Toff EX Syrup belongs to the class of medicines called expectorants primarily used to treat cough associated with mucus. Coughing (dry or productive) is a body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce any vicious or thick mucus, while a chesty cough (wet cough) produces mucous or sputum.

Toff EX Syrup contains Ambroxol, Guaiphenesin and Terbutaline. Ambroxol works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Guaiphenesin increases the volume of fluid in the airways, reduces the stickiness of mucus, and removes it from the airways. Terbutaline relaxes muscles and widens the airways. Thereby, it makes breathing easier. Together, Toff EX Syrup helps provide relief from cough.

Your doctor will recommend the dose and duration based on your medical condition. In some cases, you may experience common side effects such as nausea, vomiting, drowsiness, headache, dizziness, nervousness, and stomach upset. Most of these side effects do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

Consult your doctor if you are pregnant or breastfeeding. Toff EX Syrup should be used with caution in children if prescribed by a doctor. If you are suffering from fits or have a history of fits, please inform your doctor before taking Toff EX Syrup as it may increase the risk of recurrent fits. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Toff EX Syrup . Keep your doctor informed about your health condition and medications to rule out any interactions/ side effects.

Toff EX Syrup is a combination of three drugs, namely: Ambroxol, Guaiphenesin and Terbutaline. Ambroxol belongs to the class of mucolytic agents (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose for coughing out easily. Guaiphenesin belongs to the class of expectorants; it increases the volume of fluid in the airways, reduces the stickiness of mucus, and removes it from the airways. Terbutaline is a bronchodilator that relaxes muscles and widens the airways. Thereby, it makes breathing easier. Together, Toff EX Syrup helps provide relief from cough.

• Nausea
• Vomiting
• Stomach upset
• Drowsiness
• Dizziness
• Headache

Avoid taking Toff EX Syrup if you are allergic to any of its components. If you are pregnant or breastfeeding, it is advised to inform your doctor. Drive only if you are alert after taking Toff EX Syrup as it may cause dizziness or drowsiness in some people. Inform your doctor if you have diabetes, fits, high blood pressure, overactive thyroid, stomach ulcers, phenylketonuria (a congenital disability that causes accumulation of amino acid, phenylalanine in the body), kidney, liver or heart problems. 

Drug-Drug Interaction: Toff EX Syrup may interact with medicines used to lower high blood pressure (propranolol), antibiotics (erythromycin, doxycycline, cefuroxime, amoxicillin), water pills (furosemide), chemical messengers (epinephrine), bronchodilators (formoterol, dyphylline), anti-allergic drugs (promethazine), anti-sickness drug (ondansetron), uterine stimulant (oxytocin).

Drug-Food Interaction: Toff EX Syrup may interact with caffeine. Therefore, avoid or limit the intake of caffeinated beverages, foods or dietary supplements.

Drug-Disease Interaction: If you have diabetes, fits, high blood pressure, overactive thyroid, stomach ulcers, phenylketonuria (a birth defect that causes accumulation of amino acid, phenylalanine in the body), kidney, liver or heart problems, inform your doctor before taking Toff EX Syrup .

• PROPRANOLOL
• ERYTHROMYCIN
• DOXYCYCLINE
• CEFUROXIME
• AMOXICILLIN
• FUROSEMIDE
• EPINEPHRINE
• FORMOTEROL
• DYPHYLLINE
• PROMETHAZINE
• ONDANSETRON
• OXYTOCIN

• Avoid dairy products such as milk, as it may increase mucus production.
• Avoid processed or refined foods. Replace baked foods, fried foods, white bread, white pasta, french fries, sugary desserts and chips with green leafy vegetables.
• Drink plenty of fluids to avoid a dry throat. It also helps loosen mucus.
• Avoid citrus fruits as they may worsen the cough.
• Eat fruits rich in water content, such as pears, watermelon, peaches and pineapples.

• Monitor your blood glucose levels regularly while taking this medicine.
• Regular monitoring of thyroid levels and heart rate whilst taking Toff EX Syrup is advised.

Cough: Coughing is the body's way of clearing irritants (like allergens, mucus or smoke) from airways and preventing infection. Cough may be dry or productive. A productive cough (wet cough) brings up sputum (phlegm, mucus and other matter) from the lungs. A 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.