Kofover Expectorant Raspberry Strawberry Syrup: 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
- Blood in sputum or vomit
- Severe chest pain or difficulty breathing
- Very fast, irregular, or pounding heartbeat
- Swelling of the face, lips, tongue, or throat
- Severe dizziness or fainting
- Yellowing of the skin or eyes
- Cough lasting more than a few days with high fever
- Decreased urine output or severe weakness
If experiencing severe symptoms, call emergency services immediately.
What is kofover expectorant raspberry strawberry used for?
This medicine is an oral expectorant syrup combining levosalbutamol, a bronchodilator, with ambroxol, a mucolytic. It is used for productive cough with thick mucus and mild airway narrowing. It should be taken only as prescribed, usually after food, and is not meant for dry cough or long-term self-treatment.
- Generic Name: Levosalbutamol (1mg/5ml) + Ambroxol (30mg/ml)
- Manufacturer: Brinton Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 kofover expectorant raspberry strawberry के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसाल्बुटामोल और एम्ब्रोक्सोल का मिश्रण है, जो बलगम वाली खांसी में दी जाती है। लेवोसाल्बुटामोल सांस की नलियों को फैलाकर सांस लेना आसान बनाता है, और एम्ब्रोक्सोल गाढ़े बलगम को पतला करके निकालने में मदद करता है। यह दवा खास तौर पर ब्रोंकाइटिस, अस्थमा में बलगम जमा होने, और छाती में जकड़न के साथ खांसी आने पर दी जाती है। इसे डॉक्टर की सलाह के अनुसार ही लेना चाहिए, खासकर बच्चों, बुजुर्गों, गर्भवती महिलाओं और दिल या किडनी की बीमारी वाले मरीजों में। सूखी खांसी या बिना बलगम वाली खांसी के लिए यह दवा आमतौर पर नहीं दी जाती।
साइड इफेक्ट्स: इस दवा से आमतौर पर हाथों में कंपन, घबराहट, बेचैनी, सिरदर्द, दिल की धड़कन तेज होना, जी मिचलाना, पेट में असहजता और मुंह सूखना जैसे दुष्प्रभाव हो सकते हैं। कुछ मरीजों को चक्कर आना, नींद में गड़बड़ी या मांसपेशियों में ऐंठन भी महसूस हो सकती है। बहुत कम मामलों में गंभीर एलर्जी, सांस लेने में अचानक तकलीफ, तेज या अनियमित धड़कन, और पोटैशियम कम होने जैसी समस्याएं हो सकती हैं। अगर ऐसा कुछ हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर की बताई गई मात्रा और समय के अनुसार ही लें। बोतल को अच्छी तरह हिलाकर, साथ दिए गए कप या चम्मच से ही मात्रा नापें। खाने के बाद दवा लेने से पेट की तकलीफ कम होती है। अगर आपको दिल, ब्लड प्रेशर, शुगर, थायरॉइड, लिवर या किडनी की बीमारी है तो डॉक्टर को पहले बताएं। इस दवा के साथ दूसरी खांसी की दवाएं या ब्रोंकोडाइलेटर अपने आप न लें। दवा लेने के बाद कंपन, चक्कर या धड़कन तेज लगे तो गाड़ी न चलाएं। खांसी कुछ दिनों में ठीक न हो, बुखार, सांस फूलना, सीने में दर्द या बलगम में खून आए तो तुरंत डॉक्टर से मिलें।
💊 kofover expectorant raspberry strawberry Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"This medicine helps loosen and clear thick bronchial secretions while relaxing airway smooth muscle, making it useful in cough with excessive mucus.","evidence":"Well-established for the combination in short-term symptomatic use"},{"condition":"Acute bronchitis with bronchospasm","description":"Used to relieve cough and mild airway narrowing associated with acute bronchitis when both mucus retention and bronchospasm are present.","evidence":"Moderate"},{"condition":"Chronic bronchitis with retained secretions","description":"May be prescribed for short-term relief of cough and mucus plugging in chronic bronchitis, always alongside treatment of the underlying disease.","evidence":"Moderate"},{"condition":"Asthma with mucus hypersecretion","description":"Sometimes used as add-on symptomatic therapy when asthma is accompanied by thick secretions, but it does not replace inhaled controller therapy.","evidence":"Limited"}]
Off-label uses: [{"condition":"Post-infectious cough with mucus","description":"Occasionally prescribed after respiratory infections when cough with thick sputum persists, although evidence is limited.","evidence":"Limited"},{"condition":"Smoker's cough with sputum","description":"May be used short-term to ease mucus clearance in chronic smokers, but smoking cessation remains the main treatment.","evidence":"Limited"}]
Primary treatment for: Productive cough with thick mucus and associated mild bronchospasm
Also treats: Acute bronchitis, Chronic bronchitis, Asthma with mucus hypersecretion, Post-infectious cough with sputum
📋 Drug Information
| Generic Name(s) | Levosalbutamol (1mg/5ml) + Ambroxol (30mg/ml) |
| Brand Name | kofover expectorant raspberry strawberry |
| Manufacturer | Brinton Pharmaceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store below 30 degrees Celsius in a cool, dry place, protected from direct sunlight. Do not freeze. Keep the bottle tightly closed and use within the period stated on the label after opening. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the expiry date. Once opened, follow the in-use period advised by the manufacturer or pharmacist. |
| WHO Guideline | Not established from the available information for this specific fixed-dose combination. Cough management should follow national and local clinical guidance. |
| ICMR Guideline | Not established from the available information for this specific fixed-dose combination. Prescribers should follow current ICMR and national respiratory infection guidance. |
👨⚕️ 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. Levosalbutamol selectively stimulates beta-2 adrenergic receptors on bronchial smooth muscle, which increases intracellular cyclic AMP and causes relaxation of the airways. Ambroxol acts on bronchial secretions by reducing mucus viscosity, stimulating serous secretion, and enhancing ciliary transport, which helps clear retained mucus. Together they relieve bronchospasm and make cough more productive.
Mechanism Steps
💡 How to Take kofover expectorant raspberry strawberry
Strength: Oral expectorant syrup containing levosalbutamol 1 mg per 5 ml and ambroxol 30 mg per 5 ml, with raspberry and strawberry flavour.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is measured with the supplied cup or spoon and taken by mouth, often two to three times a day, but the exact dose and frequency depend on the indication, severity of symptoms, and the prescriber's judgement. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose, and do not continue beyond the duration advised by your doctor. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. Doses in children must be calculated by a qualified clinician according to age, weight, and clinical condition. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiac and tremor-producing effects of levosalbutamol. Start with the lowest effective dose and monitor heart rate, blood pressure, and potassium, especially if other medicines are being taken. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with kidney disease because both ingredients are excreted by the kidneys. Dose reduction or longer dosing intervals may be needed, and the dose must be individualized by a qualified clinician based on renal function. |
| Hepatic Impairment | Use with caution in patients with liver disease because both ingredients undergo hepatic metabolism. Dose reduction may be needed, and the dose must be individualized by a qualified clinician based on hepatic function. |
| Maximum Daily Dose | The maximum daily dose must be determined by the prescribing clinician according to the patient's age, weight, indication, and response. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of kofover expectorant raspberry strawberry
✅ 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 | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Digoxin | Moderate | |
| Corticosteroids | Moderate | |
| Caffeine | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Non-selective beta-blockers such as propranolol
- Monoamine oxidase inhibitors and tricyclic antidepressants
- Other sympathomimetic bronchodilators
⚡ Moderate Interactions
- Diuretics such as furosemide and thiazides
- Corticosteroids
- Digoxin
- Anticholinergic cough and cold preparations
🍷 Alcohol Interaction
Alcohol may increase dizziness, drowsiness, and heart rate effects when taken with this medicine. It is best to avoid alcohol during treatment, 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 hypersensitivity to levosalbutamol, ambroxol, or any component of this medicine","Severe cardiovascular disease or uncontrolled arrhythmias unless approved by a specialist","Severe thyrotoxicosis","Severe hepatic or renal impairment without specialist supervision","Children below the age approved by the prescribing clinician","Use as a substitute for inhaled controller therapy in asthma"]
⚠️ Warnings & Precautions
["Do not exceed the prescribed dose because higher doses increase the risk of tremor, palpitations, and low potassium.","Use with caution in patients with heart disease, high blood pressure, diabetes, or thyroid disorders.","Avoid use in dry cough or cough lasting more than a few days without medical review.","Do not combine with other cough syrups or bronchodilators without medical advice.","Stop and seek help if breathing worsens after a dose, as this may indicate paradoxical bronchospasm.","Keep out of reach of children and follow the measuring instructions carefully."]
🤱 Lactation Safety
It is not known whether levosalbutamol and ambroxol pass into breast milk in amounts that could affect a breastfed infant. Breastfeeding mothers should use this medicine only if advised by a doctor, and they should watch the infant for unusual irritability, fast heartbeat, or poor feeding.
💊 Overdose Management
Overdose of this medicine may cause severe tremor, restlessness, palpitations, chest pain, fast or irregular heartbeat, low blood pressure, and low potassium. There is no specific antidote. Treatment is supportive and may include stopping the medicine, monitoring heart rhythm, blood pressure, and electrolytes, and giving appropriate medical care. Seek emergency medical help immediately if overdose is suspected.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided the next scheduled dose is not due soon. If it is almost time for the 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.
Additional Safety Advice
Use this medicine only as prescribed by a qualified clinician and do not exceed the recommended dose or duration. Shake the bottle well before each use and measure the dose with the supplied measuring cup or spoon rather than a household spoon. Inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, liver or kidney disease, or a history of seizures. Avoid taking this medicine with other beta-agonist bronchodilators or cough suppressants unless specifically advised. Do not drive or operate heavy machinery if you feel shaky, dizzy, or have palpitations. Keep this medicine out of the reach of children and store it as directed on the label. If your cough does not improve within a few days, or if you develop fever, chest pain, breathlessness, or blood in sputum, seek medical care promptly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults are more likely to experience tremor, palpitations, and electrolyte changes with this medicine. Use the lowest effective dose, monitor heart rate and blood pressure, and check potassium if diuretics or corticosteroids are also being taken. Review the need for continued use regularly.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, tell your doctor before using this medicine. Safety data for this combination in pregnancy are limited, and inhaled bronchodilators are generally preferred when bronchodilation is needed. Do not start or stop this medicine without medical advice.
🏥 Post-Surgery Considerations
After surgery, cough and mucus clearance can be important, but this medicine should be used only if prescribed by the treating team. Inform the anaesthetist and surgeon about all medicines you take, including this one, because heart rate and blood pressure effects may matter during recovery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, especially if you have palpitations or are sensitive to adrenaline-containing local anaesthetics. The levosalbutamol component can increase heart rate, so dental procedures may need monitoring in patients with heart disease.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while you have an active cough or breathlessness. Light activity such as walking is fine if you feel comfortable. If exercise triggers wheezing or chest tightness, stop and consult your doctor before resuming your routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause tremor, dizziness, or palpitations in some people, which can affect driving or operating machinery. Avoid driving or heavy machinery until you know how the medicine affects you. Office work is usually fine, but take breaks, stay hydrated, and avoid caffeine if you feel shaky.
🛑 When to Stop This Medicine
Stop this medicine when the prescribed course is finished or when your doctor advises. Stop immediately and seek medical help if you develop severe palpitations, chest pain, worsening breathlessness, swelling of the face or throat, or a severe skin rash. Do not stop any other prescribed medicine, such as an inhaler or antibiotic, without medical advice.
📅 Long-Term Use Effects
This medicine is intended for short-term symptomatic use. Prolonged use without medical review can increase the risk of tremor, palpitations, low potassium, and unnecessary exposure to a bronchodilator. If cough persists beyond the advised duration, the underlying cause should be evaluated rather than continuing the syrup. Regular review of heart rate, blood pressure, and electrolytes may be needed in patients with heart, kidney, or liver disease.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen thick mucus and soothe the airways.
Evidence: Supportive care, commonly recommendedCan help clear upper airway secretions when congestion is prominent.
Evidence: Limited to moderatePreferred when bronchospasm is the main problem, especially in asthma.
Evidence: Well-establishedMay help clear secretions in selected patients with chronic lung disease.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no known interaction between this medicine and routine vaccines. If you have an active respiratory infection with fever, your doctor may advise delaying vaccination until you recover. Follow national immunisation guidance for influenza and pneumococcal vaccines if you have chronic lung disease.
📦 Storage Guide
✅ DO
Store below 30 degrees Celsius in a cool, dry place
❌ DON'T
Do not freeze the syrup
✅ DO
Keep the bottle tightly closed and upright
❌ DON'T
Do not leave the cap loose or store sideways
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store near a stove or in a hot car
✅ DO
Keep out of reach of children
❌ DON'T
Do not transfer to an unlabelled container
✈️ Traveling with This Medicine
Carry this medicine in its original labelled bottle with the prescription copy, especially for air travel or international trips. Keep it in hand luggage if you need doses during the journey, and protect it from heat and direct sunlight. If you are crossing time zones, continue doses at the interval advised by your doctor rather than doubling up. Check customs rules for liquid medicines before travelling, and carry enough supply for the whole trip plus a few extra days.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect usually begins within 15 to 30 minutes, while the mucus-thinning effect becomes more noticeable over the first day of regular use.
A: Yes, it is usually taken after food to reduce stomach upset and nausea.
A: Pediatric dosing is not established from available information. Consult a pediatrician before giving this medicine to a child.
A: Use in pregnancy only if advised by a doctor, because safety data for this combination are limited.
A: Take it as soon as you remember if the next dose is not due soon. If the next dose is near, skip the missed dose and do not double dose.
A: It is best to avoid alcohol because it can increase dizziness and heart rate effects.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: This medicine is meant mainly for productive cough with thick mucus and should not be used for dry cough without medical advice. - Myth: More syrup will clear the cough faster.
Fact: Taking more than the prescribed dose increases the risk of tremor, palpitations, and low potassium without improving results. - Myth: This medicine can replace inhalers in asthma.
Fact: This medicine does not replace inhaled controller or reliever therapy in asthma and should not be used as a substitute. - Myth: It is safe to take with any other cough syrup.
Fact: Combining cough products can lead to duplicate ingredients and added side effects.
🔄 Alternative Options
Generic Alternatives
- Levosalbutamol and ambroxol oral syrup
- Levosalbutamol and ambroxol expectorant liquid
Brand Alternatives
- Kofover expectorant raspberry strawberry