Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine Pharmacology

Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine

About Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Mechanism of Action of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Pharmacokinets of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Onset of Action for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Duration of Action for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Half Life of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Side Effects of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Contra-indications of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
N/A
Special Precautions while taking Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Pregnancy Related Information
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Old Age Related Information
N/A
Breast Feeding Related Information
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Children Related Information
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Indications for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Interactions for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Typical Dosage for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Schedule of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Storage Requirements for Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Effects of Missed Dosage of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Effects of Overdose of Guaiphenesin + Ammonium chloride + Diphenhydramine + Bromhexine
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Guaiphenesin

About Guaiphenesin
Propanediol derivative, Expectorant.
Mechanism of Action of Guaiphenesin
Guaiphenesin is an expectorant which after absorption from the gastrointestinal tract secreted by tracheobronchial glands and directly increase bronchial secretion and mucosal ciliary action. It increases respiratory tract fluid by reducing adhesiveness and surface tension, reducing viscosity of the secretions and there by facilitating their removal and clears chest congestion.
Action in local vaginal preparations: Guaiphenesin helps to thin the thick or sticky cervical mucus.

Pharmacokinets of Guaiphenesin
Absorption: Well absorbed orally.Distribution: It is secreted by the tracheobronchial glands.
Metabolism: It is metabolized primarily to Beta-2-methoxyphenoxy-lactic acid. Excretion: It is excreted in the urine.
Onset of Action for Guaiphenesin
N/A
Duration of Action for Guaiphenesin
N/A
Half Life of Guaiphenesin
60 minutes
Side Effects of Guaiphenesin
1. Headache
2. Dizziness
3. Nausea
4. Vomiting
5. Rash
6. Diarrhoea
7. Drowsiness
8. Stomach pain
Contra-indications of Guaiphenesin
1. Hypersensitivity to the drug
2. Chronic or persistent cough associated with chronic lower respiratory tract diseases
3. Asthma
4. Bronchitis
5. Chronic obstructive pulmonary disease (COPD)
6. Emphysema
Special Precautions while taking Guaiphenesin
1. Porphyria
Pregnancy Related Information
Use with caution
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
May be used
Indications for Guaiphenesin
1. Expectorant
2. Thick or sticky cervical mucus
Interactions for Guaiphenesin
N/A
Typical Dosage for Guaiphenesin
Oral :
Adults and children over 12 years: 100 to 400mg up to 6 times daily as required.Maximum dose: 2.4g/day
Children (age 6 to 11): 100 to 200mg up to 6 times daily as required.Maximum dose: 1.2g/day
Children (age 2 to 5): 50 to 100mg up to 6 times daily as required.Maximum dose: 600mg/day
Extended release:
Adults and children over 12 years: 600 to 1200mg twice daily. Not to exceed 2.4g in 24 hours
Children (age 6 to 12): 600mg twice daily. Not to exceed 1.2g in 24 hours
Children (age 2 to 6): 300mg twice daily. Not to exceed 600mg in 24 hours
Thick or sticky cervical mucus: 200mg 2 to 3 times daily from 4 days prior to ovulation and continue through ovulation day.
Schedule of Guaiphenesin
N/A
Storage Requirements for Guaiphenesin
Store at a temperature below 30 degree C. Keep out of reach of children.
Effects of Missed Dosage of Guaiphenesin
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Guaiphenesin
Provide symptomatic treatment and supportive measures.

Ammonium chloride

About Ammonium chloride
Ammonium compound, Acidifier,Expectorant.
Mechanism of Action of Ammonium chloride
N/A
Pharmacokinets of Ammonium chloride
N/A
Onset of Action for Ammonium chloride
N/A
Duration of Action for Ammonium chloride
N/A
Half Life of Ammonium chloride
N/A
Side Effects of Ammonium chloride
N/A
Contra-indications of Ammonium chloride
N/A
Special Precautions while taking Ammonium chloride
N/A
Pregnancy Related Information
N/A
Old Age Related Information
N/A
Breast Feeding Related Information
N/A
Children Related Information
N/A
Indications for Ammonium chloride
N/A
Interactions for Ammonium chloride
N/A
Typical Dosage for Ammonium chloride
N/A
Schedule of Ammonium chloride
N/A
Storage Requirements for Ammonium chloride
N/A
Effects of Missed Dosage of Ammonium chloride
N/A
Effects of Overdose of Ammonium chloride
N/A

Diphenhydramine

About Diphenhydramine
First Generation H1 Antagonist ,Ethanolamine derivative, Antihistamine, antiemetic, antivertigo,sedative, and hypnotic.
Mechanism of Action of Diphenhydramine
Antiallergic action: It produces its antihistamine action by competitively blocking H1 receptors. It binds to the H1 receptors present in the smooth muscles of the gastrointestinal tract, bronchi, large blood vessels and uterus and inhibit Histamine induced allergic symptoms. They do not inhibit the release of Histamine.
Antivertigo and antiemetic actions: Central antimuscarinic actions of antihistamines are responsible for these effects of Diphenhydramine.
Parkinsonism: Acetyl choline receptor antagonists are used for the treatment of Parkinsonism. Diphenhydramine reduces the unbalanced cholinergic activity in striatum of parkinsonian patients.
Antitussive action: Diphenhydramine suppresses the cough reflex by a direct effect on the cough centre.
Migraine: Diphenhydramine is used in migraine due to its sedative as well as antiemetic actions.
Pharmacokinets of Diphenhydramine
Absorption: It is well absorbed after oral administration. Distribution: Diphenhydramine is widely distributed in the body including CNS in protein bound form. Metabolism: It is extensively metabolised in the liver. Excretion: Excreted primarily in urine
Onset of Action for Diphenhydramine
15 minutes
Duration of Action for Diphenhydramine
6 - 8 hours
Half Life of Diphenhydramine
2.5 - 9 hours
Side Effects of Diphenhydramine
1.Headache
2.Dry mouth
3.Rash
4.Thrombocytopenia
5.Anaemia
6.Anorexia
7.Insomnia
8.Confusion
9.Dizziness
10.Fatigue
11.Nausea
12.Abdominal pain
13.Urine retention
14.Thickening of bronchial secretions.
Contra-indications of Diphenhydramine
1.Hypersensitivity to Diphenhydramine
2.Porphyria.
Special Precautions while taking Diphenhydramine
1.Hypertension
2.Asthma
3.Hyperthyroidism
4.Angle closure glaucoma
5.Prostatic hyperplasia
6.Urinary tract obstruction
7.Use with caution while operating machine, driving vehicle or activities requiring mental alertness
Pregnancy Related Information
Use with caution.
Old Age Related Information
Use with caution.
Breast Feeding Related Information
Contraindicated.
Children Related Information
Use with caution
NEONATES: contraindicated
Indications for Diphenhydramine
1.Parkinson`s disease
2.Motion sickness
3.Rhinitis
4.Allergy disorders
5.Insomnia
6.Productive cough
7.Vertigo
8.Migraine
Interactions for Diphenhydramine
Incompatibility reported with amphotericin, cephalothine sodium, hydrocortisone, sodium succinate, some soluble barbiturates, some contrast media.
Typical Dosage for Diphenhydramine
Adult: 25 - 50 mg 3 - 4 times daily. Dosage should be individualised according to the needs and the response of the patient
Nonproductive cough: 100 mg / day in 4-6 times daily.
Insomnia: 50 mg at bed time
Children above 12 years: 25 - 50 mg 3 - 4 times daily. Dosage should be individualised according to the needs and the response of the patient
Nonproductive cough: 100 mg / day in 4-6 divided dose
Insomnia: 50 mg at bed time
Children age 2 -12 years: 12.5 - 25 mg 3 - 4 times daily. Dosage should be individualised according to the needs and the response of the patient.
Maximum dose: 300mg / day
Nonproductive cough: 6.25 - 12.5 mg in 4-6 times daily. Dosage should be individualised according to the needs and the response of the patient
Schedule of Diphenhydramine
G
Storage Requirements for Diphenhydramine
Store at 15 - 30 degree C. Protect from heat, light and moisture. Keep out of the reach of children.
Effects of Missed Dosage of Diphenhydramine
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Diphenhydramine
Give supportive measures and symptomatic treatment. Drug can be removed from the body by gastric lavage or by inducing emesis. Absorption of the drug can be reduced by administration of activated charcoal. Hypotension can be counteracted by administration of vasopressors and seizure with Phenytoin or Diazepam.

Bromhexine

About Bromhexine
Mucolytic (secretolytic)
Mechanism of Action of Bromhexine
Bromhexine hydrochloride acts as a mucokinetic and mucolytic agent. It decreases mucus viscosity by altering its structure. It depolymerises mucopolysaccharides directly as well as by liberating lysosomal enzymes and network of fibres in tenacious sputum is broken. It induces thin copious bronchial secretion.
Pharmacokinets of Bromhexine
Absorption: Bromhexine hydrochloride is rapidly absorbed from the gastrointestinal tract and bioavailability is about 20%. Distribution: It is widely distributed to body tissues in a highly protein bound form; Bromhexine crosses the blood brain barrier and small amounts cross the placenta, Metabolism: It undergoes extensive first-pass metabolism in the liver. Excretion: It is excreted primarily in the urine mainly as metabolites.
Onset of Action for Bromhexine
N/A
Duration of Action for Bromhexine
N/A
Half Life of Bromhexine
12hours.
Side Effects of Bromhexine
1 Rhinorrhoea
2 Lacrimations
3.Allergic reactions
4.Gastric irritation.
Contra-indications of Bromhexine
Hypersensitivity to the drug.
Special Precautions while taking Bromhexine
1. Hepatic impairment
2. Renal impairment
3. Gastric and duodenal ulcer
4. Convulsive disorders
Pregnancy Related Information
Contraindicated
Old Age Related Information
Use with caution
Breast Feeding Related Information
Contraindicated
Children Related Information
Use with caution
Indications for Bromhexine
1. As Expectorant and mucolytic
2. Conditions associated with production of viscid mucous
3. Bronchitis
4. Pharyngitis
5. Laryngitis
6. Rhinitis
7. Sinusitis
8. Asthmatic bronchitis
9. Mucous bronchiectasis
10.Chronic Pneumonia.
Interactions for Bromhexine
N/A
Typical Dosage for Bromhexine
Oral: 8mg thrice daily.
Children (5 to 10 years): 4mg thrice daily
Children (1 to 5 years): 4mg twice daily.
Schedule of Bromhexine
H
Storage Requirements for Bromhexine
Store in a cool dry place and protect from light. Keep out of reach of children.
Effects of Missed Dosage of Bromhexine
Take the missed dose as soon as noticed and if it is the time for next dose then skip the missed dose. Continue the regular schedule. Do not double the dose.
Effects of Overdose of Bromhexine
Provide symptomatic treatment and supportive measures.

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