Envil Cough Syrup 100ml

Envil Cough syrup contains the active substance ambroxol hydrochloride, which has an expectorant effect and thins secretions in the respiratory tract. The drug is in the form of a syrup for oral use.

Symptoms

Auxiliary in acute and chronic diseases of the respiratory tract with difficulty coughing up viscous bronchial secretions, e.g.: emphysema, bronchial asthma, bronchiectasis, cystic fibrosis, bronchitis, laryngitis.

If you do not feel better or feel worse after 4 to 5 days, please contact your doctor.

Active substance: Ambroxoli hydrochloride

Composition

5 ml of syrup contains:	30 mg of the active substance ambroxol hydrochloride
	excipients: hydroxyethylcellulose, sorbitol, non-crystallizing liquid, glycerol, propylene glycol, sodium saccharin, benzoic acid, Tutti-Frutti flavor, purified water.

Dosage

Always take this medicine exactly as described in the package leaflet or as your doctor or pharmacist has told you. Check with your doctor or pharmacist if you are not sure.

The recommended dose
The recommended doses are used in the treatment of acute respiratory diseases and in the initial period of treatment of chronic conditions. In long-term treatment (more than 14 days) doses can be reduced to half.

Adults and adolescents over 12 years of age: 5 ml of syrup 3 times a day for the first 2 to 3 days of treatment, then 5 ml of syrup 2 times a day. If symptoms worsen or do not improve after 4 to 5 days, contact your doctor.

Method of administration
The drug should be taken orally. The drug should be taken after a meal.

Do not use before bedtime.

A measuring cup is attached to the package to facilitate dosing, with which the medicine should be measured.

The syrup does not contain sugar.

Contraindications

Do not take Envil cough:

• if you are allergic to ambroxol hydrochloride or any of the other ingredients of this medicine.

Notes for use

Envil cough contains sorbitol

If you have been told by your doctor that you have an intolerance to some sugars, contact your doctor before taking this medicine.

Contents

Envil Cough is in the form of a syrup.

The packaging of the drug is an amber glass bottle, containing 100 ml of syrup, closed with an aluminum cap with a measuring cup, in a cardboard box

Storage method

Below 25°C

Manufacturer

AFLOFARM

Warnings

This is medicine. For safety, use it according to the leaflet attached to the package. Do not exceed the maximum dose of the drug. If in doubt, consult your doctor or pharmacist.

Talk to your doctor or pharmacist before taking Envil cough:

• if you have a stomach and/or duodenal ulcer;
• if you have kidney and/or liver problems;
• if the patient has a weakened cough reflex (difficulty in coughing up) or impaired ciliary clearance of the bronchi due to the possibility of secretion retention;
• if you suffer from bronchial asthma, as ambroxol may initially increase coughing and cause excessive mucus production.

Excessive fluid secretion from the respiratory tract may occur at the beginning of treatment. In this case, a cough should be provoked in order to expectorate it. It may be necessary to aspirate secretions, in which case the patient should see a doctor.

Cases of severe skin reactions have been reported with the use of ambroxol hydrochloride. If you develop a rash (including lesions on the mucous membranes, e.g. mouth, throat, nose, eyes, genitals), stop taking Envil cough and contact your doctor immediately.

Pregnancy and breastfeeding

If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.

It is not recommended to use this medicine during pregnancy as it may be harmful to the embryo and foetus.

It is not recommended to use this medicine during breast-feeding as it is excreted in breast milk.

Driving

The drug has no effect on the ability to drive and use machines. If you experience a headache, do not drive, operate machinery or engage in other activities that require concentration.

Overdosage

Contact your doctor if you take more than the recommended dose. Symptoms of overdose may occur: nausea, fatigue, excessive secretion of mucus from the bronchi.

Interactions with other drugs

Tell your doctor or pharmacist if you are taking or have recently taken or might take any other medicines. Tell your doctor if you are using:

• antibiotics (medicines used to treat infections, such as amoxicillin, erythromycin, ampicillin, doxycycline and cefuroxime), as ambroxol increases their penetration into the lungs and increases their effect;
• theophylline (a medicine used to treat bronchial asthma), as it increases the effect of ambroxol;
• antitussives (used to treat a dry, tiring cough) as they can suppress the cough reflex and cause mucus to remain in the airways.

Side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them. Stop taking Envil cough and contact your doctor immediately if you experience:

• anaphylactic shock (skin rash, itchy hands and feet all over the body, swelling of the face, lips or throat that makes it difficult to breathe, wheezing, shortness of breath, no pulse, severely low blood pressure, sweating, cold extremities, loss of consciousness, cardiac arrest).

The following side effects may occur

Rare: may affect up to 1 in 1,000 people:

• hypersensitivity reactions;
• rash, hives;
• pain and burning when urinating (dysuria).

Not known: frequency cannot be estimated from the available data:

• anaphylactic reactions, including anaphylactic shock, angioedema (rapidly progressive swelling of the skin, subcutaneous tissue, mucosa or submucosal tissue) and pruritus;
• serious skin side effects (including erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis and acute generalized pustulosis);
• heartburn, indigestion;
• nausea, vomiting;
• diarrhea, constipation;
• skin changes, fever, shortness of breath, chills, swelling of the face, headache;
• dry mouth due to lack of saliva production (xerostomia).

Reporting Adverse Reactions
If you get any side effects, talk to your doctor or pharmacist. This includes any side effects not listed in this leaflet.