Tuspel Plus Exp (100 Ml)

TUSPEL PLUS EXP (100 ML) is a comprehensive expectorant syrup manufactured by Indoco Remedies Ltd., designed to provide effective relief from various respiratory conditions characterized by a wet, productive cough and chest congestion. This multi-action formula helps to clear the airways and ease breathing.

Composition

Each 5ml of TUSPEL PLUS EXP typically contains:

• Ammonium Chloride: 50 mg (Expectorant)
• Bromhexine Hydrochloride: 4 mg (Mucolytic)
• Menthol: 0.75 mg (Soothing Agent)
• Terbutaline Sulphate: 1.25 mg (Bronchodilator)

Uses

TUSPEL PLUS EXP is prescribed for the management and relief of symptoms associated with:

• Wet cough
• Loosening of mucus and phlegm
• Chest congestion
• Productive cough
• Cough associated with bronchitis
• Bronchial asthma
• Emphysema
• Bronchiectasis
• Chronic Obstructive Pulmonary Disease (COPD)

Dosage and Administration

TUSPEL PLUS EXP is for oral administration. It can be taken with or without food.

• Adults and Children over 12 years: Typically 10ml (two teaspoonfuls) three to four times daily.
• Children between 6 to 12 years: Typically 5ml (one teaspoonful) three to four times daily.
• Always use a measuring cup or spoon for accurate dosing.
• Do not use for more than 7 days unless advised by a doctor. For children, it is advisable to consult a doctor for appropriate dosage.

Side Effects

Common side effects may include:

• Nausea, vomiting, diarrhea, stomach pain, indigestion
• Headache, dizziness, drowsiness
• Skin rash, itching, increased sweating
• Tremors, palpitations, increased heart rate, restlessness
• Dry mouth

Rare but serious side effects such as allergic reactions (hives, swelling of the face, lips, tongue, or throat, difficulty breathing, chest pain, and irregular heartbeat) require immediate medical attention.

Precautions

• Drowsiness: This medicine may cause drowsiness or dizziness. Avoid driving or operating heavy machinery until you know how it affects you.
• Alcohol: Avoid alcohol consumption as it may increase drowsiness and other side effects.
• Medical Conditions: Inform your doctor about any pre-existing conditions, especially asthma, emphysema, heart problems, liver disease, kidney disease, thyroid problems, diabetes, high blood pressure, convulsive disorders, or a history of peptic ulcers.
• Medication Interactions: Inform your doctor about all other medications you are taking, including over-the-counter drugs, herbal supplements, antiarrhythmics (e.g., Quinidine, Flecainide), certain antibiotics (e.g., erythromycin, amoxicillin), sympathomimetic medications, beta-blockers, MAO inhibitors, and tricyclic antidepressants.
• Pregnancy and Breastfeeding: Consult your doctor before using if you are pregnant, planning pregnancy, or breastfeeding.
• Diabetes: If you are diabetic, monitor your blood glucose regularly as the syrup is sugar-based.
• Persistent Symptoms: Consult your doctor immediately if your cough worsens, does not improve after 7 days, or if you develop a fever, rash, or persistent headache.

Storage

• Store at room temperature (below 25°C or 30°C) away from direct heat and moisture.
• Keep the bottle tightly sealed when not in use.
• Keep out of reach of children.
• Do not use the medicine after the expiry date.

What is Tuspel Plus Exp used for?

Tuspel Plus Exp is a syrup primarily used to manage wet coughs associated with various broncho-pulmonary disorders. These include conditions like bronchitis, bronchial asthma, emphysema, bronchiectasis, and chronic obstructive pulmonary disease (COPD). It helps by thinning and loosening mucus in the airways, making it easier to cough out and clear the respiratory tract, thereby relieving congestion and improving breathing.

How does Tuspel Plus Exp work?

Tuspel Plus Exp is a combination medicine containing four active ingredients: Terbutaline, Bromhexine, Ammonium Chloride, and Menthol.

• Terbutaline acts as a bronchodilator, which helps to relax the muscles in the airways and widen the bronchial passages, easing breathing.
• Bromhexine is a mucolytic agent that breaks down and reduces the thickness of mucus, making it less sticky and easier to expel.
• Ammonium Chloride is an expectorant that thins and liquefies respiratory tract secretions, aiding in the expulsion of phlegm.
• Menthol provides a cooling and soothing sensation, helping to relieve minor throat irritation and cough.

What is the usual dosage of Tuspel Plus Exp?

The dosage of Tuspel Plus Exp depends on the patient's age and medical condition, and should always be as prescribed by a doctor. Generally, for adults and children over 12 years of age, the typical dose is 10 ml (two teaspoonfuls) three to four times daily. For children between 6 to 12 years, the usual dose is 5 ml (one teaspoonful) three to four times daily. A measuring cup or spoon should always be used for accurate dosing.

What are the possible side effects of Tuspel Plus Exp?

Common side effects may include nausea, diarrhea, abdominal pain, dryness of mouth, restlessness, headache, dizziness, rash, tremor, palpitations (a feeling of a fast or irregular heartbeat), indigestion, bloating, and increased heart rate. If any side effects persist or worsen, or if you experience serious reactions like severe allergic reactions (hives, swelling of the face/lips/tongue/throat, difficulty breathing, chest pain, irregular heartbeat), seek immediate medical attention.

Is Tuspel Plus Exp safe during pregnancy or breastfeeding?

Pregnancy: Tuspel Plus Exp should be used with caution during pregnancy, and it is strongly advised to consult a doctor before taking this medicine, as some sources indicate potential severe side effects. Breastfeeding: It is recommended to consult a doctor before using Tuspel Plus Exp while breastfeeding. Some information suggests that it may pass into breast milk and could adversely affect the baby, advising against its use during this period.

Can Tuspel Plus Exp be taken with other medications?

Tuspel Plus Exp can interact with certain medications. It is crucial to inform your doctor about all prescription, over-the-counter medicines, herbal supplements, and vitamins you are currently taking. Particular caution is advised with antiarrhythmics (like Quinidine, Flecainide), certain antibiotics (e.g., erythromycin, amoxicillin, oxytetracycline), beta-blockers (like Propranolol, Atenolol), MAO inhibitors, tricyclic antidepressants, and Theophylline. It should also not be combined with cough suppressants.

What precautions should be taken while using Tuspel Plus Exp?

Several precautions should be observed:

• Medical Conditions: Inform your doctor if you have conditions such as peptic ulcers, hypertension, hyperthyroidism, diabetes, ischemic heart disease, glaucoma, liver or kidney problems, heart issues, fits, or a history of asthma.
• Driving & Machinery: This medicine may cause dizziness or drowsiness. Avoid driving or operating heavy machinery until you understand how it affects you.
• Alcohol: Avoid alcohol consumption while taking Tuspel Plus Exp, as it can increase drowsiness and the risk of other side effects.
• Duration of Use: Do not use this medicine for more than 7 days unless advised by a doctor. Consult your doctor if your cough worsens, recurs, or is accompanied by fever, rash, or persistent headache.
• Diabetes: Since it is a sugar-based medicine, diabetic patients should use it cautiously and monitor their blood glucose levels regularly while on this medication, consulting their doctor.
• Children and Elderly: Always consult a doctor for appropriate dosage in children. Elderly patients may be more susceptible to side effects, and dosage adjustments might be necessary.

What happens if a dose of Tuspel Plus Exp is missed?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one.

How should Tuspel Plus Exp be stored?

Store Tuspel Plus Exp in a cool, dry place, away from direct sunlight. The ideal storage temperature is typically below 25 degrees Celsius or at room temperature (15-30°C). Ensure the bottle is tightly sealed when not in use and always keep it out of the reach of children and pets. Check the expiry date and do not use the medicine past it.