zeecof expectorant - Guaifenesin (50mg/5ml) + Bromhexine (4mg/5ml) medicine

Amohist Syrup: Complete Medicine Guide

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🏭 Cipla Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for expectorant and mucolytic effects.
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

  • Blood in sputum or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is zeecof expectorant used for?

This medicine is a combination of guaifenesin and bromhexine used to treat productive cough by thinning mucus and making it easier to cough out.

  • Generic Name: Guaifenesin (50mg/5ml) + Bromhexine (4mg/5ml)
  • Manufacturer: Cipla Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 zeecof expectorant के बारे में (Hindi Summary)

उपयोग: यह दवा गुआइफेनेसिन और ब्रोमहेक्सिन का संयोजन है, जिसका उपयोग बलगम वाली खांसी के इलाज के लिए किया जाता है। यह बलगम को पतला करके उसे बाहर निकालने में मदद करती है। यह सूखी खांसी के लिए नहीं है।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, उल्टी, पेट में परेशानी, दस्त, सिरदर्द, चक्कर आना और नींद आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी प्रतिक्रिया या त्वचा पर गंभीर दाने हो सकते हैं। किसी भी असामान्य लक्षण पर 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। चक्कर आने पर वाहन न चलाएं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 zeecof expectorant Uses & Benefits

[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus, making it easier to cough out.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Used as supportive therapy to relieve chest congestion and facilitate mucus clearance.","evidence":"Moderate"},{"condition":"Chronic obstructive pulmonary disease (COPD) with mucus hypersecretion","description":"May help in managing thick secretions, but not a primary treatment.","evidence":"Limited"}]

Off-label uses: [{"condition":"Sinusitis with thick nasal discharge","description":"Sometimes used to thin sinus secretions, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Productive cough

Also treats: Acute bronchitis, COPD with mucus hypersecretion

📋 Drug Information

Generic Name(s)Guaifenesin (50mg/5ml) + Bromhexine (4mg/5ml)
Brand Namezeecof expectorant
ManufacturerCipla 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, away from direct sunlight. Do not refrigerate. Keep the bottle tightly closed.
Shelf Life24 months from the date of manufacture.
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
Take this medicine with food to reduce stomach upset.
2
Stay well hydrated throughout the day to help thin mucus.
3
Avoid alcohol while taking this medicine.
4
Do not take more than the prescribed dose.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Report any unusual bleeding or bruising immediately.

🔍 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 for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionGuaifenesin is rapidly absorbed from the gastrointestinal tract. Bromhexine is also well absorbed orally. Exact bioavailability data for the combination syrup is not established from the available information.
DistributionBoth agents are distributed to body tissues, including the respiratory tract. Protein binding data for guaifenesin and bromhexine are not established from the available information.
Protein BindingNot established from the available information.
MetabolismGuaifenesin is metabolized in the liver. Bromhexine undergoes extensive first-pass metabolism in the liver to active metabolites. Specific enzyme pathways are not established from the available information.
Half-LifeNot established from the available information.
ExcretionGuaifenesin and its metabolites are excreted primarily in the urine. Bromhexine metabolites are also excreted mainly in urine. Exact percentages are not established from the available information.
BioavailabilityNot established from the available information.
Onset of ActionExpectorant effects may begin within 30 minutes to 1 hour after oral administration, but noticeable relief may take longer.
Peak Plasma TimeNot established from the available information.
Duration of ActionThe effect typically lasts for 4 to 6 hours, requiring dosing every 4 to 6 hours as needed.

How It Works

Guaifenesin increases the volume and reduces the viscosity of bronchial secretions by stimulating gastric reflexes and possibly directly acting on the respiratory tract. Bromhexine increases serous bronchial secretion and breaks down acidic mucopolysaccharide fibers in mucus, reducing its viscosity. Together, they enhance mucociliary clearance and make cough more productive.

Mechanism Steps

1
Guaifenesin stimulates gastric mucosa: This reflex leads to increased respiratory tract fluid secretion, thinning mucus.
2
Bromhexine breaks down mucus fibers: It depolymerizes mucopolysaccharide fibers, reducing mucus viscosity.
3
Enhanced mucociliary clearance: Thinner mucus is easier for cilia to move and for the patient to cough out.

💡 How to Take zeecof expectorant

Strength: Each 5 ml contains guaifenesin 50 mg and bromhexine 4 mg.

1Shake the bottle well before each use.
2Measure the dose using the provided measuring cup or spoon.
3Take orally, with or without food.
4Follow the prescribed dose and duration.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is 5-10 ml every 4-6 hours as needed, not to exceed 60 ml in 24 hours. 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 side effects such as dizziness and drowsiness. Use with caution and adjust dose as directed by a clinician.
Renal ImpairmentDose adjustment may be needed in patients with kidney disease. Consult a clinician for individualized dosing.
Hepatic ImpairmentDose adjustment may be needed in patients with liver disease. Consult a clinician for individualized dosing.
Maximum Daily DoseFor adults, the maximum recommended dose is 60 ml in 24 hours. Do not exceed the prescribed dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
No known interaction
Not established from the available information.

⏰ 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 zeecof expectorant

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce nausea. If it persists, consult your doctor.
Vomiting (Common (5-10%))
Stay hydrated with small sips of water. If vomiting is severe or persistent, seek medical advice.
Stomach discomfort (Common (5-10%))
Take after meals. Avoid spicy foods. Consult doctor if it worsens.
Diarrhea (Uncommon (1-5%))
Drink plenty of fluids. If diarrhea is severe or bloody, stop and consult doctor.
Headache (Uncommon (1-5%))
Rest and stay hydrated. If headache is severe or persistent, consult doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you feel normal. Consult doctor if it continues.
Drowsiness (Uncommon (1-5%))
Avoid activities requiring alertness. Consult doctor if it interferes with daily life.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of face, lips, tongue, or throat, difficulty breathing, or severe rash.
Stevens-Johnson syndrome (severe skin reaction) (Rare (<0.1%))
Stop the medicine and seek immediate medical attention if you develop painful red or purple rash, blisters, or peeling skin.
Kidney stones (with prolonged high-dose guaifenesin) (Rare (<0.1%))
Report severe back or side pain, blood in urine, or painful urination to your doctor.

⚠️ Rare Side Effects

Severe skin reactions
Seek immediate medical attention.
Bronchospasm
Seek immediate medical attention if you experience wheezing or difficulty breathing.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Codeine Major
Dextromethorphan Major
MAOIs Major
Amoxicillin Moderate
Doxycycline Moderate
Paracetamol Minor

🚨 Major Interactions

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

⚡ Moderate Interactions

  • Antibiotics (e.g., amoxicillin, doxycycline)
  • Antitussives (e.g., dextromethorphan)

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness caused by this medicine. 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 guaifenesin, bromhexine, or any component of the formulation.","Gastric ulcer or duodenal ulcer.","Severe liver disease.","Severe kidney disease.","Children under 2 years of age."]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose.","Avoid using for prolonged periods without medical advice.","Use with caution in patients with asthma or bronchospasm.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor if cough persists for more than 7 days, or is accompanied by fever, rash, or persistent headache.","Do not use in children under 2 years without medical advice."]

🤱 Lactation Safety

It is not known whether guaifenesin and bromhexine pass into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause nausea, vomiting, diarrhea, and abdominal pain. In severe cases, it may lead to drowsiness, dizziness, or seizures. If overdose is suspected, seek immediate medical attention. Treatment is supportive and symptomatic. 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 or duration. Shake the bottle well before each use and measure with the provided measuring cup or spoon. Avoid driving or operating heavy machinery if you feel dizzy or drowsy. Do not take this medicine with other cough and cold products without consulting a doctor, as they may contain overlapping ingredients. If you are pregnant, planning pregnancy, or breastfeeding, inform your doctor before use. Keep out of reach of children. Store in a cool, dry place, away from direct sunlight. Do not use after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to side effects like dizziness and drowsiness. Use with caution and monitor for falls.

🤰 Pregnancy Planning (TTC)

Consult your doctor before using this medicine if you are pregnant, planning pregnancy, or breastfeeding. The safety profile is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, especially if you are taking other medications or have underlying conditions.

🦷 Dental Procedures

No specific precautions. Inform your dentist if you are taking this medicine.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Use a humidifier to add moisture to the air.
😴
Avoid smoking and exposure to secondhand smoke.
💧
Get plenty of rest to help your body recover.
🧘
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have fever or feel weak. Light activity like walking may be okay if you feel up to it. Consult your doctor before resuming intense exercise.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup.
Avoid cold and sugary drinks that can thicken mucus.
Include vitamin C rich fruits like oranges and lemons.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is usually safe to continue desk work.

🛑 When to Stop This Medicine

Stop this medicine and consult your doctor if your cough persists for more than 7 days, or if you experience severe side effects. Do not stop prescribed antibiotics without consulting your doctor.

📅 Long-Term Use Effects

Prolonged use of guaifenesin at high doses has been associated with kidney stones. Bromhexine is generally well tolerated for short-term use. Long-term use should be under medical supervision. Regular monitoring of kidney function may be advised if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Can help clear nasal passages and reduce postnasal drip.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you have an active infection, consult your doctor about timing of vaccination.

📦 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 the prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, continue dosing as prescribed, but do not exceed the maximum daily dose. Check customs regulations for carrying medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 45-year-old office worker with chronic bronchitis
Started this medicine as prescribed for productive cough. Within 2 days noticed significant improvement in mucus clearance. Emphasized taking with food to prevent stomach upset.
💡 Lesson: Consistency with prescribed dose and taking with food improves both efficacy and tolerability.
👤 A 30-year-old mother with acute bronchitis
Used this medicine for 5 days as directed. Cough became more productive initially, then gradually subsided. She reported mild nausea that resolved when taken after meals.
💡 Lesson: Initial increase in cough may occur as mucus loosens; this is expected and not a reason to stop.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: It may start working within 30 minutes to 1 hour, but noticeable relief may take a few doses.

Q: Can I take it with other cough medicines?

A: Do not take with other cough suppressants without consulting your doctor, as they may counteract each other.

🤔 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?

🔄 Substitutes for zeecof expectorant

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: It is only for productive cough with thick mucus. It is not effective for dry cough.
  • Myth: It is safe to take this medicine for a long time.
    Fact: Prolonged use without medical supervision can be harmful. Use only as directed.

🔄 Alternative Options

Generic Alternatives

  • Guaifenesin + Bromhexine syrup (various manufacturers)

Brand Alternatives

  • Amohist syrup

📊 Comparison with Similar Medicines

[{"medicine":"Amohist syrup","composition":"Guaifenesin 50mg/5ml + Bromhexine 4mg/5ml","primary_use":"Productive cough"},{"medicine":"Ambroxol + Guaifenesin","composition":"Ambroxol 30mg/5ml + Guaifenesin 50mg/5ml","primary_use":"Productive cough"}]

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