Bronkal Oral

Description

Bronkal Syrup contains salbutamol, a selective beta-2 agonist that relaxes bronchial smooth muscle for 4-6 hour bronchodilation in reversible airways diseases.

How It Functions

Salbutamol stimulates beta-2 receptors in lungs, causing muscle relaxation and airway widening while minimizing cardiac effects at therapeutic doses. DRAP and PMDC guidelines position it as essential relief for asthma exacerbations in Pakistan’s high-burden respiratory landscape.

Common Applications

Relief of bronchospasm in bronchial asthma (all types), chronic bronchitis, emphysema; adjunct for wheezing, shortness of breath.

Dosage Form

Oral syrup (60ml); shake well before measuring with cup/syringe.

How To Use

Take orally, with or without food, as prescribed—typically 2-4 times daily for maintenance or as needed for relief.

Dosage

Adults/children over 12: 5-10ml (2-4mg) 3-4 times daily. Children 2-12: 2.5-5ml (1-2mg) 3-4 times daily. Adjust per response; doctor-guided.

Potential Side Effects

Very common: Tremor. Common: Headache, tachycardia, palpitations, muscle cramps. Rare: Hypokalaemia, peripheral vasodilatation, arrhythmias (atrial fibrillation, extrasystoles). Very rare: Hypersensitivity (angioedema, urticaria, bronchospasm, hypotension, collapse), hyperactivity, muscle tension.

Key Warnings and Precautions

Monitor potassium in severe asthma, especially with xanthines, steroids, diuretics, hypoxia. Follow stepwise asthma management; reassess if short-acting beta-2 use increases. Daily peak flow for at-risk patients. If relief diminishes or duration shortens, seek advice—don’t escalate dose. Pregnancy: Consult physician.

When It’s Not Suitable (Contraindications)

Hypersensitivity to components. Non-IV forms not for uncomplicated premature labor or threatened abortion.

Drug Interactions

• Propranolol: Beta-blocker antagonism.
• MAOIs: Potentiated effects.
• Digoxin, theophylline, aminophylline: Arrhythmia risk.
• Prednisolone: Hypokalaemia.
• Diuretics (frusemide): Electrolyte imbalance.
• Antidiabetics (insulin, metformin, glibenclamide): Altered efficacy.

In Case of Overdose

Symptoms: Tachycardia, tremor, hypokalaemia—seek emergency; supportive care with beta-blockers if needed.

Missed Dose

Take when remembered if not near next; resume schedule—don’t double.

Storage and Disposal

Room temperature, away from light/heat. Pharmacy disposal for expired.

Quick Tips

• Measure accurately; shake bottle.
• Rinse mouth post-dose to avoid taste.
• Pair with spacer if nebulized form used.
• Track symptoms; report worsening.

Doctor Review

Pulmonologists like Dr. Khalid Rahman prescribe Bronkal for acute asthma relief and maintenance in Pakistan, effective for quick bronchodilation but emphasize monitoring for tolerance and combining with corticosteroids for control amid rising urban pollution.

Laboratory Screening

• Serum potassium in severe cases.
• ECG if cardiac history.
• Peak flow/lung function tests.

FAQs

What is Bronkal for?

Bronchospasm relief in asthma, bronchitis, emphysema.

Dosing?

5-10ml 3-4x daily adults; weight-based for children.

Pregnancy safe?

Consult doctor; category C.

Storage?

Room temp, dark/dry.

Side effects?

Tremor, tachycardia, cramps; rare hypokalaemia.

Avoid if?

Salbutamol allergy; not for preterm labor.

Disclaimer: Product information only, not medical advice. Consult qualified Pakistani physician before Bronkal use. Seek urgent care for severe reactions or asthma deterioration. Store room temperature, away from light.