About Ambroxol + Levosalbutamol + Guaifenesin 30 mg/1 mg/50 mg per 5 ml Syrup
Ambroxol + Levosalbutamol + Guaifenesin 30 mg/1 mg/50 mg per 5 ml Syrup contains Ambroxol 30 mg/5 ml + Levosalbutamol 1 mg/5 ml + Guaifenesin 50 mg/5 ml. This cough syrup combines three medicines. Ambroxol and guaifenesin help thin and loosen mucus so it is easier to cough up, and levosalbutamol opens the airways. It is used for a wet (productive) cough with thick mucus, especially when there is also wheezing or chest tightness. It is not meant for a dry cough.
Uses of Ambroxol + Levosalbutamol + Guaifenesin 30 mg/1 mg/50 mg per 5 ml Syrup
- Wet (productive) cough with thick mucus
- Cough with wheezing or chest tightness, as in bronchitis or asthma
Benefits
In wet cough
It makes thick mucus thinner and easier to cough out, and helps open the airways, so breathing feels easier and the chest feels less congested.
Side effects
Most side effects are mild. Talk to your doctor if any of them bother you or do not go away.
Common
- Nausea or vomiting
- Stomach upset or diarrhoea
- Shaking (tremor)
- Fast heartbeat or palpitations
- Headache
Get medical help if you notice
- Severe skin reaction: rash with blistering, peeling or sores in the mouth, with fever — stop and seek emergency care
- Allergic reaction: swelling of the face or throat, difficulty breathing — stop and seek emergency care
- Chest pain, or a very fast or irregular heartbeat — seek medical help
- Muscle weakness or cramps — may be low potassium; contact your doctor
How to use
Take it exactly as your doctor prescribed. Shake the bottle well and measure the dose with the measuring cup provided, not a kitchen spoon. Drink plenty of water during the day to help loosen mucus.
How it works
Ambroxol breaks down thick mucus and helps the airways clear it. Guaifenesin increases the water content of mucus so it is easier to cough up. Levosalbutamol relaxes the muscles of the airways so they open up.
Safety advice
Alcohol Caution
Alcohol may add to dizziness. It is best avoided.
Pregnancy Consult your doctor
Use only if your doctor advises it. Tell your doctor if you are pregnant or planning a pregnancy.
Breastfeeding Consult your doctor
Ask your doctor before using it while breastfeeding.
Driving Caution
It can cause shakiness or dizziness in some people. Do not drive if you feel affected.
Kidney Consult your doctor
Tell your doctor if you have kidney disease.
Liver Consult your doctor
Tell your doctor if you have liver disease.
If you miss a dose
If you miss a dose, take it when you remember. If it is nearly time for the next dose, skip the missed one. Do not take two doses together.
Quick tips
- Drink plenty of water to help loosen mucus.
- Do not take it with a cough suppressant unless your doctor advises; you need to cough the mucus out.
- See a doctor if the cough lasts more than a week, or comes with high fever, blood or breathlessness.
- Tell your doctor if you have heart disease, an overactive thyroid or diabetes.
Substitutes
Same salts in the same strength from other makers. Only switch brands on your doctor's or pharmacist's advice; our pharmacist checks every order against the prescription.
Fact box
- Chemical class
- Benzylamine (ambroxol); glyceryl ether (guaifenesin); sympathomimetic amine (levosalbutamol)
- Therapeutic class
- Respiratory / cough
- Action class
- Mucolytic + expectorant + short-acting beta-2 agonist
- Habit forming
- No
- Prescription
- Required
Interactions with other medicines
Tell your doctor and pharmacist about every medicine, vitamin and herbal product you take.
| Medicine | What can happen |
|---|---|
| Beta-blockers such as propranolol | Can block levosalbutamol's effect and cause wheezing |
| Cough suppressants such as codeine or dextromethorphan | Stop you coughing up the loosened mucus |
| Water tablets (diuretics), steroids and theophylline | May lower blood potassium |
| MAO inhibitors and tricyclic antidepressants | May increase effects on the heart and blood vessels |
This page is general information to help you understand your medicine. It is not a substitute for advice from your doctor or pharmacist. Do not start, stop or change a medicine on your own.
Written by the Asthra Health Care team from the approved prescribing information (Ambroxol, levosalbutamol and guaifenesin syrup prescribing information (CDSCO-approved labelling); EMA PRAC review of ambroxol skin reactions, 2015). Pharmacist review pending.