GRIPPOSTAD ambro 30 mg. 20 tablets

What is Grippostad ambro and what it is used
Grippostad ambro is a medicine that acts secretolytic in respiratory diseases accompanied by thick secretions (ekspektorans).
Grippostad ambro is used to mucolytic treatment of acute and exacerbated chronic diseases of the bronchi and the lungs, accompanied by thick secretions.

2. Before you take Grippostad ambro
DO NOT TAKE Grippostad ambro
If you are allergic (hypersensitive) to ambroxol hydrochloride or any of the other ingredients of the product.
Take special care with amber Grippostad ambro
There have been rare reports of patients developed severe skin reactions such as Stevens-Johnson and Lyell syndrome (severe allergic reactions) that occurred after the use of ambroxol.
Therefore, if you notice hypersensitivity reactions of the skin and mucous membranes should immediately consult your doctor and discontinue use of ambroxol.
In some rare bronchial disorders associated with increased mucus secretion (primary ciliary dyskinesia), Gripostad amber should only be used under medical supervision because of the risk of accumulation of bronchial secretion.
Gripostad ambergris should be used with caution in patients with stomach ulcers.

Patients with impaired liver and kidney function
If you have an abnormal renal function or severe liver disease, Gripostad ambergris can only be used with caution (eg. In extended intervals or at reduced doses).
In patients with acute renal failure should be given the accumulation of metabolites of ambroxol (waste products formed in the liver).

Children
Grippostad ambro is not suitable for children under 6 years of age due to the high content of the active substance.

Taking other medicines
Before taking Grippostad ambro, tell your doctor if you are taking or have recently taken any other drug and including medicines obtained without a prescription.

Ambroxol taken in combination with cough medicines
Concomitant administration of Grippostad ambro amber with cough (antitussives) drugs can cause dangerous accumulation of bronchial secretion by inhibiting otkashlichniya reflex. For this reason, combination treatment should be particularly careful.

Pregnancy and lactation
Consult your doctor or pharmacist before taking this medicine.

Pregnancy
As there is little experience in the use of pregnant Grippostad ambro ambergris can be used during pregnancy only at the discretion of your doctor and only after carefully be weighed risks and benefits of this treatment.

Breastfeeding
The active substance (ambroxol) is excreted in breast milk of animals. If you are breastfeeding, you should use Grippostad ambro only at the discretion of your doctor, as there is insufficient experience with its use by nursing mothers.

Driving and using machines
No special requirements.

Important information about some of the ingredients of Grippostad ambro
This medicine contains lactose. If your doctor has informed you that you have an intolerance to certain sugars, please consult before taking this medicine.

3. How to take Grippostad ambro
Always take Grippostad ambro exactly as described in this leaflet. If you have doubts or further questions, please ask your doctor or pharmacist.

Unless your doctor has prescribed the use of ambergris Grippostad ambro otherwise, the usual dose is:
Children aged 6-12 years:
The usual dose is 1/2 tablet Gripostad ambergris 2-3 times daily (equivalent to 30-45 mg ambroxol hydrochloride).

Adults and children over 12 years:
The normal dose is 1 tablet Gripostad ambergris 3 times a day (equivalent to 90 mg ambroxol hydrochloride) during the first 2-3 days, followed by 1 tablet Gripostad ambergris 2 times daily (equivalent to 60 mg of ambroxol hydrochloride).

Note:
By dosage in adults it is possible to increase the effect by assuming 60 mg ambroxol hydrochloride twice daily (equivalent to 120 mg of ambroxol hydrochloride).

Route of administration:
Tablets Grippostad ambro should be swallowed whole (not chewed) with sufficient liquid (eg a glass of water) after meals.
If you have the impression that the effect of Gripostad ambergris is too strong or too weak, please talk to your doctor or pharmacist.

If you take more dose Grippostad Ambro?
Symptoms or signs of intoxication were observed in overdose ambroxol. There are reports of transient anxiety and diarrhea.
In the case of extreme overdose can be observed increased salivation, nausea, vomiting, and lower blood pressure.
Contact your doctor.
Emergency measures such as vomiting and gastric lavage are not particularly necessary, and should be taken only in cases of extreme overdose. Treatment should be in accordance with the degree and signs of overdose.

If you forget to take Gripostad Ambra
If you miss a dose or you take less than the prescribed dose, continue treatment Gripostad amber as described in the instructions for dosage, do not take a double dose to make up.

If you stop taking Grippostad ambro
Do not stop treatment with Gripostad amber before consulting your doctor as it may worsen your condition.

If you have further questions about the use of this medicine, ask your doctor or pharmacist.

4. Possible adverse side effects
Like all medicines,Grippostad ambro ambergris can cause side effects, although not everybody gets them.

To determine the frequency of occurrence of adverse reactions used the following classification:
Very common: More than 1 in 10 patients treated;
Common: In less than 1 in 10, and in more than 1 in 100 patients treated;
Uncommon: In less than 1 in 100 and more than 1 in 1,000 patients;
Rare: If less than 1 part in 1000 and more than 1 in 10,000 patients treated;
Very rare in less than 1 in 10,000 patients treated.
Immune system
Uncommon: Allergic reactions (redness, swelling of the face, shortness of breath, itching), fever;
Very rare: serious allergic (anaphylactic) reactions leading to shock.
Gastrointestinal disorders
Uncommon: nausea, stomach pain, vomiting.
Skin and subcutaneous tissue
Very rare: severe skin reactions such as Stevens-Johnson syndrome and Lyell.
What measures should be taken in case of adverse reactions
At the first sign of hypersensitivity reactions, stop taking Gripostad amber and contact your doctor.

If any of the side effects gets serious, or if you notice other effects not listed in this leaflet, please tell your doctor or pharmacist.

5. How to store Grippostad ambro
Keep out of reach of children.
Do not use Grippostad ambro after the expiry date which is stated on the pack and blister.
Keep medicine in its original packaging, away from direct sunlight.

6. Further information
What Grippostad ambro
The active substance is ambroxol hydrochloride.
1 tablet contains 30 mg ambroxol hydrochloride.
Excipients are: microcrystalline cellulose, crospovidone, lactose monohydrate, magnesium stearate, corn starch, povidone, silicon dioxide hydrate, modified corn starch.

How does Grippostad ambro and contents
White round tablets scored on one side.
Grippostad ambro is available in packs of 20, 50 and 100 tablets.