate.
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
Take this medicine with food to reduce stomach upset.
2
Drink plenty of water throughout the day to help loosen mucus.
3
Avoid alcohol while taking this medicine as it may increase drowsiness.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.
7
Do not use this medicine in children under 2 years without medical advice.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough; it may worsen it.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionBoth guaifenesin and ambroxol are rapidly absorbed from the gastrointestinal tract after oral administration.
DistributionGuaifenesin and ambroxol are widely distributed in body tissues, including the lungs. Ambroxol crosses the blood-brain barrier and placental barrier.
Protein BindingGuaifenesin: Not established from the available information. Ambroxol: Approximately 90% bound to plasma proteins.
MetabolismGuaifenesin is metabolized in the liver via oxidation to beta-(2-methoxyphenoxy) lactic acid. Ambroxol is metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4.
Half-LifeGuaifenesin: Approximately 1 hour. Ambroxol: Approximately 7-12 hours.
ExcretionGuaifenesin and its metabolites are excreted primarily in the urine. Ambroxol is excreted mainly in the urine as metabolites.
BioavailabilityGuaifenesin: About 60% oral bioavailability. Ambroxol: About 70-80% oral bioavailability due to first-pass metabolism.
Onset of ActionOnset of action is typically within 30 minutes to 1 hour after oral administration.
Peak Plasma TimeGuaifenesin: 15-30 minutes. Ambroxol: 1-3 hours.
Duration of ActionThe effects last for approximately 4-6 hours, so dosing is usually every 4-6 hours as needed.

How It Works

This medicine combines two active ingredients with complementary actions. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of respiratory tract secretions, helping to clear mucus. Ambroxol is a mucolytic that breaks down acidic mucopolysaccharide fibers in mucus, reducing its thickness and making it easier to expel. Together, they improve mucus clearance from the airways.

Mechanism Steps

1
Guaifenesin action: Guaifenesin stimulates respiratory tract secretions, increasing mucus volume and reducing its stickiness.
2
Ambroxol action: Ambroxol breaks down the structure of mucus, making it thinner and less adhesive.
3
Enhanced clearance: The combined effect makes it easier for the patient to cough out mucus, relieving chest congestion.

💡 How to Take colace plus syrup

Strength: Each 5 ml contains Guaifenesin 50 mg and Ambroxol 15 mg.

1Shake the bottle well before use.
2Use a measuring cup or spoon to measure the correct dose.
3Take the medicine orally, with or without food.
4Drink a glass of water after taking the medicine to help loosen mucus.
5Wash the measuring cup after each use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 5-10 ml (1-2 teaspoons) every 4-6 hours, as needed, not to exceed 60 ml in 24 hours. However, the dose must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. Do not self-medicate; follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Use with caution and follow your doctor's advice.
Renal ImpairmentDose adjustment may be needed in patients with severe renal impairment. Consult your doctor.
Hepatic ImpairmentDose adjustment may be needed in patients with severe hepatic impairment. Consult your doctor.
Maximum Daily DoseThe maximum daily dose for adults is 60 ml of this syrup in 24 hours. Do not exceed this dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
No known interaction
No significant interaction reported.

⏰ 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 colace plus syrup

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated with small sips of water. If vomiting is severe or persistent, contact your doctor.
Stomach discomfort (Common (5-10%))
Take with meals. Avoid spicy foods. If it continues, consult your doctor.
Diarrhea (Common (5-10%))
Drink plenty of fluids to prevent dehydration. If diarrhea is severe or lasts more than 2 days, seek medical advice.
Headache (Uncommon (1-5%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how this medicine affects you.
Drowsiness (Uncommon (1-5%))
Avoid activities requiring alertness. If drowsiness is excessive, consult your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek immediate medical help if you notice a painful rash, blistering, or peeling of the skin.
Gastrointestinal bleeding (Rare (<0.1%))
Seek immediate medical attention if you notice black, tarry stools, vomiting blood, or severe abdominal pain.

⚠️ Rare Side Effects

Bronchospasm
Seek immediate medical help if you experience wheezing or difficulty breathing.
Liver enzyme elevation
Report to your doctor if you notice yellowing of eyes or skin, dark urine, or persistent nausea.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Codeine Major
Dextromethorphan Major
Amoxicillin Moderate
Cefuroxime Moderate
Furosemide Moderate
Atropine Minor

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Antibiotics (e.g., amoxicillin, cefuroxime)
  • Diuretics

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness caused by this medicine. It is advisable to 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, ambroxol, or any component of the formulation.","Children under 2 years of age.","Severe hepatic impairment.","Severe renal impairment.","Active peptic ulcer disease."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Use with caution in patients with a history of peptic ulcer.","Use with caution in patients with kidney or liver disease.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor if cough persists for more than 7 days, or if it is accompanied by fever, rash, or persistent headache.","Do not use in children under 2 years without medical advice.","If you are pregnant or breastfeeding, consult your doctor before use."]

🤱 Lactation Safety

It is not known whether guaifenesin and ambroxol pass into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it may lead to drowsiness, dizziness, and difficulty breathing. Seek immediate medical attention if overdose is suspected. 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 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. Drink plenty of water while taking this medicine to help loosen mucus. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not take this medicine for more than 7 days without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, inform your doctor before taking this medicine. Keep this medicine out of reach of children. Do not use this medicine if you are allergic to guaifenesin, ambroxol, or any other ingredients. If you have a history of stomach ulcers or kidney/liver problems, tell your doctor before use.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects, especially drowsiness and dizziness. Use with caution and monitor for any adverse effects.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established.

🏥 Post-Surgery Considerations

If you have recently had surgery, consult your doctor before taking this medicine, as it may affect cough reflexes and mucus clearance.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may affect saliva production and cause dry mouth.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Use a humidifier to add moisture to the air.
😴
Avoid smoking and exposure to secondhand smoke.
💧
Practice good hand hygiene to prevent infections.
🧘
Get adequate rest to support recovery.

🏋️ Exercise Considerations

If you experience dizziness or drowsiness after taking this medicine, avoid exercising or operating machinery until you feel alert.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup.
Include vitamin C-rich fruits and vegetables.
Avoid dairy products if they seem to thicken mucus.
Stay hydrated with water throughout the day.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue desk work.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your cough persists for more than 7 days, or if you experience severe side effects. Do not stop abruptly if you are on a prescribed course without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine is generally not recommended without medical supervision. Prolonged use may mask underlying conditions. Monitor for any persistent side effects. Regular review by a doctor is advised if used for chronic conditions.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Can help loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Helps clear nasal passages and reduce postnasal drip.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you have a fever or acute illness, consult your doctor before 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

When traveling, carry this medicine in its original packaging with the prescription label. Bring a copy of your prescription in case of customs checks. Store at room temperature and avoid extreme heat or cold. If crossing time zones, continue your regular dosing schedule as prescribed. Keep the bottle tightly closed and upright to prevent leakage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic bronchitis
Started this medicine as prescribed for productive cough. Within 2 days noticed significant improvement in chest congestion and easier coughing. Emphasized taking with food to prevent stomach upset.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 60-year-old retiree with COPD
Used this medicine during exacerbations to help clear mucus. Found it helpful but experienced mild nausea initially. Taking it with meals reduced the nausea.
💡 Lesson: Taking the medicine with food can minimize gastrointestinal side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 minutes to 1 hour after taking it.

Q: Can I take this medicine with antibiotics?

A: Yes, but inform your doctor. Ambroxol may increase the concentration of some antibiotics in the lungs, which can be beneficial.

Q: Is this medicine safe for children?

A: It is not recommended for children under 2 years. For older children, consult a pediatrician for appropriate dosing.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • 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 colace plus syrup

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: This medicine is only for productive cough with thick mucus. It is not effective for dry cough or cough due to allergies.
  • Myth: More medicine means faster relief.
    Fact: Taking more than the recommended dose can increase side effects and does not provide faster relief.
  • Myth: It is safe to take this medicine with other cough syrups.
    Fact: Combining with other cough medicines, especially suppressants, can be harmful. Always consult a doctor.

🔄 Alternative Options

Generic Alternatives

  • Guaifenesin + Ambroxol syrup (various manufacturers)

Brand Alternatives

  • Ambrodil-G
  • Mucolite
  • Brozeet-LS

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Guaifenesin 50mg/5ml + Ambroxol 15mg/5ml","uses":"Productive cough","notes":"Combination expectorant and mucolytic."},{"medicine":"Ambroxol alone","composition":"Ambroxol 15mg/5ml","uses":"Productive cough","notes":"Mucolytic only."},{"medicine":"Guaifenesin alone","composition":"Guaifenesin 50mg/5ml","uses":"Productive cough","notes":"Expectorant only."}]

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