Amorox

Amorox Uses, Dosage, Side Effects, Food Interaction and all others data.

Amorox is a metabolite of Bromhexine. It possesses mucokinetic (improvement in mucus transport) and secretolytic (liquefies secretions) properties. Amorox stimulates the serous cells of the glands of the mucous membrane of bronchi, increasing the content of mucus secretion. The mucolytic effect is associated with depolymerization and splitting of mucoproteins and mucopolysaccharide fibres, which leads to reduction in the viscosity of mucus. Expectoration of mucus is facilitated and breathing is eased considerably. Amorox stimulates production of phospholipids of surfactant by alveolar cells. Amorox has anti-inflammatory properties. In patients with COPD, it improves airway patency. Beside these, Amorox also exhibits anti-oxidant activity. Long-term use is possible because of the good tolerability of the preparation.

Trade Name Amorox
Generic Ambroxol
Ambroxol Other Names Ambroxol, Ambroxolum, Bisolvon metabolite vIII, Bromhexine metabolite vIII, Bromhexine-metabolite vIII
Weight 15mg/5ml
Type Syrup
Formula C13H18Br2N2O
Weight Average: 378.108
Monoisotopic: 375.978589
Protein binding

Approximately 90%

Groups Approved, Investigational
Therapeutic Class Cough expectorants & mucolytics
Manufacturer United Chemicals &amp, Pharmaceuticals Ltd
Available Country Bangladesh
Last Updated: September 19, 2023 at 7:00 am
Amorox
Amorox

Uses

  • • Acute and chronic diseases of respiratory tracts associated with viscid mucus including acute and chronic bronchitis
  • • Productive cough
  • • Inflammatory diseases of Rhinopharyngeal tract (e.g. Laryngitis, Pharyngitis, Sinusitis and Rhinitis) associated with viscid mucus
  • • Asthmatic bronchitis, Bronchial asthma with difficult departure of mucus
  • • Bronchiectasis
  • • Chronic pneumonia.

Amorox is also used to associated treatment for these conditions: Airway secretion clearance therapy

How Amorox works

Amorox is a mucolytic agent. Excessive Nitric oxide (NO) is associated with inflammatory and some other disturbances of airways function. NO enhances the activation of soluble guanylate cyclase and cGMP accumulation. Amorox has been shown to inhibit the NO-dependent activation of soluble guanylate cyclase. It is also possible that the inhibition of NO-dependent activation of soluble guanylate cyclase can suppress the excessive mucus secretion, therefore it lowers the phlegm viscosity and improves the mucociliary transport of bronchial secretions.

Dosage

Amorox dosage

Average daily dose (preferably after meal):Pediatric Drops:

  • 0-6 months: 0.5 ml 2 times a day
  • 6-12 months: 1 ml 2 times a day
  • 1-2 years: 1.25 ml 2 times a day

Syrup:

  • 2-5 years: 2.5 ml (1/2 teaspoonful) 2-3 times a day
  • 5-10 years: 5 ml (1 teaspoonful) 2-3 times a day
  • 10 years and adults: 10 ml (2 teaspoonful) 3 times a day.

Sustained release capsule:

  • Adult and children over 12 years old: 1 capsule once daily

Specific application features: Amorox may be prescribed to patients suffering from diabetes mellitus.

Side Effects

Gastrointestinal side-effects like epigastric pain, gastric fullness may occur occasionally. Rarely allergic responses such as eruption, urticaria or angioneurotic edema may occur.

Precaution

Amorox should be given cautiously to patients with gastric and duodenal ulceration or convulsive disorders. Patients with hepatic and renal insufficiency should take it with caution.

Interaction

Amorox has no interaction with cardioactive glycosides, corticosteroids, bronchodilators, diuretics and antibiotics (normally used in the treatment of bronchopulmonary affections). But Amorox should not be taken simultaneously with antitussives (e.g. Codeine) because mucus, which has been liquefied by Amorox, might not be expectorated.

Elimination Route

Rapid and almost complete.

Half Life

7-12 hours

Pregnancy & Breastfeeding use

Pregnancy: Teratogenic and fetal toxicity studies have shown no harmful effect of Amorox. However, it is advised not to use during pregnancy, especially in the 1st trimester.

Lactation: Safety during lactation has not been established.

Contraindication

Contraindicated in known hypersensitivity to Amorox or Bromhexine.

Interaction with other Medicine

Amorox has no interaction with cardioactive glycosides, corticosteroids, bronchodilators, diuretics and antibiotics (normally used in the treatment of bronchopulmonary affections). But Amorox should not be taken simultaneously with antitussives (e.g. Codeine) because mucus, which has been liquefied by Amorox, might not be expectorated.

Innovators Monograph

You find simplified version here Amorox

Amorox contains Ambroxol see full prescribing information from innovator Amorox Monograph, Amorox MSDS, Amorox FDA label

FAQ

What is Amorox used for?

Amorox is used for conditions where there are a lot of thick mucus in the airway passages. Amorox belongs to a group of medications called mucolytics.It is used in the treatment of respiratory diseases associated with viscid or excessive mucus.

How safe is Amorox?

Amorox is a safe and well-tolerated treatment of bronchopulmonary diseases with a well-balanced and favorable benefit-risk profile.

How does Amorox work?

Amorox works by thinning down the mucus in the airway passages, thus making the mucus less sticky and it also facilitates the removal of the mucus from the airways.

What are the common side effects of Amorox?

Common side effects of Amorox are include:

  • Nausea
  • Vomiting
  • Diarrhea
  • Gastrointestinal side effects
  • Skin rash
  • itching
  • Infections
  • Allergies
  • Upset stomach
  • Dizziness
  • Weakness
  • Dry mouth
  • Indigestion
  • Numbness in throat
  • Numbness in mouth
  • Taste disturbances

Is Amorox safe during pregnancy?

Amorox is not advisable to taken during the first trimester of pregnancy. Please seek your doctor's or pharmacist's advice before using Amorox if you are pregnant.

Is Amorox safe during breastfeeding?

As Amorox is excreted in breast milk, it is not recommended to be taken while breastfeeding. Please seek your doctor's or pharmacist's advice before using this medication if you breastfeeding.

Can I drink alcohol with Amorox?

No. Even though you can readily find products containing dextromethorphan OTC, these medicines can be very dangerous when mixed with alcohol.

Can I drive after taking Amorox?

It is advisable not to drive any motor vehicle or operate heavy machinery as increased drowsiness and dizziness can occur after taking.

When should be taken of Amorox?

The recommended dose is 30mg to be taken three times a day. 

How long does Amorox take to work?

When administered orally onset of action occurs after about 30 minutes.

How long should I take Amorox?

Amorox was administered intramuscularly daily for 6-10 days at the following dosages: 1.7 mg/kg (children <2 years), 1.6 mg/kg (children 2-5 years) and 1.2 mg/kg (6-10 years).

What happens if I miss a dose?

If you miss a dose, use this drug as soon as you find it. Skip the missed dose and restart your dosing schedule if it is close to the time of your next dose. Do not use an additional dose in order to make up for the missing dose. 

What happens if I overdose of Amorox?

Do not take more than the dosage given. Your symptoms will not be changed by taking more medication; they can instead cause poisoning or severe side effects. If you believe that you or someone else might have overdosed on Amorox Hydrochloride Syrup, please go to the nearest hospital or nursing home emergency room. 

Who should not take Amorox?

If you have serious gastric ulceration, liver or kidney issues, notify your healthcare professionals. If you have a confirmed history of an allergy to Amorox, or any of the other ingredients mentioned in the medicine, this drug should be avoided.

Can I take Amorox on an empty stomach?

The tablets may be taken with or without food.

Is Amorox for dry cough?

Amorox is more effective in productive cough treatment associated with the formation of sticky and thick mucus in the airway passages and is difficult to clear.Amorox reduces its thickness and makes its removal easier from the airways passage.

Is Amorox good for itchy throat?

Amorox has a beneficial pain-relieving effect in patients with acute sore throat, superior to that achieved by sucking a placebo lozenge.

Is Amorox a steroid?

No, it is not an antibiotic or steroid; it belongs to a class of medicines called Expectorants or Mucolytics. It has no known effect against infections.

How often should I take Amorox?

The recommended dose for adults is 1 tablet 3 times daily. For better effect, the patient may administer 2 tablets 2 times daily. The tablets should be taken with liquid.

Is Amorox an antibiotic?

Amorox is a mucolytic agent used in the treatment of respiratory diseases.

*** Taking medicines without doctor's advice can cause long-term problems.
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