Trilert Ax

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

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

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

Approximately 90%

Groups Approved, Investigational
Therapeutic Class Cough expectorants & mucolytics
Manufacturer Trigenesis Lifesciences
Available Country India
Last Updated: September 19, 2023 at 7:00 am
Trilert Ax
Trilert Ax

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.

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

How Trilert Ax works

Trilert Ax 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. Trilert Ax 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

Trilert Ax 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: Trilert Ax 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

Trilert Ax 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

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

Interaction with other Medicine

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

Innovators Monograph

You find simplified version here Trilert Ax

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

FAQ

What is Trilert Ax used for?

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

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

How does Trilert Ax work?

Trilert Ax 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 Trilert Ax?

Common side effects of Trilert Ax 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 Trilert Ax safe during pregnancy?

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

Is Trilert Ax safe during breastfeeding?

As Trilert Ax 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 Trilert Ax?

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 Trilert Ax?

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 Trilert Ax?

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

How long does Trilert Ax take to work?

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

How long should I take Trilert Ax?

Trilert Ax 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 Trilert Ax?

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 Trilert Ax Hydrochloride Syrup, please go to the nearest hospital or nursing home emergency room. 

Who should not take Trilert Ax?

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

Can I take Trilert Ax on an empty stomach?

The tablets may be taken with or without food.

Is Trilert Ax for dry cough?

Trilert Ax 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.Trilert Ax reduces its thickness and makes its removal easier from the airways passage.

Is Trilert Ax good for itchy throat?

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

Is Trilert Ax 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 Trilert Ax?

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 Trilert Ax an antibiotic?

Trilert Ax 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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