e-tag Syrup: Comprehensive Guide to Uses, Side Effects, and Safety
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 (rash, itching, swelling of face, lips, tongue, or throat, difficulty breathing)
- Chest pain or irregular heartbeat
- Severe headache with visual changes
- Muscle weakness or cramps (possible low potassium)
- Seizures
- Yellowing of skin or eyes (jaundice)
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is Terbis-A Syrup used for?
This medicine is a combination of terbutaline and acebrophylline used to treat bronchospasm in asthma and COPD. It works by relaxing airway muscles and reducing inflammation. It is available as a syrup and is taken orally, usually 5-10 ml two to three times daily, as prescribed by a doctor.
- Generic Name: Terbutaline (1.25mg/5ml) + Acebrophylline (50mg/5ml)
- Manufacturer: Albris Healthcare And Biotech Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Terbis-A Syrup के बारे में (Hindi Summary)
उपयोग: यह दवा टर्ब्यूटलीन और एसीब्रोफिलीन का संयोजन है, जिसका उपयोग अस्थमा और सीओपीडी जैसी स्थितियों में श्वसन मार्ग की मांसपेशियों को आराम देकर सांस लेने में आसानी प्रदान करने के लिए किया जाता है। यह ब्रोंकोस्पाज्म को कम करती है और सूजन को कम करने में मदद करती है। यह केवल डॉक्टर के परामर्श से ही लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में सिरदर्द, मतली, उल्टी, पेट की गड़बड़ी, बेचैनी, हाथ-पैर कांपना, धड़कन तेज होना और घबराहट शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें एलर्जी, छाती में दर्द, अनियमित दिल की धड़कन और पोटैशियम की कमी हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। यह दवा नींद या चक्कर ला सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से परामर्श करें। बच्चों को डॉक्टर की सलाह के बिना न दें। दवा को बच्चों की पहुंच से दूर रखें।
💊 Terbis-A Syrup Uses & Benefits
- [{"condition":"Asthma","description":"This medicine helps to relieve bronchospasm and improve breathing in patients with asthma.
- It is used as a bronchodilator and may be prescribed for both acute attacks and long-term management.","evidence":"Well-established"},{"condition":"Chronic Obstructive Pulmonary Disease (COPD)","description":"This medicine helps to relax the airways and reduce breathlessness in patients with COPD.
- It may be used as part of a comprehensive treatment plan.","evidence":"Well-established"},{"condition":"Bronchitis","description":"This medicine may be used to relieve wheezing and shortness of breath associated with bronchitis, especially when there is a bronchospastic component.","evidence":"Moderate"},{"condition":"Bronchial asthma with reversible airway obstruction","description":"This medicine is indicated for the relief of bronchospasm in patients with reversible obstructive airway disease.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Premature labor (tocolysis)","description":"Terbutaline, one of the components, has been used off-label to delay premature labor, but this use is not recommended due to safety concerns for the mother and fetus.","evidence":"Limited and controversial"}]
Primary treatment for: Asthma
Also treats: Chronic Obstructive Pulmonary Disease (COPD), Bronchitis, Bronchospasm
📋 Drug Information
| Generic Name(s) | Terbutaline (1.25mg/5ml) + Acebrophylline (50mg/5ml) |
| Brand Name | Terbis-A Syrup |
| Manufacturer | Albris Healthcare And Biotech Pvt Ltd |
| Packaging / Form | bottle of 100 ml Syrup (Allopathy) |
| Therapeutic Class | |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the bottle tightly closed. Do not refrigerate. 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 contains two active ingredients with complementary mechanisms. Terbutaline is a selective beta-2 adrenergic receptor agonist that binds to beta-2 receptors on bronchial smooth muscle, leading to relaxation and bronchodilation. Acebrophylline is a xanthine derivative that inhibits phosphodiesterase enzymes, increasing cyclic AMP levels, which also leads to bronchial smooth muscle relaxation. Additionally, acebrophylline has anti-inflammatory effects and may improve mucociliary clearance. Together, they provide bronchodilation and help relieve bronchospasm.
Mechanism Steps
💡 How to Take Terbis-A Syrup
Strength: Each 5 ml of syrup contains Terbutaline 1.25 mg and Acebrophylline 50 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 5-10 ml (1-2 teaspoons) taken orally two to three times a day, or as directed by your physician. The dose may be adjusted 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 Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine. Use with caution and start with a lower dose. Dose must be individualized by a qualified clinician. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult your doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be necessary. Consult your doctor. |
| Maximum Daily Dose | The maximum daily dose should not exceed 30 ml (6 teaspoons) in adults, or as prescribed by your doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Terbis-A 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 | |
| MAOIs | Major | |
| Tricyclic antidepressants | Major | |
| Furosemide | Moderate | |
| Corticosteroids | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor | |
| Caffeine | Minor |
🚨 Major Interactions
- 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 risk of dizziness, drowsiness, and cardiovascular 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
["Hypersensitivity to terbutaline, acebrophylline, or any component of the formulation","Severe cardiovascular disease (e.g., severe coronary insufficiency, cardiac arrhythmias)","Uncontrolled hypertension","Hyperthyroidism","Diabetes mellitus (relative)","Seizure disorders (relative)"]
⚠️ Warnings & Precautions
["This medicine should be used with caution in patients with cardiovascular disorders, including coronary insufficiency, arrhythmias, and hypertension.","It may cause hypokalemia; monitor potassium levels, especially in patients taking diuretics or corticosteroids.","It may cause hyperglycemia; monitor blood glucose in diabetic patients.","It may cause tremor and nervousness; caution when driving or operating machinery.","Do not exceed the recommended dose; overdose can cause severe cardiac and neurological effects.","Use with caution in elderly patients and those with renal or hepatic impairment.","Safety and effectiveness in children have not been established for all indications."]
🤱 Lactation Safety
Terbutaline is excreted in breast milk. It is not known whether acebrophylline is excreted in breast milk. Consult your doctor before breastfeeding.
💊 Overdose Management
Overdose may cause severe tachycardia, palpitations, tremor, nausea, vomiting, hypokalemia, hyperglycemia, and cardiac arrest. Treatment is supportive and symptomatic. There is no specific antidote. If overdose is suspected, seek immediate medical attention. Gastric lavage may be considered if within 1-2 hours of ingestion. Monitor vital signs, electrolytes, and cardiac rhythm.
⏰ 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
Before taking this medicine, inform your doctor if you have heart disease, high blood pressure, diabetes, thyroid problems, or a history of seizures. This medicine may cause dizziness or drowsiness; avoid driving or operating heavy machinery until you know how it affects you. Do not take this medicine with other stimulants or decongestants without consulting your doctor, as it may increase the risk of side effects. Avoid alcohol while taking this medicine, as it can worsen dizziness and drowsiness. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not share this medicine with others, even if they have similar symptoms. Keep out of reach of children. Store at room temperature away from moisture and heat. Do not use after the expiry date.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the cardiovascular and neurological effects of this medicine. Use with caution, starting at a lower dose. Monitor heart rate, blood pressure, and electrolytes regularly.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Terbutaline is Pregnancy Category C and should be used only if clearly needed. Discuss alternative treatments if appropriate.
🏥 Post-Surgery Considerations
Inform your surgeon and anesthesiologist if you are taking this medicine before surgery. It may interact with anesthetic agents and affect heart rate and blood pressure. Your doctor may advise temporary discontinuation.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine. It may cause dry mouth or interact with local anesthetics containing epinephrine. Your dentist may take precautions.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you have breathing difficulties. Consult your doctor before starting any exercise program. Gentle activities like walking or swimming may be beneficial.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness, drowsiness, or tremor, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause restlessness, which can impact concentration.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. If you experience severe side effects or your condition worsens, contact your doctor immediately. Your doctor will advise you on whether to continue, adjust, or stop the medicine.
📅 Long-Term Use Effects
Long-term use of this medicine may lead to tolerance, reduced effectiveness, and increased risk of side effects such as tremors, palpitations, and hypokalemia. Regular monitoring of heart rate, blood pressure, and electrolyte levels is recommended. Do not use for prolonged periods without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Inhaled medicines like salbutamol may be used as alternatives or in addition to oral therapy.
Evidence: Well-establishedFor long-term control of asthma, inhaled corticosteroids are often prescribed.
Evidence: Well-establishedOral medicines like montelukast may be used for asthma prophylaxis.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you have asthma or COPD, you may be advised to get influenza and pneumococcal vaccines. Consult your doctor.
📦 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
When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If crossing time zones, adjust dosing times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines. Always carry enough supply for your trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 30 minutes after oral administration, with peak effects in about 2-3 hours.
A: This medicine may increase blood sugar levels. If you have diabetes, monitor your blood glucose closely and inform your doctor.
A: Terbutaline is Pregnancy Category C. Consult your doctor before taking this medicine if you are pregnant or planning to become pregnant.
A: It depends on the specific medicines. Always inform your doctor about all medicines you are taking to avoid interactions.
🤔 Common Patient Concerns
🔄 Substitutes for Terbis-A Syrup
View AllAlternative brands with exact same active ingredient:
-
acebrel plus syrupCista Medicorp ₹64.69 29.6% CHEAPER
-
sputnix ab syrupTimon Tender Care Pharmaceuticals Private Limited ₹79.69 13.3% CHEAPER
-
pulmoril syrupZoic Lifesciences ₹89.06 3.1% CHEAPER
-
briovent syrupBrio Bliss Life Science Pvt Ltd ₹92.81 1% COSTLIER
-
muciday syrup honey raspberry sugar freeSeagull Pharmaceutical Pvt Ltd ₹92.81 1% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure asthma permanently.
Fact: This medicine helps manage symptoms but does not cure asthma. Asthma requires long-term management. - Myth: It is safe to take extra doses if breathing difficulty worsens.
Fact: Taking extra doses can cause serious heart and nervous system side effects. Always follow your doctor's prescription. - Myth: This medicine is safe for children without doctor's supervision.
Fact: Pediatric dosing is not established. Consult a pediatrician before giving this medicine to a child.
🔄 Alternative Options
Generic Alternatives
- Terbutaline + Acebrophylline syrup (various manufacturers)