Bulltus-M Syrup: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction (rash, swelling, difficulty breathing)
- Irregular heartbeat or palpitations
- Chest pain or tightness
- Severe dizziness or fainting
- Muscle weakness or cramps (possible hypokalemia)
- Yellowing of skin or eyes (jaundice)
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is rexcore syrup used for?
This medicine is a combination syrup containing terbutaline (a bronchodilator) and bromhexine (a mucolytic). It is used to relieve bronchospasm and loosen mucus in conditions like bronchitis and asthma. It works by relaxing airway muscles and thinning secretions, making breathing easier and cough more productive.
- Generic Name: Terbutaline (1.25mg/5ml) + Bromhexine (2mg/5ml)
- Manufacturer: Lividus Pharmaceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 rexcore syrup के बारे में (Hindi Summary)
उपयोग: यह दवा टर्ब्यूटलीन और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग ब्रोंकाइटिस, अस्थमा और अन्य श्वसन रोगों में बलगम को पतला करने और सांस की नली को खोलने के लिए किया जाता है। यह सांस लेने में आसानी प्रदान करती है और खांसी को उत्पादक बनाती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में कंपन, घबराहट, सिरदर्द, चक्कर आना, मतली और पेट की गड़बड़ी शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि सांस लेने में कठिनाई, चेहरे या गले में सूजन, या दिल की धड़कन तेज हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक बढ़ाएं या घटाएं नहीं। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले कप या चम्मच का उपयोग करें। यदि आपको चक्कर या कंपन महसूस हो तो वाहन चलाने से बचें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें। बच्चों की पहुंच से दूर रखें।
💊 rexcore syrup Uses & Benefits
[{"condition":"Acute bronchitis","description":"Helps relieve bronchospasm and loosen mucus, making cough more productive.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Provides symptomatic relief by reducing airway constriction and thinning secretions.","evidence":"Well-established"},{"condition":"Bronchial asthma","description":"Used as an adjunct to relieve bronchospasm and mucus plugging in some patients.","evidence":"Established"},{"condition":"Productive cough with thick mucus","description":"Bromhexine helps thin and mobilize mucus, easing expectoration.","evidence":"Well-established"}]
Off-label uses: [{"condition":"COPD exacerbation","description":"Sometimes used off-label for short-term symptom relief in chronic obstructive pulmonary disease.","evidence":"Limited"}]
Primary treatment for: Respiratory conditions with bronchospasm and thick mucus (e.g., bronchitis, asthma)
Also treats: Chronic obstructive pulmonary disease (COPD), Productive cough, Emphysema
📋 Drug Information
| Generic Name(s) | Terbutaline (1.25mg/5ml) + Bromhexine (2mg/5ml) |
| Brand Name | rexcore syrup |
| Manufacturer | Lividus Pharmaceuticals Pvt Ltd |
| 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. Protect from direct sunlight and moisture. 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. Terbutaline is a selective beta-2 adrenergic receptor agonist that relaxes bronchial smooth muscle by increasing cyclic AMP, leading to bronchodilation. Bromhexine is a mucolytic agent that reduces mucus viscosity by breaking down acidic mucopolysaccharide fibers, making secretions thinner and easier to cough out. Together, they help open airways and clear mucus, improving breathing and cough clearance.
Mechanism Steps
💡 How to Take rexcore syrup
Strength: Each 5 ml contains Terbutaline 1.25 mg and Bromhexine 2 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 ml (one to two teaspoons) taken two to three times daily, or as directed by your physician. The dose may vary depending on the severity of the condition and your response to treatment. Do not exceed the recommended dose. 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 for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiovascular effects of terbutaline. Use with caution and start with a lower dose as prescribed by the doctor. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment. Consult your doctor for appropriate dosing. |
| Hepatic Impairment | Use with caution in patients with severe hepatic impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 30 ml (6 teaspoons) in divided doses, but this may vary based on medical advice. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of rexcore syrup
✅ 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 | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Theophylline | Moderate | |
| Antacids | Minor |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs)
- Tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide)
- Corticosteroids
- Xanthine derivatives (e.g., theophylline)
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and cardiovascular side effects. 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
["Hypersensitivity to terbutaline, bromhexine, or any component of the formulation","Severe cardiovascular disorders (e.g., severe coronary insufficiency, cardiac arrhythmias)","Hyperthyroidism","Uncontrolled diabetes mellitus","Severe hepatic or renal impairment","Children under 2 years of age (safety not established)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular diseases, including coronary artery disease, hypertension, and arrhythmias.","May cause hypokalemia; monitor potassium levels, especially with concomitant use of diuretics or corticosteroids.","May increase blood glucose levels; diabetic patients should monitor blood sugar closely.","Use with caution in patients with hyperthyroidism.","May cause tremors and nervousness; avoid driving or operating machinery if affected.","Do not exceed the recommended dose.","Safety and effectiveness in children below 2 years have not been established.","Prolonged use may lead to tolerance to the bronchodilator effect."]
🤱 Lactation Safety
Terbutaline is excreted in breast milk and may cause tremors or increased heart rate in the infant. Bromhexine is also excreted in breast milk. Use with caution and only if prescribed by a doctor. Monitor the infant for any unusual symptoms.
💊 Overdose Management
Overdose may cause severe tachycardia, palpitations, tremors, hypokalemia, and hyperglycemia. Treatment is supportive and symptomatic. If overdose is suspected, seek immediate medical attention. Monitor cardiac function, electrolytes, and blood glucose. 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 or decrease the dose without medical advice. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring cup or spoon to measure the dose accurately. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, or liver or kidney disease. Do not use this medicine for a longer duration than recommended without consulting your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. Do not use if the syrup has changed color or contains particles.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more prone to cardiovascular side effects like palpitations and arrhythmias. Use with caution and monitor heart rate and blood pressure regularly.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before using this medicine. It should be used during pregnancy only if the potential benefit justifies the potential risk to the fetus.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have heart or lung conditions. It may interact with anesthetics or other medications.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may cause dry mouth or interact with certain dental anesthetics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you experience tremors, dizziness, or palpitations. Light activity like walking may be beneficial, but consult your doctor before starting any exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or tremors, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is generally safe to continue desk work, but take breaks if you feel shaky.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience severe side effects. Do not stop abruptly if you have been on long-term therapy without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to tolerance to terbutaline's bronchodilator effect and increased risk of cardiovascular side effects. Bromhexine is generally well-tolerated, but rare liver enzyme elevations may occur. Regular monitoring of heart rate, blood pressure, potassium levels, and liver function is advised if used for prolonged periods. Do not use for longer than recommended without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and soothe airways.
Evidence: Well-establishedAssists in clearing secretions.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, if you have a respiratory infection, consult your doctor about timing of vaccinations.
📦 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
Carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Keep it in your carry-on luggage if flying.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Bronchodilation begins within 30 minutes, but the full mucolytic effect may take a few hours. Symptom improvement is usually noticeable within a day.
A: Do not take other cough syrups without consulting your doctor, as they may contain overlapping ingredients or interact.
A: Consult your doctor. It should be used only if clearly needed, as both ingredients may affect the fetus.
🤔 Common Patient Concerns
🔄 Substitutes for rexcore syrup
View AllAlternative brands with exact same active ingredient:
-
bulltus-m syrupPlenum Biotech ₹49.65 15.9% CHEAPER
-
ventorest br syrupKolaz Biotech Pvt Ltd ₹51.56 12.7% CHEAPER
-
kofolen b syrupOlens Healthcare Pvt Ltd ₹53.44 9.5% CHEAPER
-
wheeze-p syrupZither Pharmaceutical Pvt Ltd ₹55.31 6.3% CHEAPER
-
jvtuss t syrupJV Healthcare ₹59.00 0.1% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma permanently.
Fact: This medicine provides symptomatic relief but does not cure underlying lung diseases. It should be used as part of a comprehensive treatment plan. - Myth: It is safe to take extra doses if symptoms are severe.
Fact: Taking more than the prescribed dose can lead to serious side effects like rapid heartbeat and tremors. Always follow your doctor's instructions. - Myth: This medicine is safe for children without doctor's advice.
Fact: Pediatric dosing is not established; consult a pediatrician before giving this medicine to children.
🔄 Alternative Options
Generic Alternatives
- Terbutaline + Bromhexine syrup (generic)
Brand Alternatives
- Bulltus-M Syrup