Albro Syrup: Complete Guide to Uses, Dosage, and Safety
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 sputum 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
- Persistent fever for more than 3 days
If experiencing severe symptoms, call emergency services immediately.
What is kofout syrup used for?
This medicine is a combination cough syrup containing bromhexine and guaifenesin. It helps relieve productive cough by thinning mucus and making it easier to cough out. It is usually taken 10 mL three times a day for adults, but follow your doctor's advice.
- Generic Name: Bromhexine (4mg) + Guaifenesin (50mg)
- Manufacturer: Neuro Pharma GmbH
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 kofout syrup के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और गुआइफेनेसिन का संयोजन है, जिसका उपयोग बलगम वाली खांसी के इलाज में किया जाता है। यह बलगम को पतला करके उसे बाहर निकालने में मदद करती है, जिससे छाती की जकड़न और खांसी में राहत मिलती है। यह दवा श्वसन संक्रमण, ब्रोंकाइटिस और अन्य स्थितियों में प्रभावी है जहां गाढ़ा बलगम परेशान करता है। इसका सेवन डॉक्टर के निर्देशानुसार ही करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, उल्टी, दस्त, सिरदर्द, चक्कर आना और पेट में गड़बड़ी शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। कभी-कभी गंभीर एलर्जी प्रतिक्रिया, जैसे चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई, या त्वचा पर गंभीर दाने हो सकते हैं। ऐसी स्थिति में तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपने आप मात्रा न बढ़ाएं। दवा लेते समय खूब पानी पिएं। अगर आपको चक्कर या नींद आती है तो वाहन चलाने या मशीन चलाने से बचें। बिना डॉक्टर की सलाह के 7 दिन से ज्यादा इसका सेवन न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 kofout syrup Uses & Benefits
[{"condition":"Productive cough associated with acute bronchitis","description":"Helps thin and loosen mucus, making it easier to cough out and relieving chest congestion.","evidence":"Well-established"},{"condition":"Productive cough due to upper respiratory tract infections","description":"Provides symptomatic relief by reducing mucus viscosity and promoting expectoration.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD) with thick secretions","description":"May help in clearing airway secretions, but should be used only under medical supervision.","evidence":"Limited"}]
Off-label uses: [{"condition":"Prevention of postoperative pulmonary complications","description":"Sometimes used to help clear secretions after surgery, but evidence is limited.","evidence":"Limited"}]
Primary treatment for: Productive cough
Also treats: Acute bronchitis, Upper respiratory tract infection, COPD with thick secretions
📋 Drug Information
| Generic Name(s) | Bromhexine (4mg) + Guaifenesin (50mg) |
| Brand Name | kofout syrup |
| Manufacturer | Neuro Pharma GmbH |
| 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 cool, dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed. |
| Shelf Life | 24 months from the date of manufacture. |
| 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 complementary actions. Bromhexine is a mucolytic that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers, making secretions thinner and easier to expel. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of bronchial secretions by increasing hydration, thereby facilitating their removal by ciliary action and coughing. Together, they improve the clearance of thick, sticky mucus from the airways.
Mechanism Steps
💡 How to Take kofout syrup
Strength: Each 5 mL of syrup contains bromhexine 4 mg and guaifenesin 50 mg.
Dosage Information
| Adult Dosage | The 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 30 mL in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and stomach upset. Use with caution and follow your doctor's advice. Dose adjustment may be needed based on kidney and liver function. |
| Renal Impairment | Use with caution in patients with kidney impairment. Dose adjustment may be necessary. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with liver impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose for adults is 30 mL (6 teaspoons) in 24 hours. Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of kofout syrup
✅ 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 | Major | |
| Amoxicillin | Moderate | |
| Doxycycline | Moderate | |
| Erythromycin | Moderate | |
| Theophylline | Moderate | |
| Atropine | Minor |
🚨 Major Interactions
- Codeine and other cough suppressants
- Warfarin
⚡ Moderate Interactions
- Antibiotics (amoxicillin, doxycycline, erythromycin)
- Theophylline
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and stomach upset while taking this medicine. It is advisable to avoid alcohol during treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to bromhexine, guaifenesin, or any component of the formulation.","Severe liver disease.","Severe kidney disease.","Children under 2 years of age.","Use in patients with dry cough or cough due to asthma without mucus.","Use in patients with active peptic ulcer disease."]
⚠️ Warnings & Precautions
["Do not exceed the recommended dose.","Do not use for more than 7 days without consulting a doctor.","Drink plenty of water while taking this medicine.","Avoid driving or operating machinery if you feel dizzy or drowsy.","Consult a doctor before use if you are pregnant, planning pregnancy, or breastfeeding.","Use with caution in patients with liver or kidney disease.","Use with caution in patients with stomach ulcers or bleeding disorders.","Keep out of reach of children."]
🤱 Lactation Safety
It is not known whether bromhexine and guaifenesin pass into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it may lead to drowsiness, dizziness, and electrolyte imbalance. If you suspect an overdose, 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 the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not increase the dose or take it more frequently than recommended. Drink plenty of water while taking this medicine to help loosen mucus. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not take this medicine for a dry cough or for more than 7 days without medical advice. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine. Inform your doctor about all other medicines you are taking, especially antibiotics, blood thinners, and medicines for asthma or allergies. Keep this medicine out of reach of children. Store in a cool, dry place away from direct sunlight. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness, drowsiness, and stomach upset. They may also have reduced kidney and liver function, which can affect drug clearance. 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. The safety of this medicine during pregnancy is not well established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used to help clear secretions if you have a productive cough. However, consult your surgeon or doctor before use, as some surgeries may require avoiding cough medicines.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. It is generally safe, but they may need to know for your overall health assessment.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have a fever or feel weak. Light activity like walking may be fine, but listen to your body and rest when needed. If you experience shortness of breath or chest pain during exercise, stop and consult your doctor.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. If you experience these effects, avoid driving or operating heavy machinery. It is generally safe to continue desk work, but take breaks and stay hydrated. If your cough is severe, consider taking rest days to recover.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your cough persists for more than 7 days, if it worsens, or if you develop new symptoms such as fever, rash, or difficulty breathing. Do not stop abruptly if you are taking it for a chronic condition without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to electrolyte imbalance, gastrointestinal disturbances, and rarely, liver enzyme elevation. It may also mask underlying conditions such as chronic bronchitis or asthma. Regular monitoring of liver and kidney function may be advised if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen mucus and relieve chest congestion.
Evidence: Well-establishedRinsing nasal passages with saline can help clear mucus and reduce postnasal drip.
Evidence: Well-establishedHoney can soothe the throat and warm fluids can help thin mucus.
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 doctor 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. Store it in a cool, dry place, away from direct sunlight. If you are crossing time zones, continue taking the medicine at the same intervals as prescribed, but adjust the timing gradually to the new local time. Do not leave it in a hot car or checked luggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 30 minutes to 1 hour after taking it. You may notice that mucus becomes thinner and easier to cough out.
A: Yes, this medicine is often prescribed with antibiotics for respiratory infections. Bromhexine may increase the concentration of antibiotics in the lungs, which can be beneficial. However, always follow your doctor's advice.
A: This medicine is not recommended for children under 2 years of age. For older children, consult a pediatrician for appropriate dosing.
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.
🤔 Common Patient Concerns
🔄 Substitutes for kofout syrup
View AllAlternative brands with exact same active ingredient:
-
bros-ls expectorantBevit Pharmaceuticals Ltd ₹14.53 73.3% CHEAPER
-
cufrid syrupAgron Remedies Pvt Ltd ₹18.05 66.8% CHEAPER
-
Frekof TabletUdik Pharmaceuticals Pvt Ltd ₹18.28 66.4% CHEAPER
-
tussil-x syrupStalwart Remedies Pvt Ltd ₹23.44 56.9% CHEAPER
-
cheston 4 mg/50 mg tablet dtCipla Ltd ₹25.78 52.6% CHEAPER
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 asthma. - Myth: More medicine means faster relief.
Fact: Taking more than the recommended dose can increase side effects without providing extra benefit. Always follow the prescribed dose. - Myth: It is safe to take this medicine for weeks.
Fact: This medicine should not be used for more than 7 days without medical advice. Prolonged use may mask underlying conditions.
🔄 Alternative Options
Generic Alternatives
- Bromhexine + Guaifenesin syrup (various manufacturers)
Brand Alternatives
- Albro Syrup