Generic Name: Ambroxol Brand: shutterstock_405163231.
What is the ambroxol medicine for?
Ambroxol HCl (hydrochloride), or better known as ambroxol is a drug from the mucolytic group that serves to expel large amounts of phlegm and thick to clog the respiratory tract. By using cough medicine ambroxol HCl, the phlegm will be thinner making it easier to remove it from the throat when coughing. This makes it easier for you to breathe because the respiratory tract has no more blockages.
Usually this drug is used for several conditions, such as:
Bronchitis. Bronchitis is inflammation of the lining of the bronchial tubes due to infection. The bronchi are the channels that let air into and out of the lungs. People who have bronchitis often experience a thickened mucus cough, which can change color.
Asthmatic bronchitis . This condition is a combination of acute bronchitis and asthma, both of which are airway inflammation. When asthma and acute bronchitis occur together, this condition is called asthmatic bronchitis.
Emphysema. Emphysema is one of the most common forms of chronic obstructive pulmonary disease (COPD). This disease occurs when the lungs experience widening of the channel due to chronic blockage. This disease is associated with chronic bronchitis.
Bronchiectasis. Bronchiectasis is damage that makes the airways (bronchi) widen, soften, and thicken abnormally so that the lungs have difficulty clearing mucus. This disease is a rare condition that causes coughing up phlegm that does not heal.
Tracheobronchitis. This condition occurs when the throat or bronchial tubes become inflamed. Usually this condition can be caused by a bacterial or viral infection, but it can also be the result of several types of irritants, such as cigarette smoke.
How does ambroxol work?
As mentioned above, ambroxol HCL is a mucolytic agent that is used to treat respiratory disorders associated with excessive sputum production.
This drug contains active ingredients Mucosolvan, Lasolvan, and Mucoangin. These substances are muciactive drugs whose role is to restore the mechanism of clearance (clearance) of the respiratory tract by stimulating the synthesis and release of surfactants by type II pneumocytes. Surfactant acts as an anti-glue by reducing mucous adhesions to the bronchial walls to help provide protection against bronchial infections.
The cough medicine for ambroxol HCl does not suppress coughing, making it easier for the body to expel excess phlegm from the respiratory tract.
What are the rules for using ambroxol?
This drug is a type of hard drug that must be prescribed by a doctor. Therefore, always follow the rules given by your doctor or pharmacist before starting taking cough medicine ambroxol HCl. Always read the drug guidelines listed on the packaging label or the Patient Information Brochure provided by the pharmacy, if any, before you get this medicine or every time you buy it again. If you have questions, consult your doctor or pharmacist.
You can take this medicine together while eating or after eating. Drink plenty of fluids when using this medicine if the doctor does not say otherwise.
Always make sure the time interval of consuming between one dose with the next dose is the same. In order not to forget, you can take this medicine at the same time to optimize treatment.
If you are taking ambroxol syrup cough medicine, make sure to always shake the container well for 15 seconds before pouring each dose. Measure the dosage carefully using a special measuring device / spoon that is usually available in the package. Don't use a house spoon because you might not get the right dose.
Meanwhile, if you take cough medicine ambroxol tablets, do not grind, chew, or cut the drug into pieces unless the doctor recommends it.
The dosage and duration of treatment will depend on the medical condition and response to treatment. Do not double the dose of this medicine if you are late or forgetful to take it because it can trigger disturbances in the body. If you forget to take this medicine, take it immediately if the distance from the next consumption is not too close. However, if the next consumption distance is near, ignore and do not double the dose of this drug.
Ambroxol HCl cough medicine is not recommended for consumption in the long term, so take this medicine in accordance with the period determined by your doctor.
Tell your doctor if your condition has not changed, is getting worse, or if you experience new symptoms. If you feel you might have a serious medical problem, get medical help immediately.
How to store ambroxol medicine?
For this drug to work optimally, you must first understand its storage rules. Here are some guidelines for storing ambroxol HCl that you should know about:
- This drug is best stored at room temperature, away from direct light and damp places.
- Do not store this medicine in the bathroom.
- Do not store this medicine in the freezer or freeze.
- Keep all medicines out of the reach of children and pets.
- Do not flush medicine in the toilet or in the sewer unless instructed.
- Discard this product when it has expired or if it is no longer needed.
If necessary, consult your pharmacist or local waste disposal company about how to safely dispose of your product. Not all drugs have the same storage method as this drug. Other brands of this drug may have different storage rules.
The information provided is not a substitute for medical advice. ALWAYS consult a doctor or pharmacist before starting treatment.
What is the dose of Ambroxol for adults?
The dose of ambroxol for adults ranges from 30 mg (1 ambroxol tablet) to 120 mg (4 ambroxol tablets) per day which is divided into 2-3 doses.
Basically the dose of ambroxol tablets for adults will be adjusted to the patient's condition, the severity of the disease, and the body's response to this drug. Always consult a doctor to determine the dose of ambroxol tablets that suits your needs
What is the dose of Ambroxol for children?
The dose of ambroxol syrup that is commonly used for children is:
- Children less than 2 years old: 1/2 teaspoon (2.5 mL) ambroxol syrup consumed 2 times a day.
- Children aged 2-5 years: 1/2 teaspoon (2.5 mL) ambroxol syrup consumed 3 times a day.
- Children over 5 years: 1 teaspoon (5 mL) of ambroxol syrup consumed 2-3 times a day.
As with adults, the dose of ambroxol syrup for children will be adjusted according to age, health conditions, severity of disease, and the body's response to this drug. Always consult a doctor to determine the dose of ambroxol syrup that suits your child's needs.
In what dosages and preparations is this drug available?
There are two main preparations for this drug, namely ambroxol tablets and ambroxol syrup. Each ambroxol tablet contains 30 mg ambroxol. While the ambroxol syrup kemasa, contains ambroxol as much as 30 mg.
What side effects might occur due to this drug?
The most common side effects of using ambroxol cough medicine are:
- Mild digestive disorders
- Nausea and vomiting
In some cases, allergic reactions such as skin rashes, itching, swelling and redness may also occur. It is important to understand that not everyone experiences these side effects. There may be some side effects not mentioned above. If you have concerns about certain side effects, consult your doctor or pharmacist immediately.
Prevention & Warnings
What must be known before using this medicine?
Some things you should consider before using ambroxol cough medicine are:
- Tell your doctor and pharmacist if you are allergic to this drug.
- Tell your doctor and pharmacist if you have a hypersensitivity to the components present in this drug.
- Tell your doctor and pharmacist about prescription drugs and non-prescription drugs, vitamins, nutritional supplements, and herbal products that you use or will use.
- Tell your doctor and pharmacist if you have stomach problems such as stomach ulcers or peptic ulcers. The reason is that this drug might make your condition worse.
- Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding. If you become pregnant while using this medicine, contact your doctor.
- Tell your doctor and pharmacist if you have impaired kidney function. The reason is this drug is secreted in the urine through the kidneys. Levels of this drug can accumulate in the body so it can cause side effects and worsen your condition.
- If after taking this drug you experience itching, redness, swelling, and other allergic reactions, then immediately consult a doctor to get the right treatment.
- If you experience symptoms of an overdose that is marked by the appearance of excessive side effects, then immediately consult a doctor to get the right treatment.
- Although it can be given to children, it's a good idea to ask your doctor beforehand about the dose of ambroxol for children.
Is this drug safe for pregnant or nursing women?
There is no adequate research on the risks of using ambroxol in pregnant or breastfeeding women. Therefore, always consult your doctor to consider the potential benefits and risks before using this medicine. This drug is included in the risk of pregnancy category C according to the US Food and Drugs Administration (FDA).
The following are references to pregnancy risk categories according to the FDA:
- A = No risk
- B = No risk in several studies
- C = Maybe risky
- D = There is positive evidence of risk
- X = Contraindications
- N = Unknown
However, based on existing studies, the use of this drug in trimester 3 pregnancy does not cause a bad influence on pregnancy. Even so, experts agree to avoid using this drug during the first trimester of pregnancy. While in nursing mothers, this drug can enter breast milk. However, these effects do not affect your baby if you take these drugs according to the dosage and rules recommended by your doctor.
In essence, do not forget to always consult a doctor first before taking this drug if you are pregnant, planning to become pregnant, or even breastfeeding.
What medicines might interact with this drug?
Do not use this drug together with some antibiotics such as amoxicillin, cefuroxim, erythromycin, and doxycycline. The use of drugs simultaneously will increase the concentration of these antibiotics in the lung tissue. In addition, the use of this drug in conjunction with cough reflex suppressants is also not recommended because it can inhibit the expectoration of phlegm from the respiratory tract.
It should be understood that several types of drugs can interact with cough medicine ambroxol HCl in two ways, namely:
- The drug ambroxol HCl inhibits other drugs
- Other drugs that actually inhibit the drug ambroxol HCl
Not all possible drug interactions are listed in this document. Keep a list of all the products you use (including prescription / nonprescription medicines and herbal products) and consult your doctor or pharmacist. Do not start, stop or change the dose of any drug without the doctor's approval.
Can food or alcohol interact with this drug?
Certain medicines should not be used when eating or when eating certain foods because drug interactions can occur. Consuming alcohol or tobacco with certain drugs can also cause interactions to occur. Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.
What health conditions can interact with this drug?
Other health problems in your body can affect the use of this drug. Tell your doctor if you have health problems related to digestive disorders related to the stomach, such as gastric ulcer (stomach ulcer) or ulcer disease. Also, tell your doctor if you are experiencing hypersensitivity to any component of this drug.
What should I do in an emergency or overdose?
If you develop symptoms of an overdose like the symptoms of excessive side effects, seek medical help immediately. In case of emergency or overdose, contact your local emergency services provider (118/119) or immediately to the nearest hospital emergency department.
What should I do if I miss a dose?
If you forget one dose of this medicine, take it as soon as possible. But when it is nearing the next dose, skip the missed dose and return to the usual dosage schedule. In essence you are not recommended to double the dose if you forget to take this medicine.
MIMS. Ambroxol. 2016. http://mims.com/Indonesia/Home/GatewaySubscription/?generic=Ambroxol Accessed February 18th, 2017
Ambroxol - https://www.drugbank.ca/drugs/DB06742 accessed date April 10th, 2018
Ambroxol - https://www.drugs.com/ambroxol.html accessed date April 10th, 2018
Reviewed Date: April 11, 2018 | Last Edited: April 11, 2018