BITERLES PLUS SYRUP

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iconPrescription Required

Primarily used for

Potentiallyunsafewith
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Alcohol
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Pregnancy
55
60 ML in 1 bottle
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Substitutes for BITERLES PLUS

No substitutes found for this medicine

Medicine Overview of BITERLES PLUS SYRUP

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Uses of Ambroxol

Ambroxol is used in the treatment of cough.
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Side effects of Ambroxol

Common

Constipation, Diarrhoea, Difficulty in urination, Heartburn, Itching, Nausea, Rash.

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How to use Ambroxol

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use.

How BITERLES PLUS SYRUP works

Ambroxol thins and loosens mucus, making it easier to cough out.
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Uses of Dextromethorphan

Dextromethorphan is used for dry cough.
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Side effects of Dextromethorphan

Common

Sedation, Sleepiness, Fatigue, Vomiting, Weakness, Dehydration, Dizziness, Lightheadedness, Headache, Sweating, Anemia, Nausea, Edema, Constipation, Dry mouth.

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How to use Dextromethorphan

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use.

How BITERLES PLUS SYRUP works

Dextromethorphan decreases the perception of pain by blocking the transmission of pain signals to the brain.
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Uses of Cetirizine

Cetirizine is used in the treatment of allergic disorders.
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Side effects of Cetirizine

Common

Sleepiness.

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How to use Cetirizine

Take this medicine in the dose and duration as advised by your doctor. Check the label for directions before use. Measure it with a measuring cup and take it by mouth. Shake well before use.

How BITERLES PLUS SYRUP works

Cetirizine blocks the action of certain chemical messengers that are responsible for inflammation, congestion, itching, and other allergic reactions.

In Depth Information on BITERLES PLUS SYRUP

Expert advice for Ambroxol

  • Do consult your doctor before taking ambroxol if you have a history of severe allergic reactions of skin (Stevens-Johnson syndrome or Lyell syndrome).
  • Do not continue taking ambroxol and contact your doctor immediately, if you notice any damage to skin or mucosa (moist tissue that lines the inner side of nose, mouth, lungs, and the urinary and digestive tracts). 
  • Avoid taking drugs that suppress cough (antitussives) if you are taking ambroxol.
  • Do consult your doctor before taking ambroxol, if you are pregnant or planning to become pregnant.
  • Do consult your doctor before taking ambroxol if you are breast-feeding.
  • Do consult your doctor before taking ambroxol if you have.
  • Severe liver or kidney problems. You may need dose reduction or extension of dosing interval.
  • A disease called Ciliary dyskinesia in which the hair like structures along the airways called cilia are faulty and do not help in clearing the mucus.

Expert advice for Dextromethorphan

  • Use dextromethorphan exactly as directed on the label, and in doses prescribed by your doctor.
  • Cough medicine is usually taken only for a short time until the symptoms clear up.
  • If syrup, measure the liquid form of dextromethorphan with a special dose-measuring spoon or cup, not a regular table spoon.
  • Allow the dextromethorphan lozenge or disintegrating strip to dissolve in your mouth.
  • Drink extra fluids to help loosen the congestion and lubricate your throat while you are taking this medication.
  • Do not drive or use machines while taking this medicine until you are sure you are not affected.
  • Do not drink alcohol (wine, beer, spirits)whilst taking this medicine. Alcohol increases the risk of side effects occurring and may make you feel drowsier.
  • Always ask a doctor before giving cough or cold medicine to a child. Death can occur from the misuse of cough or cold medicine in very young children.

Expert advice for Cetirizine

  • Do not drive or operate machinery after taking cetirizine because you may feel sleepy.
  • Avoid alcohol intake while taking this drug.
  • Consult your doctor if you experience any of these side effects: changes in vision, severe dry mouth, trouble urinating, constipation or drowsiness.
  • Do not start or continue the cetirizine tablets:
  • If you are allergic (hypersensitive) to cetirizine or any of the other ingredients of cetirizine tablet.
  • If you have severe kidney problem or severe liver problem.
  • If you are pregnant or breast feeding.
  • Doctor’s advice should be considered before taking cetirizine tablets in case of any following disease conditions such as fits, severe kidney impairment, intolerance to sugars.
Warnings
Special precautions for BITERLES PLUS SYRUP
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Alcohol
CAUTION
Biterles plus syrup may cause excessive drowsiness and calmness with alcohol.
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Pregnancy
WEIGH RISKS VS BENEFITS
Biterles plus syrup may be unsafe to use during pregnancy.

Animal studies have shown adverse effects on the foetus, however, there are limited human studies. The benefits from use in pregnant women may be acceptable despite the risk. Please consult your doctor.
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Lactation
CAUTION
Biterles plus syrup is probably unsafe to use during breastfeeding. Please consult your doctor.
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Driving
CAUTION
Caution is advised when driving or operating machinery.
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Kidney
CAUTION
contraindicated in patients with moderate to severe renal impairment

Caution to be advised in patients with impaired renal function.
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Liver
There is no data available. Please consult doctor before consuming the drug.

Patient Concerns

Frequently asked questions for BITERLES PLUS SYRUP

Frequently asked questions for Ambroxol

Q. Is ambroxol an antibiotic/steroid?
No. Ambroxol belongs to a class of drugs called expectorants (aid expulsion of mucus as cough) or mucolytic (liquefy and loosen mucus). It has no know effect against infections. It does not have chemical structure or effects similar to steroids
Q. Is ambroxol good for dry cough?
No. Ambroxol is more effective in the treatment of productive cough associated with thickened mucus and poor mucus clearance
Q. Is ambroxol a prescription drug?
Cough syrups containing ambroxol and other active drugs commonly used for cough and cold may be available as over the counter (OTC) without prescription
Q. Is ambroxol/mucolite safe for infants?
Mucolite is a trade name for active drug ambroxol. Ambroxol may be used in children below 2 years of age only when prescribed by a doctor. It is safe if used at prescribed doses for the prescribed duration as advised by your child’s or infant’s doctor
Q. Is ambrodil a cough syrup?
Ambrodil is a trade name for active drug ambroxol. It is available as cough syrup and is effective in the treatment of productive cough associated with thickened mucus and poor mucus clearance
Q. Ambroxol/ambrodil syrup/ambrolite syrup/mucolite/mucolite drops used for?
Ambrodil, ambrolite, mucolite are trade names for active drug ambroxol and are available as drops or syrup. Ambroxol belongs to a class of drugs called expectorants or mucolytics and is effective in liquefying and loosening thick mucus that can be coughed out easily. It is effective in treatment of productive cough associated with diseases of the respiratory tract such as long-term inflammation of air passages (chronic bronchitis), inflammation of air passages associated with asthma (asthmatic bronchitis), bronchial asthma, recurrent inflammation or infection of the airways (Bronchiectasis), infection of lungs (pneumonia), infections of middle ear (otitis media), inflammation of air cavities (sinuses) around nose (sinusitis), sore throat (nasopharyngitis)
Q. What is ambrodil S?
Ambrodil S is a trade name for a combination of active drugs ambroxol and salbutamol and guaifenesin
Q. What are mucolite tablets/drops and Is mucolite syrup for cough?
Yes. Mucolite is a trade name for active drug ambroxol and is available as cough syrup/ tablets and drops. It is effective in treatment of productive cough associated with diseases of the respiratory tract such as long-term inflammation of air passages (chronic bronchitis), inflammation of air passages associated with asthma (asthmatic bronchitis), bronchial asthma, recurrent inflammation or infection of the airways (Bronchiectasis), infection of lungs (pneumonia), infections of middle ear (otitis media), inflammation of air cavities (sinuses) around nose (sinusitis), sore throat (nasopharyngitis)
Q. Does Ambroxol make you sleepy/ you high?
Ambroxol is not known to make you sleepy or high.
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Frequently asked questions for Dextromethorphan

Q. Is dextromethorphan a steroid/an opiate/an antihistamine/ a narcotic/an NSAID/a controlled substance/contain alcohol/have codeine?
Dextromethorphan is a decongestant and not a steroid, antihistamine, opiate, NSAID or narcotic, but can have addictive effects if taken at large doses than recommended. It does not contain codeine or alcohol. It is not a controlled substance
Q. Does dextromethorphan work/ how much dextromethorphan can i take for cough?
Dextromethorphan works for most of the patient. It should be taken in amounts exactly as directed on the label, or as prescribed by your doctor. Cough medicine is usually taken only for a short time until your symptoms clear up. Do not use the medication in larger amounts, or use it for longer than recommended
Q. Is dextromethorphan safe/ does dextromethorphan makes you sleepy/make you tired/ raise blood sugar?
Dextromethorphan causes mild sedation effect thus can make you feel sleepy. It does not raise blood sugar or make you tired. Dextromethorphan is generally safe if taken at recommended doses and duration
Q. Can i take dextromethorphan with high blood pressure/ safe for high blood pressure/ raise blood pressure/ thin blood?
Though it isn't reported, but it should be used carefully in people with high blood pressure, as dextromethorphan may cause high blood pressure and the effectiveness of dextromethorphan is decreased by high blood pressure medications
Q. Can I take dextromethorphan with benzonatate/acetaminophen/codeine/ibuprofen/ diphenhydramine/pseudoephedrine/guaifenesin/Tamiflu/Benadryl?
Drug interaction with any of the above mentioned drugs is not documented, but it can occur. Always follow your doctor's advice before taking any medicine with dextromethorphan.
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Frequently asked questions for Cetirizine

Q. Is cetirizine/ Alerid/ Alerid syrup an antihistamine/antibiotic/steroid?
Cetirizine is an antihistaminic drug. It is not an antibiotic or steroid
Q. Is cetirizine/ Alerid D banned?
It is available in India and should be taken as advised by doctor
Q. Can you take cetirizine for prickly heat?
Cetirizine can be used for prickly heat to reduce the itching. Patients should follow the advice of the doctor regarding its use
Q. Can I take cetirizine with high blood pressure?
Patients with high blood pressure can take cetirizine. Patients should follow the advice of the doctor regarding its use
Q. Can I take cetirizine with antibiotics/ azithromycin/ citalopram/ sertraline?
Yes, as there are no expected reactions with cetirizine. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Does cetirizine make you gain weight?
It is rarely seen, but there is a possibility that cetirizine, like other anti-histamines might cause gain in weight
Q. Is cetirizine/ Alerid safe?
Cetirizine/ Alerid is safe at the prescribed dose by the doctor. Patients should follow the advice of the doctor regarding its use
Q. Is cetirizine good for cold/ used for sore throat/ allergic reaction/itching/hives?
Cetirizine is used to treat cold or allergy symptoms such as sneezing, itching, watery eyes, or runny nose. It is also used to treat hives, but not used for sore throat. Patients should follow the advice of the doctor regarding its use
Q. How long can I take cetirizine for?
Patient should take cetirizine as directed by doctor
Q. Can I take cetirizine with paracetamol/ aspirin/ ibuprofen/ DayQuil/ prednisone/ Benadryl?
Cetirizine can be taken along with paracetamol, aspirin, ibuprofen, or prednisone. However, taking Benadryl and Dayquil along with cetirizine can increase the drowsiness. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required
Q. Can I take cetirizine with loratadine/ diphenhydramine/ brompheniramine/ fexofenadine?
No. Patient should not take cetirizine with these drugs as they are from same category of antihistamines. Patients should follow the advice of the doctor regarding its use
Q. Does cetirizine make you sleepy or cause drowsiness?
Patient may feel sleepy after taking cetirizine. Always consult your doctor
Q. Does cetirizine contain diphenhydramine/pseudoephedrine/aspirin/acetaminophen (paracetamol)?
No. Cetirizine does not contain diphenhydramine/pseudoephedrine/aspirin. However doctor may prescribe cetirizine in combination with these drugs.
Q. Can I take Cetirizine with Betahistine?
Cetirizine should not be taken with Betahistine as it has antihistamine action and Betahistine has histamine like action and using the two medicines together may lower the efficacy of either of them.
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