etoxin b tablet - Terbutaline (2.5mg) + Bromhexine (8mg) medicine

Broncoff Syrup: Complete Guide to Uses, Side Effects, and Safety

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🏭 Ind Swift Laboratories Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate
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

  • Severe allergic reaction (rash, itching, swelling, difficulty breathing)
  • Irregular or fast heartbeat
  • Chest pain
  • Worsening of asthma or breathing difficulty
  • Severe dizziness or fainting
  • Muscle weakness or cramps
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is etoxin b tablet used for?

This medicine is a combination syrup containing terbutaline (a bronchodilator) and bromhexine (a mucolytic). It is used to relieve cough, wheezing, and mucus congestion in conditions like bronchitis and asthma. It works by relaxing airway muscles and thinning mucus. It should be taken as prescribed, usually three times a day.

  • Generic Name: Terbutaline (2.5mg) + Bromhexine (8mg)
  • Manufacturer: Ind Swift Laboratories Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 etoxin b tablet के बारे में (Hindi Summary)

उपयोग: यह दवा टर्ब्यूटलीन और ब्रोमहेक्सिन का संयोजन है। यह ब्रोंकाइटिस, अस्थमा और कफ जैसी श्वसन समस्याओं में राहत देती है। टर्ब्यूटलीन श्वास नलियों को फैलाता है और ब्रोमहेक्सिन बलगम को पतला करता है जिससे खांसी में आसानी होती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कंपन, घबराहट, सिरदर्द, मतली और पेट खराब होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यदि आपको दिल की धड़कन तेज होना, चक्कर आना या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक न बढ़ाएं। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या है तो डॉक्टर को बताएं। दवा लेने के बाद चक्कर या कंपन महसूस हो तो वाहन न चलाएं। बच्चों की पहुंच से दूर रखें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

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

💊 etoxin b tablet Uses & Benefits

[{"condition":"Bronchitis","description":"Helps relieve cough and mucus congestion associated with acute or chronic bronchitis.","evidence":"Well-established"},{"condition":"Asthma","description":"Provides symptomatic relief of bronchospasm and mucus plugging in asthma, but is not for acute severe attacks.","evidence":"Well-established"},{"condition":"Productive cough","description":"Aids in loosening thick mucus, making it easier to expel.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Bronchitis

Also treats: Asthma, Productive cough, COPD

📋 Drug Information

Generic Name(s)Terbutaline (2.5mg) + Bromhexine (8mg)
Brand Nameetoxin b tablet
ManufacturerInd Swift Laboratories Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed.
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
Always shake the bottle well before measuring the dose.
2
Use a proper measuring cup or spoon; household spoons are not accurate.
3
Take this medicine with food to minimize stomach upset.
4
Avoid caffeine and alcohol while taking this medicine as they can worsen side effects.
5
Do not use this medicine for more than 7 days without consulting your doctor.
6
If you have a history of heart disease, inform your doctor before starting this medicine.
7
Keep track of your symptoms and report any worsening to your doctor.

🔍 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
✅
Wheezing
Terbutaline helps relieve wheezing.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionTerbutaline is well absorbed from the gastrointestinal tract after oral administration. Bromhexine is also absorbed orally, but specific bioavailability data for the syrup formulation is not established from the available information.
DistributionTerbutaline distributes widely into body tissues, including the lungs. Bromhexine is distributed to the respiratory tract and other tissues. Protein binding information for both ingredients is not established from the available information.
Protein BindingNot established from the available information.
MetabolismTerbutaline undergoes conjugation in the liver, primarily to sulfate esters. Bromhexine is metabolized in the liver to several metabolites, including ambroxol.
Half-LifeThe elimination half-life of terbutaline is approximately 3 to 4 hours. The elimination half-life of bromhexine is not established from the available information.
ExcretionTerbutaline and its metabolites are excreted mainly in the urine. Bromhexine metabolites are excreted primarily in the urine.
BioavailabilityThe oral bioavailability of terbutaline is approximately 10% to 15% due to first-pass metabolism. The bioavailability of bromhexine is not established from the available information.
Onset of ActionBronchodilation from terbutaline typically begins within 30 minutes after oral administration. The mucolytic effect of bromhexine may take longer, usually within 1 to 2 hours.
Peak Plasma TimePeak plasma concentrations of terbutaline are reached within 2 to 4 hours after oral administration. Peak plasma time for bromhexine is not established from the available information.
Duration of ActionThe bronchodilator effect of terbutaline lasts about 4 to 6 hours. The duration of bromhexine's mucolytic effect is not established from the available information.

How It Works

Terbutaline acts by selectively stimulating beta-2 adrenergic receptors in the bronchial smooth muscle, leading to relaxation and widening of the airways. Bromhexine works by increasing the production of serous fluid in the respiratory tract and breaking down the structure of mucus, reducing its viscosity and making it easier to clear.

Mechanism Steps

1
Beta-2 receptor stimulation: Terbutaline binds to beta-2 adrenergic receptors on bronchial smooth muscle cells, activating intracellular signaling that leads to muscle relaxation.
2
Bronchodilation: Relaxation of bronchial smooth muscle widens the airways, reducing resistance to airflow and easing breathing.
3
Mucolytic action: Bromhexine alters the composition of mucus by breaking down acidic mucopolysaccharide fibers, making it less viscous.
4
Enhanced mucus clearance: Thinner mucus is more easily moved by cilia and coughed out, helping to clear the airways.

💡 How to Take etoxin b tablet

Strength: Each 5 mL of syrup contains Terbutaline 2.5 mg and Bromhexine 8 mg.

1Shake the bottle well before use.
2Use a measuring cup or spoon to measure the exact dose.
3Take the medicine with or without food, but taking it with food may reduce stomach upset.
4Swallow the syrup directly; do not mix with other liquids unless advised.
5Wash the measuring cup after each use.
6Close the bottle tightly after use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 mL (2 teaspoons) three times a day, or as directed by your doctor. The dose may be adjusted based on your condition and response. 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 effects of terbutaline, especially cardiovascular effects. Use with caution and lower doses may be appropriate. Consult your doctor.
Renal ImpairmentNo specific dosage adjustment guidelines are available for renal impairment. Use with caution and consult your doctor.
Hepatic ImpairmentNo specific dosage adjustment guidelines are available for hepatic impairment. Use with caution and consult your doctor.
Maximum Daily DoseThe maximum recommended daily dose is 30 mL (6 teaspoons) in divided doses, but this may vary based on medical advice. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Caffeine
Limit
May increase nervousness and palpitations.

⏰ 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 etoxin b tablet

✅ Common Side Effects

Tremors (Common (5-10%))
Usually resolves with continued use. If bothersome, consult your doctor.
Nervousness (Common (5-10%))
Try to rest and avoid caffeine. Consult doctor if persistent.
Headache (Common (5-10%))
Stay hydrated and rest. Consult doctor if severe.
Nausea (Common (5-10%))
Take with food to reduce nausea. Consult doctor if it continues.
Palpitations (Uncommon (1-5%))
Report to your doctor if you feel your heart racing or pounding.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling, dizziness, or difficulty breathing.
Irregular heartbeat (Rare (<0.1%))
Contact your doctor immediately if you notice palpitations, chest pain, or fainting.
Worsening of asthma (Rare (<0.1%))
If your breathing becomes more difficult, seek emergency medical help.

⚠️ Rare Side Effects

Hypokalemia
Report muscle weakness or cramps to your doctor.
Hyperglycemia
Monitor blood sugar if diabetic and inform your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Propranolol Major
MAOIs Major
Furosemide Moderate
Digoxin Moderate
Tricyclic antidepressants Moderate
Caffeine Minor

🚨 Major Interactions

  • Beta-blockers (e.g., propranolol)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide)
  • Digoxin
  • Tricyclic antidepressants

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and cardiovascular side effects. 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 terbutaline, bromhexine, or any component of the formulation","Severe cardiac disease, especially arrhythmias","Hyperthyroidism","Severe hypertension","Acute severe asthma attack (requires emergency treatment)"]

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremors and nervousness; avoid driving or operating machinery if affected.","Use with caution in patients with diabetes mellitus; may increase blood glucose.","Use with caution in patients with hyperthyroidism.","Do not exceed the recommended dose; excessive use may lead to cardiac side effects.","Not for prolonged use without medical supervision.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether terbutaline and bromhexine are excreted in human milk. Caution should be exercised when administered to a nursing woman. Consult your doctor.

💊 Overdose Management

Overdose may cause severe tachycardia, tremors, palpitations, nausea, and vomiting. Seek immediate medical attention. Treatment is supportive and symptomatic. 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 dose.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Inform your doctor if you have heart problems, high blood pressure, diabetes, or thyroid disorders. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Do not use this medicine for longer than your doctor advises. Keep it out of reach of children. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the cardiovascular effects of terbutaline. Use with caution and monitor heart rate and blood pressure regularly. Lower doses may be appropriate.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. It should be used during pregnancy only if clearly needed.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially if you have heart or lung conditions. It may interact with anesthetics or other medications.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may cause dry mouth or interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Avoid smoking and exposure to secondhand smoke.
🥗
Use a humidifier to keep the air moist, which can help loosen mucus.
😴
Stay well hydrated by drinking plenty of fluids.
💧
Practice deep breathing exercises to improve lung function.
🧘
Get adequate rest to help your body recover.
🌞
Avoid known allergens that trigger your respiratory symptoms.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have breathing difficulties. Mild to moderate exercise like walking may be beneficial, but consult your doctor before starting any exercise program.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup to help soothe the throat and loosen mucus.
Include foods rich in vitamin C and antioxidants to support immune function.
Avoid cold drinks and ice cream which may worsen cough.
Limit caffeine as it can increase nervousness and palpitations.

💼 Impact on Daily Work & Life

This medicine may cause tremors, nervousness, or dizziness, which can 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 work involves operating heavy machinery.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects. Do not stop abruptly if you have been taking it for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without 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. Consult your doctor if you need to use this medicine for more than 7 days.

🌿 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: Well-established
Chest physiotherapy

Techniques to help clear mucus from the airways.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, if you have a respiratory infection, consult your doctor about the timing of vaccinations.

📦 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 the prescription label intact. Bring a copy of your prescription in case you need to show it at customs. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Keep it in your carry-on luggage if flying, as checked baggage may be exposed to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis
He was prescribed this medicine for a productive cough and wheezing. After taking it for 3 days, he noticed significant relief in chest congestion and could cough out mucus more easily. He experienced mild tremors initially, which subsided after a few days.
💡 Lesson: This medicine can effectively relieve symptoms of bronchitis, but mild side effects like tremors may occur initially and often improve with continued use.
👤 A 50-year-old woman with asthma exacerbation
She used this medicine as an add-on to her inhaler during an asthma flare-up. It helped loosen mucus and eased her breathing. However, she experienced palpitations and was advised to reduce the dose.
💡 Lesson: While effective, this medicine can cause cardiac side effects. Dose adjustment may be needed, and it should be used under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Bronchodilation typically begins within 30 minutes, and peak effects occur in 2-4 hours. The mucolytic effect may take 1-2 hours.

Q: Can I take this medicine with other cough syrups?

A: Do not take other cough syrups without consulting your doctor, as they may contain overlapping ingredients or interact.

Q: Is this medicine safe for children?

A: Pediatric dosing is not established. Consult a pediatrician for appropriate use in children.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • 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 etoxin b tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Broncoff syrup can cure asthma permanently.
    Fact: This medicine provides symptomatic relief but does not cure asthma. Asthma management requires a comprehensive plan.
  • Myth: Broncoff syrup is safe for everyone.
    Fact: It is not safe for people with certain heart conditions, hyperthyroidism, or those allergic to its ingredients.
  • Myth: You can take broncoff syrup for any type of cough.
    Fact: It is specifically for productive cough with mucus and bronchoconstriction. Dry cough may not benefit.

🔄 Alternative Options

Generic Alternatives

  • Terbutaline + Bromhexine syrup (generic)

Brand Alternatives

  • Broncoff
  • Terbutaline + Bromhexine combinations

📊 Comparison with Similar Medicines

[{"medicine":"Terbutaline + Bromhexine","composition":"Terbutaline 2.5mg + Bromhexine 8mg per 5mL","uses":"Bronchitis, asthma, productive cough","notes":"Combination of bronchodilator and mucolytic."},{"medicine":"Salbutamol + Bromhexine","composition":"Salbutamol 2mg + Bromhexine 8mg per 5mL","uses":"Similar indications","notes":"Salbutamol is another beta-2 agonist."}]

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