salcare 50mg syrup - Bromhexine (NA) + Salbutamol (50mg) medicine

Salcare 50mg Syrup: Complete Medicine Guide

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🏭 Systopic Laboratories Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
🤰 Pregnancy Category Not established from the available information. Salbutamol is generally considered safe in pregnancy when used as prescribed, but bromhexine should be used with caution. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for individual components; limited for the combination.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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 worsening shortness of breath
  • Chest pain or palpitations
  • Severe allergic reaction (rash, swelling, difficulty swallowing)
  • Irregular heartbeat or fainting
  • Severe dizziness or tremor
  • Blood in sputum or vomit
  • Yellowing of eyes or skin

If experiencing severe symptoms, call emergency services immediately.

What is salcare 50mg syrup used for?

This medicine is a combination syrup containing bromhexine and salbutamol. It is used to treat cough with thick mucus and breathing difficulties by thinning mucus and opening airways. It should be taken as prescribed by a doctor.

  • Generic Name: Bromhexine (NA) + Salbutamol (50mg)
  • Manufacturer: Systopic Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 salcare 50mg syrup के बारे में (Hindi Summary)

उपयोग: यह दवा ब्रोमहेक्सिन और सालबुटामोल का संयोजन है, जिसका उपयोग गाढ़े बलगम वाली खांसी और सांस लेने में कठिनाई के इलाज के लिए किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है और श्वास नलियों को खोलती है। यह ब्रोंकाइटिस, अस्थमा और अन्य श्वसन रोगों में राहत देती है। इसका उपयोग डॉक्टर की सलाह के अनुसार ही करें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, सिरदर्द, चक्कर आना, हाथ-पैर कांपना और दिल की धड़कन तेज होना शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको एलर्जी, सांस लेने में तकलीफ, या दिल की अनियमित धड़कन महसूस हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुराक से अधिक न लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सही माप के लिए मापने वाला कप या चम्मच इस्तेमाल करें। यदि आपको चक्कर या कंपन महसूस हो तो वाहन न चलाएं। अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 salcare 50mg syrup Uses & Benefits

[{"condition":"Productive cough with thick mucus","description":"Helps thin and loosen mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Bronchitis","description":"Relieves cough and improves breathing by opening up the airways and reducing mucus viscosity.","evidence":"Well-established"},{"condition":"Asthma (adjunctive)","description":"Used as an add-on to other asthma medications to provide short-term relief of bronchospasm and mucus plugging.","evidence":"Moderate"},{"condition":"Chronic obstructive pulmonary disease (COPD) exacerbations","description":"May help in relieving breathlessness and clearing secretions during mild exacerbations.","evidence":"Limited"}]

Off-label uses: [{"condition":"Smoker's cough","description":"Sometimes used to help clear mucus in chronic smokers, but not a standard indication.","evidence":"Limited"}]

Primary treatment for: Productive cough with bronchospasm

Also treats: Bronchitis, Asthma, COPD

📋 Drug Information

Generic Name(s)Bromhexine (NA) + Salbutamol (50mg)
Brand Namesalcare 50mg syrup
ManufacturerSystopic Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place. Protect from direct sunlight. Do not refrigerate. Keep the bottle tightly closed.
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
Always prescribe this medicine for short-term use only, typically not exceeding 5-7 days without reassessment.
2
Advise patients to take the syrup with food to minimize gastrointestinal upset.
3
Caution patients about the potential for tremor and palpitations, and advise them to avoid driving if affected.
4
Monitor potassium levels in patients concurrently using diuretics or corticosteroids.
5
Evaluate the need for continued use if symptoms do not improve within 3-5 days.
6
Use with caution in elderly patients and those with cardiovascular disease.
7
Instruct patients to shake the bottle well before each dose and use a proper measuring device.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough; consult doctor.
Not Primary
✅
Wheezing
Salbutamol helps relieve wheezing.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionSalbutamol is well absorbed from the gastrointestinal tract after oral administration. Bromhexine is also absorbed orally. However, oral salbutamol undergoes significant first-pass metabolism, reducing its systemic bioavailability.
DistributionBoth drugs are distributed widely in the body. Salbutamol crosses the placenta and is excreted in breast milk. Bromhexine also crosses the placental barrier and is distributed to various tissues.
Protein BindingSalbutamol is approximately 10% bound to plasma proteins. Bromhexine's protein binding is not well established.
MetabolismSalbutamol is metabolized in the liver primarily by conjugation to inactive sulfate esters. Bromhexine is metabolized in the liver to active metabolites, including ambroxol.
Half-LifeThe elimination half-life of salbutamol is approximately 4-6 hours. Bromhexine's half-life is not well established but is thought to be around 1-2 hours.
ExcretionSalbutamol and its metabolites are excreted mainly in the urine. Bromhexine metabolites are excreted primarily in the urine and to a lesser extent in feces.
BioavailabilityOral salbutamol has a bioavailability of approximately 30% due to first-pass metabolism. Bromhexine's oral bioavailability is not well established.
Onset of ActionSalbutamol's bronchodilator effect begins within 15-30 minutes after oral administration. Bromhexine's mucolytic effect may take a few hours to become noticeable.
Peak Plasma TimePeak plasma concentrations of salbutamol are reached within 2-4 hours after oral administration. Bromhexine's peak time is not well established.
Duration of ActionSalbutamol's bronchodilator effect lasts for about 4-6 hours. Bromhexine's effect on mucus may last longer, but specific duration is not well defined.

How It Works

This medicine combines two active ingredients with complementary actions. Bromhexine is a mucolytic agent that reduces the viscosity of mucus by breaking down its structure, making it easier to expel. Salbutamol is a selective beta-2 adrenergic agonist that relaxes the smooth muscles of the bronchial airways, leading to bronchodilation and improved airflow. Together, they help relieve cough and breathing difficulty associated with excessive or thick mucus.

Mechanism Steps

1
Bromhexine acts on mucus: Bromhexine breaks down acidic mucopolysaccharide fibers in mucus, reducing its thickness and making it easier to cough out.
2
Salbutamol relaxes airways: Salbutamol binds to beta-2 receptors on bronchial smooth muscle, causing relaxation and widening of the airways.
3
Improved clearance: The combined effect leads to easier breathing and more effective clearance of mucus from the respiratory tract.

💡 How to Take salcare 50mg syrup

Strength: Each 5 ml of syrup contains bromhexine (NA) and salbutamol (50 mg).

1Shake the bottle well before each use.
2Use the measuring cup or spoon provided to measure the correct dose.
3Take the medicine orally with or without food.
4Swallow the syrup slowly; do not rush.
5If you have difficulty swallowing, consult your doctor.
6Wash the measuring cup after each use.
7Close the bottle tightly after use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 ml (two teaspoons) three times a day, or as prescribed by your doctor. Dosage 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 DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the cardiovascular effects of salbutamol. Use with caution and lower doses may be considered. Dose must be individualized by a qualified clinician.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor.
Maximum Daily DoseThe 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

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Caffeine
Limit
May increase nervousness and palpitations.

⏰ 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 salcare 50mg syrup

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food to reduce stomach upset. If nausea persists, consult your doctor.
Headache (Common (5-10%))
Usually resolves on its own. Rest and stay hydrated. Consult doctor if severe.
Tremor (Common (5-10%))
Avoid driving or operating machinery if you feel shaky. Consult doctor if bothersome.
Palpitations (Uncommon (1-5%))
Report to your doctor if you notice a fast or irregular heartbeat.
Dizziness (Uncommon (1-5%))
Avoid sudden movements. Do not drive if dizzy. Consult doctor if persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling of face/lips/throat, or difficulty breathing.
Irregular heartbeat (arrhythmia) (Rare (<0.1%))
Seek immediate medical attention if you feel palpitations, chest pain, or fainting.
Severe skin reactions (Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek immediate medical help if you develop a severe rash with blisters or peeling skin.

⚠️ Rare Side Effects

Hypokalemia (low potassium levels)
Report muscle weakness or cramps to your doctor. Blood tests may be needed.
Hyperglycemia (high blood sugar)
Monitor blood sugar if diabetic. Consult doctor if levels rise.

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
Digoxin Moderate
Ipratropium Minor

🚨 Major Interactions

  • Non-selective beta-blockers (e.g., propranolol)
  • Monoamine oxidase inhibitors (MAOIs)
  • Tricyclic antidepressants

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide)
  • Corticosteroids
  • Digoxin

🍷 Alcohol Interaction

Alcohol may increase the sedative and cardiovascular effects of this medicine, leading to dizziness, drowsiness, and increased heart rate. 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 bromhexine, salbutamol, or any component of the formulation","Severe cardiovascular disease (e.g., severe heart failure, arrhythmias)","Uncontrolled hypertension","Hyperthyroidism","Severe hepatic or renal impairment"]

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","May cause tremor and palpitations; avoid driving or operating machinery if affected.","Use with caution in patients with diabetes mellitus; may increase blood sugar levels.","Use with caution in patients with hyperthyroidism; may exacerbate symptoms.","Prolonged use may lead to rebound bronchospasm; do not exceed recommended dose or duration.","Not recommended for children under 2 years without medical advice.","Do not use for chronic cough without medical evaluation."]

🤱 Lactation Safety

Salbutamol is excreted in breast milk and may cause tremors or increased heart rate in the infant. Bromhexine's safety during breastfeeding is not well established. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause severe tachycardia, tremor, restlessness, and hypokalemia. Seek immediate medical attention. Treatment is supportive and symptomatic. Monitor vital signs and electrolytes. 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

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Shake the bottle well before each use. Use a proper measuring cup or spoon to ensure accurate dosing. Avoid driving or operating heavy machinery if you feel dizzy or shaky after taking this medicine. Inform your doctor if you have a history of heart disease, high blood pressure, diabetes, thyroid problems, or liver or kidney disease. Do not take this medicine with other cough and cold medicines without consulting your doctor, as they may contain similar ingredients. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. Do not use after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to cardiovascular side effects such as palpitations and arrhythmias. Use with caution and monitor heart rate and blood pressure. Lower doses may be required.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Salbutamol is generally considered safe in pregnancy, but bromhexine should be used with caution. Your doctor will weigh the benefits and risks.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, inform your surgeon and anesthesiologist about this medicine. It may interact with certain anesthetic agents and affect heart rate and blood pressure.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may cause dry mouth or interact with certain medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Avoid smoking and exposure to secondhand smoke.
😴
Use a humidifier to keep the air moist.
💧
Practice deep breathing exercises to improve lung function.
🧘
Get plenty of rest to aid recovery.
🌞
Avoid allergens and pollutants that can trigger symptoms.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have breathing difficulty. Gentle activities like walking may be beneficial, but consult your doctor before starting any exercise routine.

🥗 Diet Recommendations

Include warm fluids like soups and herbal teas.
Avoid cold and sugary drinks that can thicken mucus.
Eat a balanced diet rich in fruits and vegetables.
Limit caffeine intake as it may increase palpitations.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or tremor, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to rest and avoid strenuous work while recovering.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 3-5 days, or if they worsen. 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 without medical supervision. Prolonged use of salbutamol may lead to tolerance and reduced effectiveness. Bromhexine is generally well-tolerated, but long-term effects are not well studied. Regular monitoring by a doctor is advised if extended use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Can help clear nasal passages and reduce postnasal drip.

Evidence: Moderate
Chest physiotherapy

Techniques to help clear mucus from the lungs.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are unwell with a fever, it is best 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

✈️ 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 of customs checks. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Do not leave it in a hot car or checked luggage. Consult your doctor before traveling if you have any concerns.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis
He was prescribed this medicine for a productive cough and wheezing. After taking it for 3 days as directed, he noticed his cough became more productive and breathing improved. He experienced mild hand tremor initially, which subsided after a day. He was advised to take it with food to avoid nausea.
💡 Lesson: Taking the medicine with food reduces stomach upset, and mild side effects like tremor often resolve with continued use.
👤 A 60-year-old woman with COPD exacerbation
She was given this medicine along with other treatments. Her breathing improved, but she felt her heart racing. Her doctor reduced the dose and monitored her heart rate. She was advised to avoid caffeine and to rest.
💡 Lesson: Elderly patients may be more sensitive to the cardiovascular effects; dose adjustment and monitoring are important.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Salbutamol starts working within 15-30 minutes, while bromhexine may take a few hours to show its full effect on mucus.

Q: Can I take this medicine with food?

A: Yes, it can be taken with or without food, but taking it with food may reduce stomach upset.

Q: Is it safe for children?

A: Pediatric dosing is not established; consult a pediatrician before giving this medicine to children.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose and continue with your regular schedule.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my heart?
  • 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?

🛑 Myths vs. Facts

  • Myth: This medicine can be taken for any type of cough.
    Fact: It is specifically for productive cough with thick mucus and should not be used for dry cough without medical advice.
  • Myth: It is safe to take this medicine for long periods.
    Fact: Prolonged use without medical supervision can lead to side effects and is not recommended.

🔄 Alternative Options

Generic Alternatives

  • Bromhexine + Salbutamol syrup (generic)

Brand Alternatives

  • Salcare 50mg Syrup

📊 Comparison with Similar Medicines

[{"medicine":"Bromhexine + Salbutamol","composition":"Bromhexine + Salbutamol","uses":"Productive cough with bronchospasm","notes":"Combines mucolytic and bronchodilator."},{"medicine":"Ambroxol + Salbutamol","composition":"Ambroxol + Salbutamol","uses":"Productive cough with bronchospasm","notes":"Ambroxol is a metabolite of bromhexine."},{"medicine":"Bromhexine + Terbutaline","composition":"Bromhexine + Terbutaline","uses":"Productive cough with bronchospasm","notes":"Terbutaline is a longer-acting bronchodilator."}]

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