Orhex 4 mg/5 ml Syrup

Mucolytic (thins mucus) for:

• Productive cough with thick, sticky phlegm in acute and chronic bronchitis
• Other chest conditions with abnormal mucus (COPD, bronchiectasis)

Adults and children over 12 years: 8–16 mg three times daily (e.g. 8 mg tablet 1–2 three times daily, or elixir 4 mg/5 ml: 10–20 ml three times daily).

Children 6–12 years: 4–8 mg (5–10 ml elixir) three times daily.

Children 2–6 years: 2–4 mg (2.5–5 ml) three times daily.

Under 2 years: only on medical advice.

• Drink plenty of fluids to help loosen mucus.
• See a doctor if cough lasts more than 1–2 weeks or with high fever or blood.

• Allergy to bromhexine or ambroxol
• Hereditary fructose intolerance (syrups with sorbitol/maltitol)

Uncommon: nausea, stomach upset, diarrhoea, dizziness, headache, sweating.

Rare but serious: severe allergic reactions and severe skin reactions (blistering rash — stop and seek help), bronchospasm.

• Peptic ulcer history: caution (may irritate the stomach).
• Severe kidney or liver disease: caution.
• Asthma: may increase coughing initially.
• Do not combine with cough suppressants (e.g. dextromethorphan) unless advised — mucus may build up.

Avoid in the first trimester; use later only if needed. Not recommended while breastfeeding.

• Antibiotics (amoxicillin, cefuroxime, erythromycin, doxycycline) — increases their levels in lung secretions (not harmful)
• Cough suppressants (opposing action)

Mainly stomach upset. Supportive care.

Store below 30°C, protected from light.