Adicoff Syrup: Complete Guide to Uses, Dosage, Side Effects, 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
- Difficulty breathing or shortness of breath
- Swelling of the face, lips, tongue, or throat
- Severe rash, blistering, or peeling skin
- Blood in vomit or black, tarry stools
- Severe abdominal pain
- Chest pain or irregular heartbeat
- Yellowing of the skin or eyes
- Decreased urine output or painful urination
- Persistent high fever
- Cough lasting more than 7 days without improvement
If experiencing severe symptoms, call emergency services immediately.
What is respi q tablet used for?
This medicine is a combination cough syrup containing bromhexine and guaifenesin. It works by thinning and loosening mucus in the airways, making it easier to cough out. It is used for productive coughs with thick phlegm. It is not for dry cough. Take as directed by your doctor, usually 10 mL every 4-6 hours for adults.
- Generic Name: Bromhexine (NA) + Guaifenesin (NA)
- Manufacturer: Alembic Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 respi q tablet के बारे में (Hindi Summary)
उपयोग: यह दवा ब्रोमहेक्सिन और गुआइफेनेसिन का संयोजन है, जिसका उपयोग बलगम वाली खांसी के इलाज के लिए किया जाता है। यह बलगम को पतला करके उसे बाहर निकालने में मदद करती है। यह सूखी खांसी के लिए नहीं है। इसका उपयोग सामान्य सर्दी, ब्रोंकाइटिस और अन्य श्वसन संक्रमणों में होता है जहां गाढ़ा बलगम फेफड़ों में जमा हो जाता है। यह दवा डॉक्टर के निर्देशानुसार ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में पेट खराब होना, जी मिचलाना, उल्टी, दस्त, सिरदर्द, चक्कर आना और पसीना आना शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभावों में एलर्जी की प्रतिक्रिया, सांस लेने में कठिनाई, चेहरे या गले में सूजन, और पेट में गंभीर दर्द शामिल हो सकते हैं। यदि आपको कोई भी गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से दवा की मात्रा या अवधि न बढ़ाएं। इस दवा को लेते समय खूब पानी पिएं ताकि बलगम पतला हो सके। अन्य खांसी और जुकाम की दवाओं के साथ इसका सेवन बिना डॉक्टर की सलाह के न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं, तो डॉक्टर से परामर्श करें। इस दवा को बच्चों की पहुंच से दूर रखें। चक्कर आने पर वाहन न चलाएं।
💊 respi q tablet Uses & Benefits
[{"condition":"Productive cough associated with acute bronchitis","description":"Helps thin and loosen mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Productive cough due to common cold","description":"Provides symptomatic relief by reducing mucus viscosity and promoting expectoration.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD) with thick secretions","description":"Used as an adjunct to help clear airway secretions in some patients.","evidence":"Limited"},{"condition":"Bronchiectasis with excessive mucus","description":"May help in airway clearance when used as part of a comprehensive treatment plan.","evidence":"Limited"}]
Off-label uses: [{"condition":"Sinusitis with thick nasal discharge","description":"Sometimes used off-label to help thin sinus secretions.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally used off-label to reduce middle ear fluid viscosity, but evidence is weak.","evidence":"Insufficient"}]
Primary treatment for: Productive cough
Also treats: Acute bronchitis, Common cold, COPD, Bronchiectasis
📋 Drug Information
| Generic Name(s) | Bromhexine (NA) + Guaifenesin (NA) |
| Brand Name | respi q tablet |
| Manufacturer | Alembic Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed. Do not freeze. |
| Shelf Life | 24 months from the date of manufacture. Do not use after the expiry date printed on the pack. |
| 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 mucoactive agents. Bromhexine is a mucolytic that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers in the respiratory tract. Guaifenesin is an expectorant that increases the volume and reduces the viscosity of respiratory secretions by increasing hydration of mucus, making it easier to clear by coughing. Together, they enhance mucociliary clearance and facilitate the removal of thick secretions from the airways.
Mechanism Steps
💡 How to Take respi q tablet
Strength: Each 5 mL of syrup contains Bromhexine 4 mg and Guaifenesin 50 mg (typical composition; actual strength may vary).
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 10 mL (two teaspoons) every 4 to 6 hours as needed, not to exceed 60 mL in 24 hours. However, the dose may vary based on the severity of symptoms and the patient's condition. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate. Follow your doctor's instructions exactly. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is not recommended for children under 2 years of age. For children 2 to 6 years, the dose is typically 2.5 mL every 4 to 6 hours as directed by a doctor. For children 6 to 12 years, the dose is typically 5 mL every 4 to 6 hours as directed by a doctor. Do not exceed 6 doses in 24 hours. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially dizziness and gastrointestinal upset. Use with caution and consider a lower starting dose. Dose must be individualized by a qualified clinician based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor for individualized dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult a doctor for individualized dosing. |
| Maximum Daily Dose | For adults: 60 mL in 24 hours. For children 6-12 years: 30 mL in 24 hours. For children 2-6 years: 15 mL in 24 hours. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of respi q 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 | |
| MAOIs | Major | |
| Warfarin | Moderate | |
| Atropine | Moderate | |
| Antihistamines | Moderate | |
| Amoxicillin | Moderate | |
| Erythromycin | Moderate | |
| Aspirin | Minor | |
| Diuretics | Minor |
🚨 Major Interactions
- Cough suppressants (e.g., codeine, dextromethorphan)
- Monoamine oxidase inhibitors (MAOIs)
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., atropine, antihistamines)
- Warfarin
- Antibiotics (e.g., amoxicillin, erythromycin)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and gastrointestinal upset when taken with this medicine. 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
["Known hypersensitivity or allergy to bromhexine, guaifenesin, or any component of the formulation.","Children under 2 years of age.","Active peptic ulcer disease.","Severe hepatic impairment.","Severe renal impairment.","Use with MAOIs."]
⚠️ Warnings & Precautions
["Do not use for dry cough or cough lasting more than 7 days without medical advice.","Avoid concurrent use with other cough and cold medicines without consulting a doctor.","Use with caution in patients with a history of peptic ulcer disease.","Use with caution in patients with asthma or bronchospasm.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Do not exceed the recommended dose.","Keep out of reach of children.","Consult a doctor before use if pregnant or breastfeeding."]
🤱 Lactation Safety
Not established from the available information. Bromhexine and guaifenesin may pass into breast milk. Consult a doctor before use while breastfeeding.
💊 Overdose Management
Overdose may cause nausea, vomiting, diarrhea, and abdominal discomfort. In severe cases, it may lead to central nervous system depression, respiratory depression, and seizures. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. 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
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Drink plenty of water while taking this medicine to help loosen mucus. Avoid taking this medicine with other cough and cold products without consulting a doctor, as they may contain overlapping ingredients. Do not use this medicine for a dry cough or for cough lasting more than 7 days without medical advice. 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. Do not drive or operate heavy machinery if you feel dizzy after taking this medicine. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, particularly dizziness, confusion, and gastrointestinal upset. They may also have reduced kidney and liver function, which can affect drug clearance. Use with caution and consider a lower dose. Monitor for any signs of adverse effects.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before using this medicine. The safety of bromhexine and guaifenesin during pregnancy is not well established. Your doctor will weigh the potential benefits against the risks.
🏥 Post-Surgery Considerations
After surgery, cough and mucus clearance can be important to prevent respiratory complications. However, the use of this medicine should be discussed with your surgeon or anesthesiologist, as some ingredients may interact with other medications or affect recovery. Do not self-medicate.
🦷 Dental Procedures
This medicine does not typically interfere with dental procedures. However, if you are scheduled for dental work, inform your dentist about all medications you are taking, including this one. Dry mouth can be a side effect, so stay hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may feel dizzy or tired. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. Light activity like walking is generally safe, but listen to your body and rest when needed.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is generally safe to continue desk work, but take breaks and stay hydrated. If your cough is severe, you may need to rest at home to avoid spreading infection to others.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your cough does not improve within 7 days, if it worsens, or if you develop new symptoms such as fever, rash, or difficulty breathing. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged high-dose use of guaifenesin may increase the risk of kidney stones. Bromhexine may rarely cause liver enzyme elevations. If you need to use this medicine for more than 7 days, consult your doctor to determine the underlying cause of your cough and to monitor for any adverse effects.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaling steam can help loosen mucus and relieve chest congestion.
Evidence: LimitedHelps clear nasal passages and reduce postnasal drip.
Evidence: ModerateSoothes the throat and can help reduce cough frequency.
Evidence: ModerateTechniques to help clear airway secretions, especially in chronic lung conditions.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are acutely ill with a fever, it is generally advisable to postpone vaccination until you recover. Consult your doctor for personalized advice.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ 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 to local time gradually. Do not leave it in a hot car or checked luggage. If you are flying, keep it in your carry-on bag. Check the laws of your destination country regarding cough syrups, as some ingredients may be restricted.
💰 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 a dose. You may notice loosening of mucus and easier coughing.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
A: It is not recommended for children under 2 years. For older children, consult a pediatrician for appropriate dosing.
A: Consult your doctor before use. The safety of this medicine during pregnancy is not well established.
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 respi q tablet
View AllAlternative brands with exact same active ingredient:
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cofcad dl tabletZydus Healthcare Limited ₹6.56 5.1% CHEAPER
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mericof tabletWockhardt Ltd ₹6.68 3.3% CHEAPER
-
cuffit q tabletSun Pharmaceutical Industries Ltd ₹7.47 8.1% COSTLIER
-
okas q tabletCipla Ltd ₹7.56 9.4% COSTLIER
-
coughrest tabletMankind Pharma Ltd ₹9.24 33.7% COSTLIER
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 and may be harmful if used inappropriately. - Myth: More syrup means faster relief.
Fact: Taking more than the recommended dose does not provide faster relief and can increase the risk of side effects. - Myth: It is safe to take with other cough medicines.
Fact: Combining with other cough medicines can lead to overlapping ingredients and increased risk of side effects. Always consult a doctor.
🔄 Alternative Options
Generic Alternatives
- Bromhexine + Guaifenesin syrup (generic)
Brand Alternatives
- Adicoff syrup