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food interaction for SHWAS

alcohol interaction for SHWAS

pregnancy interaction for SHWAS

lactation interaction for SHWAS

Avoid Shwas syrup with caffeine and chocolate as well as food containing caffeine and chocolate such as tea leaves, cocoa beans.
Shwas syrup may cause excessive drowsiness and calmness with alcohol.
Shwas syrup may be unsafe to use during pregnancy.
Either animal studies have shown adverse effect on fetus and there are no human studies or studies in human and animals are not available. It should be given only if potential benefits justifies risk to the fetus. Please consult your doctor.
Unknown. Human and animal studies are not available. Please consult your doctor.


Bromhexine(4 mg)


Bromhexine is used to treat breathing difficulties caused by excessive mucus secretions in the air passages associated with respiratory tract infections.

How it works

Bromhexine belongs to the class of medications called as expectorants/mucolytic agents. It acts by thinning the mucus which facilitates expectoration and eases cough.

Common side effects

Irritation of ear, Allergic skin rash, Dizziness, Headache
Etofylline(200 mg)


Etofylline is used to prevent and provide relief from constriction of air passages (bronchospasm) that causes shortness of breath in various disorders of the lungs such as asthma, bronchitis and emphysema.

How it works

Etofylline is a derivative of theophylline that belongs to class of medications called xanthines. It works in the airways by relaxing muscles, opening air passages to improve breathing, and decreasing the lungs response to irritants.

Common side effects

Acute toxicity, Altered heart rate, Decreased blood pressure, Nausea, Rash, Stomach upset, Vomiting
Menthol(1 mg)


Pharmaceutical Aid

How it works

Menthol primarily activates the cold-sensitive TRPM8 receptors in the skin. Menthol, after topical application, causes a feeling of coolness due to stimulation of 'cold' receptors by inhibiting Ca++ currents of neuronal membranes. It may also yield analgesic properties via kappa-opioid receptor agonism.

Common side effects

Vomiting, Nausea, Nystagmus (involuntary eye movement), Abdominal pain, Coma, Apnea (absence of breathing), Altered heart rate, Vertigo, Balance disorder (loss of balance), Contact dermatitis, Drowsiness
Albuterol(2 mg)


Albuterol is used in treating symptoms such as coughing, wheezing, chest tightness and difficulty breathing caused by lung diseases such as asthma and chronic obstructive pulmonary disease. Albuterol inhalation is also used to prevent bronchospasm (constriction of the air passages) or exercise-induced bronchospasm.

How it works

Albuterol belongs to a class of medications called β2 agonists. It is a bronchodilator which relaxes muscles of the airway passages to lung, making breathing easier.

Common side effects

Nausea, Nervousness, Altered heart rate, Anxiety, Back pain, Body ache, Diarrhoea, Headache, Restlessness, Running nose, Sore throat, Stomach upset, Tremor, Vomiting


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Expert advice for SHWAS

  • Tell your doctor if you have ever had or are suffering from stomach ulcer. You may not be prescribed Bromhexine as it can aggravate your problem.
  • Inform your doctor if you have any liver/kidney disease or asthma.
  • Tell your doctor if you are pregnant, planning to become pregnant or are breastfeeding.
  • Do not take if allergic to Bromhexine or any of its ingredients.

Frequently asked questions for SHWAS


Q. Is Bromhexine an antihistamine?
No, Bromhexineis not an antihistamine.


 Q. Is albuterol a steroid or a corticosteroid?
Albuterol is not a steroid or a corticosteroid.

Q. Is it addictive?
 No it  is not  an addictive.
Q. Is albuterol safe and over the counter?
Albuterol is safe if used at prescribed doses for the prescribed duration as advised by your doctor. Albuterol is not available over-the-counter. It is sold only upon a prescription by a registered medical practitioner.
Q. Does albuterol make you sleepy?
Albuterol can cause sleepiness as a rare side effect.
Q. Is albuterol the same as Ventolin?
Albuterol and ventolin belongs to same category of drugs with similar action, but their effect may vary upon individual response.
Q. Can I take albuterol for bronchitis, coughing, chest congestion, pneumonia, croup (respiratory infection caused by a virus)?
Albuterol is mainly used in asthma. It is good in the treatment of chest congestion and can prevent getting pneumonia.
Q. Can I take albuterol and Advair? 
Using albuterol and Advair together can increase heart related side effects. 
Q. Can I take albuterol with prednisone?
Concomitant use of albuterol and prednisolone may result in hypokalaemia (deficiency of potassium in the blood).
Q. Can I take albuterol with Symbicort?
Using albuterol with symbicort may increase heart related side effects such as increased heart   rate, blood pressure or irregular heart rhythm.


Content on this page was last updated on 22 November, 2015, by Dr. Varun Gupta (MD Pharmacology)