kufma syrup - Dextromethorphan Hydrobromide (10mg/5ml) + Guaifenesin (100mg/5ml) medicine

Panthor DX Syrup: Complete Medicine Guide

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🏭 Wings Biotech Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for symptomatic relief of cough.
Reviewed by
SaathiMed Expert Panel | Sep 25, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
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 face, lips, or throat
  • Severe dizziness or fainting
  • Hallucinations or confusion
  • Irregular heartbeat or chest pain
  • Blood in cough or vomit
  • Severe abdominal pain

If experiencing severe symptoms, call emergency services immediately.

What is kufma syrup used for?

This medicine is a combination cough syrup containing dextromethorphan (cough suppressant) and guaifenesin (expectorant). It is used to relieve dry cough and chest congestion. The usual adult dose is 10 ml every 4-6 hours, not exceeding 60 ml in 24 hours. It should not be used in children under 12 years without medical advice.

  • Generic Name: Dextromethorphan Hydrobromide (10mg/5ml) + Guaifenesin (100mg/5ml)
  • Manufacturer: Wings Biotech Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 kufma syrup के बारे में (Hindi Summary)

उपयोग: यह दवा सूखी खांसी और छाती में जकड़न के अस्थायी राहत के लिए उपयोग की जाती है। इसमें डेक्सट्रोमेथोर्फन और गुआइफेनेसिन होते हैं, जो खांसी को कम करने और बलगम को पतला करने में मदद करते हैं। यह सर्दी-जुकाम या हल्के श्वसन संक्रमण के कारण होने वाली खांसी में प्रभावी है। यह दवा 12 वर्ष से अधिक उम्र के बच्चों और वयस्कों के लिए है, लेकिन डॉक्टर की सलाह के बिना 12 वर्ष से कम बच्चों को न दें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, जी मिचलाना, उल्टी और पेट में असहजता शामिल हैं। कुछ लोगों को सिरदर्द या बेचैनी हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस लेने में कठिनाई, या मतिभ्रम हो सकता है। अगर ऐसा कुछ हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। शराब का सेवन न करें। गाड़ी चलाने या मशीन चलाने से बचें क्योंकि इससे नींद आ सकती है। निर्धारित खुराक से अधिक न लें। अगर खांसी 7 दिनों से अधिक रहती है, तो डॉक्टर से मिलें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 kufma syrup Uses & Benefits

[{"condition":"Dry cough","description":"This medicine helps suppress dry, irritating cough by acting on the cough center in the brain.","evidence":"Well-established"},{"condition":"Productive cough with thick mucus","description":"The guaifenesin component helps thin and loosen mucus, making it easier to expel.","evidence":"Well-established"},{"condition":"Common cold with cough","description":"Provides symptomatic relief of cough and chest congestion associated with the common cold.","evidence":"Well-established"},{"condition":"Upper respiratory tract infections","description":"Used for temporary relief of cough due to minor throat and bronchial irritation.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Cough in palliative care","description":"Sometimes used off-label for cough relief in palliative care settings, but only under medical supervision.","evidence":"Limited"}]

Primary treatment for: Cough

Also treats: Common cold, Upper respiratory tract infection, Bronchitis

📋 Drug Information

Generic Name(s)Dextromethorphan Hydrobromide (10mg/5ml) + Guaifenesin (100mg/5ml)
Brand Namekufma syrup
ManufacturerWings Biotech Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not refrigerate unless specified on the label.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine with food or milk to reduce stomach upset.
2
Stay well hydrated throughout the day to help loosen mucus.
3
Avoid alcohol while taking this medicine as it increases drowsiness.
4
Do not take more than the prescribed dose or duration.
5
Consult your doctor if cough persists beyond 7 days or worsens.
6
Do not use this medicine for chronic cough unless directed by a doctor.
7
Keep out of reach of children and store as directed.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Dry cough
This medicine is commonly prescribed for this.
Likely Use
✅
Chest congestion
This medicine helps loosen mucus.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Sore throat
This medicine does not treat sore throat.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDextromethorphan is rapidly absorbed from the gastrointestinal tract after oral administration. Guaifenesin is also absorbed from the gastrointestinal tract. Food may slightly delay the absorption of guaifenesin but does not significantly affect the overall effect.
DistributionDextromethorphan is widely distributed in the body, including the brain. Guaifenesin distributes to respiratory tract secretions. Protein binding information for both ingredients is not well established.
Protein BindingNot established from the available information.
MetabolismDextromethorphan is metabolized in the liver by cytochrome P450 enzymes, primarily CYP2D6, to dextrorphan and other metabolites. Guaifenesin is metabolized in the liver, but the exact pathways are not fully characterized.
Half-LifeThe elimination half-life of dextromethorphan is approximately 2 to 4 hours in most individuals, but it can be longer in poor CYP2D6 metabolizers. The half-life of guaifenesin is about 1 hour.
ExcretionDextromethorphan and its metabolites are primarily excreted in the urine. Guaifenesin is also excreted in the urine, mainly as metabolites.
BioavailabilityThe oral bioavailability of dextromethorphan is about 10 to 20 percent due to first-pass metabolism. The bioavailability of guaifenesin is not well established.
Onset of ActionCough suppression typically begins within 15 to 30 minutes after oral administration. Expectorant effects may take longer to manifest.
Peak Plasma TimePeak plasma concentrations of dextromethorphan are reached in about 2 to 3 hours. For guaifenesin, peak levels occur in about 1 hour.
Duration of ActionThe cough suppressant effect of dextromethorphan lasts about 4 to 6 hours. The expectorant effect of guaifenesin lasts about 4 to 6 hours as well.

How It Works

This medicine combines two active ingredients with different mechanisms. Dextromethorphan hydrobromide acts on the central nervous system by binding to sigma-1 receptors and NMDA receptors, and it also suppresses the cough reflex by affecting the medullary cough center. It does not have analgesic or addictive properties at usual doses. Guaifenesin is an expectorant that works by increasing the volume and reducing the viscosity of respiratory tract secretions, which helps in the removal of mucus from the airways. Together, they provide cough suppression and mucus clearance.

Mechanism Steps

1
Cough reflex suppression: Dextromethorphan binds to sigma-1 and NMDA receptors in the brain, reducing the sensitivity of the cough center to stimuli.
2
Mucus thinning: Guaifenesin increases the water content of mucus and reduces its viscosity, making it easier to cough up.
3
Combined effect: The combination reduces the frequency of dry cough and helps clear chest congestion by promoting productive coughing.

💡 How to Take kufma syrup

Strength: Each 5 ml contains Dextromethorphan Hydrobromide 10 mg and Guaifenesin 100 mg.

1Shake the bottle well before use.
2Use a measuring cup or spoon to measure the correct dose.
3Take the medicine orally, with or without food.
4Follow the dosage instructions on the label or as prescribed by your doctor.
5Do not exceed the recommended dose or duration of use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 ml (2 teaspoons) every 4 to 6 hours as needed, not to exceed 60 ml in 24 hours. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. Follow your doctor's instructions carefully.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and dizziness. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentDose adjustment may be needed in patients with kidney disease. Consult your doctor for guidance.
Hepatic ImpairmentDose adjustment may be needed in patients with liver disease. Consult your doctor for guidance.
Maximum Daily DoseThe maximum daily dose for adults is 60 ml in 24 hours. Do not exceed this limit.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Alcohol
Avoid
Increases drowsiness and risk of respiratory depression.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of kufma syrup

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery. Usually resolves on its own.
Dizziness (Common (5-10%))
Sit or lie down until it passes. Consult doctor if persistent.
Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset.
Vomiting (Uncommon (1-5%))
Stay hydrated. Consult doctor if severe or persistent.
Stomach discomfort (Common (5-10%))
Take with meals. Consult doctor if it continues.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face, lips, or throat, or difficulty breathing.
Hallucinations (Rare (<0.1%))
Stop the medicine and consult a doctor immediately.
Respiratory depression (Rare (<0.1%))
Seek emergency medical care if you experience slow or shallow breathing.
Irregular heartbeat (Rare (<0.1%))
Get immediate medical attention.

⚠️ Rare Side Effects

Serotonin syndrome
Seek emergency care if you have agitation, confusion, rapid heart rate, high blood pressure, or muscle twitching.
Blood disorders
Consult doctor if you notice unusual bruising or bleeding.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAO inhibitors Major
SSRIs Major
CYP2D6 inhibitors Major
Alcohol Moderate
Benzodiazepines Moderate
Opioids Moderate
Antihistamines Moderate
Antacids Minor

🚨 Major Interactions

  • MAO inhibitors (e.g., phenelzine, tranylcypromine)
  • SSRIs (e.g., fluoxetine, paroxetine)
  • CYP2D6 inhibitors (e.g., quinidine, terbinafine)

⚡ Moderate Interactions

  • CNS depressants (e.g., alcohol, benzodiazepines, opioids)
  • Antihistamines (e.g., diphenhydramine)

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and the risk of respiratory depression. It may also worsen stomach upset.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to dextromethorphan, guaifenesin, or any component of the formulation.","Concurrent use with MAO inhibitors or within 14 days of stopping an MAO inhibitor.","Children under 12 years of age (unless directed by a doctor).","Chronic cough associated with smoking, asthma, or emphysema.","Cough accompanied by excessive secretions."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Avoid driving or operating machinery until you know how this medicine affects you.","Do not use for persistent or chronic cough unless directed by a doctor.","Consult a doctor if cough lasts more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache.","Use with caution in patients with liver or kidney disease.","Use with caution in patients with a history of drug abuse or addiction.","Do not use in children under 12 years without medical advice."]

🤱 Lactation Safety

It is not known whether this medicine passes into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause severe drowsiness, dizziness, nausea, vomiting, hallucinations, rapid heartbeat, and respiratory depression. If you suspect an overdose, seek emergency medical attention immediately. Treatment is supportive and symptomatic. There is no specific antidote for dextromethorphan or guaifenesin overdose. Gastric lavage may be considered if taken recently. 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

General Safety

Before taking this medicine, inform your doctor if you have a history of liver or kidney disease, asthma, chronic bronchitis, or if you are pregnant or breastfeeding. Do not take this medicine with alcohol or other cough and cold medicines without consulting a doctor. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it may cause drowsiness or dizziness. Do not exceed the recommended dose or duration of treatment. If your cough lasts more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache, stop using this medicine and consult a doctor. Keep this medicine out of 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 side effects of this medicine, especially drowsiness and dizziness. Use with caution and consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

Consult your doctor before using this medicine if you are planning to become pregnant or are pregnant.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, 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, as it may cause dry mouth or interact with anesthetics.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Use a humidifier to add moisture to the air.
😴
Avoid smoking and exposure to secondhand smoke.
💧
Get plenty of rest to help your body recover.
🧘
Gargle with warm salt water to soothe throat irritation.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel dizzy or drowsy. Light activity is fine if you feel up to it.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup.
Avoid cold drinks and ice cream.
Include honey and ginger in your diet.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness or dizziness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you.

🛑 When to Stop This Medicine

Stop taking this medicine and consult a doctor if your cough persists for more than 7 days, comes back, or is accompanied by fever, rash, or persistent headache. 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. Prolonged use may lead to tolerance, dependence, or masking of underlying conditions. If cough persists beyond 7 days, consult a doctor for further evaluation.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and soothe airways.

Evidence: Well-established
Honey and warm water

Soothes throat and reduces cough.

Evidence: Well-established
Saline nasal drops

Helps clear nasal congestion.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, consult your doctor if you are due for any vaccination.

📦 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 along with a copy of the prescription. Store it at room temperature and protect it from direct sunlight. If traveling across time zones, continue with your regular dosing schedule as advised by your doctor. Check customs regulations for carrying medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with a dry cough and chest congestion
She started taking this medicine as prescribed. Within 2 days, her cough frequency reduced and she could sleep better. She experienced mild drowsiness initially, which subsided after a day. She emphasized taking it with food to avoid stomach upset.
💡 Lesson: Consistent use as directed provides relief, and taking with food improves tolerability.
👤 A 50-year-old man with a persistent cough after a cold
He used this medicine for 5 days. His cough improved, but he continued to have a mild cough. He consulted his doctor, who advised stopping the medicine as it was no longer needed. He learned not to use it for more than 7 days without medical advice.
💡 Lesson: Do not use this medicine for longer than recommended without consulting a doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 15-30 minutes after taking it.

Q: Can I take it with other cold medicines?

A: Consult your doctor before taking with other cold medicines to avoid interactions.

Q: Is it safe for children?

A: It is not recommended for children under 12 years without medical advice.

Q: Can I take it if I am pregnant?

A: Consult your doctor before use during pregnancy.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for kufma syrup

View All

Alternative 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 temporary relief of dry cough and chest congestion. It does not treat the underlying cause, such as infection or asthma.
  • Myth: It is safe to take this medicine for a long time.
    Fact: Prolonged use is not recommended. If cough persists beyond 7 days, consult a doctor.
  • Myth: More medicine means faster relief.
    Fact: Taking more than the recommended dose can lead to serious side effects. Always follow the dosage instructions.

🔄 Alternative Options

Generic Alternatives

  • Dextromethorphan + Guaifenesin syrup (generic)

Brand Alternatives

  • Panthor DX Syrup

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Dextromethorphan + Guaifenesin","uses":"Dry cough with congestion","notes":"Non-drowsy cough suppressant with expectorant."},{"medicine":"Dextromethorphan + Chlorpheniramine","composition":"Dextromethorphan + Chlorpheniramine","uses":"Cough with runny nose","notes":"May cause more drowsiness."},{"medicine":"Guaifenesin + Codeine","composition":"Guaifenesin + Codeine","uses":"Severe cough","notes":"Opioid, potential for dependence."}]

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