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Rhinathiol Promethazine Syrup

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Rhinathiol Promethazine Syrup combines carbocisteine and promethazine to thin mucus and suppress nocturnal, non-productive coughs. It’s taken up to three times daily, providing both expectorant and sedative effects. Side effects include drowsiness and mild GI upset, and it’s not suitable for children under 2 or those with certain health issues.

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Name:

Rhinathiol Promethazine Syrup


Category:

Cough Syrup / Mucolytic + Antihistamine Combination


Prescription Status:

Pharmacy Medicine (may require pharmacist supervision in some areas)


Active Ingredients (per 5 ml):

  • Carbocisteine – 100 mg or 250 mg (depending on formulation)

  • Promethazine Hydrochloride – 2.5 mg


Uses:

  • Treats irritative (dry) and non-productive coughs

  • Reduces coughing at night by thinning mucus and calming the cough reflex

  • May be used in upper respiratory infections, bronchitis, or post-nasal drip


Dosage:

  • Adults and teens (15+ years): 10–15 ml, three times daily

  • Children 6–15 years: 7.5–10 ml, three times daily

  • Children 2–6 years: 2.5–5 ml, three times daily

  • Not recommended for children under 2 years


How It Works:

  • Carbocisteine thins and breaks down mucus in the airways

  • Promethazine reduces irritation in the throat and provides a sedative effect, helping reduce nighttime coughing


Common Side Effects:

  • Drowsiness, dizziness, or dry mouth

  • Mild nausea, stomach upset, or constipation

  • Rare: rash, blurred vision, urinary retention


Precautions:

  • Avoid use in:

    • Children under 2 years

    • People with glaucoma, urinary retention, or asthma

    • Those with severe liver disease, stomach ulcers, or epilepsy

  • Avoid alcohol and other sedatives due to risk of enhanced drowsiness

  • Use with caution in elderly and in those operating machinery or driving


Storage:

  • Store below 25°C, in a dry place

  • Keep out of reach of children

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