Bralchium (Syrup) Instructions for Use

Marketing Authorization Holder

Danson-Ru, LLC (Russia)

Manufactured By

Yaroslavl Pharmaceutical Factory, CJSC (Russia)

ATC Code

R05CA (Expectorants)

Dosage Form

Bralchium

Syrup

Dosage Form, Packaging, and Composition

Syrup

100 g – dropper bottles – for hospitals
100 g – dropper bottles – cardboard packs – Over-the-Counter
100 g – dropper bottles – cardboard packs /with a measuring spoon/ – Over-the-Counter
100 g – dropper bottles – cardboard packs /with a measuring cup/ – Over-the-Counter
100 g – bottles – for hospitals
100 g – bottles – cardboard packs – Over-the-Counter
100 g – bottles – cardboard packs /with a measuring spoon/ – Over-the-Counter
100 g – bottles – cardboard packs /with a measuring cup/ – Over-the-Counter

Clinical-Pharmacological Group

Herbal preparation with expectorant, antimicrobial, and bronchodilatory action

Pharmacotherapeutic Group

Drugs used for cough and colds; expectorants, excluding combinations with antitussives; expectorants

Pharmacological Action

The drug is a combined medicinal product.

The liquid extract of thyme has an expectorant effect, increases the amount of secretory discharge from the mucous membranes of the upper respiratory tract, promotes the liquefaction of sputum and accelerates its evacuation.

Potassium bromide reduces the excitability of the central nervous system.

Indications

• Use as an expectorant in the complex therapy of inflammatory respiratory tract diseases for patients aged 3 years and older.

Specifically indicated for conditions including acute respiratory diseases, tracheitis, bronchitis, and whooping cough to facilitate sputum evacuation.

Dosage Regimen

Administer orally, strictly after meals to minimize potential appetite suppression.

Determine the specific dose based on the patient’s age, adhering precisely to the provided age-specific dosing schedule.

Continue the standard treatment course for 10-14 days.

Extend the duration or initiate repeat treatment courses only upon the explicit recommendation and under the supervision of a physician.

Adverse Reactions

Monitor for allergic reactions and gastrointestinal disturbances such as heartburn.

Be aware that nausea may occur, particularly as a sign of overdose.

Discontinue use immediately and consult a physician if any adverse reactions are severe or persistent.

Contraindications

• Hypersensitivity to thyme herb extract, potassium bromide, or any excipient.
• Severe hepatic impairment or active liver disease.
• History of alcoholism, epilepsy, or known brain diseases.
• Status post recent traumatic brain injury.
• Decompensated chronic heart failure.
• Pregnancy and the entire period of breastfeeding.
• Children under 3 years of age.

Use in Pregnancy and Lactation

Use is contraindicated during pregnancy and breastfeeding.

Pediatric Use

Use is contraindicated in children under 3 years of age.

Special Precautions

If no improvement occurs during treatment, or symptoms worsen, or new symptoms appear, it is necessary to consult a doctor.

The dosage form contains ethanol and sucrose.

Effect on ability to drive vehicles and machinery

During the use of the drug, caution should be exercised when engaging in potentially hazardous activities that require increased concentration and speed of psychomotor reactions (including driving vehicles, working with moving mechanisms, work of a dispatcher and operator).

Drug Interactions

Avoid concurrent use with antitussive agents (e.g., codeine, dextromethorphan) due to the risk of impaired sputum clearance.

Exercise caution with other central nervous system depressants, including alcohol, sedatives, and hypnotics, as potassium bromide may potentiate their effects.

Consult a healthcare professional before combining with any other prescription or over-the-counter medications.

Overdose

Symptoms of overdose may include nausea, vomiting, and signs of bromism such as drowsiness, ataxia, confusion, or skin rash.

In cases of suspected overdose, immediately discontinue the medication and seek urgent medical attention.

Treatment is supportive and symptomatic; there is no specific antidote. Gastric lavage may be considered if ingestion was recent.

Storage Conditions

Store at 2°C (36°F) to 25°C (77°F). Keep in original packaging, protected from light. Keep out of reach of children.

Dispensing Status

Over-the-Counter

Important Safety Information

This information is for educational purposes only and does not replace professional medical advice. Always consult your doctor before use. Dosage and side effects may vary. Use only as prescribed.