suntuss cr syrup sugar free - Ambroxol (15mg/5ml) + Guaifenesin (100mg/5ml) medicine

Axom Oral Suspension: Complete Medicine Guide

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🏭 Suncare Formulations Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate for ambroxol and guaifenesin individually; limited for the combination.
Reviewed by
SaathiMed Expert Panel | Sep 26, 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 shortness of breath
  • Swelling of the face, lips, tongue, or throat
  • Severe rash or blistering of the skin
  • Chest pain or tightness
  • Coughing up blood
  • High fever with chills
  • Persistent vomiting or inability to keep fluids down
  • Yellowing of the skin or eyes (jaundice)
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is suntuss cr syrup sugar free used for?

This medicine is an oral suspension containing ambroxol and guaifenesin, used to relieve productive cough by thinning mucus and making it easier to cough up. It is typically taken two to three times daily for adults, but dosing must be individualized by a doctor.

  • Generic Name: Ambroxol (15mg/5ml) + Guaifenesin (100mg/5ml)
  • Manufacturer: Suncare Formulations Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 suntuss cr syrup sugar free के बारे में (Hindi Summary)

उपयोग: यह दवा एक ओरल सस्पेंशन है जिसमें एम्ब्रोक्सोल और गुआइफेनेसिन दो सक्रिय तत्व होते हैं। यह कफ को पतला करके बलगम को बाहर निकालने में मदद करती है। इसका उपयोग खांसी, ब्रोंकाइटिस और श्वसन संक्रमण में बलगम वाली खांसी के इलाज के लिए किया जाता है। यह दवा बलगम को पतला करती है जिससे खांसी आसानी से आती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, दस्त, पेट दर्द और जलन शामिल हो सकते हैं। कभी-कभी चक्कर आना या नींद आना भी हो सकता है। गंभीर एलर्जी प्रतिक्रियाएं जैसे चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई दुर्लभ हैं लेकिन 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 मापने वाले कप या सिरिंज का उपयोग करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। अन्य दवाओं के साथ लेने से पहले डॉक्टर को बताएं। चक्कर आने पर वाहन न चलाएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 suntuss cr syrup sugar free Uses & Benefits

[{"condition":"Productive cough","description":"Helps loosen and thin mucus, making it easier to cough up and clear the airways.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Provides symptomatic relief of cough associated with acute bronchitis by reducing mucus viscosity.","evidence":"Well-established"},{"condition":"Chronic bronchitis","description":"May help in chronic bronchitis by improving mucus clearance, but should be used as part of a comprehensive treatment plan.","evidence":"Moderate"},{"condition":"Upper respiratory tract infections","description":"Used for symptomatic relief of cough and congestion associated with common cold and other upper respiratory infections.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Prevention of respiratory complications in surgery","description":"Sometimes used off-label to prevent postoperative pulmonary complications by aiding mucus clearance.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally used off-label to help thin mucus in the middle ear, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Productive cough

Also treats: Acute bronchitis, Chronic bronchitis, Upper respiratory tract infections

📋 Drug Information

Generic Name(s)Ambroxol (15mg/5ml) + Guaifenesin (100mg/5ml)
Brand Namesuntuss cr syrup sugar free
ManufacturerSuncare Formulations 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 freeze. Keep the bottle tightly closed when not in use.
Shelf Life24 months from the date of manufacture, unless otherwise specified on the packaging.
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 shake the bottle well before measuring the dose to ensure uniform distribution of the medicine.
2
Use a calibrated measuring cup or oral syringe for accurate dosing; household spoons are not reliable.
3
Take this medicine with food if it causes stomach upset.
4
Encourage adequate fluid intake to help thin mucus and soothe the throat.
5
Do not use this medicine for more than 7 days without consulting a doctor.
6
Avoid combining with cough suppressants unless specifically advised by your doctor.
7
If you have a history of stomach ulcers, use this medicine with caution and inform your doctor.
8
Monitor for any signs of allergic reactions and seek immediate medical help if they occur.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough with thick mucus
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not effective for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Chest congestion
This medicine helps relieve chest congestion by thinning mucus.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmbroxol is rapidly absorbed from the gastrointestinal tract after oral administration. Guaifenesin is also absorbed from the gastrointestinal tract. The presence of food may slightly delay the absorption of guaifenesin but does not significantly affect the extent of absorption.
DistributionAmbroxol is widely distributed in the body, with high concentrations in the lungs, liver, and kidneys. It crosses the blood-brain barrier and the placental barrier. Guaifenesin is distributed throughout the body, including the respiratory tract.
Protein BindingAmbroxol is approximately 80-90% bound to plasma proteins. Guaifenesin is not significantly bound to plasma proteins.
MetabolismAmbroxol is extensively metabolized in the liver, primarily by conjugation to glucuronic acid and sulfate. Guaifenesin is metabolized in the liver by oxidation and conjugation.
Half-LifeThe elimination half-life of ambroxol is approximately 7-12 hours. The elimination half-life of guaifenesin is approximately 1-3 hours.
ExcretionAmbroxol and its metabolites are primarily excreted in the urine. Guaifenesin and its metabolites are also excreted in the urine.
BioavailabilityThe oral bioavailability of ambroxol is approximately 70-80% due to first-pass metabolism. The oral bioavailability of guaifenesin is approximately 50-60%.
Onset of ActionThe onset of action for ambroxol is typically within 30 minutes to 1 hour after oral administration. Guaifenesin may take slightly longer to exert its full effect.
Peak Plasma TimePeak plasma concentrations of ambroxol are reached approximately 1-3 hours after oral administration. Peak plasma concentrations of guaifenesin are reached approximately 1-2 hours after oral administration.
Duration of ActionThe duration of action for ambroxol is approximately 6-12 hours. The duration of action for guaifenesin is approximately 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Ambroxol acts as a mucolytic and expectorant. It increases the production of serous fluid in the respiratory tract and stimulates the synthesis and release of surfactant by type II pneumocytes. This reduces mucus viscosity and adhesiveness, making it easier to expel. Guaifenesin is an expectorant that increases the water content of mucus by drawing fluid into the respiratory secretions, thereby reducing mucus thickness and facilitating its removal by ciliary action and coughing. Together, they improve mucus clearance and provide symptomatic relief of productive cough.

Mechanism Steps

1
Ambroxol increases serous fluid production: Ambroxol stimulates the serous cells of the respiratory tract to produce more fluid, which helps to thin thick mucus.
2
Ambroxol enhances surfactant production: Ambroxol promotes the production of surfactant by type II pneumocytes, which reduces mucus stickiness and improves clearance.
3
Guaifenesin increases mucus hydration: Guaifenesin draws water into the respiratory secretions, making mucus less viscous and easier to cough up.
4
Improved mucociliary clearance: The combined actions of ambroxol and guaifenesin lead to thinner mucus that can be more effectively moved by cilia and expelled by coughing.

💡 How to Take suntuss cr syrup sugar free

Strength: Each 5 ml of oral suspension contains Ambroxol 15 mg and Guaifenesin 100 mg.

1Shake the bottle well before each use.
2Measure the prescribed dose using the measuring cup or syringe provided.
3Take the medicine orally, with or without food.
4If taking with food, it may help reduce stomach upset.
5After use, close the bottle tightly and store as directed.
6Wash the measuring device thoroughly after each use.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10 ml (which provides 30 mg ambroxol and 200 mg guaifenesin) taken orally two to three times daily, depending on the severity of symptoms and the advice of your doctor. This medicine should be taken with or without food. The dose may be adjusted by your doctor based on your condition and 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.
Elderly DosageElderly patients may be more sensitive to the effects of this medicine. Dose adjustments may be necessary based on renal and hepatic function. Consult a doctor for appropriate dosing.
Renal ImpairmentIn patients with renal impairment, the dose may need to be reduced. Consult a doctor for appropriate dosing.
Hepatic ImpairmentIn patients with hepatic impairment, the dose may need to be reduced. Consult a doctor for appropriate dosing.
Maximum Daily DoseThe maximum recommended daily dose for adults is 30 ml (which provides 90 mg ambroxol and 600 mg guaifenesin) per day, unless otherwise directed by a doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Water
Drink plenty of fluids
Helps thin mucus and soothe the throat.

⏰ 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 suntuss cr syrup sugar free

✅ Common Side Effects

Nausea (Common (1-10%))
Take with food to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (1-10%))
Stay hydrated. If vomiting is severe or persistent, seek medical advice.
Diarrhea (Common (1-10%))
Drink plenty of fluids. Consult a doctor if diarrhea lasts more than a few days.
Stomach pain (Common (1-10%))
Take with food. If pain is severe, contact your doctor.
Heartburn (Uncommon (0.1-1%))
Avoid lying down immediately after taking. Consult a doctor if it persists.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Rare (<0.1%))
Stop the medicine and seek immediate medical help if you develop a painful rash, blistering, or peeling skin.
Bronchospasm (Rare (<0.1%))
Seek immediate medical attention if you experience wheezing, chest tightness, or difficulty breathing.

⚠️ Rare Side Effects

Dizziness
Avoid driving or operating machinery until you know how this medicine affects you.
Drowsiness
Rest if needed. Do not drive or operate heavy machinery.
Headache
Usually resolves on its own. Consult a doctor if it persists.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Cough suppressants Major
MAOIs Major
Anticholinergics Moderate
Diuretics Moderate
Antibiotics Minor
Theophylline Minor

🚨 Major Interactions

  • Cough suppressants (e.g., codeine, dextromethorphan)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., atropine, scopolamine)
  • Diuretics

🍷 Alcohol Interaction

Alcohol may increase the risk of dizziness, drowsiness, and gastrointestinal 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

["Known hypersensitivity to ambroxol, guaifenesin, or any other ingredient in this medicine.","Children under the age specified by the manufacturer or clinician.","Severe hepatic or renal impairment, unless directed by a doctor.","Active peptic ulcer disease."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Shake the bottle well before use.","Use a proper measuring device to ensure accurate dosing.","Consult a doctor if symptoms persist for more than 7 days or worsen.","Avoid driving or operating machinery if you experience dizziness or drowsiness.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding.","Inform your doctor about all other medications you are taking.","Use with caution in patients with a history of gastric ulcers.","Use with caution in patients with severe liver or kidney disease.","Keep out of reach of children."]

🤱 Lactation Safety

It is not known whether ambroxol and guaifenesin are excreted in human breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose with this medicine may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it may lead to dizziness, drowsiness, or allergic reactions. If you suspect an overdose, seek immediate medical attention. Treatment is symptomatic and supportive. 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. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device to measure the dose accurately. Do not use a kitchen spoon. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Inform your doctor about all other medicines you are taking, including over-the-counter products and herbal supplements. Avoid driving or operating heavy machinery if you feel dizzy or drowsy after taking this medicine. Keep this medicine out of the reach of children. Store in a cool, dry place away from direct sunlight. Do not use after the expiry date. If symptoms persist for more than 7 days or worsen, consult your doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of this medicine, particularly dizziness and drowsiness. Dose adjustments may be necessary based on renal and hepatic function. Consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this medicine during pregnancy is not well established, and it should only be used if clearly needed and directed by a doctor.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, consult your doctor before using this medicine. It may be used to help prevent postoperative pulmonary complications, but only under medical supervision.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. There are no specific precautions, but it is important for your healthcare providers to know your medication history.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated by drinking plenty of fluids, especially water and warm liquids.
🥗
Use a humidifier or take steamy showers to help loosen mucus.
😴
Avoid smoking and exposure to secondhand smoke.
💧
Get plenty of rest to help your body recover.
🧘
Practice good hand hygiene to prevent the spread of infections.
🌞
Use a saline nasal spray to help clear nasal congestion.

🏋️ Exercise Considerations

If you experience dizziness or drowsiness after taking this medicine, avoid exercising or operating heavy machinery. Mild exercise like walking may be beneficial, but listen to your body and rest if you feel unwell.

🥗 Diet Recommendations

Include warm soups and broths to soothe the throat and thin mucus.
Avoid dairy products if they seem to thicken mucus for you.
Eat plenty of fruits and vegetables rich in vitamin C to support immune function.
Avoid spicy and oily foods that may irritate the throat.
Stay hydrated with water, herbal teas, and warm lemon water with honey.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. If affected, avoid driving or operating heavy machinery. Otherwise, it should not significantly impact your daily activities. Take it as prescribed and monitor how you feel.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your cough persists for more than 7 days, worsens, or is accompanied by fever, rash, or difficulty breathing. 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 is not recommended without medical supervision. Prolonged use may lead to gastrointestinal disturbances and, rarely, allergic reactions. If you need to use this medicine for more than 7 days, consult your doctor to evaluate the underlying cause of your cough and to monitor for any adverse effects.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Inhaling steam can help loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Using a saline nasal spray or neti pot can help clear nasal passages and reduce postnasal drip.

Evidence: Well-established
Honey and lemon

Warm water with honey and lemon can soothe the throat and provide symptomatic relief.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are due for a vaccination, inform your healthcare provider that you are taking this medicine.

📦 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

✅ DO

Shake well before use

❌ DON'T

Do not use if the suspension appears discolored or has particles

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If traveling by air, keep it in your carry-on luggage to avoid temperature extremes in checked baggage. Check the customs regulations of your destination country regarding liquid medications. If you are crossing time zones, continue taking the medicine at the same intervals as prescribed, but consult your doctor if you need specific advice.

💰 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 with thick mucus. After taking it as directed for 5 days, he noticed that his cough became more productive and his chest felt less congested. He took it with food to avoid stomach upset and drank plenty of water.
💡 Lesson: Taking this medicine with food and staying hydrated can improve tolerability and efficacy.
👤 A 50-year-old woman with chronic bronchitis
She used this medicine as part of her treatment plan for chronic bronchitis. She found that it helped loosen mucus, making it easier to clear her airways. She was advised to use it only during exacerbations and to consult her doctor if symptoms persisted.
💡 Lesson: This medicine can be helpful for chronic bronchitis but should be used under medical supervision and not as a long-term solution.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine typically starts working within 30 minutes to 1 hour after taking a dose. You may notice improvement in mucus clearance within a few hours.

Q: Can I take this medicine with other cough medicines?

A: It is not advisable to take this medicine with cough suppressants as they may prevent mucus clearance. Consult your doctor before combining with any other cough medicine.

Q: Is this medicine safe for children?

A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate use in children.

Q: Can I take this medicine during pregnancy?

A: Consult your doctor before using this medicine if you are pregnant or planning to become pregnant. The safety profile in pregnancy is not well established.

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

A: 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.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • 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?
  • Is it safe for children?
  • Can I take it during pregnancy?

🔄 Substitutes for suntuss cr syrup sugar free

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine can cure any type of cough.
    Fact: This medicine is specifically for productive cough with thick mucus. It is not effective for dry cough or cough due to other causes.
  • Myth: It is safe to take this medicine for long periods without consulting a doctor.
    Fact: This medicine is intended for short-term use. Prolonged use should only be under medical supervision.
  • Myth: You can take this medicine with any other cough medicine.
    Fact: Combining with cough suppressants can be harmful as it may prevent mucus clearance. Always consult a doctor before combining.

🔄 Alternative Options

Generic Alternatives

  • Ambroxol + Guaifenesin oral suspension (various manufacturers)

Brand Alternatives

  • Axom oral suspension

📊 Comparison with Similar Medicines

[{"medicine":"Ambroxol alone","composition":"Ambroxol","uses":"Mucolytic, expectorant","notes":"May be sufficient for mild mucus."},{"medicine":"Guaifenesin alone","composition":"Guaifenesin","uses":"Expectorant","notes":"Increases mucus hydration."},{"medicine":"This medicine","composition":"Ambroxol + Guaifenesin","uses":"Productive cough","notes":"Combined action for better mucus clearance."}]

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