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Bingo-X Syrup is a combination medicine that belongs to the class of expectorants. It is used in the treatment of wet or productive cough in children associated with bronchial asthma, bronchiectasis, chronic obstructive pulmonary diseases (COPD), bronchitis, and emphysema. This drug increases airway fluid volume, reduces mucus stickiness, and clears it from the airways. Common side effects include nausea, diarrhea, vomiting, stomach discomfort, sweating, muscle cramps, dizziness, and headache.

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Written By ,
Reviewed By Praneetha Akunuri , M.Pharmacy
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More about the Product

Composition :

AMBROXOL HYDROCHLORIDE-15MG+GUAIPHENESIN-50MG+MENTHOL-2.5MG+TERBUTALINE SULPHATE-1.25MG

Manufacturer/Marketer :

Nextgen Healthcare

Consume Type :

Oral

Expires on or after :

Jan-27

Return Policy :

Not Returnable

About Bingo-X Syrup

Bingo-X Syrup is a paediatric syrup formulated to help relieve a productive (wet) cough associated with respiratory conditions in children. It helps loosen and clear thick mucus from the airways and can make breathing more comfortable when chest congestion is present. Doctors may prescribe it for symptom relief in conditions such as bronchitis, asthma, or other respiratory illnesses, depending on the child's individual condition.

This medicine should be given exactly as prescribed by your paediatrician, usually at regular intervals throughout the day. It can generally be given with or without food, although giving it after a meal may help reduce stomach upset in children who are sensitive to medicines. Encouraging your child to drink plenty of suitable fluids, such as water or clear soups, can also help maintain hydration and may make mucus easier to clear.

While Bingo-X Syrup is generally well tolerated, some children may experience mild and temporary side effects such as nausea, a slightly faster heartbeat, dizziness, or mild shakiness. If your child develops an unusual skin rash, severe dizziness, difficulty breathing, chest pain, or another concerning symptom, stop giving the medicine and seek medical attention promptly.

Before starting this medicine, tell your paediatrician if your child has a history of heart problems, high blood pressure, thyroid disorders, or diabetes. Do not give this medicine if your child has a known allergy to any of its active ingredients. Your doctor should also know about any other medicines your child is taking before this syrup is started.

It is important to understand that Bingo-X Syrup provides symptom relief and does not treat the underlying inflammation of asthma or bronchitis. Terbutaline helps relax narrowed airways and may ease wheezing or breathing difficulty, but it is not a substitute for a complete asthma treatment plan prescribed by your child's doctor. Fixed-dose cough and cold combinations should be used in children only when specifically recommended by a healthcare professional.

Uses of Bingo-X Syrup

Your doctor may prescribe Bingo-X Syrup to help manage the following symptoms or conditions:

  • Productive cough (wet cough): It helps loosen thick mucus and makes it easier for your child to cough up and clear phlegm from the airways.
  • Bronchitis: It may help relieve cough and chest congestion associated with bronchitis. Terbutaline can relax narrowed airways and make breathing easier when airway narrowing is present, but it does not directly treat the inflammation that causes bronchitis.
  • Asthma-related cough or wheezing: Terbutaline helps relax the muscles around the airways, which can relieve wheezing, chest tightness, and breathing difficulty when prescribed for this purpose. It does not treat the underlying airway inflammation of asthma and should not replace the child's prescribed long-term asthma treatment.

Key Benefits

Bingo-X Syrup provides several actions that may help your child feel more comfortable when a wet cough and chest congestion are present:

  • Helps loosen thick mucus: Ambroxol helps reduce the thickness and stickiness of mucus, making it easier to clear.
  • Supports mucus clearance: Guaiphenesin promotes respiratory tract secretions and can make mucus easier to cough up and remove.
  • Helps open narrowed airways: Terbutaline relaxes the muscles around the airways, which can ease wheezing and breathing difficulty when airway narrowing is present.
  • Soothes throat discomfort: Menthol provides a cooling and soothing sensation that may make an irritated throat feel more comfortable.
  • Supports easier breathing: By helping clear mucus and, when appropriate, relaxing narrowed airways, the combination may make breathing more comfortable.
Side effects of Bingo-X Syrup 100 ml
Here are the steps to manage medication-triggered tremors or involuntary shaking:
  • Notify your doctor immediately if you experience tremors or involuntary shaking after taking medication or adjusting your medication regimen.
  • Your doctor may adjust your medication regimen or recommend alternative techniques like relaxation, meditation, or journaling to alleviate tremor symptoms.
  • Your doctor may direct you to practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling.
  • Regular physical activity, such as walking or jogging, can help reduce anxiety and alleviate tremor symptoms.
  • Your doctor may recommend lifestyle changes, such as avoiding caffeine, getting enough sleep, and staying hydrated, to help manage tremors.
  • Maintain regular follow-up appointments with your doctor to monitor tremor symptoms and adjust treatment plans as needed.
Dealing with Medication-Induced Headache:
  • Hydrate your body: Drink enough water to prevent dehydration and headaches.
  • Calm Your Mind: Deep breathing and meditation can help you relax and relieve stress.
  • Rest and Recharge: Sleep for 7-8 hours to reduce headache triggers.
  • Take rest: lie down in a quiet, dark environment.
  • Cold or warm compresses can help reduce tension.
  • Stay Upright: Maintain good posture to keep symptoms from getting worse.
  • To treat headaches naturally, try acupuncture or massage therapy.
  • Over-the-counter pain relievers include acetaminophen and ibuprofen.
  • Prescription Assistance: Speak with your doctor about more substantial drug alternatives.
  • Severe Headaches: Seek emergency medical assistance for sudden, severe headaches.
  • Frequent Headaches: If you get reoccurring headaches, consult your doctor.
  • Headaches with Symptoms: Seek medical attention if your headaches include fever, disorientation, or weakness.
Here are the steps to manage the medication-triggered Tachycardia (Fast Heart Rate):
  • Contact your doctor immediately if you're experiencing a fast heart rate, palpitations, or other heart-related symptoms. This is crucial to determine whether the symptoms are related to your medication.
  • Your doctor may need to adjust your medication regimen to alleviate the fast heart rate symptoms. This could involve changing the medication, reducing the dosage, or adding new medications to counteract the side effects.
  • Follow your doctor's advice on monitoring your heart rate and blood pressure. This will help track any changes and ensure your heart rate returns normal.
  • If you experience severe symptoms such as chest pain, dizziness, or shortness of breath, seek immediate medical attention. These symptoms can indicate a more serious condition that requires prompt treatment.
  • Avoid triggers like alcohol, caffeine, and energy drinks.
  • Try relaxation techniques such as yoga, meditation, or deep breathing.
  • Exercise regularly as it helps maintain heart health.
  • Follow a nutritious and balanced diet.
  • Gently massage the affected area using your hands or a massager.
  • Light exercises such as walking or climbing stairs may help the muscles return to normal.
  • Apply heat/ice to the affected area.
  • Drink electrolyte-rich fluids.
  • Talk to your doctor about oral potassium supplements.
  • Eat potassium rich foods such as bananas, avocados, oranges, dark leafy greens, beans and peas, fish, spinach, milk and tomatoes.
  • Exercise regularly and maintain a healthy weight.
  • Manage cholesterol and blood pressure.
  • Limit intake of caffeine and alcohol.
  • Avoid vaping and tobacco smoke.
  • Get enough sleep.
  • Talk to your doctor about antiarrhythmic drugs or other medications to treat your condition.

Directions for Use

  • Bingo-X Syrup can be given with or without food or as advised by your doctor.
  • Follow your doctor's instructions on the dosage and timing of this medication to ensure safe and effective use.
  • Measure the prescribed dose using a measuring cup to get an accurate dose, and administer it orally.
  • Shake the bottle well before use.

How Bingo-X Syrup Works

Bingo-X Syrup contains four active components that work in different ways to help relieve wet cough, chest congestion, and, when present, airway narrowing. Ambroxol helps thin and loosen thick, sticky mucus in the airways. It is called a mucolytic agent, meaning a medicine that helps make mucus less thick and easier to clear. Ambroxol also promotes the production of surfactant and more watery respiratory secretions, which can support the movement and clearance of mucus. Guaiphenesin is an expectorant, which means a medicine that helps the airways clear mucus. It promotes respiratory tract secretions and reduces the thickness and stickiness of mucus, making phlegm easier to cough up. Terbutaline is a bronchodilator, which means a medicine that relaxes the muscles around narrowed airways. By relaxing these muscles, it can widen the breathing passages and help relieve wheezing, chest tightness, and shortness of breath. It provides symptom relief but does not treat the underlying inflammation of asthma or bronchitis. Menthol activates cold-sensitive receptors in the throat and upper airways, producing a cooling and soothing sensation. This may make an irritated throat feel more comfortable. Its soothing sensation should not be considered a proven treatment that directly suppresses the underlying cause of cough.
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Alcohol

Not applicable

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Pregnancy

Not applicable

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Breast Feeding

Not applicable

-

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Driving

Not applicable

-

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Liver

Caution

Bingo-X Syrup should be used with caution in children with liver diseases. Inform your child's pediatrician about any history of liver conditions or hepatic impairments. The doctor will prescribe it to your child only if the benefits outweigh the risks.

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Kidney

Caution

Bingo-X Syrup should be used with caution in children with kidney diseases. Inform your child's pediatrician about any history of kidney conditions or renal impairments. The doctor will prescribe it to your child only if the benefits outweigh the risks.

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Children

Safe if prescribed

Bingo-X Syrup is typically safe for children below 12 years old. However, please consult your child's pediatrician before giving Bingo-X Syrup to your child unless prescribed.

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Heart

Caution

Bingo-X Syrup should be used with caution in patients with heart problems. Therefore, please inform your doctor if your child has any heart problems before prescribing Bingo-X Syrup .

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Geriatrics

Not applicable

Bingo-X Syrup is for paediatric patients only.

What if I have taken an overdose of Bingo-X Syrup

If your child receives more than the prescribed amount of Bingo-X Syrup , seek immediate medical attention or contact a poison control centre. Do not wait for symptoms to appear. Possible signs of an overdose may include marked shakiness, a very rapid heartbeat, severe dizziness, confusion, nausea, vomiting, or significant restlessness. Take the medicine bottle or packaging with you when seeking medical care so that healthcare professionals know exactly what your child has taken.

Diet & Lifestyle Advise

  • Drink plenty of fluids: Encourage your child to drink water or clear soups regularly. This helps keep them hydrated and may make thick mucus easier to clear.
  • Avoid smoke and strong smells: Keep your child away from tobacco smoke, strong perfumes, chemical fumes and dust, as these can worsen coughing or breathing problems.
  • Use a clean humidifier: A cool-mist humidifier may help soothe irritated airways and make breathing more comfortable. Clean it regularly to prevent mould and germs from building up.
  • Let your child rest: Make sure your child gets enough rest while recovering from a respiratory illness.
  • Raise the head safely: If your child is over one year old, slightly raising their head while sleeping may make night-time coughing more comfortable. Do not use pillows or sleep-positioning products to prop up infants.
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How Soon It Starts Working

The time required for Bingo-X Syrup to start to work: Bingo-X Syrup ideally shows its action within 30 minutes of administration. The time for which the effects of Bingo-X Syrup last: The duration of action for Bingo-X Syrup is clinically not established

What if you forget to take Bingo-X Syrup

If you forget to give your child a dose, give it as soon as you remember. However, if it is almost time for the next scheduled dose, skip the missed dose and return to the regular dosing schedule. Do not give a double dose to make up for a missed dose.

Storage

• Store Bingo-X Syrup at room temperature, typically between 15°C and 30°C, unless the product label specifies different storage conditions.

Drug Warnings

  • Check the syrup before giving it: Do not use Bingo-X Syrup if you notice an unusual colour change, cloudiness, or visible particles in the liquid.
  • Measure every dose carefully: Use the supplied measuring cup, spoon, or oral syringe rather than a household kitchen spoon.
  • Keep track of when you opened the bottle: Follow the specific product label for how long the syrup can be used after opening rather than assuming a fixed period applies to every formulation.
  • Do not share the medicine: Never give this syrup to another child, even if they have similar symptoms. Paediatric doses can vary according to age, weight, and medical condition.
  • Avoid duplicate cough medicines: Do not give other over-the-counter cough or cold medicines together with Bingo-X Syrup unless your paediatrician has specifically approved them. Some products may contain the same or similar ingredients and could increase the risk of side effects or overdose.
  • Remember what this medicine can and cannot do: Terbutaline can help open narrowed airways and relieve breathing symptoms, but it does not treat the underlying inflammation of asthma or bronchitis. It should not replace a child's prescribed asthma controller treatment.
  • Use combination cough syrups only on medical advice: Because Bingo-X Syrup contains several active ingredients, it should be used in children only according to a healthcare professional's instructions. It is not a first-line treatment for long-term asthma control.
  • Watch for breathing problems: If your child has severe or worsening breathing difficulty, blue or grey lips, marked chest retraction, inability to speak or drink normally because of breathlessness, or another serious breathing symptom, seek urgent medical attention rather than relying on this syrup.

Drug-Drug Interactions

verifiedApollotooltip
  • Beta-blockers (e.g., propranolol, atenolol): These medicines can reduce the airway-opening effect of terbutaline and may cause the airways to narrow in susceptible patients. Tell your child's doctor if your child takes a beta-blocker.
  • Diuretics or water tablets (e.g., furosemide, hydrochlorothiazide): These medicines can lower potassium levels in the blood. Terbutaline may also contribute to low potassium levels, particularly at higher doses, so your doctor may monitor your child when these medicines are used together.
  • Other bronchodilators (e.g., salbutamol, theophylline): Using other medicines that open the airways with terbutaline may increase unwanted effects such as a fast heartbeat, shakiness, or low potassium levels. Use them together only when prescribed by your child's doctor.
  • Other cough and cold medicines (e.g., combination cough syrups): Taking more than one cough or cold product may result in duplicate ingredients or increase the risk of side effects. Check with your paediatrician before giving another cough or cold medicine.
Ambroxol + Guaifenesin + TerbutalineSotalol
Severe
Ambroxol + Guaifenesin + TerbutalinePimozide
Severe

Drug-Drug Interactions

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Ambroxol + Guaifenesin + TerbutalineSotalol
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Using sotalol together with Bingo-X Syrup 100 ml may reduce the benefits of both medications since they have opposing effects on the body.

How to manage the interaction:
Taking Sotalol and Bingo-X Syrup 100 ml together can result in an interaction, but it can be taken if your doctor has advised it. However, contact your doctor if you experience chest pain, shortness of breath cough, and wheezing. Do not stop using any medications without a doctor's advice.
Ambroxol + Guaifenesin + TerbutalinePimozide
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Using Bingo-X Syrup 100 ml together with Pimozide can increase the risk of severe irregular heart rhythm.

How to manage the interaction:
Taking pimozide and Bingo-X Syrup 100 ml together can cause an interaction, but it can be taken if prescribed by a doctor. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
Ambroxol + Guaifenesin + TerbutalineLabetalol
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Co-administration of Labetalol and Bingo-X Syrup 100 ml together can decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Bingo-X Syrup 100 ml together can result in an interaction, it can be taken if a doctor has prescribed it. However contact your doctor if you experience chest pain, shortness of breath, cough, and wheezing. Do not discontinue any medications without a doctor's advice.
Ambroxol + Guaifenesin + TerbutalineAmisulpride
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Using Bingo-X Syrup 100 ml together with amisulpride can increase the risk of severe irregular heart rhythm.

How to manage the interaction:
Amisulpride and Bingo-X Syrup 100 ml can cause an interaction, but it can be taken if prescribed by a doctor. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
Ambroxol + Guaifenesin + TerbutalineMoxifloxacin
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Using moxifloxacin together with Bingo-X Syrup 100 ml can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is a possible interaction between Moxifloxacin and Bingo-X Syrup 100 ml, you can take these medicines together if prescribed by your doctor. However, consult the doctor immediately if you experience symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not discontinue any medications without consulting a doctor.
Ambroxol + Guaifenesin + TerbutalinePropranolol
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Using propranolol together with Bingo-X Syrup 100 ml may reduce the benefits of both medications since they have opposing effects on the body. In addition, propranolol can sometimes cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Bingo-X Syrup 100 ml can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience shortness of breath, chest pain, or any other breathing issues contact your doctor immediately. Do not stop using any medications without first talking to your doctor.
Ambroxol + Guaifenesin + TerbutalineDisopyramide
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
The combined use of Bingo-X Syrup 100 ml and Disopyramide can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of Bingo-X Syrup 100 ml and Disopyramide can lead to an interaction, but it can be taken if advised by your doctor. However, if you experience any symptoms like sudden dizziness, lightheadedness, fainting, shortness of breath, heart palpitations, diarrhea, or vomiting, contact your doctor immediately. Do not discontinue any medications without consulting a doctor.
Ambroxol + Guaifenesin + TerbutalineCeritinib
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Taking terbutaline with ceritinib can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although there is a interaction between Ceritinib and Terbutaline, you can take these medicines together if prescribed by your doctor. However, consult your doctor immediately if you experience symptoms such as dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
Ambroxol + Guaifenesin + TerbutalinePenbutolol
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Since penbutolol and Bingo-X Syrup 100 ml have opposing actions in the body, using them together may limit the positive effects of both drugs.

How to manage the interaction:
Taking Penbutolol and Bingo-X Syrup 100 ml can cause an interaction, but it can be taken if prescribed by a doctor. You should seek immediate medical attention if you develop sudden dizziness, lightheadedness, fainting, shortness of breath, or heart palpitations. Do not stop using any medications without talking to a doctor.
Ambroxol + Guaifenesin + TerbutalineCarvedilol
Severe
How does the drug interact with Bingo-X Syrup 100 ml:
Taking Carvedilol and Terbutaline may reduce the beneficial effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Terbutaline and Carvedilol, but it can be taken if prescribed by a doctor. Do not stop using any medications without a doctor's advice.

Drug-Food Interactions

verifiedApollotooltip
  • Food: Bingo-X Syrup can generally be given with or without food. If your child experiences stomach upset, giving the medicine after a meal may make it easier to tolerate, unless your doctor has advised otherwise.
  • Caffeine-containing drinks: Avoid giving children large amounts of caffeine while they are taking Bingo-X Syrup . Caffeine and terbutaline can both cause effects such as shakiness, restlessness, or a faster heartbeat.
No Drug - Food interactions found in our database. Some may be unknown. Consult your doctor for what to avoid during medication.

Drug-Food Interactions

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All Substitutes & Brand Comparisons

Habit Forming

No

Therapeutic Class

[RESPIRATORY STIMULANTS]

FAQs

Bingo-X Syrup is primarily intended for productive (wet) coughs where mucus or phlegm is present. It may not be appropriate for a purely dry cough. Consult your child's paediatrician to determine the cause of the cough and whether Bingo-X Syrup is appropriate.
You can give it before bedtime if your paediatrician has prescribed it at that time. However, terbutaline may cause restlessness, shakiness, or a faster heartbeat in some children and could make it harder for them to sleep. If your child becomes unusually restless or has difficulty sleeping after a dose, consult your paediatrician.
It is generally best to give the syrup directly using the supplied measuring device. If your child has difficulty taking it because of the taste, ask your doctor or pharmacist whether it is appropriate to mix the specific formulation with a small amount of water or another liquid.
If your child vomits soon after taking the medicine, do not automatically repeat the dose. Contact your paediatrician or pharmacist and tell them how long after the dose the vomiting occurred. They can advise whether another dose is needed.
Drowsiness is not the main expected effect of this combination. Some children may feel dizzy or tired, while terbutaline may instead cause restlessness or increased activity in some children. If your child becomes unusually sleepy, difficult to wake, or develops other concerning symptoms, consult your doctor.
Do not give Bingo-X Syrup to an infant under one year of age unless a paediatrician has specifically prescribed it and provided the appropriate dose. Cough and cold medicines containing multiple active ingredients require particular caution in very young children.
The safe period after opening can vary between formulations and manufacturers. Do not assume that every syrup can be used for a fixed number of weeks after opening. Check the product label or package insert for the specific storage and after-opening instructions, or ask your pharmacist.
Bingo-X Syrup may provide short-term relief of wheezing or breathing difficulty when terbutaline relaxes narrowed airways, but it does not treat the underlying inflammation of asthma. It should not replace your child's prescribed long-term asthma treatment. Consult your paediatrician for a complete asthma management plan.
Do not give another cough or cold medicine together with Bingo-X Syrup unless your paediatrician specifically recommends it. Different products may contain overlapping ingredients, which can increase the risk of side effects or accidental overdose.
Bingo-X Syrup should not be relied on for severe or rapidly worsening breathing difficulty. If your child is struggling to breathe, has blue or grey lips, severe chest retractions, becomes unusually sleepy or difficult to wake, or cannot speak or drink normally because of breathlessness, seek urgent medical attention immediately.

Disclaimer

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Country of origin

United States

Manufacturer/Marketer address

214, 2Nd Floor, Binali Complex, Opp Torrent Power, (A.E.C) Naranpura, Naranpura, Ahmedabad - 380013
Other Info - BIN0046
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