Torlinctus BM Syrup - Terbutaline (1.5mg/5ml) + Bromhexine (4mg/5ml) medicine

Grilinctus-BM Paediatric Syrup: Complete Information

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🏭 Torque Pharmaceuticals Pvt Ltd 📦 bottle of 100 ml Syrup 💊 Allopathy 📅 Updated: Oct 22, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Limited evidence for the combination; individual components have varying levels of evidence.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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 wheezing
  • Severe allergic reaction (rash, swelling, difficulty breathing)
  • Irregular or very fast heartbeat
  • Chest pain
  • Severe headache or dizziness
  • Persistent vomiting
  • Blood in mucus

If experiencing severe symptoms, call emergency services immediately.

What is Torlinctus BM Syrup used for?

This medicine is a paediatric syrup containing terbutaline (a bronchodilator) and bromhexine (a mucolytic). It is used to treat cough with mucus and wheezing in children by opening the airways and thinning mucus. It requires a prescription and should only be used under a doctor's supervision.

  • Generic Name: Terbutaline (1.5mg/5ml) + Bromhexine (4mg/5ml)
  • Manufacturer: Torque Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Torlinctus BM Syrup के बारे में (Hindi Summary)

उपयोग: यह दवा बच्चों के लिए एक सिरप है जिसमें टर्ब्यूटालिन और ब्रोमहेक्सिन दो सक्रिय तत्व होते हैं। यह ब्रोंकोस्पाज्म (श्वास नलियों में ऐंठन) और गाढ़े बलगम वाले खांसी के इलाज में उपयोग की जाती है। टर्ब्यूटालिन श्वास नलियों को फैलाकर सांस लेना आसान बनाता है, जबकि ब्रोमहेक्सिन बलगम को पतला करके बाहर निकालने में मदद करता है। यह दवा केवल डॉक्टर के पर्चे पर ही दी जानी चाहिए और बच्चों की उम्र और वजन के अनुसार खुराक तय की जाती है।

साइड इफेक्ट्स: इस दवा के कुछ सामान्य दुष्प्रभाव हो सकते हैं जैसे हाथ-पैर कांपना, बेचैनी, सिरदर्द, दिल की धड़कन तेज होना, पेट खराब होना, जी मिचलाना या उल्टी। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। लेकिन अगर कोई गंभीर लक्षण जैसे सांस लेने में कठिनाई, चेहरे या गले में सूजन, तेज धड़कन या बेहोशी हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को देने से पहले हमेशा बाल रोग विशेषज्ञ से सलाह लें। खुराक बिल्कुल वैसी ही दें जैसी डॉक्टर ने बताई हो। दवा देने से पहले बोतल को अच्छी तरह हिलाएं। सही मापने वाले कप या सिरिंज का उपयोग करें। सूखी खांसी के लिए इस दवा का उपयोग न करें। अगर बच्चे को दिल, किडनी, लीवर या मधुमेह की समस्या है तो डॉक्टर को बताएं। दवा को 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.

💊 Torlinctus BM Syrup Uses & Benefits

[{"condition":"Productive cough associated with bronchospasm","description":"This medicine helps relieve cough by opening the airways and thinning mucus, making it easier to expel.","evidence":"Well-established for the combination in appropriate clinical settings."},{"condition":"Acute bronchitis","description":"Used to manage cough and mucus in acute bronchitis when bronchospasm is present.","evidence":"Commonly used, but evidence for combination is limited; individual components have evidence."},{"condition":"Chronic bronchitis","description":"May be used in chronic bronchitis to alleviate symptoms of cough and mucus plugging.","evidence":"Limited evidence for combination; individual components may be used."}]

Off-label uses: []

Primary treatment for: Productive cough with bronchospasm

Also treats: Acute bronchitis, Chronic bronchitis

📋 Drug Information

Generic Name(s)Terbutaline (1.5mg/5ml) + Bromhexine (4mg/5ml)
Brand NameTorlinctus BM Syrup
ManufacturerTorque Pharmaceuticals Pvt Ltd
Packaging / Formbottle of 100 ml Syrup (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed.
Shelf LifeNot established from the available information. Refer to the packaging for the expiry date.
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.
2
Use the measuring cup or syringe provided with the medicine for accurate dosing.
3
Give this medicine only for productive cough with wheezing, not for dry cough.
4
Monitor the child for side effects like tremors or fast heartbeat.
5
Do not use this medicine for more than 7 days without consulting a doctor.
6
Keep the child well hydrated to help thin mucus.
7
Avoid giving other cough medicines without consulting the doctor.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough with wheezing
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionTerbutaline is well absorbed from the gastrointestinal tract after oral administration, but undergoes first-pass metabolism. Bromhexine is also absorbed orally. Not established from the available information for the specific syrup formulation.
DistributionTerbutaline distributes widely in the body, including the lungs. Bromhexine distributes to the respiratory tract. Not established from the available information for the specific syrup formulation.
Protein BindingTerbutaline: approximately 25% bound to plasma proteins. Bromhexine: Not established from the available information.
MetabolismTerbutaline is metabolized in the liver, primarily by conjugation. Bromhexine is metabolized in the liver to active metabolites. Not established from the available information for the specific syrup formulation.
Half-LifeTerbutaline: approximately 3-4 hours. Bromhexine: Not established from the available information.
ExcretionTerbutaline is excreted mainly in urine as unchanged drug and metabolites. Bromhexine is excreted mainly in urine. Not established from the available information for the specific syrup formulation.
BioavailabilityTerbutaline: approximately 30-50% due to first-pass metabolism. Bromhexine: Not established from the available information.
Onset of ActionTerbutaline: bronchodilation occurs within 30 minutes after oral administration. Bromhexine: mucolytic effect may take a few days. Not established from the available information for the specific syrup formulation.
Peak Plasma TimeTerbutaline: 2-4 hours. Bromhexine: Not established from the available information.
Duration of ActionTerbutaline: 4-6 hours. Bromhexine: Not established from the available information.

How It Works

This medicine combines two active ingredients with different mechanisms. Terbutaline is a selective beta-2 adrenergic receptor agonist. It works by stimulating beta-2 receptors in the smooth muscles of the airways, which leads to relaxation of these muscles and widening of the airways (bronchodilation). This helps to relieve wheezing and shortness of breath. Bromhexine is a mucolytic agent that works by breaking down the structure of mucus, reducing its viscosity and making it easier to cough up. It also stimulates the production of serous fluid in the respiratory tract, which further helps to thin mucus. Together, they address both bronchospasm and mucus congestion.

Mechanism Steps

1
Terbutaline binds to beta-2 receptors: Terbutaline selectively binds to beta-2 adrenergic receptors on the smooth muscle cells of the airways.
2
Activation of intracellular signaling: This binding activates adenylate cyclase, increasing cyclic AMP levels, which leads to relaxation of the smooth muscle.
3
Bronchodilation: The relaxation of bronchial smooth muscle results in widening of the airways, improving airflow.
4
Bromhexine acts on mucus: Bromhexine breaks down acidic mucopolysaccharide fibers in mucus, reducing its thickness and stickiness.
5
Enhanced mucus clearance: Thinner mucus is easier to cough up, helping to clear the airways.

💡 How to Take Torlinctus BM Syrup

Strength: Each 5 ml contains Terbutaline 1.5 mg and Bromhexine 4 mg.

1Shake the bottle well before each use.
2Measure the prescribed dose using the measuring cup or syringe provided.
3Give the medicine orally to the child.
4If the child is taking other medicines, consult the doctor about timing.
5Wash the measuring device after each use.

Dosage Information

Adult DosageThis medicine is a paediatric syrup and is not intended for adult use. Adults should use adult formulations as prescribed by a doctor. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosageThe dose of this medicine is determined by a paediatrician based on the child's age, weight, and severity of the condition. It is typically given 2-3 times a day. Do not self-medicate. Always follow the doctor's prescription. Pediatric dosing is not established from available information for all age groups. Consult a pediatrician.
Elderly DosageNot applicable; this medicine is for paediatric use.
Renal ImpairmentNot established from the available information. Use with caution in children with renal impairment. Consult a doctor for dose adjustment.
Hepatic ImpairmentNot established from the available information. Use with caution in children with hepatic impairment. Consult a doctor for dose adjustment.
Maximum Daily DoseNot established from the available information. The maximum daily dose should be determined by a paediatrician based on the child's condition and weight.

🍽️ Food Timing Guide

With food
Give with meals
Reduces stomach upset.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Give 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 Torlinctus BM Syrup

✅ Common Side Effects

Tremors (Common (5-10%))
Usually resolves with continued use. If bothersome, consult the doctor.
Nervousness (Common (5-10%))
Reassure the child; if persistent, consult the doctor.
Headache (Common (5-10%))
May resolve on its own. Consult doctor if severe or persistent.
Increased heart rate (Common (5-10%))
Monitor; if persistent or symptomatic, consult doctor.
Stomach upset (Common (5-10%))
Give with food to reduce upset. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (Rare (<0.1%))
Seek immediate medical attention if you notice rash, swelling, or difficulty breathing.
Irregular heartbeat (Rare (<0.1%))
Consult a doctor immediately if palpitations or irregular pulse occur.
Low potassium levels (Rare (<0.1%))
May cause muscle weakness; seek medical advice if suspected.

⚠️ Rare Side Effects

Paradoxical bronchospasm
Stop medicine and seek immediate medical help if breathing worsens.
Seizures
Seek emergency medical attention.

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
Theophylline Moderate

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Diuretics (e.g., furosemide)
  • Corticosteroids
  • Xanthine derivatives (e.g., theophylline)

🍷 Alcohol Interaction

Alcohol is not recommended for children. In adults, alcohol may increase the risk of side effects such as drowsiness and cardiovascular effects, but this medicine is for paediatric use only.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to terbutaline, bromhexine, or any component of the formulation.","Severe cardiac disease.","Severe hepatic or renal impairment.","Children under the age recommended by the doctor (typically not for infants).","Use in premature labour (terbutaline is contraindicated for tocolysis in some cases)."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Use with caution in children with cardiovascular disorders, including arrhythmias, hypertension, or heart failure.","Use with caution in children with diabetes mellitus, hyperthyroidism, or seizure disorders.","May cause tremors and nervousness; reassure the child and monitor.","If cough persists for more than 7 days, consult a doctor.","Do not use for a dry, non-productive cough.","Keep out of reach of children.","Shake well before use.","Use a proper measuring device."]

🤱 Lactation Safety

Not applicable; this medicine is for paediatric use.

💊 Overdose Management

Overdose may cause symptoms such as severe tremors, palpitations, chest pain, dizziness, nausea, and vomiting. In case of overdose, seek immediate medical attention. Treatment is supportive and symptomatic. Monitor vital signs and electrolytes.

⏰ Missed Dose

If a dose is missed, give it as soon as you remember. However, if it is almost time for the next dose, skip the missed dose and continue with the regular schedule. Do not double the dose to catch up.

Additional Safety Advice

General Safety

Before giving this medicine to a child, always consult a paediatrician. Do not use this medicine for a dry cough or for a cough that has lasted more than a few days without medical advice. Follow the prescribed dose exactly; do not increase or decrease it on your own. Shake the bottle well before each use to ensure the medicine is evenly mixed. Use a proper measuring device (such as a syringe or cup provided) to measure the dose accurately; household spoons are not reliable. Do not give this medicine to children under the age recommended by the doctor. Keep this medicine out of the reach of children. Inform the doctor if the child has any heart problems, high blood pressure, diabetes, thyroid disorders, or liver or kidney disease. Also, tell the doctor about any other medicines the child is taking, including over-the-counter products, to avoid interactions. If the child experiences any side effects like fast heartbeat, tremors, or allergic reactions, stop the medicine and seek medical help. Do not use this medicine for longer than prescribed without consulting the doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Not applicable; this medicine is for paediatric use.

🤰 Pregnancy Planning (TTC)

Not applicable; this medicine is for paediatric use.

🏥 Post-Surgery Considerations

Consult the doctor before giving this medicine after surgery, as it may affect heart rate and blood pressure.

🦷 Dental Procedures

No specific considerations, but inform the dentist about the medicine.

💚 Lifestyle Tips for Better Results

🏃
Keep the child well hydrated to help loosen mucus.
🥗
Use a humidifier in the room to ease breathing.
😴
Avoid exposure to smoke and other respiratory irritants.
💧
Ensure the child gets plenty of rest.
🧘
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

No specific exercise restrictions, but allow the child to rest if they have difficulty breathing. Avoid strenuous activity during acute illness.

🥗 Diet Recommendations

Offer warm fluids like soups and herbal teas.
Include fruits rich in vitamin C.
Avoid cold drinks and ice cream.
Provide a balanced diet to support recovery.

💼 Impact on Daily Work & Life

This medicine is for children; it may cause drowsiness or tremors, so the child should avoid activities requiring alertness, such as cycling or climbing, until they know how the medicine affects them.

🛑 When to Stop This Medicine

Stop the medicine and consult a doctor if the child's symptoms worsen, if new symptoms appear, or if the cough persists beyond 7 days. Do not stop abruptly if the doctor has advised a specific duration.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use of terbutaline may lead to tolerance and reduced effectiveness. Bromhexine is generally well tolerated. Regular monitoring of heart rate and potassium levels may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Can help loosen mucus and ease breathing.

Evidence: Commonly used, limited scientific evidence.
Saline nasal drops

May help clear nasal congestion.

Evidence: Well-established for nasal congestion.

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Ensure the child is up to date with routine vaccinations.

📦 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 travelling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of the prescription in case of customs checks. Store at room temperature and protect from direct sunlight. If travelling across time zones, consult the doctor for dosing schedule adjustments. Keep the medicine in carry-on luggage to avoid temperature extremes.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 5-year-old child with acute bronchitis and wheezing
The child was prescribed this medicine by a paediatrician. After 2 days, the cough became more productive and breathing improved. The parents noted that giving the medicine with food reduced stomach upset.
💡 Lesson: This medicine can effectively relieve cough and wheezing in children when used as prescribed. Giving with food may improve tolerability.
👤 A 3-year-old child with a persistent cough
The parents self-medicated with this syrup for a dry cough, but the child's condition did not improve and developed tremors. Upon consulting a doctor, they learned it was not suitable for dry cough and was stopped.
💡 Lesson: This medicine should only be used for productive cough with bronchospasm and under medical supervision. Self-medication can be harmful.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Terbutaline starts working within 30 minutes to help open the airways, while bromhexine may take a few days to thin mucus effectively.

Q: Can this medicine be given with food?

A: Yes, it can be given with food to reduce stomach upset.

Q: What should I do if my child vomits after taking the medicine?

A: If vomiting occurs within 30 minutes of taking the dose, consult the doctor for advice. Do not give another dose without medical guidance.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I give this medicine to my child for a dry cough?
  • How long can my child take this medicine?
  • What if my child misses a dose?
  • Can this medicine be given with other medicines?
  • Is this medicine safe for infants?

🔄 Substitutes for Torlinctus BM Syrup

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 be used for any type of cough.
    Fact: This medicine is only for productive cough with bronchospasm. It is not for dry cough.
  • Myth: It is safe to give this medicine without a doctor's prescription.
    Fact: This medicine is a prescription drug and should only be given under a doctor's supervision.

📊 Comparison with Similar Medicines

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