Breacol Expectorant for Children Cough Syrup

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

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Overview

Breacol Expectorant for Children Cough Syrup is an oral liquid medicine formulated for paediatric use, supplied as a syrup for oral administration. Its active ingredient is guaifenesin, an expectorant commonly used in OTC cough preparations for children in Malaysia. The syrup is formulated with a mild, child-friendly taste to make dosing easier for young children.

This product is classified as an OTC (Over-the-Counter) cough syrup in Malaysia and can be purchased without a doctor’s prescription at pharmacies and online platforms. The children’s formulation of Breacol is distinct from the adult Breacol Expectorant syrup, which is also sold in the Malaysian market at a different guaifenesin concentration intended for adult dosing; parents should always select the product specifically labelled for children and confirm the concentration and dosing information printed on the pack.

Breacol Expectorant for Children Cough Syrup is available in bottle sizes such as 60ml, sold through DoctorOnCall and major Malaysian pharmacy chains. As with all paediatric medicines, the exact guaifenesin concentration per 5ml and the recommended dosing bands should be confirmed against the printed pack insert, since online product listings do not always state the concentration clearly.

Directions for Use

  • Shake the bottle well before each use.
  • Measure the dose accurately using the measuring spoon or cup provided; do not use a household spoon.
  • Give the syrup to the child after meals, and encourage the child to drink plenty of fluids.
  • Do not administer more than the maximum number of doses stated on the pack insert within 24 hours.

Dosage

Dosing for Breacol Expectorant for Children Cough Syrup is age-based: children aged 2 to 6 years are generally given 2.5ml every 4 to 6 hours, and children aged 6 to 12 years are generally given 5ml every 4 to 6 hours, not exceeding the maximum daily dose stated on the pack insert. This product is not intended for children under 2 years of age unless specifically directed by a doctor. Because published dosing information can vary slightly between sources and the exact guaifenesin concentration for this specific pack was not independently verified, parents and caregivers should always follow the dosing instructions printed on the product packaging or pack insert, or confirm with a pharmacist, rather than relying solely on general guidance. If a dose is missed, give the next dose at the scheduled time rather than doubling it. See a doctor if the child’s cough persists beyond 7 days, worsens, or is accompanied by high fever, difficulty breathing, or chest pain.

Storage Instructions

Store below 30°C in a cool, dry place away from direct sunlight, and keep out of reach of children. Do not refrigerate unless the packaging specifically states to do so.

Side Effects

  • Nausea
  • Dizziness
  • Drowsiness
  • Headache
  • Upset stomach
  • Rash or mild skin irritation (rare)

Contraindications

  • Known hypersensitivity to guaifenesin or any other ingredient in the syrup.
  • Children under 2 years of age, unless directed by a doctor.
  • Persistent or chronic cough associated with asthma, chronic bronchitis, or emphysema, unless a doctor has assessed the child and directed use.

Drug / Food Interactions

  • Concurrent use with other cough and cold products containing the same or similar active ingredients should be avoided to prevent accidental overdose.
  • Inform the doctor or pharmacist of any other medicines the child is taking, as guaifenesin may interact with certain other medications.
  • No specific food interactions have been established, but the syrup should be given after meals as a general precaution against stomach upset.

Quick Tips

  • Always use the measuring device provided with the syrup, not a kitchen spoon.
  • Shake well before every use.
  • Keep track of the time between doses to avoid giving doses too close together.
  • Store away from direct sunlight and out of reach of children.
  • Check the expiry date before each use, especially once the bottle has been opened.
  • Do not combine with other cough/cold syrups without checking with a pharmacist first.

Ingredients / Active Ingredients

  • Active ingredient: Guaifenesin (expectorant).
  • Oral liquid syrup dosage form formulated for children.
  • Concentration of guaifenesin per 5ml should be confirmed on the product packaging or pack insert, as it differs from the adult Breacol formulation.
  • Inactive ingredients such as flavouring and preservatives are not fully disclosed in general product listings; refer to the packaging or a pharmacist for the complete excipient list.

Safety Advice

Pregnancy

Safe

This medicine is considered safe for use during pregnancy when taken as prescribed.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Not Advisable

It is not advisable to consume alcohol while taking this medicine.

Driving

Not Advisable

It is not advisable to drive if you experience side effects from this medicine.

Relevant Information

Precautions: This syrup should be given strictly according to the child’s age as stated on the pack insert. Children with liver or kidney conditions, or those taking other regular medications, should be assessed by a doctor or pharmacist before use. Avoid giving alongside other guaifenesin-containing or combination cough/cold products.

When to See a Doctor or Pharmacist: Consult a doctor if the child’s cough persists beyond 7 days, is accompanied by high fever, wheezing, or difficulty breathing, or if any signs of an allergic reaction appear after taking the syrup.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsGuaifenesin
Volume60ml
Shelf LifeShelf life varies by manufacturing batch; use before the expiry date printed on the bottle or carton. Once opened, follow any in-use shelf-life guidance stated on the packaging.

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