Rexom Bromhexine 4mg/5ml Elixir

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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

Rexom Bromhexine 4mg/5ml Elixir is an oral liquid medicine from the Rexom range, formulated as a mucolytic elixir with Bromhexine Hydrochloride as its active ingredient, present at a strength of 4mg per 5ml. It is sold in Malaysia as an over-the-counter (OTC) product, available for purchase without a doctor’s prescription. The elixir is presented as a ready-to-drink liquid, dosed using a measuring spoon or cup according to age band.

Each 5ml dose of the elixir delivers 4mg of Bromhexine Hydrochloride, a mucolytic-class ingredient commonly formulated into OTC cough preparations sold across Malaysia and the region. The product is manufactured as a single-ingredient formulation, without added antihistamine, decongestant, or paracetamol, keeping its ingredient profile straightforward. It is presented as a clear liquid elixir, dosed three times daily according to the age-specific schedule printed on the pack.

Rexom Bromhexine 4mg/5ml Elixir is sold in a 60ml bottle, sized for a typical short course of use at home. The product is manufactured to Muslim-friendly (halal) standards, a feature many Malaysian and Singaporean households look for in a household medicine cabinet staple. Dosing is differentiated across four age bands — adults and children over 12 years, children 6-12 years, children 2-6 years, and children under 2 years — each with its own measured amount.

Directions for Use

Shake the bottle gently before each use, and measure the dose using the measuring cup or spoon provided, or a standard 5ml/2.5ml household medicine spoon, rather than an ordinary kitchen spoon. Rexom Bromhexine 4mg/5ml Elixir is typically taken three times a day, spaced through the day rather than all at once. Swallow the measured dose directly; it can be taken with or without food. Keep the bottle cap tightly closed between uses, and wipe the bottle neck clean if any elixir drips during pouring.

Dosage

The typical dose for adults and children over 12 years is 10ml, taken three times daily. Children aged 6 to 12 years are typically given 5ml three times daily, children aged 2 to 6 years 2.5ml three times daily, and children under 2 years 1.25ml three times daily, or as advised by a doctor or pharmacist. Do not exceed the dose and frequency stated on the pack, and do not give this elixir to very young infants without first checking with a doctor or pharmacist.

Shelf Life

Use before the expiry date printed on the packaging. Do not use Rexom Bromhexine 4mg/5ml Elixir after the printed expiry date has passed, and discard any elixir that has changed in colour, clarity, or odour even if the expiry date has not been reached.

Storage Instructions

Store Rexom Bromhexine 4mg/5ml Elixir below 30°C, away from direct sunlight and moisture, in a cool, dry place such as a medicine cabinet. Keep the bottle tightly capped when not in use, and keep it out of the reach and sight of children. Do not store the elixir in the bathroom or near a sink where humidity is high, and do not freeze the product.

Side Effects

  • Nausea
  • Vomiting
  • Abdominal discomfort
  • Diarrhea
  • Skin rash or allergic reactions (rare)
  • Dizziness

Contraindications

  • Known hypersensitivity (allergy) to Bromhexine Hydrochloride or any other ingredient in this elixir.
  • Infants under 2 years of age, unless specifically advised and supervised by a doctor.
  • People with a history of stomach ulcers, unless a doctor has reviewed and approved its use.
  • Severe liver or kidney impairment, unless a doctor has advised on an appropriate dose.

Drug / Food Interactions

  • Combining this elixir with other cough or cold products that also contain Bromhexine or a similar mucolytic ingredient may lead to duplicate dosing — check other medicine labels before combining products.
  • Taking this elixir together with certain antibiotics may increase the amount of antibiotic that reaches the lungs, so speak with a pharmacist if you are prescribed antibiotics alongside this elixir.
  • There is limited data on interaction with cough-suppressant medicines that reduce coughing reflex; check with a pharmacist before combining the two, as thinned mucus is easier to bring up only if coughing is not suppressed.
  • No specific food interactions are established; this elixir may be taken with or without food.

Quick Tips

  • Shake the bottle gently before measuring each dose to keep the liquid evenly mixed.
  • Use the measuring cup or an oral dosing spoon rather than a kitchen spoon, especially for young children’s smaller doses.
  • Space the three daily doses evenly through the day rather than taking them close together.
  • Store the bottle upright, tightly capped, in a cool, dry cupboard away from children’s reach.
  • Check the expiry date before each use, and discard the bottle once expired or once the liquid looks or smells unusual.
  • Bring the bottle or its box to any doctor or pharmacist visit so they can see the exact product and strength being used.

Ingredients / Active Ingredients

  • Active ingredient: Bromhexine Hydrochloride 4mg per 5ml, formulated as a mucolytic-class ingredient in elixir form.
  • Presented as an oral liquid (elixir) for administration using a measuring spoon or cup.
  • Supplied in a 60ml bottle per pack.
  • Formulated without added antihistamine, decongestant, or paracetamol.
  • Manufactured under Muslim-friendly (halal) production standards.

Safety Advice

Pregnancy

Limited Data

Limited information is available regarding use during pregnancy. Use only if clearly needed.

Breastfeeding

Limited Data

Limited data on excretion in breast milk. Consult a doctor before use.

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

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Precautions: Use Rexom Bromhexine 4mg/5ml Elixir only within the age band and dose stated on the label. Take extra care in infants under 2 years, in people with a history of stomach ulcers or significant liver or kidney disease, and in pregnant or breastfeeding women, checking with a doctor or pharmacist first. Avoid combining this elixir with other cough or cold products containing the same or a similar mucolytic ingredient, to prevent duplicate dosing.

When to See a Doctor or Pharmacist: Speak with a doctor or pharmacist if symptoms persist beyond a week, or if you or your child develop a skin rash, hives, facial or throat swelling, or difficulty breathing after taking this elixir, as these may be signs of an allergic reaction requiring urgent care. Seek medical advice promptly if more than the recommended dose is accidentally taken, especially in a young child.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsBromhexine
Volume60ml

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