Rizet EX Syrup Raspberry: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Sudden worsening of breathlessness or inability to speak full sentences
- Chest pain, palpitations, or fainting
- Swelling of the face, lips, tongue, or throat
- Severe allergic rash or blistering of the skin
- Coughing up blood or blood-streaked mucus
- High fever with worsening cough and chest pain
- Severe dizziness, confusion, or unusual weakness
- Very fast, irregular, or pounding heartbeat that does not settle
If experiencing severe symptoms, call emergency services immediately.
What is Rizet EX Syrup Raspberry used for?
This medicine is a raspberry-flavoured oral syrup containing ambroxol and levosalbutamol. It helps loosen thick mucus and open narrowed airways, making it easier to breathe and cough out secretions. It is used for short-term relief of productive cough and should be taken only as prescribed by a doctor.
- Generic Name: Ambroxol (39mg/5ml) + Levosalbutamol (1mg/5ml)
- Manufacturer: Astranova Biotech
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Rizet EX Syrup Raspberry के बारे में (Hindi Summary)
उपयोग: यह दवा एक रास्पबेरी स्वाद वाली ओरल सिरप है जिसमें एम्ब्रोक्सोल और लेवोसाल्बुटामोल दो सक्रिय तत्व होते हैं। यह गाढ़े बलगम को पतला करके उसे खाँसी के जरिए बाहर निकालने में मदद करती है और साथ ही साँस की नलियों को खोलकर साँस लेना आसान बनाती है। इसका इस्तेमाल आमतौर पर ब्रोंकाइटिस, बलगम वाली खाँसी और साँस की नलियों में संकुचन जैसी स्थितियों में किया जाता है। यह दवा डॉक्टर की सलाह के अनुसार ही लेनी चाहिए और तय मात्रा से ज्यादा नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में जी मिचलाना, पेट में हल्की तकलीफ, सिरदर्द, चक्कर आना, हाथों में हल्की कंपन, दिल की धड़कन तेज होना और मुँह सूखना शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी एलर्जी, साँस लेने में तकलीफ, तेज या अनियमित धड़कन, या पोटैशियम कम होने जैसी गंभीर समस्याएँ हो सकती हैं। अगर ऐसे लक्षण दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर द्वारा बताई गई मात्रा और अवधि के अनुसार ही लें। मापने वाला कप या चम्मच इस्तेमाल करें, घर के साधारण चम्मच से नहीं। खाँसी जल्दी ठीक न होने पर अपने आप मात्रा न बढ़ाएँ। दूसरी खाँसी की दवाओं या ब्रोंकोडाइलेटर के साथ इसका सेवन डॉक्टर की सलाह के बिना न करें। अगर आपको दिल, ब्लड प्रेशर, थायरॉइड, डायबिटीज, या लिवर-किडनी की बीमारी है तो डॉक्टर को पहले बताएँ। दवा लेने के बाद चक्कर या कंपन हो सकता है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें। बोतल को ठंडी और सूखी जगह पर रखें और बच्चों की पहुँच से दूर रखें।
💊 Rizet EX Syrup Raspberry Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"This medicine helps loosen and thin sticky bronchial secretions so that they can be cleared more easily by coughing.","evidence":"Well-established for ambroxol as a mucolytic in short-term use."},{"condition":"Acute bronchitis","description":"Used for short-term relief of cough and mucus congestion when the airways are inflamed and narrowed.","evidence":"Commonly used; evidence supports symptomatic benefit in selected patients."},{"condition":"Chronic bronchitis with reversible airway narrowing","description":"The levosalbutamol component helps open the airways while ambroxol supports mucus clearance.","evidence":"Established for the bronchodilator component; combination use is symptom-directed."},{"condition":"Bronchial asthma with mucus plugging","description":"May be used as add-on symptom relief when thick secretions contribute to breathing difficulty, but it is not a rescue inhaler.","evidence":"Limited for the fixed combination; asthma should be managed with guideline-based controller therapy."}]
Off-label uses: [{"condition":"Prevention of respiratory complications after surgery","description":"Ambroxol has sometimes been used to help clear secretions in selected post-operative patients.","evidence":"Limited and not established for this fixed combination."},{"condition":"Eustachian tube dysfunction with thick secretions","description":"Mucolytics have occasionally been tried to reduce secretion thickness in the middle ear and upper airway.","evidence":"Limited; not a standard approved use."}]
Primary treatment for: Productive cough with thick mucus and reversible airway narrowing
Also treats: Acute bronchitis, Chronic bronchitis, Bronchial asthma with mucus plugging, Chronic obstructive pulmonary disease with mucus congestion
📋 Drug Information
| Generic Name(s) | Ambroxol (39mg/5ml) + Levosalbutamol (1mg/5ml) |
| Brand Name | Rizet EX Syrup Raspberry |
| Manufacturer | Astranova Biotech |
| Packaging / Form | bottle of 100 ml Syrup (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store the bottle tightly closed at room temperature, between 15°C and 30°C, away from direct sunlight, heat, and moisture. Do not freeze the syrup. Keep it out of the reach of children. |
| Shelf Life | The shelf life is typically 24 months from the date of manufacture when stored as directed. Always check the expiry date on the pack and do not use the syrup after that date. |
| WHO Guideline | Not established from the available information for this specific fixed-dose combination. Management of cough and asthma should follow current national and international respiratory guidelines. |
| ICMR Guideline | Not established from the available information for this specific fixed-dose combination. Clinicians should follow ICMR and national respiratory guidelines for cough and airway disease management. |
👨⚕️ 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 complementary actions. Ambroxol increases the production of thinner serous bronchial secretions and reduces the viscosity of mucus, while also supporting the natural movement of cilia that sweep mucus upward. Levosalbutamol is the active R-enantiomer of salbutamol and acts as a selective beta-2 adrenergic receptor agonist. By stimulating beta-2 receptors on airway smooth muscle, it raises intracellular cyclic AMP, which relaxes the muscle and widens the bronchial passages. Together, the two ingredients make it easier to breathe and easier to cough out loosened mucus.
Mechanism Steps
💡 How to Take Rizet EX Syrup Raspberry
Strength: Each 5 ml of this raspberry-flavoured syrup contains ambroxol 39 mg and levosalbutamol 1 mg. The product is an immediate-release oral syrup.
Dosage Information
| Adult Dosage | The usual adult dose of this syrup is 5 ml to 10 ml taken two to three times a day, depending on the severity of symptoms and the doctor's assessment. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and response to treatment. Do not exceed the prescribed frequency or duration. Use a calibrated measuring cup or spoon, and shake the bottle well before each dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information for this specific combination. Consult a pediatrician for an appropriate weight-based dose and duration. Do not give this medicine to children without a doctor's prescription. |
| Elderly Dosage | Elderly patients may be more sensitive to the cardiac and tremor effects of levosalbutamol. The dose must be individualized by a qualified clinician, and heart rate, blood pressure, and potassium levels may need closer monitoring, especially in those with heart or kidney disease. |
| Renal Impairment | Dose adjustment may be required in patients with severe renal impairment because both ingredients and their metabolites are excreted by the kidneys. The exact adjustment must be individualized by a qualified clinician based on kidney function tests. |
| Hepatic Impairment | Dose adjustment may be required in patients with severe hepatic impairment because ambroxol is metabolised in the liver. The exact adjustment must be individualized by a qualified clinician based on liver function tests. |
| Maximum Daily Dose | The maximum daily dose must be determined by the prescribing clinician based on the patient's age, weight, indication, and medical condition. Do not exceed the dose advised on the prescription. In general, higher than recommended doses increase the risk of tremor, fast heartbeat, and low potassium. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Rizet EX Syrup Raspberry
✅ 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 | Major | |
| Digoxin | Moderate | |
| Caffeine | Moderate | |
| Codeine-containing cough syrups | Moderate | |
| Ipratropium | Moderate | |
| Antacids | Minor | |
| Activated charcoal | Minor | |
| Amoxicillin | Minor |
🚨 Major Interactions
- Non-selective beta-blockers such as propranolol
- Monoamine oxidase inhibitors and tricyclic antidepressants
- Other beta-2 agonists or sympathomimetics
- Potassium-lowering medicines such as diuretics, corticosteroids, or xanthines
⚡ Moderate Interactions
- Digoxin
- Caffeine and other stimulants
- Anticholinergic bronchodilators such as ipratropium
- Cough suppressants such as codeine or dextromethorphan
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol can worsen dizziness, drowsiness, and low blood pressure, and it may add to the strain on the heart caused by levosalbutamol. It can also irritate the stomach and worsen nausea. If you drink alcohol regularly, discuss this with your doctor before starting the syrup.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity or allergy to ambroxol, levosalbutamol, or any other ingredient in the syrup","Severe uncontrolled cardiac arrhythmias or severe heart disease unless specifically supervised","Acute severe asthma attack requiring emergency treatment, as this syrup is not a rescue therapy","Children below the age recommended by the prescribing doctor for this specific product","Use together with non-selective beta-blockers such as propranolol without specialist supervision"]
⚠️ Warnings & Precautions
["Do not exceed the prescribed dose, because higher doses increase the risk of tremor, fast heartbeat, and low potassium.","Use with caution in patients with heart disease, high blood pressure, overactive thyroid, or diabetes.","Use with caution in patients with severe liver or kidney disease.","This medicine may cause dizziness or tremor; avoid driving or operating machinery until you know how it affects you.","Do not combine with other cough syrups or bronchodilators without medical advice.","Stop the medicine and seek medical help if breathing worsens, if you develop chest pain, or if you have a severe allergic reaction.","Keep out of reach of children and use a proper measuring device to avoid accidental overdose."]
🤱 Lactation Safety
Ambroxol and levosalbutamol are expected to pass into breast milk in small amounts. The risk to a breastfed infant is not well established. Breastfeeding mothers should use this medicine only if advised by a doctor, and they should watch the baby for unusual fussiness, fast heartbeat, or poor feeding.
💊 Overdose Management
Overdose of this medicine can cause exaggerated beta-2 agonist effects such as fast or irregular heartbeat, severe tremor, restlessness, headache, low blood pressure, and low potassium levels. If a large accidental dose is taken, contact a poison control centre or go to the nearest emergency department immediately. Treatment is supportive and may include monitoring of heart rhythm, blood pressure, and electrolytes, along with appropriate medical care. Do not try to induce vomiting unless a healthcare professional advises it.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided there is still a reasonable gap before the next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Never take two doses at the same time to make up for a missed one, because this increases the risk of side effects such as tremor and fast heartbeat.
Additional Safety Advice
Take this medicine exactly in the dose and for the duration advised by your doctor, and use a proper measuring cup or spoon rather than a household spoon. Do not increase the dose on your own if the cough does not improve quickly, because higher doses can increase the risk of heart rhythm changes and tremor. Avoid taking this medicine together with other cough syrups, bronchodilators, or stimulant medicines unless your doctor has approved the combination. If you have heart disease, high blood pressure, diabetes, thyroid problems, or liver or kidney disease, remind your doctor before starting this medicine. Do not drive or operate heavy machinery until you know how this medicine affects you, since it can cause dizziness or tremor. Keep the bottle tightly closed, store it at room temperature away from direct sunlight, and keep it out of the reach of children. If you are pregnant, planning pregnancy, or breastfeeding, do not start this medicine without discussing it with your doctor first. If your cough lasts more than a week, is accompanied by fever, blood, or breathlessness, or if you develop chest pain or palpitations, stop the syrup and contact a doctor promptly.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to experience cardiac side effects such as fast heartbeat, palpitations, and changes in blood pressure from levosalbutamol. They may also be more sensitive to tremor and dizziness. The dose should be individualized, and heart rate, blood pressure, and electrolytes should be monitored, especially in those with heart, kidney, or liver disease. Falls risk may increase if dizziness occurs.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, do not start this medicine without consulting your doctor. Oral bronchodilators are generally avoided in pregnancy when inhaled alternatives are available. Your doctor will weigh the benefits and risks and may choose a safer option for controlling cough and airway symptoms.
🏥 Post-Surgery Considerations
After surgery, cough and mucus clearance can be important to prevent chest complications. However, this medicine should only be used if prescribed by the treating doctor, because levosalbutamol can affect heart rate and blood pressure. Inform the surgical team about all medicines you are taking, and follow their advice on breathing exercises and early mobilization.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, especially if you have heart conditions or are sensitive to adrenaline-like medicines used in dental procedures. The syrup contains sugar or sweeteners that can affect teeth, so rinse your mouth with water after each dose and maintain good oral hygiene. No routine dose change is usually needed for dental work.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while you have an active cough or breathing difficulty. Gentle walking and light activity are usually fine if you feel comfortable. If exercise triggers wheezing or breathlessness, stop and rest, and consult your doctor before resuming intense activity. Because this medicine can cause dizziness and tremor, avoid heavy lifting or activities that require fine coordination until you know how it affects you.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause dizziness, tremor, and a fast heartbeat in some people, which may affect driving, operating machinery, or doing tasks that need steady hands. Most people can continue office work, but you should avoid driving or hazardous tasks until you know how the medicine affects you. If your cough is severe, rest at home and avoid close contact with others to prevent spreading infection.
🛑 When to Stop This Medicine
Stop this medicine and contact your doctor if your cough worsens, if you develop breathlessness, chest pain, palpitations, severe dizziness, or signs of an allergic reaction. Do not stop a prescribed course without asking your doctor, especially if you have an underlying lung condition. If you have completed the prescribed course and your symptoms have resolved, you can stop as advised.
📅 Long-Term Use Effects
This medicine is generally intended for short-term use. Long-term use of oral levosalbutamol is not recommended because it can cause tolerance, increased heart rate, tremor, and low potassium levels. Prolonged use of ambroxol is generally well tolerated, but there is limited information on very long-term use. If your cough or breathing problem persists for more than a week or keeps coming back, your doctor should reassess the underlying cause rather than continuing this syrup indefinitely.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and soothe irritated airways without medicine.
Evidence: Well-established for symptomatic relief.Inhaled medicines deliver the bronchodilator directly to the lungs with fewer systemic side effects.
Evidence: Well-established for asthma and reversible airway disease.Techniques to help clear secretions in patients with chronic lung disease.
Evidence: Well-established in selected patients.Drinking enough fluids helps thin mucus naturally.
Evidence: Well-established supportive measure.💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There is no known interaction between this medicine and routine vaccines. However, if you have an active infection with fever, your doctor may advise delaying vaccination until you recover. Annual influenza and pneumococcal vaccination are recommended for people with chronic lung disease to reduce the risk of respiratory infections.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not freeze or refrigerate the syrup unless the label says so
✅ DO
Keep the bottle tightly closed and upright
❌ DON'T
Do not leave the cap loose or store the bottle on its side
✅ DO
Keep away from direct sunlight and heat
❌ DON'T
Do not store near a stove, radiator, or in a hot car
✅ DO
Keep out of the reach of children
❌ DON'T
Do not transfer the syrup to an unlabelled container
✅ DO
Check the expiry date before each use
❌ DON'T
Do not use the syrup after the expiry date
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original labelled bottle along with a copy of your prescription. Keep it in your hand luggage if you need it during the journey, and store it at room temperature away from direct sunlight and heat. If you are crossing time zones, continue the doses at evenly spaced intervals as advised by your doctor, but do not double up. Check the customs rules of your destination for carrying prescription medicines, and carry enough for the entire trip. If the syrup leaks or the bottle is damaged, replace it rather than transferring it to another container.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: The bronchodilator effect usually starts within 15 to 30 minutes, while the mucus-thinning effect builds up over several hours of regular dosing. Symptom relief is usually noticed within one to three days.
A: Yes, it is best taken with or after food to reduce stomach upset. Avoid caffeine-containing drinks because they can increase tremor and fast heartbeat.
A: Pediatric dosing is not established from available information for this specific combination. Consult a pediatrician before giving it to a child.
A: Alcohol should be avoided because it can worsen dizziness and add to the strain on the heart caused by levosalbutamol.
A: If less than half the dosing interval has passed, take the missed dose as soon as you remember. If more than half has passed, skip it and continue with the next scheduled dose. Never double the dose.
A: Follow your doctor's advice on the duration. If you feel better before the course is complete, ask your doctor whether it is safe to stop. Do not stop suddenly if you have an underlying lung condition without medical advice.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This syrup can be taken for any type of cough.
Fact: This medicine is meant mainly for productive cough with thick mucus and airway narrowing. It is not the right choice for every type of cough, especially dry cough or cough due to allergies. - Myth: Taking a higher dose will cure the cough faster.
Fact: Higher doses do not cure cough faster and can increase the risk of tremor, fast heartbeat, and low potassium. Always follow the prescribed dose. - Myth: This medicine can replace an asthma inhaler.
Fact: This syrup is not a rescue inhaler and should not be used to treat a severe asthma attack. Inhaled medicines remain the mainstay for asthma control. - Myth: It is safe to combine this syrup with any other cough medicine.
Fact: Combining with other cough syrups or bronchodilators can cause additive side effects. Always ask your doctor or pharmacist before combining medicines.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Levosalbutamol oral syrup
Brand Alternatives
- Rizet EX Syrup Raspberry