coughrest tablet - Guaifenesin (NA) + Bromhexine (NA) medicine

Alkof Cofgel Tablet: Complete Medicine Guide

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🏭 Mankind Pharma Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
🤰 Pregnancy Category Not established from the available information. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for expectorant and mucolytic effects.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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 coughrest tablet used for?

This medicine is a combination of guaifenesin and bromhexine used to treat productive cough with thick mucus. It works by thinning mucus and making it easier to cough out. It is not for dry cough.

  • Generic Name: Guaifenesin + Bromhexine
  • Manufacturer: Mankind Pharma Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 coughrest tablet के बारे में (Hindi Summary)

उपयोग: यह दवा गुआइफेनेसिन और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग बलगम वाली खांसी और छाती में जकड़न के इलाज के लिए किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है। यह सूखी खांसी के लिए नहीं है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, सिरदर्द और चक्कर आना शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। यदि आपको गंभीर एलर्जी, सांस लेने में कठिनाई, या त्वचा पर चकत्ते दिखें तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुद से मात्रा न बढ़ाएं। पर्याप्त पानी पिएं। शराब का सेवन न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। 7 दिनों से अधिक इसका उपयोग न करें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 coughrest tablet Uses & Benefits

[{"condition":"Productive cough with thick mucus","description":"Helps thin and loosen mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Used to relieve chest congestion and facilitate mucus clearance in acute bronchitis.","evidence":"Moderate"},{"condition":"Chronic obstructive pulmonary disease (COPD) exacerbations","description":"May help in clearing secretions during exacerbations, but not a primary treatment.","evidence":"Limited"},{"condition":"Upper respiratory tract infections with mucus","description":"Provides symptomatic relief of chest congestion associated with common colds and flu.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Sinusitis with thick secretions","description":"Sometimes used off-label to help thin sinus secretions and relieve congestion.","evidence":"Limited"},{"condition":"Post-surgical atelectasis prevention","description":"Occasionally used to help clear secretions in post-operative patients, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Productive cough with thick mucus

Also treats: Acute bronchitis, Chronic obstructive pulmonary disease (COPD) exacerbations, Upper respiratory tract infections

📋 Drug Information

Generic Name(s)Guaifenesin + Bromhexine
Brand NameAlkof Cofgel Tablet
ManufacturerMankind Pharma Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassExpectorant and Mucolytic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Keep in the original container.
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.
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 for dry cough.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough with thick mucus
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGuaifenesin is rapidly absorbed from the gastrointestinal tract after oral administration. Bromhexine is also well absorbed orally. However, specific absorption data for this combination product are not established from the available information.
DistributionGuaifenesin and bromhexine are distributed to body tissues, including the respiratory tract. Protein binding information for this combination is not established from the available information.
Protein BindingNot established from the available information.
MetabolismGuaifenesin is metabolized in the liver. Bromhexine undergoes extensive first-pass metabolism in the liver to active metabolites. Specific metabolic pathways for this combination are not established from the available information.
Half-LifeThe elimination half-life of guaifenesin is approximately 1 hour. The elimination half-life of bromhexine is not well established. Specific half-life for this combination is not established from the available information.
ExcretionGuaifenesin and its metabolites are excreted primarily in the urine. Bromhexine metabolites are also excreted in urine. Specific excretion data for this combination are not established from the available information.
BioavailabilityThe bioavailability of guaifenesin is approximately 60%. The bioavailability of bromhexine is not well established. Specific bioavailability for this combination is not established from the available information.
Onset of ActionThe onset of action for guaifenesin is typically within 30 minutes to 1 hour. For bromhexine, onset may be within 1-2 hours. Specific onset for this combination is not established from the available information.
Peak Plasma TimePeak plasma time for guaifenesin is about 1 hour. For bromhexine, it is not well established. Specific peak plasma time for this combination is not established from the available information.
Duration of ActionThe duration of action for guaifenesin is approximately 4-6 hours. For bromhexine, it may be longer. Specific duration for this combination is not established from the available information.

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 by stimulating gastric reflexes and directly acting on the respiratory tract. Bromhexine is a mucolytic that breaks down acidic mucopolysaccharide fibers in mucus, reducing its viscosity and making it easier to expel. Together, they enhance mucus clearance from the airways.

Mechanism Steps

1
Guaifenesin stimulates gastric mucosa: Guaifenesin acts on the stomach to trigger a reflex that increases respiratory tract fluid secretion.
2
Increased mucus volume: This reflex leads to higher water content in mucus, making it less sticky.
3
Bromhexine breaks down mucus fibers: Bromhexine hydrolyzes mucopolysaccharide fibers, further reducing mucus viscosity.
4
Enhanced ciliary clearance: Thinner mucus is more easily moved by cilia and coughed out.

💡 How to Take coughrest tablet

Strength: Not established from the available information.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food if it upsets your stomach.
4Drink plenty of water throughout the day to help loosen mucus.
5Take at evenly spaced intervals as prescribed by your doctor.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally 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 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. Dose adjustment may be necessary based on renal and hepatic function.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be required. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be required. Consult your doctor.
Maximum Daily DoseThe maximum daily dose should not exceed the recommended dose as prescribed by your doctor. Do not exceed 3 tablets in 24 hours unless directed by a physician.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Water
Drink plenty
Helps loosen mucus.

⏰ 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 coughrest tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated. If vomiting is severe or persistent, contact your doctor.
Diarrhea (Common (5-10%))
Drink plenty of fluids. If diarrhea persists for more than 2 days, consult your doctor.
Headache (Common (5-10%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you feel normal. If dizziness persists, consult your doctor.

🚨 Serious Side Effects

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

⚠️ 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 abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Codeine Major
Dextromethorphan Major
MAOIs Major
Atropine Moderate
Amoxicillin Moderate
Tetracycline Moderate
Antacids Minor

🚨 Major Interactions

  • Cough suppressants (e.g., codeine, dextromethorphan)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., atropine)
  • Antibiotics (e.g., amoxicillin, tetracycline)

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and gastrointestinal upset. 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

["Known hypersensitivity to guaifenesin, bromhexine, or any component of the formulation.","Children under 2 years of age.","Peptic ulcer disease.","Severe liver disease.","Severe kidney disease.","Concurrent use with MAOIs."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Do not use for dry cough or for more than 7 days without medical advice.","Use with caution in patients with asthma.","Use with caution in patients with a history of peptic ulcer.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor before use if pregnant or breastfeeding.","Keep out of reach of children."]

🤱 Lactation Safety

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

💊 Overdose Management

Overdose may cause nausea, vomiting, diarrhea, and abdominal discomfort. In case of overdose, seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote.

⏰ 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 or duration of treatment. Drink plenty of water while taking this medicine to help loosen mucus. Avoid taking this medicine with alcohol or other cough suppressants unless advised by your doctor. If you have a history of stomach ulcers, asthma, or liver or kidney disease, inform your doctor before taking this medicine. Do not use this medicine for a dry cough or for more than 7 days without medical advice. Keep this medicine out of reach of children. Store in a cool, dry place away from direct sunlight. 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.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and gastrointestinal upset. Use with caution and follow your doctor's advice.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Safety in pregnancy is not established.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially if you are taking other medications or have underlying conditions.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with certain medications used during dental procedures.

💚 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.
💧
Get plenty of rest to help your body recover.
🧘
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have a cough or fever. Light activity like walking may be okay if you feel up to it. Consult your doctor before resuming intense exercise.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup.
Include vitamin C rich foods like oranges and lemons.
Avoid cold drinks and ice cream.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is usually safe to work if you feel well.

🛑 When to Stop This Medicine

Stop taking this medicine if your cough persists for more than 7 days, or if you develop a fever, rash, or difficulty breathing. Consult your doctor before stopping if you are unsure.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to gastrointestinal upset and rarely liver enzyme elevation. Regular monitoring may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Can help clear nasal passages and reduce postnasal drip.

Evidence: Moderate
Honey and warm fluids

Soothes the throat and may help with cough.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions reported. However, if you have a fever or acute illness, consult your doctor before receiving any vaccine.

📦 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 and protect from moisture. If traveling across time zones, adjust dosing intervals as advised by your doctor. Check customs regulations for carrying medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with acute 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 with COPD exacerbation
Used this medicine as part of COPD exacerbation management. Helped clear thick secretions and improved breathing. Reminded to stay hydrated and avoid alcohol.
💡 Lesson: This medicine can be helpful in COPD exacerbations but should be used under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start to notice loosening of mucus within 30 minutes to 1 hour, but full effect may take a few doses.

Q: Can I take it with other cough medicines?

A: Do not take with cough suppressants as they may counteract the effect. Consult your doctor before combining.

Q: Is it safe during pregnancy?

A: Consult your doctor before use. Safety is not established.

Q: What if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip it. Do not double dose.

🤔 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 coughrest tablet

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: It is only effective for productive cough with thick mucus. It is not for dry cough.
  • Myth: It is safe to take for long periods.
    Fact: It should not be used for more than 7 days without medical advice.
  • Myth: It can be taken with any other cough medicine.
    Fact: It should not be taken with cough suppressants as they may counteract its effect.

🔄 Alternative Options

Generic Alternatives

  • Guaifenesin + Bromhexine tablet (generic)

Brand Alternatives

  • Alkof Cofgel Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Guaifenesin + Bromhexine","primary_use":"Productive cough","notes":"Expectorant + mucolytic"},{"medicine":"Ambroxol + Guaifenesin","composition":"Ambroxol + Guaifenesin","primary_use":"Productive cough","notes":"Similar action, different mucolytic"},{"medicine":"Bromhexine + Dextromethorphan","composition":"Bromhexine + Dextromethorphan","primary_use":"Productive cough with dry component","notes":"Combines mucolytic with cough suppressant"}]

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