Tuspel Syrup
Dextromethorphan + Guaiphenesin + Menthol
              300 mg + 4 gm + 300  
              
              Beximco Pharmaceuticals Ltd.
                  
              
              | Pack size | 100 ml bot | 
|---|---|
| Unite Price | 85.00 BDT | 
Indications
Tuspel Syrup is used for: 
 Nonproductive cough with chest congestion
                                              
                        Adult Dose
Adult:
10mL every 4 hours; max 6 doses/24 hours.
                                              
                        Child Dose
Renal Dose
Administration
Contra Indications
Children <12yrs old. During or within 14 days of MAOIs.
                                              
                        Precautions
Asthma. Lower respiratory disorders. Pregnancy. Nursing mothers.
                                              
                        Pregnancy-Lactation
Dextromethorphan Hydrobromide-guaifenesin have been assigned to pregnancy category C by the FDA. There are no controlled data on this combination product in human pregnancy. Dextromethorphan Hydrobromide-guaifenesin is only recommended for use during pregnancy when benefit outweighs risk.
There are no data on the excretion of dextromethorphan-guaifenesin into human milk. In nursing infants, a decision should be made to discontinue. There are no human studies on the use of menthol during pregnancy; thus, its risk is undetermined.
                                              
                        Interactions
Possible reactions systemically may occur with acetaminophen / hydrocodone, diphenhydramine, escitalopram, acetaminophen / codeine, alprazolam and ondansetron.
                                              
                        Side Effects
Side effects of Dextromethorphan + Guaiphenesin + Menthol : 
 GI upset; rare: drowsiness,  headache,  rash.
                                              
                        Mode of Action
Guaifenesin is an expectorant which works by decreasing the stickiness of airway secretions and helps in their removal from the airways. It helps loosen congestion in the chest and throat, making it easier to cough out through the mouth. 
Dextromethorphan Hydrobromide is a cough suppressant. It affects the signals in the brain that trigger cough reflex. 
Menthol is an organic compound made synthetically or obtained from corn mint, peppermint, or other mint oils. It has local anesthetic and counterirritant qualities, and it is widely used to relieve minor throat irritation.
                                              
                        Note
Tuspel 300 mg + 4 gm + 300 Syrup generic name is Dextromethorphan + Guaiphenesin + Menthol. Tuspel 300 mg + 4 gm + 300 Syrup is manufactured by Beximco Pharmaceuticals Ltd.Tuspel is availble in all over Bangladesh.
 Mes BD drug index information on Tuspel Syrup is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.
                                        Some other brands of Dextromethorphan + Guaiphenesin + Menthol :
Syrup
                        
                                Cofrid
                                15mg + 200mg + 15mg/5ml
                            
                            
                            
                                Acme Laboratories Ltd.
                            
                        Syrup
                        
                                Expreso
                                300mg + 4gm + 300mg/10
                            
                            
                            
                                Ziska Pharmaceuticals Ltd.
                            
                        Syrup
                        
                                Coufix
                                15mg + 200mg + 15mg
                            
                            
                            
                                ACI Limited
                            
                        Syrup
                        
                                Dexpel
                                300 mg + 4 gm + 300 mg/10
                            
                            
                            
                                Opsonin Pharma Limited
                            
                        Syrup
                        
                                Cofnil Plus
                                300 mg + 4 gm + 300 mg/10
                            
                            
                            
                                General Pharmaceuticals Ltd.