Axom-BR Oral Suspension: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or shortness of breath
- Swelling of the face, lips, tongue, or throat
- Severe rash or blistering of the skin
- Blood in vomit or black, tarry stools
- Severe abdominal pain
- Persistent fever or cough lasting more than a week
- Yellowing of the skin or eyes
If experiencing severe symptoms, call emergency services immediately.
What is hakof-br expectorant used for?
This medicine is a combination of bromhexine and guaifenesin used to treat productive cough by thinning mucus and making it easier to cough out. It is available as an oral suspension and should be taken as directed by a doctor.
- Generic Name: Bromhexine (4mg/5ml) + Guaifenesin (100mg/5ml)
- Manufacturer: Morstella Biotech
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 hakof-br expectorant के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और गुआइफेनेसिन का संयोजन है, जिसका उपयोग कफ और छाती में जमे बलगम को पतला करके बाहर निकालने में मदद करने के लिए किया जाता है। यह मुख्य रूप से उत्पादक खांसी (जिसमें बलगम आता है) के इलाज में उपयोग की जाती है। यह दवा बलगम को पतला करती है और उसे खांसकर बाहर निकालना आसान बनाती है। यह तीव्र या दीर्घकालिक ब्रोंकाइटिस जैसी स्थितियों में राहत देने के लिए दी जाती है। इसका उपयोग डॉक्टर की सलाह के अनुसार ही करना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द, सिरदर्द, चक्कर आना और नींद आना शामिल हो सकते हैं। कुछ लोगों को एलर्जी जैसे दाने, खुजली या चेहरे, होंठ या जीभ में सूजन भी हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, गंभीर दाने या त्वचा संबंधी समस्या हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को गर्भावस्था, स्तनपान, यकृत या गुर्दे की बीमारी, पेट के अल्सर या अस्थमा के बारे में बताएं। यह दवा चक्कर या नींद ला सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। बिना डॉक्टर की सलाह के इस दवा को लंबे समय तक न लें। यदि खांसी 7 दिनों से अधिक रहती है, बुखार, दाने या लगातार सिरदर्द हो तो डॉक्टर से मिलें। बच्चों की पहुंच से दूर रखें।
💊 hakof-br expectorant Uses & Benefits
[{"condition":"Productive cough (acute bronchitis)","description":"Helps loosen and thin mucus in the airways, making it easier to cough out and providing symptomatic relief.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Used as an adjunct to help manage thick secretions in chronic bronchitis, though it does not treat the underlying disease.","evidence":"Moderate"},{"condition":"Respiratory conditions with thick mucus","description":"May be used in other conditions where thick mucus is a problem, such as COPD, but only under medical supervision.","evidence":"Limited"}]
Off-label uses: []
Primary treatment for: Productive cough
Also treats: Acute bronchitis, Chronic bronchitis, COPD
📋 Drug Information
| Generic Name(s) | Bromhexine (4mg/5ml) + Guaifenesin (100mg/5ml) |
| Brand Name | hakof-br expectorant |
| Manufacturer | Morstella Biotech |
| 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. |
| 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 agents with complementary actions. Bromhexine is a mucolytic that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers, thereby thinning secretions. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of bronchial secretions by increasing hydration, which helps cilia to move mucus more effectively. Together, they enhance the clearance of mucus from the respiratory tract, providing symptomatic relief from productive cough.
Mechanism Steps
💡 How to Take hakof-br expectorant
Strength: Each 5 ml of oral suspension contains Bromhexine 4 mg and Guaifenesin 100 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 ml (providing 4-8 mg bromhexine and 100-200 mg guaifenesin) taken three to four times daily, depending on the severity of the condition. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. Follow your doctor's instructions carefully. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor for appropriate dosing. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult a doctor for appropriate dosing. |
| Hepatic Impairment | Dose adjustment may be required in patients with hepatic impairment. Consult a doctor for appropriate dosing. |
| Maximum Daily Dose | Not established from the available information. Do not exceed the dose prescribed by your doctor. |
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of hakof-br expectorant
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Codeine | Major | |
| Warfarin | Moderate | |
| Amoxicillin | Moderate | |
| Erythromycin | Moderate | |
| Diuretics | Minor |
🚨 Major Interactions
- Antitussives (e.g., codeine)
⚡ Moderate Interactions
- Antibiotics (e.g., amoxicillin, erythromycin)
- Warfarin
🍷 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
["Hypersensitivity to bromhexine, guaifenesin, or any component of the formulation.","Children under the age of 2 years (unless directed by a physician).","Active peptic ulcer disease."]
⚠️ Warnings & Precautions
["Do not use for a chronic cough or a cough with excessive secretions without medical advice.","Use with caution in patients with a history of gastric ulcers.","Use with caution in patients with severe liver or kidney impairment.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","If symptoms persist for more than 7 days, worsen, or are accompanied by fever, rash, or persistent headache, consult a doctor.","Keep out of reach of children."]
🤱 Lactation Safety
Not established from the available information. Consult your doctor before use.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include nausea, vomiting, diarrhea, and abdominal pain. 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 the dose to catch up.
Additional Safety Advice
Before taking this medicine, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Also, disclose any medical conditions you have, especially liver or kidney disease, stomach ulcers, or asthma. This medicine may cause dizziness or drowsiness; avoid driving or operating heavy machinery until you know how it affects you. Do not take this medicine for longer than the recommended duration without consulting a doctor. If your cough persists for more than a week, recurs, or is accompanied by fever, rash, or persistent headache, stop use and seek medical advice. Keep this medicine out of reach of children. Do not use it to treat a chronic cough or a cough with excessive secretions without medical supervision. Always follow the dosage instructions provided by your healthcare provider.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to side effects such as dizziness, drowsiness, and gastrointestinal upset. Dose adjustment may be necessary based on renal and hepatic function. Consult a doctor for appropriate dosing.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety profile during pregnancy is not well established.
🏥 Post-Surgery Considerations
If you have recently undergone surgery, consult your doctor before taking this medicine, as it may interact with other medications or affect recovery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It is generally safe, but your dentist should be aware of all medications you are taking.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause dizziness or drowsiness. Avoid strenuous exercise or activities requiring alertness until you know how it affects you. Light activity like walking is generally safe.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness, which can affect your ability to drive or operate machinery. It is advisable to avoid such activities until you know how the medicine affects you. Otherwise, it should not significantly impact your daily work life.
🛑 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 severe 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 may lead to gastrointestinal disturbances or other side effects. It is intended for short-term symptomatic relief. If your symptoms persist, consult a doctor to determine the underlying cause.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen mucus and relieve congestion.
Evidence: Well-establishedRinsing nasal passages with saline can help clear mucus.
Evidence: ModerateA spoonful of honey can soothe the throat and reduce cough.
Evidence: Moderate💉 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 with this medicine, carry it 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 at room temperature and protect it from direct sunlight. If you are crossing time zones, continue taking the medicine at the intervals prescribed by your doctor, but adjust the timing gradually to the new local time. Keep it in your carry-on luggage to avoid extreme temperatures in checked baggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine typically starts to provide relief within a few hours, but the full effect may take a day or two. It works by thinning mucus, making it easier to cough out.
A: Yes, but inform your doctor. Bromhexine may increase the concentration of certain antibiotics in the lungs, which can be beneficial, but it should be under medical supervision.
A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing and safety.
A: 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.
A: Consult your doctor before taking this medicine during pregnancy. The safety profile is not well established.
🤔 Common Patient Concerns
🔄 Substitutes for hakof-br expectorant
View AllAlternative 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 other causes. - Myth: It is safe to take this medicine for a long time.
Fact: This medicine is for short-term use. Prolonged use should only be under medical supervision. - Myth: You can take this medicine without a prescription.
Fact: This medicine should be taken only when prescribed by a doctor.