Bronko Syrup: Comprehensive Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Chest pain or palpitations
- Severe dizziness or fainting
- Difficulty breathing or worsening of breathing
- Swelling of face, lips, or throat
- Severe headache with visual changes
- Blood in cough or vomit
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is salpallin syrup used for?
This medicine is a combination syrup containing salbutamol (a bronchodilator) and bromhexine (a mucolytic). It is used to relieve cough and breathing difficulty by opening airways and thinning mucus. It is taken orally as prescribed by a doctor.
- Generic Name: Salbutamol (NA) + Bromhexine (NA)
- Manufacturer: Lincoln Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 salpallin syrup के बारे में (Hindi Summary)
उपयोग: यह दवा सल्ब्यूटामोल और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग खांसी और सांस लेने में कठिनाई के इलाज के लिए किया जाता है। यह श्वसन मार्ग की मांसपेशियों को आराम देकर और बलगम को पतला करके काम करती है। यह ब्रोंकाइटिस, सीओपीडी और अस्थमा जैसी स्थितियों में राहत देती है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में हाथ कांपना, सिरदर्द, घबराहट, मतली और हृदय गति बढ़ना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सीने में दर्द, तेज़ धड़कन, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक बढ़ाने से पहले डॉक्टर से सलाह लें। उपयोग से पहले बोतल को अच्छी तरह हिलाएं। सटीक खुराक के लिए मापने वाला कप या चम्मच उपयोग करें। यदि आपको चक्कर या कंपन महसूस हो तो वाहन चलाने से बचें। हृदय रोग, उच्च रक्तचाप, मधुमेह या थायरॉइड की समस्या हो तो डॉक्टर को बताएं।
💊 salpallin syrup Uses & Benefits
[{"condition":"Acute bronchitis","description":"Helps relieve cough and breathing difficulty by opening airways and thinning mucus.","evidence":"Well-established"},{"condition":"Chronic obstructive pulmonary disease (COPD)","description":"Used to relieve bronchospasm and facilitate mucus clearance in COPD patients.","evidence":"Well-established"},{"condition":"Asthma","description":"May be used as a bronchodilator in asthma, but not as a sole controller therapy.","evidence":"Established"},{"condition":"Productive cough with thick mucus","description":"Bromhexine helps liquefy mucus, making it easier to expectorate.","evidence":"Established"}]
Off-label uses: [{"condition":"Bronchiolitis in children","description":"Sometimes used off-label, but evidence is limited and not routinely recommended.","evidence":"Limited"}]
Primary treatment for: Respiratory conditions with cough and bronchospasm
Also treats: Acute bronchitis, Chronic obstructive pulmonary disease (COPD), Asthma
📋 Drug Information
| Generic Name(s) | Salbutamol (NA) + Bromhexine (NA) |
| Brand Name | salpallin syrup |
| Manufacturer | Lincoln Pharmaceuticals 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 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 combines two active ingredients with complementary actions. Salbutamol selectively stimulates beta-2 adrenergic receptors in the airways, leading to relaxation of bronchial smooth muscle and bronchodilation. Bromhexine increases the production of serous fluid in the respiratory tract and breaks down acidic mucopolysaccharide fibers in mucus, reducing its viscosity and making it easier to clear.
Mechanism Steps
💡 How to Take salpallin syrup
Strength: Each 5 ml of syrup contains salbutamol 2 mg and bromhexine 4 mg (typical composition; actual strength may vary).
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 10 ml (two teaspoons) taken three to four times a day, or as directed by your physician. The dose may vary depending on the severity of the condition and individual response. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose without medical advice. |
| 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 effects of salbutamol, especially cardiovascular effects. Use with caution and under medical supervision. Dose adjustment may be necessary based on renal and hepatic function. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be required based on the degree of impairment. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be required. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 40 ml (8 teaspoons) in divided doses, but this should not be exceeded without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of salpallin 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 | |
| Furosemide | Moderate | |
| Digoxin | Moderate | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Corticosteroids | Moderate | |
| Thiazide diuretics | Moderate | |
| Ipratropium | Minor | |
| Caffeine | Minor | |
| Alcohol | Moderate |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
⚡ Moderate Interactions
- Diuretics (e.g., furosemide, thiazides)
- Corticosteroids
- Digoxin
🍷 Alcohol Interaction
Alcohol may increase the risk of dizziness, drowsiness, and cardiovascular side effects when taken with this medicine. It is advisable to avoid alcohol during treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to salbutamol, bromhexine, or any component of the formulation","Severe cardiovascular disease or uncontrolled arrhythmias","Hyperthyroidism (relative contraindication)","Severe hepatic or renal impairment (use with caution)"]
⚠️ Warnings & Precautions
["Use with caution in patients with heart disease, hypertension, or diabetes.","May cause tremor and nervousness; avoid driving if affected.","Do not exceed the recommended dose.","Not recommended for children under 2 years without medical advice.","Consult doctor if symptoms persist beyond 7 days.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Salbutamol and bromhexine are excreted in breast milk in small amounts. It is generally considered safe during breastfeeding, but consult your doctor to weigh the benefits and risks.
💊 Overdose Management
Overdose may cause severe tremor, tachycardia, palpitations, and hypokalemia. Seek immediate medical attention. Treatment is supportive and symptomatic. Monitor cardiac and electrolyte status.
⏰ 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 the dose or frequency without medical advice. 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 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.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more susceptible to cardiovascular side effects such as tachycardia and palpitations. 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 clearly needed.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you have heart or lung conditions. It may interact with anesthetic agents.
🦷 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
🏋️ Exercise Considerations
Avoid strenuous exercise if you experience tremor, dizziness, or increased heart rate after taking this medicine. Consult your doctor before starting any exercise program.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause tremor or dizziness, which can affect driving or operating machinery. Avoid these activities until you know how the medicine affects you.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if symptoms worsen, if you experience severe side effects, or if you have taken it for the prescribed duration without improvement. 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 should be under medical supervision. Prolonged use of salbutamol may lead to tolerance and reduced effectiveness. Regular monitoring of respiratory function and cardiovascular status is advised. Do not use for longer than prescribed without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help loosen mucus and ease breathing.
Evidence: TraditionalHelps clear mucus from airways.
Evidence: Established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Ensure you are up to date with influenza and pneumococcal vaccinations if you have chronic respiratory disease. Consult your doctor for personalized advice.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate
✅ 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 at room temperature and protect it from direct sunlight. If traveling across time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Bronchodilation typically begins within 15-30 minutes, and the mucolytic effect may take a few hours.
A: Consult your doctor before combining with other cough medicines to avoid interactions.
A: Pediatric dosing is not established; consult a pediatrician.
🤔 Common Patient Concerns
🔄 Substitutes for salpallin syrup
View AllAlternative brands with exact same active ingredient:
-
kufrest syrupIntas Pharmaceuticals Ltd ₹10.93 41.7% CHEAPER
-
buscoril syrupBiochem Pharmaceutical Industries ₹11.46 38.9% CHEAPER
-
salburil syrupCadila Pharmaceuticals Ltd ₹14.68 21.7% CHEAPER
-
Salbuwox SyrupWockhardt Ltd ₹15.89 15.3% CHEAPER
-
Spasmonyl SyrupBio Drugs Laboratories Pvt Ltd ₹23.12 23.2% COSTLIER
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 asthma. It should be used as part of a comprehensive management 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. Always follow your doctor's instructions.
🔄 Alternative Options
Generic Alternatives
- Salbutamol + Bromhexine syrup (generic)
Brand Alternatives
- Bronko syrup