Bromhexine syrup 60 ml

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Directions for use and doses
Oral solution.
1 measuring spoon contains 5 ml of solution.

Unless otherwise prescribed, the following doses are recommended:

Adults and adolescents over 14 years of age: 3 times a day, 2-4 scoops (24-48 mg of bromhexine per day).

Children from 6 to 14 years of age, as well as patients weighing less than 50 kg: 3 times a day, 2 scoops (24 mg of bromhexine per day).

Children from 2 to 6 years: 3 times a day, 1 measuring spoon (12 mg of bromhexine per day) - used as prescribed by a doctor.

In case of impaired renal function and/or severe liver disease, the intervals between doses should be increased or the dose reduced. You should consult your doctor on this issue.

During therapy with Bromhexine 4 Berlin-Chemie, it is recommended to drink sufficient amounts of fluid.

Bromhexine 4 Berlin-Chemie should not be taken for more than 4-5 days without consulting your doctor. The duration of use is determined by the doctor individually and depends on the indications and course of the disease.

Overdose
Life-threatening symptoms of overdose with Bromhexine 4 Berlin-Chemie are unknown.

Symptoms: A study of overdose cases has been published, according to which vomiting was observed in 4 out of 25 overdose cases. Three children experienced vomiting, as well as stunned consciousness, ataxia, diplopia, mild metabolic acidosis, and tachypnea. In children, symptoms did not occur when taking bromhexine at doses up to 40 mg, even in the absence of treatment.

There is no evidence of chronic toxicity of bromhexine in humans.

Contraindications for use
Hypersensitivity to bromhexine and other components of the drug;
peptic ulcer of the stomach and/or duodenum (including a history);
pregnancy (first trimester);
breastfeeding period;
children under 2 years of age;
congenital fructose intolerance.
Carefully

renal and/or liver failure;
in case of impaired bronchial motility, accompanied by excessive accumulation of secretions;
children aged from 2 to 6 years (used as prescribed by a doctor).

Pregnancy and lactation
The use of the drug in the first trimester of pregnancy is contraindicated. In the second and third trimesters of pregnancy, the use of the drug is possible only if the expected benefit to the mother outweighs the possible risk to the fetus. The use of the drug during breastfeeding is contraindicated.


Side effects
Possible side effects are listed below in descending frequency of occurrence: very common (>1/10), common (>1/100, >1/10), uncommon (>1/1000, >1/100), rare (>1/100) 10000, <1/1000), very rare, including isolated reports (<1/10000), frequency not established (cannot be estimated from available data).

From the gastrointestinal tract

Uncommon: nausea, vomiting, diarrhea, abdominal pain.

From the immune system

Rarely: hypersensitivity reactions; Frequency not established: anaphylactic reactions, including anaphylactic shock, angioedema, pruritus.

From the skin and subcutaneous tissues

Rarely: skin rash, urticaria; Frequency not established: severe skin reactions, including erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis (Lyell's syndrome), acute generalized exanthematous pustulosis (see section "Special instructions").

General violations

Uncommon: fever.

In case of all forms of allergic reactions (hypersensitivity, anaphylaxis) or in the event of any damage to the skin and/or mucous membranes, you must stop taking this drug and immediately inform your doctor.

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