Terbutaline Sulphate + Bromhexine + Guaiphenesin + Menthol is a pulmonary medicine. Used to prevent and treat symptoms conditions like:  

1. Wet cough  
2. Bronchitis 
3. Bronchial asthma 
4. Emphysema      

1. Take this medicine exactly as prescribed by your doctor, at the same time each day. 
2. Do not stop taking this medicine without your doctor’s approval, even if you feel better. 
3. If you forget to take this medicine, take it as soon as you remember. If it’s almost time for your next dose, skip the missed dose. 

More Common  

1. Mild shakiness or tremors 
2. Fast heartbeat 
3. Headache 
4. Dizziness 
5. Nausea or mild stomach upset 
6. Throat irritation   

Less Common

1. Severe allergic reactions (rash, swelling, difficulty breathing) 
2. Muscle cramps 
3. Severe dizziness or fainting 
4. Irregular heartbeat    

This syrup works by relaxing the airways, making it easier to breathe (Terbutaline), loosening and thinning thick mucus in the chest so it can be cleared by coughing (Bromhexine and Guaiphenesin), and soothing the throat while giving a cooling effect (Menthol). Together, it helps relieve cough, reduce chest congestion, and improve overall breathing. 

Allergy or hypersensitivity

Do not take if you are allergic to Terbutaline, Bromhexine, Guaiphenesin, or Menthol, as it may cause rash, swelling, or difficulty breathing. Always inform your doctor before using. 

Heart Problems

Avoid if you have heart issues like irregular heartbeat or high blood pressure, because Terbutaline can increase heart rate. Use only under medical supervision. 

Liver or Kidney Problems

Avoid if you have severe liver or kidney disease, as the medicine may build up in your body. Check with your doctor first. 

Young Children

Not recommended for very young children as safety is not established. Follow your doctor’s guidance. 

Pregnancy or Breastfeeding

Try to avoid this medicine unless prescribed, as safety is limited. Only take it if your doctor approves. 

This syrup can be taken with or without food. Avoid too much caffeine or alcohol, as they may increase shakiness, fast heartbeat, or dizziness. Drink a glass of water with it to help loosen mucus and soothe the throat. 

Avoid taking Terbutaline Sulphate + Bromhexine + Guaiphenesin + Menthol with the following medicines, as it may increase or decrease the desired effect, or in worse cases, it could be fatal: 

IUPAC (International Union of Pure and Applied Chemistry)/ Chemical name

Terbutaline Sulphate: bis(5-[2-(tert-butylamino)-1-hydroxyethyl]benzene-1,3-diol);sulfuric acid 

Guaifenesin: 3-(2-methoxyphenoxy)propane-1,2-diol 

Bromhexine: 2,4-dibromo-6-[[cyclohexyl(methyl)amino]methyl]aniline 

Menthol: 5-methyl-2-propan-2-ylcyclohexan-1-ol 

Daily dose

Take Terbutaline Sulphate + Bromhexine + Guaiphenesin + Menthol exactly as your doctor recommends. The dose may change based on your condition and how well you respond. Do not take more than prescribed without consulting your doctor. 

Missed Dose

If you forget to take your medicine, take the medication as soon as you remember. If it’s nearly time for your next dose, skip the missed one and continue with your regular schedule. Always consult the doctor before making any changes to your dosage. 

Overdose

It is not recommended to take Terbutaline Sulphate + Bromhexine + Guaiphenesin + Menthol syrup more than prescribed by your doctor. Overdose may cause tremors, chest pain, fast or irregular heartbeat, nervousness, dizziness, headache, muscle cramps, and high blood pressure. Seek immediate medical attention if any of these occur. 

1. Store the medicine at room temperature 
2. Keep away from sunlight and moisture 
3. Keep out of reach of children 

This syrup is used to treat wet cough, bronchitis, bronchial asthma, emphysema. Terbutaline relaxes the airway muscles to make breathing easier, Bromhexine and Guaiphenesin loosen and thin, thick mucus so it can be cleared by coughing, and Menthol soothes the throat while giving a cooling effect. People who should not take this medicine include those allergic to any of its ingredients, individuals with severe heart, liver, or kidney problems, very young children, and pregnant or breastfeeding women unless advised by a doctor.  

Overuse may cause shakiness, fast heartbeat, headache, dizziness, or nausea. It can be taken with or without food, but excessive caffeine or alcohol should be avoided, and drinking water with the syrup helps ease chest congestion and soothe the throat. 

What are the uses of Terbutaline Sulphate + Bromhexine Hydrochloride + Guaiphenesin + Menthol syrup? 

It is used to treat cough, chest congestion, and trouble breathing. 

What are the uses of guaifenesin syrup? 

Guaifenesin syrup is used to loosen and thin mucus in the airways, making it easier to cough out and clear chest congestion. 

What class of drug does guaifenesin belong to? 

Guaifenesin belongs to the class of drugs called expectorants. 

What are the uses for Bromhexine? 

Bromhexine syrup is used to treat cough with thick mucus by thinning and loosening the mucus, making it easier to cough out. 

What is the mechanism of action of Bromhexine? 

Bromhexine works by breaking down thick mucus in the airways and helping clear it from the lungs, making breathing easier. 

What are the uses of Menthol? 

Menthol is used to soothe throat irritation, reduce cough, and give a cooling, refreshing feeling. 

What are the side effects of Menthol? 

Menthol is generally safe, but it may cause mild throat or mouth irritation, coughing, nausea, or allergic reactions in some people. Rarely, it can cause skin rash or breathing difficulty if allergic. 

1. PubChem. Terbutaline Sulfate [Internet]. Nih.gov. PubChem; 2025. Available from 
2. PubChem. Bromhexine [Internet]. pubchem.ncbi.nlm.nih.gov. Available from 
3. PubChem. Guaifenesin [Internet]. pubchem.ncbi.nlm.nih.gov. Available from 
4. PubChem. Menthol [Internet]. pubchem.ncbi.nlm.nih.gov. Available from 
5. Bromhexine + Guaifenesin + Menthol + Terbutaline: View Uses, Side Effects and Medicines | 1mg [Internet]. 1mg. 2024 [cited 2025 Dec 4]. Available from  
6. ApolloPharmacy [Internet]. Apollopharmacy.in. 2019 [cited 2025 Dec 4]. Available from