Dosage of Rhinathiol Adult Syrup 5%

Rhinathiol Adult Syrup 5% is an Over-the-Counter (OTC) medicine (Non-Prescription in many markets).

Adults (and children over 15 years): Take one 15 mL measuring cup, 3 times daily, or as directed by the pharmacist or physician.

Proper Administration

• Route: Oral liquid (syrup).
• How to Take: Shake the bottle well before use. Measure the exact dose using the 15 mL measuring cup or spoon provided.
• Timing: Administer at consistent intervals throughout the day. It is often recommended not to take the dose during mealtimes to maximize absorption, but take it with food if stomach upset is a problem.
• Coughing Encouraged: During treatment, make an effort to cough to help expel the thinned phlegm effectively.
• Maximum Dose: Do not exceed 3 doses (45 mL/2250 mg Carbocisteine) per day.

Missed Dose Guidance

• If you miss a dose, take it as soon as you remember.
• Do not take a double dose to make up for a forgotten dose.

Contraindications of Rhinathiol Adult Syrup 5%

Do NOT take Rhinathiol Adult Syrup 5% if you:

• Have a known allergy or hypersensitivity to Carbocisteine, methyl paraben (E218), or any other ingredients in the syrup.
• Have an active stomach or intestinal ulcer (gastroduodenal ulcers).
• Are taking cough suppressant medications (medicines intended to calm a dry or irritating cough).
• Are children below 15 years old.

Pregnancy & Breastfeeding Warnings

• Pregnancy: Consult your doctor. The use of Carbocisteine is generally not recommended during the first three months of pregnancy. Use in later stages is only advised under medical supervision.
• Breastfeeding: Consult your doctor. There is limited data on safety during lactation. Use is generally not recommended or advised only under medical supervision.

Side Effects of Rhinathiol Adult Syrup 5%

Side effects are generally related to the digestive system or rare allergic reactions.

• Common Side Effects (Mild and Expected): Digestive disorders, such as stomach ache, nausea, vomiting, or diarrhoea. If these occur, the dose may need to be reduced.
• Serious but Rare Side Effects (that may require medical attention):
  • Gastrointestinal Bleeding: Bleeding in the stomach or intestine (stop treatment immediately).
  • Severe Allergic Reactions: Appearance of severe skin rashes (e.g., Stevens-Johnson syndrome), swelling of the face/neck (angioedema), or difficulty breathing.
  • Bronchial Congestion: Worsening of bronchial congestion (rare, stop immediately).

What to do if side effects occur:

• For mild stomach pain or diarrhoea, the dose should be reduced. Try taking the syrup during a meal (though not usually recommended) or ensure it is not taken on an empty stomach.
• If you observe any sign of a severe skin rash, difficulty breathing, or signs of digestive bleeding, stop the medication immediately and seek emergency medical assistance.

Precautions and Warnings of Rhinathiol Adult Syrup 5%

• Peptic Ulcer History: Use with caution if you have a history of peptic ulcers.
• Cough Suppressants: DO NOT combine this mucolytic syrup with cough suppressants (medicines for dry cough) or medicines that dry up bronchial secretions, as this may lead to a dangerous buildup of thinned mucus in the chest.
• Ethanol/Alcohol Content: The syrup contains Ethanol (alcohol) (typically 1.34% vol/vol). This should be taken into account for individuals suffering from alcoholism, liver disease, epilepsy, or those on medication that interacts with alcohol.
• Sucrose/Diabetic Patients: The syrup contains sucrose (sugar). This must be taken into account if you are diabetic or on a low-sugar diet. A 15 mL dose contains approximately 6 g of sucrose.
• Not During Mealtimes (Standard Advice): The best efficacy is often achieved when the medication is not taken during mealtimes, though some sources advise taking it with food to reduce GI upset. Follow your doctor's instructions.
• Sodium Content: Contains sodium; be aware if you are on a controlled sodium diet.

The active ingredient is Carbocisteine (5g/100mL or 750 mg/15 mL). It is supplied as an oral syrup in a bottle (typically 125 mL or 200 mL). It is an Over-the-Counter (OTC) Mucolytic (Chesty Cough) Medicine for adults and adolescents over 15 years.