Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol is used primarily for the symptomatic relief of productive cough and respiratory tract congestion. It belongs to the group of combination medicines containing expectorants, mucolytics, cough suppressants, and decongestants.
This combination is also indicated for managing conditions like the common cold, bronchitis, sinusitis, allergies, asthma, and chronic obstructive pulmonary disease (COPD), as it helps to liquefy and expel mucus while suppressing the cough reflex.
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Ammonium Chloride is an expectorant. It works by irritating the bronchial glands, stimulating them to produce more watery mucus which thins and loosens thick phlegm.
Bromhexine is a mucolytic agent. It breaks down the complex fibres in mucus, reducing its thickness. This enables the hair-like cilia in the airways to more effectively transport the mucus out of the airways.
Dextromethorphan Hydrobromide is a cough suppressant. It acts on a part of the brain called the medulla oblongata, thus suppressing the urge to cough.
Menthol has mild anaesthetic and decongestant properties. It cools and mildly numbs nerve endings in the throat and nasal passages, consequently reducing the cough reflex.
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Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol can be taken orally in the form of a syrup and as tablets.
This combination medicine is intended for adults and children aged 12 years and older.
The medicine is contraindicated in patients with known hypersensitivity to any of the ingredients.
It should be used with caution in patients with persistent cough, cough accompanied by excessive mucus secretion, history of peptic ulcer disease, liver or kidney disease, diabetes, hypertension, glaucoma, enlarged prostate gland, urinary retention, seizure disorders and psychiatric disorders.
This combination may interact with MAO inhibitors (e.g., isocarboxazid and phenelzine), antidepressants such as SSRIs (e.g., fluoxetine, sertraline) and tricyclics (e.g., amoxapine, desipramine), antihistamines (e.g., loratadine, desloratadine), opioids (e.g., morphine, tramadol), sedatives (e.g., amobarbital), tranquilisers (e.g., chlorpromazine), sleeping pills (e.g., zopiclone, zolpidem), muscle relaxants (e.g., baclofen, diazepam), and medications for Parkinson's disease (e.g., levodapa, dopamine) and other psychiatric disorders.
An overdose of this medication can lead to severe drowsiness, dizziness, confusion, slowed or laboured breathing, blurred vision, seizures or even coma. If you observe these symptoms, inform your doctor and follow their advice.
If you miss a dose of this medication, take it as soon as you remember unless it is almost time for your next dose.
Most side effects are temporary and generally harmless and resolve when discontinuing this medicine. However, if you experience severe side effects or worsening symptoms, please consult your doctor.
To manage side effects such as nausea or vomiting, taking this medication with a meal or snack and drinking plenty of fluids may be helpful.
For dizziness or drowsiness, avoid sudden position changes and rise slowly from a seated or lying position.
This medication may cause dizziness, drowsiness, blurred vision, or nervousness, which can affect your ability to drive or operate machinery. Avoid such activities until these symptoms pass.
This medication should not be used during pregnancy unless clearly needed, and the benefits outweigh the risks. Always consult with your doctor before using this medication.
It is not known if this combination is excreted in breast milk. Therefore, caution should be exercised when administering to nursing mothers.
Patients with liver or kidney disease, diabetes, hypertension, glaucoma, enlarged prostate gland, urinary retention, seizure disorders and psychiatric disorders should exercise caution when taking this medication.
Avoid exposure to allergens and irritants such as dust and smoke.
Regularly practice breathing exercises to improve lung capacity.
Frequently asked questions
No, Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol is not a steroid. It is a combination medicine used for the management of cough and respiratory congestion.
No, this combination is not typically indicated for dry or non-productive cough as it contains expectorants and mucolytics that are specifically designed to help expel mucus from the respiratory tract.
Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol might cause drowsiness in some individuals. Therefore, it is advisable to watch for any changes in your sleeping pattern while on this medication.
There are no specific studies linking Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol to fertility issues. However, if you are planning to conceive, it is always better to consult your doctor before starting any new medication.
There is no clear evidence suggesting dependency with long-term use of this combination. However, it is recommended to use this medication only for the duration prescribed by your doctor.
While the combination can be used in managing cough associated with such conditions, it should be used with caution, particularly if the cough is persistent or chronic. Always keep your doctor informed about your health conditions.
The time taken for Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol to provide relief from symptoms can vary based on individual responses.
Ammonium Chloride + Bromhexine + Dextromethorphan Hydrobromide + Menthol in other salts
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