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Glenmark Pharmaceuticals Ltd

Ascoril SF Sugar Free Expectorant 100ml

Cough And Cold
MRP ₹127.05 (Inclusive of all taxes)
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    Introduction About ASCORIL SF EXPECTORANT

    ASCORIL SF EXPECTORANT is used in the relief of cough associated with bronchitis, bronchial asthma, emphysema, and other bronchopulmonary disorders where bronchospasm, mucous plugging, and problems of expectoration co-exist (lung and airway diseases that have excessive and thick mucus formation, swelling, and inflammation of airways, making it difficult to breathe).

    ASCORIL SF EXPECTORANT is a combination of Ambroxol, Guaiphenesin, and Terbutaline, which belong to the group of medicines called Mucolytics, Expectorant, and Beta agonists, respectively. Ambroxol thins and loosens mucus, making it easier to cough out. Guaiphenesin is an expectorant that decreases the stickiness of mucus and helps in its removal from the airways. Terbutaline works by relaxing the muscles in the airways and widening the airways.

    Before taking ASCORIL SF EXPECTORANT, inform your doctor if you have or have ever had a stomach ulcer, pre-existing ischaemic heart disease, or those patients with significant risk factors for ischaemic heart disease, thyrotoxicosis (a condition in which you have too much thyroid hormone in your body), diabetes mellitus, or hypertension.

    ASCORIL SF EXPECTORANT should be used with caution in pregnant and breastfeeding women and elderly patients. ASCORIL SF EXPECTORANT is recommended in children to relieve symptoms after calculating the correct dose according to their weight and body mass. The common side effects of ASCORIL SF EXPECTORANT are tremor (shaky hands), headache, tachycardia (heat beats faster), palpitations (feeling aware of your heartbeat), muscle spasms, and hypokalaemia (low plasma potassium levels). Consult your doctor immediately if you feel any of these side effects.

    Uses Of ASCORIL SF EXPECTORANT

    • Used to relieve cough associated with bronchitis, bronchial asthma, emphysema, and other bronchopulmonary disorders where bronchospasm, mucous plugging, and problems of expectoration co-exist.

    How ASCORIL SF EXPECTORANT Works

    ASCORIL SF EXPECTORANT is a combination of ambroxol, guaiphenesin, and terbutaline. Ambroxol thins and loosens mucus, making it easier to cough out. Guaiphenesin is an expectorant that decreases the stickiness of mucus and helps in its removal from the airways. Terbutaline works by relaxing the muscles in the airways and widening the airways.

    How to use ASCORIL SF EXPECTORANT

    Take ASCORIL SF EXPECTORANT as advised by your physician. Shake well before useYour doctor will decide the correct dose and duration for you depending on your age, body weight, and disease condition.

    Side Effects Of ASCORIL SF EXPECTORANT

    Common

    • Tremors
    • Nausea, vomiting
    • Pain in the upper part of your abdomen
    • Diarrhoea
    • Elevation in liver enzymes
    • Nervousness
    • Headache
    • Anxiety
    • Palpitation, rapid heart rate
    • Shortness of breath
    • Chest discomfort
    • Weakness
    • Flushed feeling and sweating
    • Anxiety
    • Muscle cramps
    • Dry mouth or throat
    • Dysgeusia (changed taste)

    Rare

    • Hypersensitivity reactions
    • Heart-related symptoms (atrial fibrillation, supraventricular tachycardia and extra systoles, myocardial ischaemia, peripheral vasodilation)
    • Rash, urticaria (itching)
    • Hallucinations (seeing or hearing something that is not really there)
    • Paraesthesia (an abnormal sensation)

    Stop taking ASCORIL SF EXPECTORANT and contact your doctor immediately if you experience any of the following side effects:

    • Serious allergic reactions that may cause swelling of the face or throat, wheezing, or sudden difficulties in breathing
    • Skin lesions, such as severe blistering or peeling of your skin, mouth, throat, nose, eyes, and genitals
    • Uncontrollable shaking
    • Nervousness
    • Dizziness, drowsiness
    • Difficulty falling asleep or staying asleep
    • Weakness
    • Sweating
    • Chest tightness
    • Signs of pruritus

    How To Manage Side Effects

    Diarrhea

    Drink plenty of clear fluids, like water, diluted fruit juices, or oral rehydration solutions, to stay hydrated. Avoid caffeinated or alcoholic beverages, as they can worsen dehydration. Gradually take bland, low-fiber foods like bananas, rice, applesauce, and toast to help firm up stools. Probiotics, found in yogurt or supplements, may help restore the balance of gut bacteria. Practice good hand hygiene to prevent the spread of infection. Consult your doctor if diarrhea worsens.

    Nausea And Vomiting

    Stay hydrated with small sips of clear fluids like water, ginger ale, or electrolyte solutions. Avoid consuming large meals; instead, opt for bland, easy-to-digest foods. Ginger, peppermint, or chamomile tea may help soothe the stomach. Rest in a comfortable position, preferably with your head elevated, to ease symptoms. Consult your doctor if nausea and vomiting persist.

    Stomach Pain

    Avoid spicy or fatty foods, caffeine, or alcohol that may exacerbate symptoms. Eat a bland diet consisting of easily digestible foods like rice, bananas, applesauce, and toast. Applying a heating pad or taking a warm bath can also help soothe abdominal muscles and alleviate discomfort. Drink plenty of fluids to stay hydrated but avoid excessive consumption to prevent further irritation. If stomach pain persists, consult your doctor.

    Warning & Precautions

    Pregnancy

    Use with Caution

    There are no adequate and well-controlled studies of ASCORIL SF EXPECTORANT in pregnant women. It should be administered with caution during pregnancy. Consult your doctor for advice.

    Breastfeeding

    Use with Caution

    ASCORIL SF EXPECTORANT should be used with caution during breastfeeding. Consult your doctor for advice.

    Driving and Using Machines

    Safe

    ASCORIL SF EXPECTORANT does not influence the capacity of driving or operating any machines. Consult your doctor for advice.

    Kidney

    Use with Caution

    ASCORIL SF EXPECTORANT should be used with caution in patients with kidney diseases. Consult your doctor for advice.

    Liver

    Use with Caution

    ASCORIL SF EXPECTORANT should be used with caution in patients with liver diseases. Consult your doctor for advice.

    Allergy

    Contraindicated

    Do not take ASCORIL SF EXPECTORANT if you are allergic to ambroxol, guaiphenesin, terbutaline, or any other ingredients of this medicine.

    Heart Disease

    Use with Caution

    ASCORIL SF EXPECTORANT should be used with caution in patients with heart diseases. Consult your doctor for advice.

    Use In Pediatrics

    Consult your doctor

    Your doctor will prescribe the right dose depending on your child’s age, body weight, and disease condition. Consult your doctor for advice before taking ASCORIL SF EXPECTORANT.

    Use In Geriatrics

    Use with Caution

    ASCORIL SF EXPECTORANT should be used with caution with elderly patients. Consult your doctor for advice.

    Others

    ASCORIL SF EXPECTORANT is not recommended for use if you:

    • Have peptic ulcers (ulcers on the lining of the stomach)

    Before taking ASCORIL SF EXPECTORANT, inform your doctor if you:

    • Have intolerance to fructose 
    • Have seizures or fits
    • Have thyroid problems
    • Have hypertension

    Interactions

    A. Drug-Drug interactions:

    • Antihypertensives (Ex. propranolol)
    • Diuretics (Ex. spironolactone)
    • Monoamine oxidase inhibitors (Ex. isocarboxazid)
    • Methyl xanthine (Ex. aminophylline)
    • Corticosteroids (Ex. deflazacort)
    • Antibiotics (Ex. ampicillin, amoxicillin, and erythromycin)

    Overdosage:

    If you or anyone else accidentally takes too much of ASCORIL SF EXPECTORANT, consult your doctor immediately or visit the nearby hospital. Symptoms of an overdose are abdominal pain, agitation, palpitations (being of your heartbeat), seizures or fits, hypertension, hypotension (fainting), tachycardia (increased heartbeat), nervousness, headache, tremor, dry mouth, nausea, vomiting, dizziness, fatigue, malaise (weakness), and insomnia (sleeplessness).

    Synopsis

    Drug :   Ambroxol, Guaiphenesin, and Terbutaline
    Pharmacological Category :  

    Mucolytics, Expectorant, and beta-agonists

    Therapeutic Indication :   Cough associated with mucus
    Dosage Forms :   Tablet, Syrup

    More Information

    Storage

    • Keep ASCORIL SF EXPECTORANT out of reach of children
    • Store at room temperature

    FAQs About ASCORIL SF EXPECTORANT

    Q: What is ASCORIL SF EXPECTORANT used for?

    A: ASCORIL SF EXPECTORANT is used in the relief of cough associated with bronchitis, bronchial asthma, emphysema, and other bronchopulmonary disorders where bronchospasm, mucous plugging, and problems of expectoration co-exist (lung and airway diseases that have mucus, swelling, and inflammation making it difficult to breathe).

    Q: How does ASCORIL SF EXPECTORANT work?

    A: ASCORIL SF EXPECTORANT is a combination of ambroxol, guaiphenesin, and terbutaline. Ambroxol improves mucus transport by breaking down acid mucopolysaccharide fibers and making the sputum thinner, less viscous, and therefore more easily removed. Guaiphenesin increases respiratory tract fluid, reduces the viscosity of tenacious secretions, and acts as an expectorant. Terbutaline predominantly stimulates beta 2-receptors (this is a kind of receptor present in airway smooth muscles), thus producing relaxation of the bronchial smooth muscle. When the medicine is given in combination, it makes breathing easier and relieves the discomfort.

    Q: How do I use ASCORIL SF EXPECTORANT?

    A: Take ASCORIL SF EXPECTORANT as advised by your physician. Shake well before use. It may be taken with or without food. Your doctor will decide the correct dose and duration for you depending on your age, body weight, and disease condition.

    Q: What are the side effects of taking ASCORIL SF EXPECTORANT?

    A: ASCORIL SF EXPECTORANT also has a few side effects like tremor, feeling sick (nausea) or being sick (vomiting), pain in the upper part of your abdomen, diarrhea, elevation in liver enzymes, nervousness, dizziness, drowsiness, headache, anxiety, palpitation, rapid heart rate, shortness of breath, chest discomfort, and weakness. Consult your doctor if you experience these side effects.

    Q: Will ASCORIL SF EXPECTORANT be more effective if taken in more than recommended doses?

    A: No, taking a higher dose than the recommended dose may not be more effective; rather, it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms that are not relieved by the recommended doses, consult your doctor for advice.

    Q: Is ASCORIL SF EXPECTORANT safe during pregnancy?

    A: There are no adequate and well-controlled studies of ASCORIL SF EXPECTORANT in pregnant women. It should be administered with caution during pregnancy. Consult your doctor for advice.

    Q: Can ASCORIL SF EXPECTORANT be used with children?

    A: There is no information on the use of ASCORIL SF EXPECTORANT in children. Your doctor will prescribe the right dose depending on your child’s age, body weight, and disease condition. Consult your doctor for advice before taking ASCORIL SF EXPECTORANT.

    Q: Who should not take ASCORIL SF EXPECTORANT?

    A: Do not take ASCORIL SF EXPECTORANT if you are allergic to ambroxol, guaiphenesin, terbutaline, or if you have peptic ulcers (ulcers on the lining of the stomach).

    Q: What precautions must be taken while using ASCORIL SF EXPECTORANT?

    A: ASCORIL SF EXPECTORANT should be used with caution in patients with kidney disease, liver disease, heart disease, intolerance to fructose, seizures or fits, thyroid problems, and hypertension. Consult your doctor for advice.

    Q: What should I do if I miss taking a dose of ASCORIL SF EXPECTORANT?

    A: If you miss a dose of ASCORIL SF EXPECTORANT, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

    References

    1. KD. Tripathi. Drugs for Cough and Bronchial Asthma. Essentials of Medical Pharmacology. Seventh Edition. 2017.

    2. K. Lakshmi Narasimha Rao, Ch. Krishnaiah, K. Sudheer Babu, and K. Padmaja Reddy. Development and validation of a stability-indicating LC method for simultaneous determination of related compounds of guaifenesin, terbutaline sulphate, and Ambroxol HCl in cough syrup formulation. Jan 2012. [Accessed on 5th July 2024] https://www.sciencedirect.com/science/article/pii/S1319610312000099

    3. CiplaMed. Ambroxol, Guaiphenesin, and Terbutaline [Revised in November 2013] [Accessed on 5th July 2024] https://www.ciplamed.com/product-index/cheston-plus-syrup

    4. CiplaMed. Ambroxol, Guaiphenesin, and Terbutaline. [Revised in August 2015] [Accessed on 5th July 2024] https://www.ciplamed.com/product-index/axalin-expectorant

    Useful Diagnostic Tests

    • Complete Blood Count (CBC)/ Hemogram
    • Total IGE
    • Wheeze/Rhinitis Comprehensive Panel Adult
    • Basic Allergy Package
    • Absolute Eosinophil Count, Blood
    • Allergy Comprehensive Profile
    • Allergy Post Screening Profile
    • Healthy Midlife Checkup
    • Men Health Checkup - Advanced
    • Complete Women Checkup

    Author Details

    Written By Dr. N. Sai Swaroop - Pharm.D
    Reviewed For Accuracy By Dr. Rajnikant - MBBS, MD (Physiology)
    Last updated on 06 Jul 2024 | 05:43 PM(IST)
    Lab updated