⚡ Quick Answer — What is Inhalex Respules?
Inhalex Respules contain ambroxol hydrochloride 7.5 mg/ml in 2 ml, een mucolytic and secretolytic nebuliser solution that thins thick airway mucus and stimulates surfactant production. Ambroxol is the active metabolite of bromhexine and works through multiple pathways — breakdown of mucoprotein fibres, increase in surfactant, and activation of cilia. Used for chronic bronchitis with mucus retention, COPD exacerbations, en cystic fibrosis. Geproduceerd door Cipla.
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What Is Inhalex Respules?
Inhalex Respules deliver nebulised ambroxol — a mucolytic with broader action than acetylcysteine on bronchial mucus and surfactant. Internationally ambroxol is sold as Mucosolvan and Mucinex, primarily as oral syrup or tablet; nebuliser respules are an Indian-market formulation by Cipla.
How Does Ambroxol Work?
- Mucolytic: reduces mucus viscosity by depolymerising mucoprotein fibres
- Surfactant stimulation: activates type II pneumocytes to release surfactant — improves alveolar mechanics
- Mucociliary clearance: increases ciliary beat frequency and bronchial fluid secretion
- Mild local anaesthetic: sodium-channel block — reduces cough irritation
Toepassingen en Indicaties
- Chronic bronchitis with thick sputum
- COPD exacerbations with productive cough
- Cystic fibrosis — adjunct
- Bronchiectasis
- Acute respiratory tract infection with productive cough
- Postoperative pulmonary atelectasis — surfactant stimulation
Inhalex Dosage
| Patient | Dosering | Frequentie |
|---|---|---|
| Adults | 1 respule (15 mg) | Twice daily nebulisation |
| Children 6–12 yr | 0.5 respule | Twice daily |
| Children <6 yr | Specialistische begeleiding | Reduced dose |
How to Use Inhalex Respules
- Wash hands; assemble a clean dry nebuliser, cup, and mask or mouthpiece.
- Twist off the respule top; squeeze contents into the cup.
- Switch on the compressor — fine mist appears within seconds.
- Breathe normally with occasional deep breaths; ensure tight mask seal in children.
- Continue 5–10 minutes until the cup sputters.
- Rinse cup and mouthpiece with clean water, air-dry on paper towel.
Bijwerkingen
- Mild nausea
- Mild diarrhoea
- Dry mouth or throat
- Mild taste disturbance
- Rarely: rash
Serious — stop and seek help:
- Ernstige allergische reactie
- Severe rash (rare; including Stevens-Johnson syndrome)
- Bronchospasm in asthmatic patients
Waarschuwingen en voorzorgsmaatregelen
- Zwangerschap: use after first trimester when benefit clear; widely used.
- Borstvoeding: small amounts pass into milk; generally considered safe.
- Asthma: rare bronchospasm risk — discontinue if wheeze appears.
- Increase fluid intake alongside use — hydration is key to mucolysis.
- Renal or hepatic impairment: reduce dose.
Contra-indicaties
- Hypersensitivity to ambroxol or bromhexine
- First trimester of pregnancy (relative)
Geneesmiddelinteracties
- Antibiotics (amoxicillin, erythromycin, doxycycline) — ambroxol increases their bronchial penetration
- Cough suppressants (codeine, dextromethorphan) — counterproductive; loosened mucus needs to be coughed up
Opslag
- Store below 25°C, protected from direct light.
- Keep respules in their original foil overwrap until immediately before use.
- Once a respule is opened, use immediately; discard any remainder.
- Do not refrigerate. Keep out of reach of children.
Gerelateerde alternatieven op MedsBase
- Asthalin Inhaler — salbutamol verlichter
- Budecort Inhaler — budesonide ICS-preventer
- Foracort Inhaler — budesonide + formoterol ICS-LABA
- Montair — montelukast LTRA-tablet
- Tiova Inhaler — tiotropium LAMA voor COPD
Veelgestelde vragen
How is ambroxol different from acetylcysteine (Mucinac)?
Both are mucolytics. Acetylcysteine breaks disulphide bonds in mucoprotein; ambroxol depolymerises mucoprotein fibres and additionally stimulates surfactant. Both are used in chronic bronchitis; choice often depends on tolerability and prescriber preference.
Why nebulised rather than oral ambroxol?
Nebulisation delivers the drug directly to the airway mucosa. For severe acute mucus retention or in patients with swallowing difficulty, nebulised is more effective and faster.
Can I co-nebulise Inhalex with my bronchodilator?
Generally separate sessions are preferred (mucolytics may inactivate some β-agonists in solution). Discuss with your prescriber.
Why does cough get worse for the first 1–2 days?
As mucus thins, it becomes easier to cough up — productive cough may temporarily increase before settling. This is the drug working.
How fast does it work?
Mucus thinning measurable within 24–48 hours; full benefit at 3–7 days.
Is Inhalex safe in children?
Yes from 6 years; under 6 only with specialist supervision.
Can I use Inhalex during pregnancy?
After the first trimester when benefit clear. Widely used in later pregnancy.
Can I drink alcohol while using Inhalex?
Moderate alcohol does not directly interact but can dehydrate — counterproductive for mucolytic therapy.
How long can I use Inhalex Respules?
For acute exacerbations: 7–14 days. For chronic bronchitis: long-term use is acceptable under prescriber supervision.

























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