Ambryl 30mg/2mg Tablet: Complete 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
- Severe allergic reaction: swelling of face, lips, throat, or difficulty breathing.
- Irregular heartbeat or palpitations that do not go away.
- Chest pain or tightness.
- Severe dizziness or fainting.
- Muscle weakness or cramps (may indicate low potassium).
- Worsening of breathing after taking the medicine (paradoxical bronchospasm).
- Blood in mucus or severe coughing fits.
If experiencing severe symptoms, call emergency services immediately.
What is siokof as tablet used for?
This medicine is a combination of Ambroxol (a mucolytic) and Salbutamol (a bronchodilator) used to treat respiratory conditions with thick mucus and narrowed airways. It helps loosen mucus and open airways, making breathing easier.
- Generic Name: Ambroxol (30mg) + Salbutamol (2mg)
- Manufacturer: Albert David Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 siokof as tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एम्ब्रोक्सोल और साल्बुटामोल का संयोजन है, जिसका उपयोग श्वसन संबंधी समस्याओं जैसे ब्रोंकाइटिस और अस्थमा में किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है और सांस की नली को खोलती है, जिससे सांस लेना आसान हो जाता है।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, सिरदर्द, चक्कर आना, हाथ-पैर कांपना, और धड़कन तेज होना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चेहरे या गले में सूजन, या दिल की धड़कन अनियमित लगे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। दवा की मात्रा अपने आप न बढ़ाएं या घटाएं। यदि आपको हृदय रोग, उच्च रक्तचाप, मधुमेह, या थायरॉइड की समस्या है तो डॉक्टर को बताएं। दवा लेते समय शराब न पिएं। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। दवा को बच्चों की पहुंच से दूर रखें।
💊 siokof as tablet Uses & Benefits
[{"condition":"Acute bronchitis with thick mucus","description":"Helps loosen mucus and open airways, making it easier to cough and breathe.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"Used to manage symptoms of chronic bronchitis by reducing mucus viscosity and relieving bronchospasm.","evidence":"Well-established"},{"condition":"Bronchial asthma with excessive mucus","description":"Provides bronchodilation and helps clear mucus plugs in asthma exacerbations.","evidence":"Well-established"},{"condition":"COPD (Chronic Obstructive Pulmonary Disease)","description":"May be used to relieve breathlessness and aid mucus clearance in COPD patients.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Prevention of respiratory distress syndrome in premature infants","description":"Ambroxol has been studied off-label for this purpose, but it is not a standard use for this combination.","evidence":"Limited"}]
Primary treatment for: Respiratory conditions with excessive mucus and bronchospasm (e.g., bronchitis, asthma)
Also treats: COPD, Emphysema, Chronic cough with mucus
📋 Drug Information
| Generic Name(s) | Ambroxol (30mg) + Salbutamol (2mg) |
| Brand Name | siokof as tablet |
| Manufacturer | Albert David 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 and moisture. Keep out of reach of children. |
| 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. Ambroxol is a mucolytic agent that reduces the viscosity of mucus by breaking down acidic mucopolysaccharide fibers and stimulating the production of surfactant, which helps keep airways open. Salbutamol is a short-acting beta-2 adrenergic agonist that binds to beta-2 receptors on bronchial smooth muscle, causing relaxation and bronchodilation. Together, they improve airflow and mucus clearance.
Mechanism Steps
💡 How to Take siokof as tablet
Strength: Each tablet contains Ambroxol 30 mg and Salbutamol 2 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken two to three times a day, or as directed by your doctor. The exact dose and frequency depend on your condition, severity of symptoms, and response to treatment. Do not exceed the prescribed 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. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of Salbutamol, especially cardiovascular effects. Use with caution and lower doses may be needed. Consult your doctor. |
| Renal Impairment | Dose adjustment may be needed in patients with severe renal impairment. Consult your doctor. |
| Hepatic Impairment | Dose adjustment may be needed in patients with severe hepatic impairment. Consult your doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is 3 tablets (90 mg Ambroxol and 6 mg Salbutamol) in divided doses. Do not exceed this without medical advice. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of siokof as tablet
✅ 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 | Major | |
| Prednisolone | Moderate | |
| Digoxin | Moderate | |
| Amitriptyline | Major |
🚨 Major Interactions
- Non-selective beta-blockers (e.g., propranolol)
- Monoamine oxidase inhibitors (MAOIs) and tricyclic antidepressants
- Diuretics (e.g., furosemide, thiazides)
⚡ Moderate Interactions
- Corticosteroids
- Digoxin
- Other sympathomimetics
🍷 Alcohol Interaction
Alcohol may increase dizziness, drowsiness, and tremor caused by this medicine. It is best 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 Ambroxol, Salbutamol, or any component of the formulation","Severe cardiovascular disease (e.g., severe heart failure, uncontrolled hypertension)","Cardiac arrhythmias (e.g., tachyarrhythmia)","Thyrotoxicosis","Severe hepatic or renal impairment (relative contraindication)"]
⚠️ Warnings & Precautions
["Use with caution in patients with cardiovascular disorders, including coronary insufficiency, hypertension, and arrhythmias.","Salbutamol may cause significant hypokalemia, which can be potentiated by diuretics, corticosteroids, and xanthine derivatives.","Patients with diabetes may experience worsening of blood sugar control.","Use with caution in patients with hyperthyroidism.","Not recommended for children under 12 years unless prescribed by a pediatrician.","Avoid excessive use; if you need this medicine more frequently than prescribed, consult your doctor."]
🤱 Lactation Safety
Salbutamol and Ambroxol are excreted in breast milk. It is not known if they are safe for the baby. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe tachycardia, tremor, palpitations, and hypokalemia. Seek immediate medical attention. Treatment is supportive and symptomatic. Monitor heart rate, blood pressure, and electrolyte levels.
⏰ 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 consulting your doctor. If you have heart disease, high blood pressure, diabetes, thyroid problems, or liver or kidney disease, inform your doctor before taking this medicine. Avoid drinking alcohol while taking this medicine as it may increase dizziness and drowsiness. Do not drive or operate heavy machinery if you feel dizzy or shaky after taking this medicine. 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. Store it at room temperature, away from moisture and direct sunlight. Do not use this medicine after the expiry date. If your symptoms do not improve or worsen after a few days, contact your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiovascular effects of Salbutamol, such as increased heart rate and palpitations. Lower doses may be needed. Monitor for dizziness and falls. Consult your doctor for dose adjustments.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination during pregnancy is not well established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
If you are scheduled for surgery, inform your surgeon and anesthesiologist that you are taking this medicine. Salbutamol can interact with certain anesthetic agents and may affect heart rate and blood pressure during surgery.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may cause dry mouth or increase heart rate during dental procedures. Your dentist may take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have breathing difficulty. Mild exercise like walking may be beneficial, but consult your doctor before starting any exercise program. If you experience dizziness or palpitations during exercise, stop and rest.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, tremor, or palpitations, which can affect your ability to drive or operate machinery. Avoid driving until you know how it affects you. It may also cause nervousness, which can impact your concentration at work. Take it with food to minimize stomach upset.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience serious side effects, stop and seek medical help immediately. If your symptoms improve, your doctor may advise you to stop. Do not use it for longer than prescribed.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to reduced effectiveness of Salbutamol if used too frequently. It can also cause tremors, palpitations, and low potassium levels. Regular monitoring of heart rate, blood pressure, and electrolytes may be needed. Do not use for prolonged periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and relieve congestion.
Evidence: Well-establishedTechniques to help clear mucus from the airways.
Evidence: Well-establishedMay be used instead of oral Salbutamol for quick relief.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are known. However, if you have a respiratory condition, it is advisable to get vaccinated against influenza and pneumococcal infections as recommended by your doctor.
📦 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 at room temperature and protect it from moisture. If traveling across time zones, adjust the timing of doses gradually as advised by your doctor. Keep enough supply for the entire trip. 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: Salbutamol starts working within 5-15 minutes, but the full effect may take 30 minutes. Ambroxol's mucolytic effect starts within a few hours.
A: Yes, taking it with food reduces the chance of stomach upset.
A: Consult your doctor. The safety of this combination during pregnancy is not well established.
A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for siokof as tablet
View AllAlternative brands with exact same active ingredient:
-
ambro s tabletStrides shasun Ltd ₹12.09 6.9% CHEAPER
-
asphyllin tabletPharma Fabrikon ₹12.31 5.2% CHEAPER
-
Respolite S 30 mg/2 mg TabletSresan Pharmaceuticals ₹12.92 0.5% CHEAPER
-
ambryl 30mg/2mg tabletSuzikem Drugs Pvt Ltd ₹15.00 15.5% COSTLIER
-
amcoryl 30mg/2mg tabletSuzikem Drugs Pvt Ltd ₹15.00 15.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma permanently.
Fact: This medicine only relieves symptoms; it does not cure asthma. Asthma requires long-term management. - Myth: More frequent use will give faster relief.
Fact: Using more than prescribed can cause serious heart and electrolyte problems. Always follow your doctor's advice.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Salbutamol tablet (various manufacturers)
Brand Alternatives
- Mucolite
- Ambrodil-S
- Salbair-A