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Nizbro 200mg Tablet SR

Prescription Required

Overview

Introduction

Nizbro 200mg Tablet SR is used to treat and prevent symptoms of asthma and chronic obstructive pulmonary disorder (a lung disorder in which flow of air to the lung is blocked). It helps in relaxing the muscles of the air passages, thus widening it and making it easier to breathe.

Nizbro 200mg Tablet SR can be taken with the food in evening. But take it at the same time every day to get the most benefit.  The dose and how often you take it depends on what you are taking it for. Your doctor will decide how much you need to improve your symptoms.  You should take this medicine for as long as it is prescribed for you. Do not miss even a single dose, if in any case, you missed a dose, take it as soon as you remember or better to skip the missed dose and continue with regular dosing. It does not work immediately or prevent the already started breathing trouble, hence always carry your medical inhaler with you for an emergency.

The most common side effects of this medicine include nausea, headache, vomiting, and abdominal upset or discomfort. If these bother you or appear serious, let your doctor know. There may be ways of reducing or preventing them. Generally, it is advised not to consume alcohol or do not smoke while on treatment.

Before taking this medicine, let your doctor if you have kidney or liver disease or if you have heart-related problems. Your doctor should also know about all other medicines you are taking as many of these may make this medicine less effective or change the way it works. Inform your doctor if you are pregnant or breastfeeding before starting the treatment. 

Side effects of Nizbro Tablet SR

Most side effects do not require any medical attention and disappear as your body adjusts to the medicine. Consult your doctor if they persist or if you’re worried about them

Common side effects of Nizbro

  • Nausea
  • Headache
  • Vomiting
  • Upset stomach
  • Restlessness

How to cope with side effects?

The occurrence of side effects varies from person to person. The following are a few ways of dealing with some of the common side effects. However, consult your doctor if these persist.

  • Coping with Nausea
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop from feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Headache
    Make sure you rest and drink plenty of fluids. Rest in a quiet, dimly lit room. Do not sleep more than you normally would. Do not strain your eyes (for example by looking at a screen). Do not drink alcohol. Headaches are usually temporary and usually go away with time. But, if they last longer or get worse, ask your doctor to recommend a painkiller.
  • Coping with Vomiting
    You can help yourself by eating small, frequent meals rather than large ones and drinking plenty of fluids. Eat slowly. Avoid fatty, fried, spicy and very sweet foods. Eat cold or slightly warm food if the smell of cooked or cooking food makes you feel sick. Get plenty of fresh air. You could also try chewing ginger or drinking ginger tea. Eat bananas to replace potassium in your blood which can drop if you are sick (vomit). Use oral rehydration salts to replace vitamins and minerals lost through being sick. There are some medicines that can help you stop feeling sick. Speak to your doctor if your condition does not improve.
  • Coping with Upset stomach
    Try taking your medicine with a meal or snack, or shortly after eating. It might help to eat smaller and more frequent meals, and to eat and drink slowly. Avoid foods which can irritate your stomach such as carbonated soft drinks, caffeine, fatty and spicy foods, mints and citrus fruits. Quit smoking and alcohol because they increase the symptoms. Do not eat for 3 or 4 hours before going to bed. Try raising the head of your bed at night or use extra pillows. Ask your doctor or pharmacist about medicines that may help, such as antacids, if your condition does not improve.
  • Coping with Restlessness
    This often disappears when the condition you are being treated for is managed. You could ask your doctor about changing the dose of your medicine or alternatives if it is affecting your daily life or causing you distress. Psychological treatments may be available. Some things you can do to help yourself include stopping smoking, cutting down the amount of alcohol and caffeine you drink, and doing regular exercise. You should also eat a healthy diet and find out how to get sleep if you are having trouble. Try talking to a friend or family member. Calming breathing exercises and other relaxation techniques may also help.

How to use Nizbro Tablet SR

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Nizbro 200mg Tablet SR is to be taken with food.

How Nizbro Tablet SR works

Nizbro 200mg Tablet SR is a mucolytic and bronchodilator. It works by relaxing the muscles of the airways and also thins and loosens mucus, making it easier to breathe.

Safety Advice

Alcohol
UNSAFE
Nizbro 200mg Tablet SR may cause excessive drowsiness with alcohol.
Pregnancy
CONSULT YOUR DOCTOR
Information regarding the use of Nizbro 200mg Tablet SR during pregnancy is not available. Please consult your doctor.
Breastfeeding
CONSULT YOUR DOCTOR
Information regarding the use of Nizbro 200mg Tablet SR during breastfeeding is not available. Please consult your doctor.
Driving
SAFE
Nizbro 200mg Tablet SR does not usually affect your ability to drive.
Kidney
CAUTION
Nizbro 200mg Tablet SR should be used with caution in patients with kidney disease. Dose adjustment of Nizbro 200mg Tablet SR may be needed. Please consult your doctor.
Liver
CAUTION
Nizbro 200mg Tablet SR should be used with caution in patients with liver disease. Dose adjustment of Nizbro 200mg Tablet SR may be needed. Please consult your doctor.

What if you forget to take Nizbro Tablet SR?

If you miss a dose of Nizbro 200mg Tablet SR, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Nizbro 200mg Tablet SR
₹14.2/Tablet SR
Brophyle SR Tablet
Zuventus Healthcare Ltd
₹16.99/Tablet SR
20% costlier
Xanilax SR 200 Tablet
Torrent Pharmaceuticals Ltd
₹17.38/Tablet SR
22% costlier
AB Phylline SR 200 Tablet
Sun Pharmaceutical Industries Ltd
₹19.2/Tablet SR
35% costlier
₹19.74/Tablet SR
39% costlier
Ascovent -SR Tablet
Glenmark Pharmaceuticals Ltd
₹19.75/Tablet SR
39% costlier

Quick Tips

  • You have been prescribed Nizbro 200mg Tablet SR for prevention and treatment of asthma and chronic obstructive pulmonary disease (COPD).
  • It should be taken at the same time each day, preferably in the evening after food.
  • It does not work right away and should not be used to relieve sudden breathing problems. Always keep a fast-acting (rescue) inhaler with you.
  • Your doctor may take regular blood test to monitor potassium level and the level of this medicine in your body.
  • Notify your doctor if you have ever been diagnosed with kidney, liver or heart disease, or if you have a smoking history. Your dose may need to be adjusted.
  • Do not discontinue use without consulting your doctor, even if you feel better.

Fact Box

Chemical Class
Xanthinic Derivatives
Habit Forming
No

Patient Concerns

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i m suffering from breathing problem cough chest infame . Do tell chronic obstructive pulmonary disease .So tell which medicines should i take to treat this problem.
Dr. Anshum Aneja Arora
Pulmonology
It is less likely you have copd at this age You need detailed check up and spirometry test for same
Old cough at morning last 15 years
Dr. Vijay Verma
ENT
can be bronchial asthma or COPD consult chest physician
arrow
Do you have any questions related to Nizbro 200mg Tablet SR ?

FAQs

Q. Does birth control pills have any effect on Nizbro?

If you are taking birth control pills, dose of Nizbro need to be reduced as birth control pills may interfere with clearance of Nizbro, increasing its levels and chances of side effects.

Q. How should Nizbro be taken?

Nizbro should be taken strictly as advised by the doctor. To avoid an upset stomach it should be taken with food.

Q. Is it okay to take furosemide along with Nizbro?

One should take proper caution if you are taking furosemide along with Nizbro. This is because the combined use of these medicines may decrease the levels of potassium. Hence, regular monitoring of potassium levels is required.

Q. When should Nizbro be avoided?

Nizbro should be avoided in patients who are allergic to ambroxol, Nizbro, or theophylline. Along with that, patients suffering from low blood pressure, irregular heart beats or rhythm or history of heart attack, liver disease or kidney disorder should avoid taking Nizbro.

Q. Is Nizbro the same as theophylline?

Nizbro comprises of theophylline-7 acetate and ambroxol which makes it effective in making the mucus more fluid and clearing the airways easily, thereby making breathing easier. This effect of Nizbro works as an added advantage over theophylline. Moreover, it also reduces the need for other medicine used to treat asthma, like salbutamol.

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Disclaimer:

1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.

References

  1. PubChem. Acebrophylline. [Accessed 01 Apr. 2019] (online) Available from:External Link
  2. Pozzi E. Acebrophylline: An airway mucoregulator and anti-inflammatory agent. Monaldi Arch Chest Dis. 2007;67(2):106-15. [Accessed 01 Apr. 2019] (online) Available from:External Link
  3. Central Drugs Standard Control Organisation (CDSCO). [Accessed 01 Apr. 2019] (online) Available from:External Link

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