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Introduction About TUSTY AM EXPECTORANT
TUSTY AM EXPECTORANT is a combination of Ambroxol, Guaiphenesin and Terbutaline which belongs to the group of medicines called Mucolytics, Expectorant and Beta agonists respectively. TUSTY AM 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 breath).
Before taking TUSTY AM 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 (condition in which you have too much thyroid hormone in your body), diabetes mellitus or hypertension.
TUSTY AM EXPECTORANT should be used with caution in pregnant and breastfeeding women, and elderly patients. TUSTY AM EXPECTORANT is recommended in children to relive symptoms after calculating the correct dose according to their weight and body mass. The common side effects of TUSTY AM 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 TUSTY AM 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 TUSTY AM EXPECTORANT Works
TUSTY AM EXPECTORANT is a combination of Ambroxol, Guaiphenesin and Terbutaline. Ambroxol thins and loosens mucus making it easier to cough out. Guaiphenesin belongs to expectorant which decreases the stickiness of mucus and helps in its removal from the airways. Terbutaline works by relaxing the muscles in the airways and widens the airways.
How to use TUSTY AM EXPECTORANT
Take TUSTY AM EXPECTORANT as advised by your physician. Shake well before use. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Side Effects Of TUSTY AM 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 TUSTY AM EXPECTORANT and contact your doctor immediately if you experience any of the following side effects:
- serious allergic reactions that may cause swelling of 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 lots of fluids, such as water or fruit juice to keep yourself hydrated. Do not consume any medicine on your own without consulting your doctor.
Nausea And Vomiting
Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom gets worse.
Stomach Pain
Try to rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. If the symptom does not improve, contact your doctor.
Warning & Precautions
Pregnancy
Consult your doctorThere are no adequate and well-controlled studies of TUSTY AM EXPECTORANT in pregnant women. It should be administered with caution in pregnancy. Consult your doctor for advice.
Breastfeeding
Use with CautionTUSTY AM EXPECTORANT should be used with caution during breastfeeding. Consult your doctor for advice.
Driving and Using Machines
Use with CautionTUSTY AM EXPECTORANT does not influence the capacity of driving or operating any machines. Consult your doctor for advice.
Kidney
Use with CautionTUSTY AM EXPECTORANT should be used with caution in patients with kidney diseases. Consult your doctor for advice.
Liver
Use with CautionTUSTY AM EXPECTORANT should be used with caution in patients with liver diseases. Consult your doctor for advice.
Allergy
ContraindicatedDo not take TUSTY AM EXPECTORANT if you are allergic to Ambroxol, Guaiphenesin, Terbutaline or any other ingredients of this medicine.
Heart Disease
Use with CautionTUSTY AM EXPECTORANT should be used with caution in patients with heart diseases. Consult your doctor for advice.
Use In Pediatrics
Consult your doctorYour doctor will prescribe the right dose depends on your child’s age, body weight and disease condition. Consult your doctor for advice before taking TUSTY AM EXPECTORANT.
Use In Geriatrics
Use with CautionTUSTY AM EXPECTORANT should be used with caution in elderly patients. Consult your doctor for advice.
Others
TUSTY AM EXPECTORANT is not recommended for use if you:
- have peptic ulcers (ulcer on the lining of stomach)
Before taking TUSTY AM EXPECTORANT, inform your doctor if you:
- have intolerance to fructose
- have seizures or fits
- have thyroid problems
- have hypertension
Interactions
A. Drug-Drug interactions:
Before taking TUSTY AM EXPECTORANT, inform your doctor if you are taking any of the following medicine:
- medicines used to manage high blood pressure (Ex. propranolol)
- diuretics (Ex. spironolactone)
- monoamine oxidase inhibitors used to manage depression (Ex. isocarboxazid)
- methyl xanthine to manage lung disorders (Ex. aminophylline)
- corticosteroids used to manage severe infections (Ex. deflazacort)
- antibiotics used to manage infections. (Ex. as ampicillin, amoxicillin, erythromycin)
Overdosage:
If you or anyone else accidentally takes too much of TUSTY AM EXPECTORANT, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are abdominal pain, agitation, palpitations (being of your heartbeat), seizures/fits, hypertension, hypotension (fainting) tachycardia (increased heartbeat) nervousness, headache, tremor, dry mouth, nausea, vomiting, dizziness, fatigue, malaise (weakness) insomnia (sleeplessness).
Synopsis
| Drug | : | Ambroxol, Guaiphenesin, Terbutaline |
| Pharmacological Category | : | Mucolytics, Expectorant, Beta agonists |
| Therapeutic Indication | : | Cough associated with mucus |
| Dosage Forms | : | Tablet, Syrup |
More Information
- Keep TUSTY AM EXPECTORANT out of reach of children
- Store at room temperature
FAQs About TUSTY AM EXPECTORANT
Q: What is TUSTY AM EXPECTORANT used for?
A: TUSTY AM 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, inflammation making it difficult to breath).
Q: How is TUSTY AM EXPECTORANT useful in managing severe cough?
A: TUSTY AM EXPECTORANT is a combination of Ambroxol, Guaiphenesin and Terbutaline. Ambroxol improves the mucus transport by breaking down acid mucopolysaccharide fibres and makes the sputum thinner and 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 (these a kind of receptors present in airway smooth muscles) thus producing relaxation of bronchial smooth muscle. When the medicine is given in combination, it makes breathing easier and relives the discomfort.
Q: How to use TUSTY AM EXPECTORANT?
A: Take TUSTY AM EXPECTORANT as advised by your physician. Shake well before use. May be taken with or without food. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
Q: What are the common side effects seen with TUSTY AM EXPECTORANT?
A: TUSTY AM EXPECTORANT also has few side effects like tremor, feeling sick (nausea) or being sick (vomiting), pain in the upper part of your abdomen, diarrhoea, elevation in liver enzymes, nervousness, dizziness and drowsiness, headache, anxiety, palpitation, rapid heart rate, shortness of breath, chest discomfort, weakness. Consult your doctor if you experience these side effects.
Q: Will TUSTY AM EXPECTORANT be more effective if taken in more than recommended doses?
A: No, taking a higher 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.
References
1. KD. Tripathi. Drugs for Cough and Bronchial Asthma. Chapter 16 Essentials of medical pharmacology. Seventh edition. 2017.
2. K. Lakshmi Narasimha Rao, Ch. Krishnaiah, K. Sudheer Babu, 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 25th June 2022] https://www.sciencedirect.com/science/article/pii/S1319610312000099
3. Cipla med. Ambroxol + Guaiphenesin +Terbutaline. [Revised in Nov 2013] [Accessed on July 2022] https://www.ciplamed.com/content/cheston-plus-syrup
4. Cipla med. Ambroxol + Guaiphenesin +Terbutaline. [Revised in Aug 2015] [Accessed on July 2022] https://www.ciplamed.com/content/axalin-expectorant
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