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Reviewed By Dr Aneela Siddabathuni , MPharma., PhD
Tuspel Plus Expectorant is used to treat cough. It works by dilating and relaxing the air passages in the lungs, making breathing easier and reducing the viscosity of sputum to facilitate its removal. In some cases, this medicine may cause side effects such as nausea, diarrhoea, bloating, indigestion, vomiting, stomach upset, sweating, dizziness, headache and skin rash. Inform the doctor if you are pregnant or breastfeeding, taking any other medication, or have any pre-existing medical conditions.
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Manufacturer/Marketer :

Indoco Remedies Ltd

Consume Type :

ORAL

Return Policy :

3 Days Returnable

Expires on or after :

Jan-27

About Tuspel Plus Expectorant

Tuspel Plus Expectorant belongs to a class of respiratory medications called 'expectorant' primarily used to treat cough. Coughing (dry or productive) is the body's way of clearing irritants (like allergens, mucus or smoke) from the airways. There are two types of coughs, namely: Dry cough and chesty cough. A dry cough is tickly and doesn't produce thick mucus, while a chesty cough (wet cough) produces mucous or sputum that helps clear the airways.

Tuspel Plus Expectorant consists of four medicines, namely: Bromohexine (mucolytic), Terbutaline (bronchodilator), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine makes sputum less viscous and makes it easier to cough out. Terbutaline works by dilating (expanding) and relaxing the air passages in the lungs, making breathing easier, especially in people with airway problems or respiratory obstructive disorders. Ammonium chloride is an expectorant that decreases the stickiness of mucous and helps remove it from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.

Tuspel Plus Expectorant is available in oral syrup and suspension. The most common side effects of Tuspel Plus Expectorant are nausea, diarrhoea, bloating, indigestion, vomiting, stomach upset, sweating, dizziness, headache and skin rash. Most of these side effects of Tuspel Plus Expectorant do not require medical attention and gradually resolve over time. However, if the side effects are persistent, reach out to your doctor.

Let your doctor know if you have any allergic reactions to Tuspel Plus Expectorant or any other medication. Brief your medical history to the doctor if you have any heart, liver, kidney, lung diseases, depression and Parkinson's disease before taking Tuspel Plus Expectorant . Tuspel Plus Expectorant can cause sleepiness; hence avoid taking alcohol while using Tuspel Plus Expectorant . Tuspel Plus Expectorant may affect your ability to drive. It is advised not to drive whilst taking this medicine. Check with your doctor if you are pregnant, currently breastfeeding or taking any other prescribed or non-prescribed drugs. 

Uses of Tuspel Plus Expectorant

Treatment of Cough

Directions for Use

Your doctor will advise on how often you take Tuspel Plus Expectorant based on your medical condition. Shake the bottle well before use. Check the label for directions and take Tuspel Plus Expectorant with or without food with a measuring cup in the dose and duration prescribed by the doctor.

Medicinal Benefits

Tuspel Plus Expectorant is a respiratory medication primarily used to treat cough. Tuspel Plus Expectorant consists of four medicines: Bromhexine (mucolytic), Terbutaline (bronchodilator), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine is a 'mucolytic agent' that makes sputum less viscous and easier to cough. Terbutaline belongs to the bronchodilators class that dilates (expands) and relaxes the air passages in the lungs, making breathing easier, especially in people with airway problems or respiratory obstructive disorders.  Ammonium chloride is an expectorant that decreases the stickiness of mucous and helps remove it from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.

How Tuspel Plus Expectorant Works

Tuspel Plus Expectorant consists of four medicines, namely: Bromohexine (mucolytic), Terbutaline (bronchodilator), Ammonium chloride (irritant/expectorant) and Menthol (cooling agent). Bromhexine makes sputum less viscous and makes it easier to cough out. Terbutaline works by dilating (expanding) and relaxing the air passages in the lungs, making breathing easier, especially in people with airway problems or respiratory obstructive disorders. Ammonium chloride is an expectorant that decreases the stickiness of mucous and helps remove it from the airways. Menthol is an organic compound that produces a cooling sensation and relieves throat irritation.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Tuspel Plus Expectorant

  • Nausea
  • Diarrhea
  • Bloating
  • Indigestion
  • Vomiting
  • Stomach upset
  • Sweating
  • Dizziness
  • Headache
  • Skin rash

What if I have taken an overdose of Tuspel Plus Expectorant

Take Tuspel Plus Expectorant only as prescribed by the physician. Avoid exceeding the recommended dose as it could lead to an overdose. Symptoms of overdose may include restlessness, dizziness, and confusion. If you experience these symptoms or suspect you have taken an overdose, seek immediate medical attention.

Drug Warnings

If you are pregnant or breastfeeding, it is advised to inform your doctor before using Tuspel Plus Expectorant . If you are suffering from fits (epilepsy/seizures) or have a history of fits, please inform your doctor before taking Tuspel Plus Expectorant as it may increase the risk of recurrent fits. Tuspel Plus Expectorant is not recommended for children below 6 years of age and body weight less than 25 kg, as the safety and effectiveness were not established. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Tuspel Plus Expectorant . If you experience constipation, leg cramps, numbness or tingling, increased urination or thirst, muscle weakness or irregular heartbeats, contact your doctor, as it may be due to low potassium levels in the blood. Drink plenty of fluids while taking Tuspel Plus Expectorant to loosen mucus. If you have diabetes, fits, high blood pressure, overactive thyroid or heart problems, please inform your doctor before taking Tuspel Plus Expectorant .

Drug-Drug Interactions

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TerbutalineTranylcypromine
Severe
TerbutalineNilotinib
Severe

Drug-Drug Interactions

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TerbutalineTranylcypromine
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Combining Tranylcypromine with Tuspel Plus Expectorant 100 ml can increase the risk of high blood pressure.

How to manage the interaction:
Although taking Tuspel Plus Expectorant 100 ml and Tranylcypromine together can evidently cause an interaction, it can be taken if your doctor has suggested it. If you take multiple medications that can raise your blood pressure, it may increase your risk of having high blood pressure while lying down. It's important to regularly check your blood pressure, especially when lying down or with your head elevated, and watch out for any signs of side effects. Do not stop using any medications without a doctor's advice.
TerbutalineNilotinib
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Combining Tuspel Plus Expectorant 100 ml and nilotinib can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Tuspel Plus Expectorant 100 ml and nilotinib together can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
TerbutalineAmisulpride
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Using Tuspel Plus Expectorant 100 ml together with amisulpride can increase the risk of severe irregular heart rhythm.

How to manage the interaction:
Amisulpride and Tuspel Plus Expectorant 100 ml can cause an interaction, but it can be taken if prescribed by a doctor. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
TerbutalineZiprasidone
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Taking Tuspel Plus Expectorant 100 ml with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Co-administration of Ziprasidone with Tuspel Plus Expectorant 100 ml can possibly result in an interaction, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.
TerbutalineCarvedilol
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Taking Carvedilol and Tuspel Plus Expectorant 100 ml may reduce the beneficial effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Tuspel Plus Expectorant 100 ml and Carvedilol, but it can be taken if prescribed by a doctor. Consult your doctor immediately if you experience shortness of breath, palpitations, or chest discomfort. Do not stop using any medications without a doctor's advice.
TerbutalineLabetalol
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Co-administration of Labetalol and Tuspel Plus Expectorant 100 ml together can decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Tuspel Plus Expectorant 100 ml together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform the doctor if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as labetalol is often not advised in these conditions. Do not discontinue any medications without a doctor's advice.
TerbutalineSotalol
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Using sotalol together with Tuspel Plus Expectorant 100 ml may reduce the benefits of both medications since they have opposing effects in the body.

How to manage the interaction:
Taking Sotalol with Tuspel Plus Expectorant 100 ml together can result in an interaction, but it can be taken if a doctor has advised it. Do not stop using any medications without a doctor's advice.
TerbutalineDisopyramide
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
The combined use of Tuspel Plus Expectorant 100 ml and Disopyramide can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of Tuspel Plus Expectorant 100 ml and Disopyramide can lead to an interaction, it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without first consulting your doctor.
TerbutalineGatifloxacin
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Taking Gatifloxacin and Tuspel Plus Expectorant 100 ml can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Gatifloxacin and Tuspel Plus Expectorant 100 ml together can possibly result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.
TerbutalinePropranolol
Severe
How does the drug interact with Tuspel Plus Expectorant 100 ml:
Using propranolol together with Tuspel Plus Expectorant 100 ml may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can sometimes cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Tuspel Plus Expectorant 100 ml can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

Drug-Food Interactions

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No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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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 Tuspel Plus Expectorant .
  • 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 extra fluids while you take Tuspel Plus Expectorant 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.

Habit Forming

No

Therapeutic Class

EXPECTORANT AND COUGH PRODUCTS

Tuspel Plus Expectorant Substitute

Substitutes safety advice
  • TUSPEL LIQUID 100ML

    0.81per tablet
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Alcohol

Caution

It is not known whether it is safe to consume alcohol with Tuspel Plus Expectorant . Please consult your doctor before using Tuspel Plus Expectorant . However, it is better to avoid alcohol to prevent side effects.

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Pregnancy

Caution

There is limited data on how Tuspel Plus Expectorant affects pregnancy. Tuspel Plus Expectorant may be unsafe to use during pregnancy since it may harm the developing baby. Consult your doctor before using Tuspel Plus Expectorant , if you are pregnant or planning to conceive.

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Breast Feeding

Caution

It is not known if Tuspel Plus Expectorant affects breastfeeding and passes into breast milk. Please consult your doctor before starting Tuspel Plus Expectorant .

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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 Tuspel Plus Expectorant . This may affect your ability to drive. Seek medical attention if the symptoms persist longer.

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Liver

Caution

Tuspel Plus Expectorant 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 Tuspel Plus Expectorant .

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Kidney

Caution

Tuspel Plus Expectorant 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 Tuspel Plus Expectorant .

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Children

Caution

Tuspel Plus Expectorant is not recommended for use in children less than six years of age. The dose may have to be adjusted by your doctor, depending on the condition of your child's symptoms and age.

FAQs

Tuspel Plus Expectorant is used to treat cough.
Tuspel Plus Expectorant consists of four medicines: Bromhexine, Terbutaline, Ammonium chloride, and Menthol. Tuspel Plus Expectorant relieves cough symptoms by thinning the cough/mucus, making it less viscous, suppressing coughing and decreasing throat irritation by providing a soothing effect. This helps in easy coughing out of phlegm and makes breathing easier.
Yes, you may experience headaches and shakiness after using Tuspel Plus Expectorant . Drink plenty of water and take rest to manage your headache. Shakiness goes away gradually. Consult your doctor if these symptoms persist longer.
Tuspel Plus Expectorant is not recommended for use if you have a stomach ulcer since mucolytics like Bromohexine may disrupt the gastric mucosal barrier; therefore cautiously administered in patients with a stomach ulcer.
No, you are not recommended to take propranolol or other beta-blockers used to lower raised blood pressure with Tuspel Plus Expectorant as it may reduce the effectiveness of both medicines. Also, propranolol may cause a narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you should consult a doctor before using other medicines with Tuspel Plus Expectorant .
Tuspel Plus Expectorant should be used with caution in diabetic patients if prescribed by a doctor. However, regular monitoring of blood sugar levels is recommended while taking Tuspel Plus Expectorant as it may increase blood sugar levels.
Tuspel Plus Expectorant contains terbutaline, which may decrease the potassium levels in your body, leading to hypokalemia. If you have a low potassium level, let your doctor know this before taking the Tuspel Plus Expectorant .
Tuspel Plus Expectorant can be taken either with or without food, as directed by the doctor.
Tuspel Plus Expectorant causes side effects like nausea, diarrhoea, indigestion, vomiting, stomach upset, sweating, dizziness, headache, and skin rash. Most of these are temporary and do not require any medical attention, as they will gradually reduce over time. Please, contact a doctor if these persist for longer durations.
Tuspel Plus Expectorant may cause dizziness, so it is best to avoid driving or operating machinery if you experience these side effects. Always, follow your doctor's advice.
Store Tuspel Plus Expectorant in a dry, and dark place. Protect from light. Keep it out of reach of children.

Country of origin

India

Manufacturer/Marketer address

Indoco Remedies Limited, Indoco House, 166 CST Road, Santacruz (E), Mumbai 400 098, INDIA
Other Info - TUS0005

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