Asthabon 2mg Syrup: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe chest pain or a very fast, irregular heartbeat
- Difficulty breathing that gets worse after taking this medicine
- Swelling of the face, lips, tongue, or throat
- Severe dizziness or fainting
- Muscle weakness or cramps with an irregular heartbeat
- Yellowing of the skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is gracof plus syrup used for?
This medicine is an oral syrup containing salbutamol, a bronchodilator used to provide quick relief from wheezing and shortness of breath in asthma and other reversible airway diseases. It works by relaxing the muscles around the airways, making breathing easier. It is a prescription medicine and should be used exactly as directed by a doctor.
- Generic Name: Salbutamol (2mg/5ml)
- Manufacturer: GRAF Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 gracof plus syrup के बारे में (Hindi Summary)
उपयोग: यह दवा सल्ब्यूटामोल नामक तत्व से बनी एक ओरल सिरप है, जिसका उपयोग अस्थमा और श्वसन मार्ग की अन्य बीमारियों में सांस लेने में होने वाली तकलीफ, घरघराहट और सीने में जकड़न से तुरंत राहत देने के लिए किया जाता है। यह दवा श्वसन मार्ग की मांसपेशियों को ढीला करके सांस लेने की नलियों को खोलती है, जिससे सांस लेना आसान हो जाता है। यह दवा अस्थमा का इलाज नहीं है, बल्कि लक्षणों से राहत देती है। इसे डॉक्टर के निर्देशानुसार ही लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथों का कांपना, दिल की धड़कन तेज होना, सिरदर्द, बेचैनी और मांसपेशियों में ऐंठन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें तेज धड़कन, सीने में दर्द, पोटैशियम की कमी, या गंभीर एलर्जी प्रतिक्रिया जैसे चेहरे, होंठ या गले में सूजन और सांस लेने में कठिनाई शामिल हो सकते हैं। ऐसा होने पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा का उपयोग डॉक्टर के बताए अनुसार ही करें। अपनी मर्जी से मात्रा या बार-बार लेने की संख्या न बढ़ाएं। अगर आपको यह दवा सामान्य से अधिक बार लेने की जरूरत पड़ रही है, तो तुरंत डॉक्टर से मिलें क्योंकि यह आपकी स्थिति बिगड़ने का संकेत हो सकता है। दवा लेने से पहले बोतल को अच्छी तरह हिलाएं और साथ दिए गए मापने वाले कप या चम्मच से ही मात्रा लें। अगर आपको दिल की बीमारी, हाई ब्लड प्रेशर, थायरॉइड, डायबिटीज या पोटैशियम की कमी है, तो डॉक्टर को जरूर बताएं।
💊 gracof plus syrup Uses & Benefits
[{"condition":"Asthma","description":"Provides rapid relief from acute bronchospasm and is used as a rescue medicine for sudden asthma attacks.","evidence":"Well-established"},{"condition":"Exercise-induced bronchospasm","description":"Used before exercise to prevent narrowing of the airways in people who develop breathing difficulty during physical activity.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"May be used to relieve reversible airway obstruction in some patients with COPD, though it is not a primary controller therapy.","evidence":"Established"},{"condition":"Other reversible obstructive airway diseases","description":"Used for symptomatic relief of wheezing and shortness of breath in conditions where airway narrowing is reversible.","evidence":"Established"}]
Off-label uses: [{"condition":"Hyperkalemia","description":"Sometimes used in hospital settings as an adjunct to lower dangerously high potassium levels, but this is not a routine outpatient use.","evidence":"Limited"},{"condition":"Preterm labor tocolysis","description":"Has been used in the past to delay premature labor, but this is not a recommended or approved use due to safety concerns for the mother and baby.","evidence":"Limited and not recommended"}]
Primary treatment for: Asthma
Also treats: Exercise-induced bronchospasm, Chronic obstructive pulmonary disease (COPD)
📋 Drug Information
| Generic Name(s) | Salbutamol (2mg/5ml) |
| Brand Name | gracof plus syrup |
| Manufacturer | GRAF Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Short acting β2-agonists |
| Route of Administration | Oral |
| Storage | Store at room temperature, between 15°C and 30°C. Protect from light and moisture. Do not freeze. Keep the bottle tightly closed when not in use. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture. Check the expiry date on the pack before use. Do not use after the expiry date. |
| WHO Guideline | The World Health Organization includes salbutamol in its Model List of Essential Medicines for the treatment of asthma and other reversible obstructive airway diseases. It is recommended as a reliever medicine for acute symptoms. |
| ICMR Guideline | The Indian Council of Medical Research and other national guidelines recommend salbutamol as a first-line reliever medicine for acute asthma symptoms in adults and children. It should be used alongside inhaled corticosteroids for long-term control when indicated. |
👨⚕️ 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 works by selectively stimulating beta-2 adrenergic receptors located on the smooth muscle cells of the airways. When salbutamol binds to these receptors, it activates an enzyme called adenylate cyclase, which increases the level of cyclic AMP inside the cells. The rise in cyclic AMP leads to relaxation of the airway smooth muscle, which widens the bronchi and bronchioles and allows air to move more freely. This effect is rapid and helps to reverse bronchospasm during an asthma attack. Salbutamol also inhibits the release of certain inflammatory mediators from mast cells and improves the clearance of mucus, which adds to its breathing benefits. Because it is relatively selective for beta-2 receptors, it causes fewer heart-related effects than older non-selective beta agonists, although some cardiac stimulation can still occur at higher doses.
Mechanism Steps
💡 How to Take gracof plus syrup
Strength: Each 5 ml of syrup contains 2 mg of salbutamol.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 2 mg to 4 mg (5 ml to 10 ml of the syrup) taken three to four times a day, depending on the severity of symptoms and the doctor's assessment. For exercise-induced bronchospasm, a single dose may be taken 15 to 30 minutes before exercise. The exact dose and frequency must be individualized by a qualified clinician based on the indication, age, weight, and response to treatment. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially on the heart. The dose should be individualized by a qualified clinician, and heart rate and blood pressure should be monitored during treatment. |
| Renal Impairment | Dose adjustment may be needed in patients with severe kidney impairment. Consult your doctor for individualized dosing. |
| Hepatic Impairment | Dose adjustment may be needed in patients with severe liver impairment. Consult your doctor for individualized dosing. |
| Maximum Daily Dose | The maximum recommended daily dose for adults is generally 16 mg per day, but this may vary based on the doctor's prescription and the patient's condition. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of gracof plus 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 | |
| Furosemide | Moderate | |
| Digoxin | Moderate | |
| Prednisolone | Moderate | |
| Amitriptyline | Major | |
| Pseudoephedrine | Minor | |
| Caffeine | Minor | |
| Hydrochlorothiazide | Moderate | |
| Metoprolol | Moderate | |
| Theophylline | Moderate |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide, hydrochlorothiazide)
- Digoxin
- Corticosteroids (oral or inhaled)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and fast heartbeat when taken with this medicine. It is best to avoid alcohol while using this medicine, especially if you need to drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to salbutamol or any component of the syrup","Severe cardiac disease or certain heart rhythm disorders, unless specifically approved by a doctor","Use of non-selective beta-blockers is contraindicated due to risk of severe bronchospasm"]
⚠️ Warnings & Precautions
["Do not exceed the prescribed dose or frequency.","Use with caution in patients with heart disease, high blood pressure, or overactive thyroid.","May cause low blood potassium, especially with high doses or diuretics.","May increase blood sugar levels; monitor closely if you have diabetes.","Seek medical advice if you need this medicine more often than usual.","Do not use for preventing asthma attacks unless specifically instructed by your doctor.","Keep out of reach of children."]
🤱 Lactation Safety
Salbutamol is excreted in small amounts in breast milk. It is generally considered compatible with breastfeeding, but you should consult your doctor before using this medicine while nursing.
💊 Overdose Management
Overdose of this medicine can cause severe fast heartbeat, tremor, restlessness, chest pain, and low blood potassium. If you suspect an overdose, contact your doctor or a poison control center immediately. Treatment is supportive and may include monitoring of heart rate, blood pressure, and electrolyte levels. Do not try to treat an overdose at home.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take a double dose to make up for a missed one. If you are unsure, consult your doctor or pharmacist.
Additional Safety Advice
Use this medicine exactly as prescribed by your doctor. Do not increase the dose or frequency on your own, even if your symptoms feel severe. If you find that you need this medicine more often than usual, or if it stops providing relief, contact your doctor promptly because this may mean your breathing condition is getting worse. Shake the bottle well before each use and measure the dose with the measuring cup or spoon provided. Do not use a household spoon because it may not give the correct amount. Tell your doctor if you have heart problems, high blood pressure, an overactive thyroid, diabetes, or low potassium levels. Also inform your doctor about all other medicines you are taking, especially beta-blockers, diuretics, digoxin, or other asthma medicines. Do not stop or change any prescribed treatment without medical advice. Keep this medicine out of the reach of children and store it as directed on the label.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine, particularly on the heart. They should use it with caution and have their heart rate and blood pressure monitored regularly. Dose adjustment may be needed based on kidney and liver function.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss your asthma treatment with your doctor. Salbutamol is generally considered safe during pregnancy when used as prescribed. Uncontrolled asthma can pose risks to both mother and baby, so it is important to keep your asthma well controlled.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist that you are taking this medicine before any surgery. It may interact with certain anesthetic agents and can affect heart rate and potassium levels. Your doctor may adjust your dose or monitor you more closely during and after surgery.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. It may cause dry mouth or increase heart rate. If you need a dental procedure, take your medicine as usual unless your doctor advises otherwise.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can be used to prevent exercise-induced bronchospasm if taken 15 to 30 minutes before exercise, as advised by your doctor. However, if you experience chest pain, severe shortness of breath, or dizziness during exercise, stop immediately and seek medical help. Avoid strenuous exercise in very cold or polluted air.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause mild tremor or dizziness in some people. If you experience these effects, avoid driving or operating heavy machinery until you know how the medicine affects you. Most people can continue their normal daily activities while taking this medicine. Inform your employer or school about your condition and keep your rescue medicine accessible.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If your doctor decides to stop it, follow their instructions carefully. If you experience serious side effects, stop the medicine and seek immediate medical attention. Never stop or change your asthma treatment on your own.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to reduced effectiveness if used too frequently. It can also cause low blood potassium levels, increased heart rate, and in rare cases, heart rhythm problems. Regular monitoring of heart rate, blood potassium, and blood sugar may be needed, especially in people with heart disease or diabetes. It is important to use this medicine only as prescribed and to follow up regularly with your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaled forms work faster and require lower doses, reducing systemic side effects.
Evidence: Well-establishedThese are controller medicines that reduce airway inflammation and are used regularly to prevent asthma symptoms.
Evidence: Well-establishedOral medicines that can help control asthma symptoms in some patients.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you have asthma, it is especially important to stay up to date with influenza and pneumococcal vaccinations as advised by your doctor, because respiratory infections can trigger asthma attacks.
📦 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 clearly visible. Bring a copy of your prescription or a letter from your doctor, especially for international travel. 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 usual intervals as advised by your doctor. Keep 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: This medicine usually starts to relieve breathing difficulty within 15 to 30 minutes after taking it by mouth. The effect lasts for about 4 to 6 hours.
A: This medicine is usually taken only when needed for symptoms. If you need it every day or more than twice a week, your asthma may not be well controlled. Consult your doctor.
A: Common side effects include mild hand tremor, fast heartbeat, headache, and nervousness. These usually go away as your body adjusts.
A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
A: Yes, but you must inform your doctor about all other medicines you are taking, as some may interact. Your doctor will adjust your treatment accordingly.
🤔 Common Patient Concerns
🔄 Substitutes for gracof plus syrup
View AllAlternative brands with exact same active ingredient:
-
salvent 2mg syrupLabinduss Ltd ₹14.70 78.5% CHEAPER
-
ralbet 2mg syrupRoseate Medicare ₹14.81 78.4% CHEAPER
-
asthabon 2mg syrupIkon Remedies Pvt Ltd ₹15.21 77.8% CHEAPER
-
ventorlin 2mg/5ml syrupGlaxo SmithKline Pharmaceuticals Ltd ₹15.31 77.6% CHEAPER
-
usal syrupSeagull Pharmaceutical Pvt Ltd ₹15.75 77% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma.
Fact: This medicine provides quick relief from symptoms but does not cure asthma. It does not replace controller medicines that reduce airway inflammation. - Myth: If I need this medicine more often, my asthma is getting better.
Fact: Needing this medicine more often may mean your asthma is getting worse. Consult your doctor promptly. - Myth: This medicine is safe to take in any amount.
Fact: Taking more than the prescribed dose can cause serious heart and electrolyte problems. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Salbutamol syrup
Brand Alternatives
- Asthalin syrup
- Ventorlin syrup