Rui Tian

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

Rui Tian is a metabolite of Bromhexine. It possesses mucokinetic (improvement in mucus transport) and secretolytic (liquefies secretions) properties. Rui Tian 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. Rui Tian stimulates production of phospholipids of surfactant by alveolar cells. Rui Tian has anti-inflammatory properties. In patients with COPD, it improves airway patency. Beside these, Rui Tian also exhibits anti-oxidant activity. Long-term use is possible because of the good tolerability of the preparation.

Trade Name Rui Tian
Generic Ambroxol
Ambroxol Other Names Ambroxol, Ambroxolum, Bisolvon metabolite vIII, Bromhexine metabolite vIII, Bromhexine-metabolite vIII
Type
Formula C13H18Br2N2O
Weight Average: 378.108
Monoisotopic: 375.978589
Protein binding

Approximately 90%

Groups Approved, Investigational
Therapeutic Class Cough expectorants & mucolytics
Manufacturer
Available Country China
Last Updated: September 19, 2023 at 7:00 am
Rui Tian
Rui Tian

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.

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

How Rui Tian works

Rui Tian 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. Rui Tian 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

Rui Tian 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: Rui Tian 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

Rui Tian 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

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

Interaction with other Medicine

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

Innovators Monograph

You find simplified version here Rui Tian

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

FAQ

What is Rui Tian used for?

Rui Tian is used for conditions where there are a lot of thick mucus in the airway passages. Rui Tian 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 Rui Tian?

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

How does Rui Tian work?

Rui Tian 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 Rui Tian?

Common side effects of Rui Tian 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 Rui Tian safe during pregnancy?

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

Is Rui Tian safe during breastfeeding?

As Rui Tian 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 Rui Tian?

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 Rui Tian?

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 Rui Tian?

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

How long does Rui Tian take to work?

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

How long should I take Rui Tian?

Rui Tian 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 Rui Tian?

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 Rui Tian Hydrochloride Syrup, please go to the nearest hospital or nursing home emergency room. 

Who should not take Rui Tian?

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

Can I take Rui Tian on an empty stomach?

The tablets may be taken with or without food.

Is Rui Tian for dry cough?

Rui Tian 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.Rui Tian reduces its thickness and makes its removal easier from the airways passage.

Is Rui Tian good for itchy throat?

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

Is Rui Tian 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 Rui Tian?

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 Rui Tian an antibiotic?

Rui Tian 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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