— Product
BESCORIL 60ML JUNIOR SYP
BROMHEXIN 4MG + TERBUTALIN 1.5MG + GUAIPHENESIN 50MG + MENTHOL 2.5
BESCORIL 60ML JUNIOR SYP is a paediatric syrup combining bromhexine 4 mg, terbutaline 1.5 mg, guaiphenesin 50 mg and menthol. It is used for productive cough with thick sputum and associated wheeze in children, with the dose set by age and body weight by the prescriber.
01
Benefits
- Bromhexine thins tenacious sputum, which children find particularly difficult to clear.
- Guaiphenesin increases secretion volume and lowers viscosity, making the cough more productive.
- Terbutaline relaxes bronchial smooth muscle, easing the wheeze and chest tightness that accompany childhood chest infections.
- Menthol gives a cooling sensation that eases throat irritation and improves palatability, which matters for adherence in children.
- The syrup allows dosing by weight and is easily accepted by children.
02
Side effects
Not everyone gets these. Most are mild and settle as the course finishes.
Common
- Fine tremor of the hands
- Fast heartbeat or palpitations
- Restlessness or difficulty settling
- Nausea or stomach upset
Less common
- Muscle cramps
- Low serum potassium with repeated dosing
- Headache
- Skin rash
Stop and get medical help if any of these occur
- Fast, pounding or irregular heartbeat
- Worsening breathlessness or wheeze after a dose
- Severe agitation or unusual drowsiness
- Difficulty feeding, or fast breathing with chest indrawing
- Swelling of the face or lips, or difficulty breathing
03
Precautions
- Dose strictly by age and weight, using the measure supplied. Never use a household spoon or an adult preparation.
- Not for use in children below the age stated on the label without paediatric advice.
- Tremor and a faster heartbeat from the terbutaline are expected; warn the parent so the syrup is not stopped unnecessarily.
- Use with caution in children with cardiac disease, hyperthyroidism or diabetes.
- Do not combine with any other cough preparation, particularly not with a cough suppressant — suppressing and expectorating work against each other.
- Maintain good fluid intake, which is what makes mucolytics and expectorants effective.
- Seek review urgently if the child develops fast breathing, chest indrawing, difficulty feeding, or persistent fever.