Cough suppressant ambroxol

Like acetylcysteine ​​and bromhexine, the active ingredient ambroxol belongs to the mucolytics that loosen stubborn mucus in the bronchi. Because of its effects, it is primarily used to treat phlegm in a cough. The cough suppressant is considered to be well tolerated and only rarely shows side effects. However, in order to avoid complications, Ambroxol should not be combined with cough suppressants (antitussives) unless the treatment is on medical advice. Find out more about the effects, side effects and dosage of Ambroxol here.

Ambroxol helps with colds

Ambroxol is used for respiratory diseases that are associated with viscous mucus. These are primarily colds. In addition, it is also used for other diseases of the respiratory tract such as cystic fibrosis or  COPD  . Since Ambroxol also has a local anesthetic effect, it is also used in the form of lozenges to  treat a sore throat  .

If viruses or bacteria penetrate the body, more mucus is produced in the nose and bronchi. Often the mucus cannot be removed from there quickly enough, but instead settles in the bronchi. Ambroxol helps to loosen the tough mucus so that it can be better transported away. This relieves the cough that occurs.

In order for Ambroxol to work optimally, it is important that you drink enough liquid while taking it. Only then can the secretion be liquefied by the body. Alternatively, you can liquefy the mucus by inhaling steam.

Side Effects of Ambroxol

Ambroxol is generally considered to be well tolerated, so side effects rarely occur while taking it. In individual cases, an allergic reaction can occur – in such a case you should contact a doctor or pharmacist immediately.

Gastrointestinal complaints such as abdominal pain,  nausea , vomiting and  diarrhea  can also occur rarely. Side effects such as dry mouth, fever with  chills  and skin reactions such as redness,  itching  and wheal formation are also possible.

Dose Ambroxol correctly

Ambroxol comes in a variety of dosage forms, including juice, drops, and tablets. The correct dosage of the cough suppressant always depends on the respective dosage form and the amount of active ingredient contained in the drug.

The following dosage is recommended for cough syrup with 30 milligrams of ambroxol / 5 milliliters of cough syrup: Adults and children over the age of twelve can start by taking five milliliters three times a day. After two to three days, the dose is then reduced to five milliliters twice a day. For younger children, the following dosage should be observed:

  • Children from 6 to 12 years: 2.5 milliliters of juice two to three times a day
  • Children from 2 to 5 years: 1.25 milliliters of juice three times a day
  • Children under 2 years: 1.25 milliliters of juice twice daily

However, always talk to your doctor or pharmacist about the exact dosage or take a look at the package leaflet.


Sie sollten keine Medikamente mit Ambroxol einnehmen, wenn bei Ihnen eine Überempfindlichkeit gegen den Wirkstoff vorliegt. Daneben ist die Einnahme auch bei schweren Nieren- und Lebererkrankungen kontraindiziert. Hier darf der Wirkstoff nur in Einzelfällen und unter besonderer Vorsicht eingenommen werden. Bei einer Histaminintoleranz sollte Ambroxol nicht langfristig, bei Erkrankungen mit hoher Sekretansammlung in den Bronchien nur unter ärztlicher Beobachtung verwendet werden.

Besonders während des ersten Drittels der Schwangerschaft sowie während der Stillzeit darf Ambroxol nur angewendet werden, wenn es der Arzt für unbedingt erforderlich hält. Halten Sie deswegen vor der Einnahme immer Rücksprache mit Ihrem behandelnden Arzt. Auch bei Kindern unter zwei Jahren sollte vor der Einnahme der Kinderarzt befragt werden. Generell sollten Kinder unter sechs Jahren nur Saft oder Tropfen bekommen, da diese leicht entsprechend niedrig dosiert werden können.

Wechselwirkungen: Vorsicht bei Hustenstillern

It is important that you do not use any medications that inhibit the urge to cough – such as codeine – while taking Ambroxol. Otherwise, the mucus in the bronchi cannot be coughed up. Therefore, do not use cough suppressants, which are typically used for dry coughs, unless your doctor has agreed to use them at the same time.

If you are taking  antibiotics  such as  amoxicillin  or cefuroxime at the same time, you must note that these can be better absorbed into the lung tissue. This effect is exploited in some combination preparations that contain a mucolytic in addition to the antibiotic.

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