Bronk X Syrup: Complete Guide to Uses, Dosage, Side Effects, and Safety
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 or rash
If experiencing severe symptoms, call emergency services immediately.
What is refacold tablet used for?
This medicine is a combination of Ambroxol and Guaifenesin used to treat productive cough by thinning mucus and making it easier to cough up. It is taken orally every 4-6 hours as needed, but not for more than 7 days without medical advice.
- Generic Name: Ambroxol (30mg) + Guaifenesin (100mg)
- Manufacturer: Trans Pharmaceuticals
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 refacold tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एक कफ सिरप है जिसमें एम्ब्रोक्सोल और गुआइफेनेसिन दो सक्रिय तत्व होते हैं। यह गीले खांसी (जिसमें बलगम आता है) के इलाज के लिए इस्तेमाल की जाती है। यह बलगम को पतला करके और उसे बाहर निकालने में मदद करके छाती की जकड़न को कम करती है। यह दवा सूखी खांसी के लिए नहीं है। इसका इस्तेमाल डॉक्टर की सलाह के अनुसार ही करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, उल्टी, दस्त, पेट में गड़बड़ी, सिरदर्द और नींद आना शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको त्वचा पर चकत्ते, सूजन, सांस लेने में कठिनाई, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से ज्यादा न लें। हर बार उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही माप के लिए मापने वाला कप या चम्मच इस्तेमाल करें। सूखी खांसी के लिए इसका इस्तेमाल न करें। 7 दिन से ज्यादा इसका इस्तेमाल न करें। अगर आपको नींद या चक्कर आते हैं तो गाड़ी न चलाएं। शराब न पिएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।
💊 refacold tablet Uses & Benefits
[{"condition":"Productive cough (wet cough)","description":"Helps to loosen and thin mucus in the airways, making it easier to cough out and providing relief from chest congestion.","evidence":"Well-established"},{"condition":"Bronchitis","description":"Used as a supportive treatment to clear mucus in acute or chronic bronchitis.","evidence":"Moderate"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"May be used to help clear mucus in COPD patients, but only under medical supervision.","evidence":"Limited"}]
Off-label uses: []
Primary treatment for: Productive cough
Also treats: Bronchitis, COPD, Chest congestion
📋 Drug Information
| Generic Name(s) | Ambroxol (30mg) + Guaifenesin (100mg) |
| Brand Name | refacold tablet |
| Manufacturer | Trans Pharmaceuticals |
| 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 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 works through two complementary mechanisms. Ambroxol is a mucolytic that breaks down acidic mucopolysaccharide fibers in mucus, reducing its viscosity and making it easier to clear. It also stimulates the production of surfactant in the lungs, which helps to keep airways open. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of bronchial secretions by drawing water into the mucus, making it less sticky and easier to cough up. Together, they help to relieve chest congestion and make coughing more productive.
Mechanism Steps
💡 How to Take refacold tablet
Strength: Each 5 mL of syrup contains Ambroxol 30 mg and Guaifenesin 100 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 mL (one to two teaspoons) taken orally every 4 to 6 hours, up to a maximum of 6 doses in 24 hours. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and response to treatment. Do not exceed the recommended dose. Always use a proper measuring cup or spoon. |
| 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 side effects of this medicine, such as drowsiness and dizziness. Use with caution and consult a doctor for appropriate dosing. |
| Renal Impairment | Dose adjustment may be needed in patients with kidney disease. Consult a doctor for guidance. |
| Hepatic Impairment | Dose adjustment may be needed in patients with liver disease. Consult a doctor for guidance. |
| Maximum Daily Dose | The maximum daily dose of this medicine should not exceed 60 mL (12 teaspoons) in 24 hours for adults, unless otherwise directed by a doctor. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of refacold tablet
✅ 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 | |
| Dextromethorphan | Major | |
| Atropine | Moderate | |
| Amoxicillin | Moderate | |
| Furosemide | Minor |
🚨 Major Interactions
- Cough suppressants (e.g., codeine, dextromethorphan)
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., atropine, hyoscyamine)
- Antibiotics (e.g., amoxicillin, cefuroxime)
🍷 Alcohol Interaction
Alcohol may increase the risk of drowsiness, dizziness, and stomach upset when taken with this medicine. It is advisable to avoid alcohol while using this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to Ambroxol, Guaifenesin, or any other ingredient in this medicine.","Children under 2 years of age.","Use in patients with a dry, non-productive cough.","Use in patients with severe liver or kidney disease without medical supervision."]
⚠️ Warnings & Precautions
["Do not use this medicine for more than 7 days without consulting a doctor.","If cough persists or worsens, or is accompanied by fever, rash, or persistent headache, consult a doctor.","Avoid driving or operating machinery if you feel drowsy or dizzy.","Avoid alcohol while taking this medicine.","Consult your doctor before use if you are pregnant, planning to become pregnant, or breastfeeding.","Use with caution in patients with liver or kidney disease.","Keep out of reach of children.","Do not exceed the recommended dose."]
🤱 Lactation Safety
It is not known whether Ambroxol and Guaifenesin pass into breast milk. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
If you suspect an overdose, seek immediate medical attention. Symptoms of overdose may include severe 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
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Shake the bottle well before each use. Use a proper measuring cup or spoon to ensure accurate dosing. Do not use this medicine for a dry cough or for more than 7 days without consulting a doctor. Avoid driving or operating heavy machinery if you feel drowsy or dizzy after taking this medicine. Do not drink alcohol while taking this medicine as it may increase drowsiness and stomach upset. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep this medicine out of reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use it 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, particularly drowsiness, dizziness, and stomach upset. They may also have reduced liver and kidney function, which can affect drug clearance. Use with caution and consult a doctor for appropriate dosing.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this medicine during pregnancy is not well established, and it should only be used if clearly needed and prescribed by a doctor.
🏥 Post-Surgery Considerations
If you have recently undergone surgery, consult your doctor before using this medicine. It may interact with other medications or affect your recovery. Do not self-medicate.
🦷 Dental Procedures
This medicine does not typically interfere with dental procedures. However, inform your dentist that you are taking it, especially if you are scheduled for surgery or have a history of allergies.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
If you experience drowsiness or dizziness after taking this medicine, avoid exercising or operating heavy machinery. Light activity like walking may be fine if you feel up to it, but listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people. If affected, avoid driving, operating machinery, or performing tasks that require alertness. Otherwise, it should not significantly impact your daily work life. Take it as prescribed and stay hydrated.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your cough persists for more than 7 days, worsens, or is accompanied by fever, rash, or persistent headache. Also stop if you experience any severe side effects such as allergic reactions or gastrointestinal bleeding.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to increased side effects such as stomach upset, drowsiness, and rarely, kidney or liver problems. It is important to review with your doctor if you need to use it for more than 7 days. Regular monitoring of liver and kidney function may be advised in patients with underlying conditions.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help to loosen mucus and relieve chest congestion.
Evidence: Well-establishedUsing a saline nasal spray or rinse can help to clear nasal passages and reduce postnasal drip.
Evidence: ModerateA spoonful of honey can help soothe a cough and throat irritation.
Evidence: Moderate💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a vaccine, 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, 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 at room temperature and protect it from direct sunlight. If you are crossing time zones, continue taking the medicine as prescribed, but adjust the timing gradually to avoid missing doses. Do not leave it in a hot car or checked luggage. If you have any doubts, consult a pharmacist before your trip.
💰 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 your cough becomes more productive and mucus is easier to cough out.
A: Yes, this medicine can be taken with antibiotics. In fact, Ambroxol may increase the concentration of some antibiotics in the lungs, which can be beneficial. However, always consult your doctor before combining any medicines.
A: This medicine is not recommended for children under 2 years of age. For older children, the dose must be determined by a pediatrician based on weight and age.
A: The safety of this medicine during pregnancy is not well established. Consult your doctor before using it if you are pregnant or planning to become pregnant.
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 refacold tablet
View AllAlternative brands with exact same active ingredient:
-
coffwin-amb syrupMakers Laboratories Ltd ₹17.78 40.7% CHEAPER
-
daycof 30 mg/100 mg/1.25 mg syrupSpic Pharmaceuticals ₹26.89 10.4% CHEAPER
-
mucosolvin 30mg/100mg/2.5mg tabletIpca Laboratories Ltd ₹28.13 6.2% CHEAPER
-
xputum tabletStedman Pharmaceuticals Pvt Ltd ₹29.94 0.2% CHEAPER
-
respeline syrupNovagen Pharmaceuticals ₹30.00 SAME PRICE
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 mucus. It is not effective for dry cough. - Myth: More medicine means faster relief.
Fact: Taking more than the recommended dose can increase side effects and does not provide faster relief. - Myth: It is safe to take this medicine for weeks.
Fact: This medicine should not be used for more than 7 days without consulting a doctor.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Guaifenesin syrup (generic)