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Written By Bayyarapu Mahesh Kumar , M Pharmacy
Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Last Updated Nov 30, 2024 | 3:23 PM IST
Nilbro Syrup is used to treat respiratory conditions, including chronic obstructive pulmonary diseases (COPD) like bronchitis (inflammation of bronchial tubes), emphysema (shortness of breath), and upper respiratory tract infections. It makes sputum less viscous and makes breathing easier. It works by widening and relaxing the airways (bronchi) of the lungs. It reduces the thickness or viscosity of bronchial secretions (phlegm) and increases mucus flow, making it easier to cough. It may cause common side effects like nausea, diarrhoea, vomiting, stomach discomfort, sweating and muscle cramps, dizziness, headache, rash, tremor (shakiness), palpitations (uneven heartbeat), and increased heart rate.
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Prescription drug

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Synonym

AMBROXOL+TERBUTALINE SULPHATE+GUAIPHENESIN+MENTHOL

Consume Type

ORAL

Return Policy

Not Returnable

for this medicine

About Nilbro Syrup

Nilbro Syrup is a combination medication which promotes the secretion of sputum (phlegm) by the airways (bronchi), used to treat coughs. It treats respiratory conditions, including chronic obstructive pulmonary diseases (COPD) like bronchitis (inflammation of bronchial tubes), emphysema (shortness of breath), and upper respiratory tract infections. COPD is a chronic inflammatory lung disease caused by obstructed airflow in the lungs. An upper respiratory tract infection is a contagious infection caused by a bacteria or virus infecting the nose, throat, pharynx, larynx, and bronchi.

Nilbro Syrup consists of Ambroxol, Terbutaline, Guaifenesin, and Menthol. Ambroxol is an 'expectorant' that promotes the secretion of sputum/cough. It is also a 'mucolytic agent' that makes sputum less viscous and makes breathing easier. Terbutaline is a bronchodilator and works by widening and relaxing the airways (bronchi) of the lungs. Guaifenesin is also an 'expectorant'. It reduces the thickness or viscosity of bronchial secretions (phlegm) and increases mucus flow, making it easier to cough. Menthol is an organic flavour additive which produces a sensation of coolness and relieves throat irritation.

Your doctor will decide the dose and duration of the course based on the severity of your medical condition. Like every other medication, Nilbro Syrup also has common side effects like nausea, diarrhoea, vomiting, stomach discomfort, sweating and muscle cramps, dizziness, headache, rash, tremor (shakiness), palpitations (uneven heartbeat), and increased heart rate. These side effects, if occurred, generally go away during the treatment. However, if the side effects are persistent, reach out to your doctor.

Let your doctor know if you have any allergic reactions to Nilbro Syrup or any other medication. It is mandatory to inform your doctor if you have heart, liver, kidney diseases, stomach ulcers, seizures (fits), high blood pressure, thyroid disorders, diabetes, inflammation of air passages, lung disorders, and difficulty breathing before taking Nilbro Syrup. Check with your doctor if you plan to conceive, are pregnant or breastfeeding. Avoid alcohol while taking Nilbro Syrup since it can worsen dizziness and sleepiness.

Uses of Nilbro Syrup

Treatment of Coughing and chronic obstructive pulmonary diseases (COPD).

Medicinal Benefits

Nilbro Syrup is an expectorant (cough syrup), which contains Ambroxol, Terbutaline, Guaifenesin, and Menthol. Ambroxol is an 'expectorant' that promotes the secretion of sputum/cough and a 'mucolytic agent' that makes sputum less viscous and makes breathing easier. Terbutaline is a bronchodilator and works by widening and relaxing the airways (bronchi) of the lungs. Guaifenesin is also an 'expectorant'. It reduces the thickness or viscosity of bronchial secretions (phlegm) and increases mucus flow, making it easier to cough. Menthol is an organic flavour additive which produces a sensation of coolness and relieves throat irritation.

Directions for Use

Shake the bottle well before use. Take the prescribed dose by mouth using the measuring cup/dosing syringe/dropper provided by the pack.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Nilbro Syrup

  • Nausea

  • Diarrhoea

  • Vomiting

  • Stomach discomfort

  • Dizziness

  • Headache

  • Rash

  • Tremor (shakiness)

  • Sweating

  • Muscle cramps

  • Palpitations (uneven heartbeat)

  • Increased heart rate

Drug Warnings

Nilbro Syrup should be used with caution in patients with heart, liver, kidney diseases, stomach ulcers, high blood pressure, thyroid disorders, inflammation of air passages, lung disorders, seizures, diabetes, hypokalemia (low potassium levels in the blood), and difficulty breathing. Pregnant and breastfeeding women should use Nilbro Syrup with proper consultation and caution. Avoid consuming alcohol with Nilbro Syrup as it could lead to increased drowsiness or dizziness. Do not drive if you feel sleepy or have an increased heart rate or shakiness after taking Nilbro Syrup. Nilbro Syrup is not recommended in children below two years of age.

Drug Interactions

Drug-Drug Interaction: Nilbro Syrup may interact with hormones (epinephrine, oxytocin), heart-related drugs (digoxin), Parkinson's disease medication (safinamide), blood pressure medicines (propranolol), vomiting medication (ondansetron, promethazine), corticosteroids (budesonide), respiratory-related medicines (aminophylline, formoterol), fluid retention drugs (furosemide), and antidepressants.

Drug-Food Interaction: Limit alcohol intake since it may worsen the side effects like dizziness and shakiness.

Drug-Disease Interaction: Nilbro Syrup should be administered with caution in patients with pre-existing ischaemic heart, liver, kidney diseases, thyroid disorders, bronchospasm, stomach ulcer, fits, high blood pressure, diabetes, inflammation of air passages, lung disorders, and difficulty breathing.

Drug-Drug Interactions Checker List

  • EPINEPHRINE
  • OXYTOCIN
  • DIGOXIN
  • SAFINAMIDE
  • PROPRANOLOL
  • ONDANSETRON
  • PROMETHAZINE
  • BUDESONIDE
  • AMINOPHYLLINE
  • FORMOTEROL
  • FUROSEMIDE

Habit Forming

No

Diet & Lifestyle Advise

  • Take the medication as directed by the doctor and at regular intervals. Do not use other over the counter medications, herbal or vitamin supplements without informing your pharmacist or doctor when you take Nilbro Syrup.

  • Know your triggers like allergens, such as pollen, dust, and food items that make your asthma and other respiratory diseases severe.

  • Quit smoking and avoid passive smoking. Smoking also reduces the effectiveness of the medicine.

  • Drink warm fluids while you take Nilbro Syrup to help loosen congestion and lubricate the throat.

  • Eat a healthy diet and exercise regularly to strengthen your breathing muscles and boost your immune system.

  • Learning breathing exercises will help you move more air in and out of your lungs.

Disease/Condition Glossary

Cough: Coughing is a body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. Coughs may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. Dry cough does not produce sputum. Cough is commonly caused as a response to allergy or viral infection but coughing up mucus is possibly an indication of infection in the respiratory tract. If you are coughing thick, solid white mucus, it indicates a bacterial infection in the airways. If the mucus is clear or light-coloured, it indicates allergies or a minor infection in the respiratory tract, and yellow or green mucus indicates a respiratory infection.

Chronic obstructive pulmonary disease (COPD): It is a chronic inflammatory lung disease caused by the obstructed airflow in the lungs. Emphysema is a lung condition caused by shortness of breath, and chronic bronchitis is the inflammation of the lining of bronchial tubes. An upper respiratory tract infection is a contagious infection caused by a bacteria or virus infecting nose, throat, pharynx, larynx, and bronchi.

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Alcohol

Caution

Avoid consuming alcohol with Nilbro Syrup as it could lead to increased drowsiness or dizziness.

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Pregnancy

Caution

There are limited studies on how Nilbro Syrup affects pregnancy. Please consult your doctor before using Nilbro Syrup, if you are pregnant or planning to conceive.

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Breast Feeding

Caution

There is limited data on how Nilbro Syrup affects breastfeeding. Please consult your doctor before starting Nilbro Syrup.

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Driving

Caution

Do not drive or operate machinery if you experience sleepiness, dizziness, increased/uneven heart rate and shakiness while using Nilbro Syrup. This may affect your ability to drive. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Nilbro Syrup should be used with caution in patients with liver diseases. Let your doctor know if you have any history of liver diseases or hepatic impairment. Your doctor will weigh the benefits and potential risks before prescribing Nilbro Syrup.

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Kidney

Caution

Nilbro Syrup should be used with caution in patients with kidney diseases. Let your doctor know if you have any history of kidney diseases. Your doctor will weigh the benefits and potential risks before prescribing Nilbro Syrup.

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Children

Caution

Nilbro Syrup is not recommended for children less than two years of age. However, it can be given to the children above two years of age if prescribed by the doctor.

Country of origin

India
Other Info - NI63119

Author Details

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FAQs

Nilbro Syrup is used to treat cough. It treats respiratory conditions, including chronic obstructive pulmonary diseases (COPD) like bronchitis (inflammation of bronchial tubes), emphysema (shortness of breath), and upper respiratory tract infections.
Nilbro Syrup works by widening and relaxing the airways and thinning the mucus, making it less viscous. This helps ease coughing out of phlegm and makes breathing easier.
Inform your doctor before taking Nilbro Syrup, if you have any pre-existing ischemic heart disease, liver and kidney diseases, stomach ulcer, seizure (fits), thyroid disorders, high blood pressure, diabetes, stomach ulcer, inflammation of air passages, lung disorders, and difficulty in breathing.
Nilbro Syrup may lower the blood sugar/blood glucose levels. You are advised to regularly monitor your blood glucose levels while taking Nilbro Syrup. Inform your doctor if you have diabetes before consuming Nilbro Syrup.
Nilbro Syrup consists of Ambroxol which can cause hypokalaemia (low potassium levels in the blood), therefore should be used with caution in patients with bronchospasm (narrowed airways with wheezing sound while breathing).
Yes, Nilbro Syrup may cause diarrhea or dysentery as one of its side effects. So it is advisable to drink plenty of water and fluids to stay hydrated. Please consult your doctor if you experience excessive diarrhea or blood in the stools.
Do not stop taking Nilbro Syrup even if you feel better, as it may worsen your condition. For the best advice, consult your doctor and do as recommended.
You cannot take Nilbro Syrup for a dry cough. It might not be effective since it's designed to treat mucus-related issues. It's best to have alternative medication to effectively treat your dry cough by taking doctors' advice.
No, Nilbro Syrup is not an addictive or habit-forming drug.
No, a higher dose than the recommended dose does not provide additional effectiveness or relief; it can increase the risk of adverse effects.
A doctor may prescribe Nilbro Syrup if the patient suffers from productive coughs with mucus.
Yes, there are some contraindications associated with the use of Nilbro Syrup. Do not take it if you're allergic to any of its ingredients, have stomach ulcers or bleeding, or have heart, liver, or kidney disease, high blood pressure, thyroid disorders, inflammation of air passages, lung disorders, seizures, diabetes, hypokalemia (low potassium levels in the blood), or difficulty breathing. Pregnant and breastfeeding women should consult their doctor before use. Avoid alcohol consumption and driving if you experience drowsiness or other side effects. It's not recommended for children under two years old.
Store Nilbro Syrup in its original container, keeping it cool, dry, and out of sunlight. Keep it out of the reach of children. Regularly check the expiration date. When you need to dispose of the medicine, remove the label, place it in a plastic bag, and throw it away in the household trash. Remember, never flush the medicine down the toilet or sink to prevent harm to others and the environment.
The common side effects of Nilbro Syrup may include nausea, diarrhea, vomiting, stomach discomfort, dizziness, headache, rash, tremor (shakiness), sweating, muscle cramps, palpitations (uneven heartbeat), and increased heart rate. However, these symptoms vanish as your body adjusts to the medication. If these symptoms become worse, please consult a doctor for relief.

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