Do not use Bromhexine:

If you are allergic to the active substances or any of the other ingredients of this medicine.

Warnings and precautions:

Anaphylaxis: Anaphylactic reactions have been reported with the use of ambroxol, a metabolite of bromhexine 

Increased secretions: Increased mucus secretions may occur

Severe skin reactions: Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis have been associated with the use of bromhexine. While rare, early manifestations of SJS/TEN may include nonspecific flu-like symptoms (eg, fever, aching, rhinitis, cough, sore throat) which are often treated with regimens including mucolytics, a causal association is difficult to discern; development of new skin/mucosal lesions should prompt discontinuation of bromhexine and immediate evaluation

Disease-related concerns:

• Gastric ulcer: Use caution in patients with a history of gastric ulcers
• Hepatic disease: Use with caution in patients with severe hepatic disease
• Renal impairment: Use with caution in patients with severe renal failure

Possible side effects:

Stop using the product and seek immediate medical attention if you develop throat tightness or swelling of the eyes, face, lips, or tongue, feel faint, or have difficulty breathing. Stop using the product if you develop hives or itching of the face or body. 

Other medicines and Bromhexine:

There are no known significant interactions.

How to use Bromhexine:

Children 5 years to 10 years old: half tablet 3 times per day. Children above 10 years old and adults 1 tablet 3 times per day.

How to store Bromhexine:

• Keep this medicine out of the sight and reach of children.
• Do not use this medicine after the expiry date which is stated on the carton. The expiry date refers to the last day of that month.
• Do not store above 25°C. Store in the original container. Keep the container tightly closed.
• Do not use Bromhexine if you notice any deterioration or damage to the outer packaging.
• Do not throw away any medicines via wastewater or household waste.
• Dosage form and route of administration of Bromhexine Syrup 0.8ml/mg should be prescribed according to therapeutic indication and disease severity of each individual patient.