Tebrosal Tablets

Tebrosal Tablet is used in treatment of cough with mucus (phlegm). It helps to release the mucus from the windpipe, nose or lungs and improves the symptoms like chest tightness, breathing difficulty, wheezing and coughing. Tebrosal Tablet contains guaifenesin (guaiphenesin), terbutaline and bromhexine.

Guaifenesin is an expectorant group of medicine, terbutaline is a bronchodilator, and bromhexine is a mucolytic group of medicine. Do not take Tebrosal Tablet if you are allergic to it, have an ulcer in the stomach or intestine, are taking other cough suppressing medicines, are pregnant or breastfeeding. Tebrosal Tablet is not recommended for use in children below 12 years of age.

It should be taken as directed by the doctor and in doses and duration as prescribed.

Dosage

Overdose

If you think you have taken too much of Tebrosal Tablet contact your doctor immediately or visit the nearest hospital. Overdose of this medicine may increase the chances of side effects.

Missed a Dose

If you forget a dose of Tebrosal Tablet, take it as soon as you remember it. However, if it is nearly time for the next dose, skip the missed dose. Do not take a double dose to make up for a forgotten dose. Do not stop taking this medicine without the doctor’s advice, as this may result in a flare-up of symptoms.

Mode of Action

How Does It Work?

• Tebrosal Tablet works by the combined action of all its components: guaifenesin, terbutaline and bromhexine
• Guaifenesin being an expectorant group of medicine decreases the stickiness of mucus to the windpipe and lungs.
• Bromhexine is a mucolytic group of medicine, which decreases the consistency of mucus and makes it thin and loosens it. So, it becomes easier for patients to cough it out.
• Terbutaline being a bronchodilator medicine, relaxes the muscles of the windpipe so breathing becomes easy.

Directions for Use

• Tebrosal Tablet should be taken as directed by your doctor.
• Swallow it whole with a glass of water, do not cut, break or chew the medicine.
• It would be best if you took it at a fixed time for optimal results.
• You should not consume it more than that prescribed by your doctor.
• Even after improvement of symptoms, continue taking this medicine for the period your doctor has prescribed to control the symptoms and as preventive measures.

Precautions and Warnings

Pregnancy

Can I take Tebrosal Tablet during pregnancy?

Tebrosal Tablet may pass in to the blood of developing baby and may produce side effects, so take the doctor's advise before taking this medicine if you are pregnant or planning to have a baby.

Breast Feeding

Can I take Tebrosal Tablet while breastfeeding?

Components of Tebrosal Tablet may pass in to the breast milk and adversely affect your baby so do not take this medicine without doctors advise if you are breastfeeding your baby.

Driving

Can I drive if I have consumed Tebrosal Tablet?

Tebrosal Tablet may affect your ability to drive or use heavy machines so do not get involved in any activities which require alertness.

Alcohol

Can I consume alcohol with Tebrosal Tablet?

Do not take Tebrosal Tablet with alcohol, as increases the chances of drowsiness.

Other General Warnings

Talk to your doctor if

• You are having a feeling of weakness.
• You are having asthma or mechanical narrowing of the lumen of the windpipe.
• You are having stomach or duodenal ulcers this medicine may irritate the lining.
• You are having any liver or kidney problems.
• You are having epilepsy or fits.
• You are having any symptoms related to hypersensitivity reactions.
• You are having pregnancy or any problem related to pregnancy.
• You are having diabetes mellites. Your doctor may advise few tests before starting the treatment.
• You are having any heart problems like irregular heartbeats or angina (chest pain due to decreased blood supply to the heart).
• You are having an overactive thyroid gland.
• You have any sugar intolerance.
• You are addicted to alcohol.
• Do not use Tebrosal Tablet for children below 12 years of age.

Contraindications

• If you are allergic to this medicine or any other ingredients of Tebrosal Tablet.
• If you have ulcers in the stomach or intestine.
• If you use other cough medicines which inhibits the cough reflex (like codeine), especially before going to sleep. Taking this medicine with other cough suppressing medicine inhibits the coughing out sputum.

Side effects

• Headache
• Nausea
• Shaking
• Fast heart beats
• Vertigo
• Ponding heartbeats (palpitation)
• Sweating
• Loss of appetite
• Cramps
• Feeling tense
• Irregular heartbeats
• Irritation in mouth and throat
• Change sleeping patterns
• Low blood potassium levels (produces symptoms like weakness, thirst, pins and needle sensation)

Interactions

Interactions with other medicines

• Tell your doctor if you are taking, have recently taken or might take any other medicines, including:
• Steroid medicines like Prednisolone
• Xanthine medicines like Theophylline or Aminophylline (used for chronic obstructive pulmonary disease)
• Beta-blocker medicines like Atenolol or Propranolol used for high blood pressure, and eye drops like Timolol for glaucoma (increased pressure in the eye)
• Water tablets, also known as diuretics (like Frusemide)
• If you are to undergo any surgery with general anaesthetics, you must inform your doctor about all medications you are taking
• Antibiotics like Erythromycin or Cefalexin
• Anti-inflammatory and anti-rheumatic medicines like Salicylates, Phenylbuthazone and Oxyphenylbuthazone (it may increase the chances of stomach irritation and ulcers)
• Tell your doctor about any of the other medicines you are taking, including medicines without prescription and herbal medicines as well, as these medicines may alter the effectiveness of Tebrosal Tablet or increase the chances of side effects.

Storage and disposal

• Store Tebrosal Tablet below 25°C in the original package.
• Keep this medicine out of sight and reach of children.
• Do not use this medicine after the expiry date.
• Do not throw away any medicines via wastewater or household waste.

Frequently Asked Questions (FAQs)

What is the use of Tebrosal Tablet?

Tebrosal Tablet is used in treatment of cough especially associated with mucus (phlegm). It helps in releasing the mucus from the windpipe, nose or lungs and improves the symptoms like chest tightness, breathing difficulty, wheezing and coughing.

How does Tebrosal Tablet work?

Tebrosal Tablet contains medicine known as Guaifenesin, Terbutaline and Bromhexine. Guaifenesin is an expectorant group of medicine. Terbutaline is a bronchodilator while Bromhexine is a mucolytic group of medicine. Guaifenesin being an expectorant group of medicine, decreases the stickiness of mucus to the windpipe and lungs. Bromhexine is a mucolytic group of medicine, which decreases the consistency of mucus and makes it thin and loosens it. So, it becomes easier for patients to cough it out. Terbutaline being a bronchodilator medicine, relaxes the muscles of the windpipe so breathing becomes easy.

Can I use Tebrosal Tablet if I am suffering from heart problem?

Tebrosal Tablet produces side effects like abnormal heart rhythm, pounding heartbeats, symptoms of angina (decreased blood supply to the heart). Thus it is advisable to inform your doctor beforehand if you are having any heart problem or taking medicines for them.

Can I stop Tebrosal Tablet once my symptoms get improved?

Do not stop taking Tebrosal Tablet without the doctor’s advice, as this may result in a flare-up of symptoms.