Introduction About ALKOF COUGH ORANGE SYRUP

ALKOF COUGH ORANGE SYRUP is a combination of Bromhexine, Guaiphenesin, Terbutaline, and Menthol which belongs to the group of medicines called Mucolytics, Expectorants, Bronchodilators, and Soothing agents respectively. It is used to manage cough associated with bronchitis, asthma, emphysema, smoker’s cough, whooping cough, smokers dry cough and post-surgical cough. A cough is a reflex action to clear your airways of mucus and irritants like dust or smoke.

ALKOF COUGH ORANGE SYRUP is not recommended for use in children (younger than 6 years of age) so consult your doctor before taking it. Before taking ALKOF COUGH ORANGE SYRUP, inform your doctor if you have any allergies or other conditions, or if you are taking any other medicines.

ALKOF COUGH ORANGE SYRUP should be used in pregnant and breastfeeding women only if considered necessary by your doctor. The most common side effects of taking ALKOF COUGH ORANGE SYRUP are nausea, vomiting, upset stomach, diarrhea, dizziness, or headache. Contact your doctor if any of the above side effects worsen.

Uses Of ALKOF COUGH ORANGE SYRUP

It is used to manage cough associated with:

• bronchitis
• asthma
• emphysema
• smoker’s cough, whooping cough, smokers dry cough and
• post-surgical cough

How ALKOF COUGH ORANGE SYRUP Works

ALKOF COUGH ORANGE SYRUP relieves cough where Bromhexine reduces the viscosity of thick mucus secretions, helping in ejecting out the phlegm. Guaiphenesin thins and loosens the mucus in the lungs, making it easier to cough it up where Terbutaline relieves the congestion of the airways, and menthol gives a cooling sensation.

How to use ALKOF COUGH ORANGE SYRUP

Take ALKOF COUGH ORANGE SYRUP as advised by your physician. Shake well before use. Your doctor will decide the correct dose and duration for you according to your age, body weight and disease condition.

Side Effects Of ALKOF COUGH ORANGE SYRUP

How To Manage Side Effects

Diarrhea

Drink lots of fluids, like water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor. If diarrhea does not improve, contact your doctor.

Dizziness Or Drowsiness

Lie down until dizziness is resolved, then get up slowly. Do not hurry and move slowly and carefully. Get adequate rest. Drink plenty of water and other fluids. Avoid coffee, cigarettes, alcohol, and drugs. If dizziness does not improve, consult your doctor.

Headache

Drink ample amount of water. Get adequate rest. Try to be relaxed and stress free. Consult your doctor before taking any medicine for headache. If headache does not improve, contact your doctor.

Nausea And Vomiting

Take regular sips of a cold drink. Have ginger or peppermint tea. Stick to simple meals. Avoid eating oily or spicy foods. If nausea does not improve, contact your doctor. Get adequate rest. Drink lots of fluids, especially water. Have small sips if you feel sick. Do not take any medicine for vomiting without your doctor's consultation. If vomiting does not improve, contact your doctor.

Warning & Precautions

Pregnancy

Monitoring required

ALKOF COUGH ORANGE SYRUP should be used in pregnant women only if considered necessary by your doctor. Consult your doctor before taking it.

Breastfeeding

Monitoring required

ALKOF COUGH ORANGE SYRUP should be used in breastfeeding women only if considered necessary by your doctor. Consult your doctor before taking it.

Driving and Using Machines

Use with Caution

Do not drive or use any machines if you feel dizzy after taking ALKOF COUGH ORANGE SYRUP. Consult your doctor for advice.

Allergy

Contraindicated

Do not take ALKOF COUGH ORANGE SYRUP if you are allergic to Bromhexine, Guaiphenesin, Terbutaline, Menthol, or any of the other ingredients of this medicine.

Interactions

A. Drug-Drug interactions:

Before taking ALKOF COUGH ORANGE SYRUP, inform your doctor if you are taking, have taken, or might take any other medicine, including prescription, non-prescription or any herbal medicine.

Overdosage:

If you or anyone else accidentally took too much of ALKOF COUGH ORANGE SYRUP, contact your doctor immediately or visit the nearby hospital.

Synopsis

More Information

• Keep ALKOF COUGH ORANGE SYRUP out of reach of children
• Store below 30°C

FAQs About ALKOF COUGH ORANGE SYRUP

Q: Can we use ALKOF COUGH ORANGE SYRUP for babies?

A: ALKOF COUGH ORANGE SYRUP is not recommended for use in children (younger than 6 years of age). Your doctor will decide the correct dose and duration for your child according to the age, body weight and disease condition.

Q: What if I forget to take a dose of ALKOF COUGH ORANGE SYRUP?

A: If you forget to take a dose of ALKOF COUGH ORANGE SYRUP, take it as soon as you remember. However, omit the missed dose if it is almost time for the next one. Do not take the medicine double dose to make up for the forgotten dose.

Q: Can I stop taking ALKOF COUGH ORANGE SYRUP?

A: Continue taking ALKOF COUGH ORANGE SYRUP until your doctor tells you to stop, unless you experience any unwanted effects, worsening of your condition or any new symptoms. In such case, contact your doctor immediately.

Q: Does ALKOF COUGH ORANGE SYRUP have paracetamol?

A: No. ALKOF COUGH ORANGE SYRUP is a combination of Bromhexine, Guaifenesin, Terbutaline and Menthol. Consult your doctor for further queries.

Q: What precautions do I need to follow while taking ALKOF COUGH ORANGE SYRUP?

A: Patients taking ALKOF COUGH ORANGE SYRUP must inform their doctor about their pre-existing conditions and medications. Patients should also inform if they are pregnant, breast-feeding, or having any allergies. Consult your doctor if you experience anything different.

Q: Can I take ALKOF COUGH ORANGE SYRUP if I am pregnant?

A: ALKOF COUGH ORANGE SYRUP can be used during pregnancy only if considered clearly necessary by your doctor. If you are pregnant, think you may be pregnant or are planning to get pregnant, consult your doctor before taking it. Inform your doctor immediately if you become pregnant during management with ALKOF COUGH ORANGE SYRUP.

Q: Can I take other medicines with ALKOF COUGH ORANGE SYRUP?

A: Before taking ALKOF COUGH ORANGE SYRUP, inform your doctor if you are taking, have taken, or might take any other medicine, including prescription, non-prescription or any herbal medicine, as these might interact with each other and cause serious side effects.

References

1. KD. Tripathi. Drugs for Cough and Bronchial Asthma. Essentials of Medical Pharmacology. Seventh edition. 2013. Page – 218.

2. Manaligod LM, Gavani UD, Hyde JS, Khurana S. Safety and effectiveness of terbutaline in children with chronic asthma. NIH National Library of Medicine, National center for biotechnology information. Pubmed.gov. November 1979. [Accessed on 21st July 2022] https://pubmed.ncbi.nlm.nih.gov/498825/#:~:text=Terbutaline%20is%20a%20safe%20bronchodilator,side%20effects%20and%20effective%20bronchodilation.

3. New Zealand Medicines and Medical Devices Safety Authority. Changes to the use of bromhexine or codeine-containing cough and cold medicines in children. April 2015. [Accessed on 21st July 2022] https://www.medsafe.govt.nz/safety/ews/2015/BromhexineOrCodeine.asp#:~:text=%2FMinutes160.htm%5D-,Information%20for%20consumers%20and%20caregivers,years%20of%20age%20and%20over.

4. Roberto Silva, Jay H. Lee, Colo Elizabeth Tweed. Is guaifenesin safe in pregnancy? Family Physicians Inquiries Network. August 2007. [Accessed on 21st July 2022] https://cdn.mdedge.com/files/s3fs-public/Document/September-2017/5608JFP_ClinicalInquiries5.pdf

5. Core Bromhexine Product Information. December 2005. [Accessed on 21st July 2022] https://www.tga.gov.au/sites/default/files/otc-template-pi-bromhexine.rtf#:~:text=Use%20in%20pregnancy,the%20foetus%20having%20been%20observed.

6. Torque Pharmaceuticals Pvt. Ltd. Bromhexine + Guaifenesin + Terbutaline + Menthol. [Accessed on 21st July 2022] https://torex.co.in/product-detail.php?id=4

7. Leeford Healthcare Limited. Bromhexine + Guaifenesin + Terbutaline + Menthol. [Accessed on 21st July 2022] https://www.leeford.in/product/242/aroxyl-100-ml