Asmotone Liquid: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction: rash, itching, swelling of face, lips, tongue, or throat, difficulty breathing.
- Irregular heartbeat, palpitations, or chest pain.
- Seizures or convulsions.
- Severe dizziness or fainting.
- Persistent vomiting or inability to keep fluids down.
- Yellowing of skin or eyes (jaundice).
- Decreased urine output.
If experiencing severe symptoms, call emergency services immediately.
What is gracof br syrup used for?
This medicine is a combination of guaifenesin (an expectorant) and terbutaline (a bronchodilator) used to relieve cough with thick mucus and mild bronchospasm. It helps loosen mucus and open airways, making it easier to cough. It is available as a liquid and is taken orally as prescribed by a doctor.
- Generic Name: Guaifenesin (NA) + Terbutaline (NA)
- Manufacturer: GRAF Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 gracof br syrup के बारे में (Hindi Summary)
उपयोग: यह दवा ग्वाइफेनेसिन और टर्ब्यूटलाइन का संयोजन है, जिसका उपयोग बलगम वाली खांसी और सांस की नली में सिकुड़न के इलाज के लिए किया जाता है। ग्वाइफेनेसिन बलगम को पतला करता है जिससे खांसी में आसानी होती है, और टर्ब्यूटलाइन सांस की नलियों को फैलाता है जिससे सांस लेने में सुधार होता है। यह दवा केवल डॉक्टर के परामर्श से ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में बेचैनी, घबराहट, कंपन, सिरदर्द, जी मिचलाना, उल्टी और दिल की धड़कन तेज होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, अनियमित दिल की धड़कन, सीने में दर्द और दौरे पड़ सकते हैं। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक बढ़ाने या घटाने से पहले डॉक्टर से सलाह लें। दवा लेने से पहले बोतल को अच्छी तरह हिलाएं और मापने वाले कप से ही खुराक लें। यदि आपको चक्कर, घबराहट या कंपन महसूस हो तो वाहन न चलाएं। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको हृदय रोग, उच्च रक्तचाप, मधुमेह या दौरे की समस्या है तो डॉक्टर को बताएं। बच्चों की पहुंच से दूर रखें।
💊 gracof br syrup Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus in the airways, making it easier to cough out, while terbutaline helps open airways.","evidence":"Established for short-term relief"},{"condition":"Acute bronchitis","description":"May be used to relieve cough and wheezing associated with acute bronchitis, but only under medical supervision.","evidence":"Limited, symptomatic relief"},{"condition":"Asthma with mucus plugging","description":"Sometimes used as an adjunct to relieve bronchospasm and mucus in asthma exacerbations, though not a first-line treatment.","evidence":"Limited, specialist use"}]
Off-label uses: [{"condition":"COPD with mucus hypersecretion","description":"Occasionally prescribed off-label to help with mucus clearance in chronic obstructive pulmonary disease, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Productive cough associated with respiratory conditions
Also treats: Acute bronchitis, Asthma with mucus plugging, COPD with mucus hypersecretion
📋 Drug Information
| Generic Name(s) | Guaifenesin (NA) + Terbutaline (NA) |
| Brand Name | gracof br syrup |
| Manufacturer | GRAF Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not freeze. Keep the bottle tightly closed. |
| Shelf Life | Not established from the available information. Check the expiry date on the package. |
| 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 two active ingredients with different mechanisms. Guaifenesin is an expectorant that works by increasing the volume and reducing the viscosity of secretions in the respiratory tract, which helps to loosen mucus and make coughs more productive. Terbutaline is a selective beta-2 adrenergic receptor agonist that relaxes bronchial smooth muscle, leading to bronchodilation and improved airflow. Together, they aim to relieve cough by addressing both mucus thickness and airway constriction.
Mechanism Steps
💡 How to Take gracof br syrup
Strength: Liquid (syrup/suspension) containing guaifenesin and terbutaline. Exact strengths not specified in the provided identity.
Dosage Information
| Adult Dosage | The adult dosage of this medicine is individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and severity of symptoms. Typically, it is taken 2 to 3 times a day, but the exact dose and frequency must be determined by your doctor. Do not self-medicate or adjust the dose without medical advice. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiovascular effects of terbutaline. Dose should be individualized by a clinician, and caution is advised. |
| Renal Impairment | Dose adjustment may be needed in patients with renal impairment. Consult your doctor. |
| Hepatic Impairment | Dose adjustment may be needed in patients with hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | Not established from the available information. Follow your doctor's prescription. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of gracof br 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 | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Digoxin | Moderate | |
| Corticosteroids | Moderate | |
| Caffeine | Moderate | |
| Ipratropium | Minor |
🚨 Major Interactions
- Beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Digoxin
- Corticosteroids
🍷 Alcohol Interaction
Alcohol may increase the central nervous system side effects such as dizziness and drowsiness, and may also increase the risk of 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
["Hypersensitivity to guaifenesin, terbutaline, or any component of the formulation","Severe cardiac disease or arrhythmias","Uncontrolled hypertension","Hyperthyroidism","Diabetes mellitus (relative)","Seizure disorders (relative)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disease, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremor, nervousness, or restlessness; avoid driving or operating machinery if affected.","Not recommended for patients with a history of seizures.","Use with caution in patients with diabetes, as terbutaline may increase blood glucose.","Use with caution in patients with hyperthyroidism.","Do not exceed recommended dose; excessive use may cause cardiac effects.","Not for long-term use without medical supervision."]
🤱 Lactation Safety
It is not known whether guaifenesin and terbutaline pass into breast milk. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe tachycardia, tremor, nervousness, seizures, and cardiac arrest. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and provide supportive care.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not increase the dose or frequency without medical advice. Shake the bottle well before each use if it is a suspension. Measure the dose with a proper measuring cup or spoon, not a household spoon. Avoid driving or operating heavy machinery if you feel dizzy, nervous, or shaky after taking this medicine. Inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, or seizures before using this medicine. Do not use this medicine for a longer period than recommended without consulting your doctor. Keep out of reach of children. 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 are more likely to experience cardiovascular side effects such as increased heart rate, palpitations, and changes in blood pressure. They may also be more sensitive to tremor and nervousness. Dose adjustment and close monitoring are advised.
🤰 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, and it should only be used if clearly needed and prescribed by a doctor.
🏥 Post-Surgery Considerations
If you have recently had surgery, inform your surgeon and anesthesiologist that you are taking this medicine, as it can affect heart rate and blood pressure. It may need to be temporarily stopped before surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure, as it can cause dry mouth and may interact with certain medications used in dentistry.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while taking this medicine, especially if you experience tremor, dizziness, or rapid heart rate. Light activity like walking may be fine, but listen to your body and rest if you feel unwell.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, nervousness, or tremor, 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 take it when you can rest if needed. Inform your employer if your job 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 suddenly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of terbutaline may lead to tolerance, increased heart rate, and other cardiovascular effects. Guaifenesin is generally safe for short-term use. Regular monitoring of heart rate, blood pressure, and potassium levels may be required if used for extended periods. Always consult your doctor before using this medicine for more than a few days.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and soothe airways.
Evidence: Well-established for symptom reliefCan help clear nasal congestion and post-nasal drip.
Evidence: ModerateSoothes the throat and may reduce cough.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are due for a vaccination, inform your healthcare provider that you are taking this medicine.
📦 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 intact. Bring a copy of your prescription in case you need to show it at customs or to a healthcare provider. Store it at room temperature and protect it from extreme heat or cold. If you are crossing time zones, continue taking your doses at the same intervals as prescribed, but adjust to local time gradually. Always pack it in your carry-on luggage to avoid loss or temperature extremes.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Terbutaline starts working within 30 minutes to help open airways, while guaifenesin may take 1-2 hours to loosen mucus. You may notice easier coughing within a few hours.
A: No, you should not take other cough syrups without consulting your doctor, as they may contain overlapping ingredients and increase the risk of side effects.
A: The safety of this medicine during pregnancy is not well established. Consult your doctor before taking it if you are pregnant or planning to become pregnant.
🤔 Common Patient Concerns
🔄 Substitutes for gracof br syrup
View AllAlternative brands with exact same active ingredient:
-
cachril expectorantCachet Pharmaceuticals Pvt Ltd ₹15.06 41.4% CHEAPER
-
bromycodex syrupMicro Labs Ltd ₹18.52 28% CHEAPER
-
alvex br syrupAlembic Pharmaceuticals Ltd ₹19.33 24.8% CHEAPER
-
astha paed syrupDivine Lifecare Pvt Ltd ₹27.19 5.8% COSTLIER
-
siokof syrupAlbert David Ltd ₹29.63 15.2% COSTLIER
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 mucus and bronchospasm. It is not effective for dry cough or other types. - Myth: It is safe to take this medicine without a prescription.
Fact: This medicine contains terbutaline, which can cause serious cardiovascular effects. It should only be taken under medical supervision.
🔄 Alternative Options
Generic Alternatives
- Guaifenesin + Terbutaline oral liquid