Grilinctus-BM Paediatric Syrup: Complete Information
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 Tune-X 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: Sun Life Sciences Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 Tune-X 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।
💊 Tune-X 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 Name | Tune-X Syrup |
| Manufacturer | Sun Life Sciences 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. Do not refrigerate. Keep the bottle tightly closed. |
| Shelf Life | Not established from the available information. Refer to the packaging for the expiry date. |
| 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 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
💡 How to Take Tune-X Syrup
Strength: Each 5 ml contains Terbutaline 1.5 mg and Bromhexine 4 mg.
Dosage Information
| Adult Dosage | This 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 Dosage | The 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 Dosage | Not applicable; this medicine is for paediatric use. |
| Renal Impairment | Not established from the available information. Use with caution in children with renal impairment. Consult a doctor for dose adjustment. |
| Hepatic Impairment | Not established from the available information. Use with caution in children with hepatic impairment. Consult a doctor for dose adjustment. |
| Maximum Daily Dose | Not 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
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of Tune-X 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 | |
| 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
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
🏋️ 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
💼 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.
Can help loosen mucus and ease breathing.
Evidence: Commonly used, limited scientific evidence.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.
💬 Questions Patients Often Ask
A: Terbutaline starts working within 30 minutes to help open the airways, while bromhexine may take a few days to thin mucus effectively.
A: Yes, it can be given with food to reduce stomach upset.
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
🔄 Substitutes for Tune-X Syrup
View AllAlternative brands with exact same active ingredient:
-
Torlinctus BM SyrupTorque Pharmaceuticals Pvt Ltd ₹25.00 46.7% CHEAPER
-
glinter-pd syrupHelplab Healthcare Pvt Ltd ₹37.50 20% CHEAPER
-
broncare 1.5mg/5ml/4mg/5ml syrupThemis Medicare Ltd ₹45.62 2.7% CHEAPER
-
zinter syrupKentreck Laboratories Pvt Ltd ₹49.10 4.7% COSTLIER
-
mucosol syrupAstraZeneca ₹55.00 17.3% COSTLIER
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.