How does Terkof B Syrup work?

Terkof B Syrup contains Guaifenesin, Terbutaline and Bromhexine. Guaifenesin works by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helping to remove it from the airways. Terbutaline relaxes muscles and widens the airways. Thereby, it makes breathing easier. Bromhexine works by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Thus, it helps cough up easily.

Can a hyperthyroid patient take Terkof B Syrup?

Terkof B Syrup should be used with caution in hyperthyroid (overactive thyroid) patients as it may worsen the condition. Inform your doctor if you have hyperthyroidism before taking Terkof B Syrup so that the dose may be adjusted appropriately. However, regular monitoring of thyroid hormone levels is recommended while taking Terkof B Syrup.

Is Terkof B Syrup safe for diabetic patients?

Terkof B Syrup should be used with caution in patients with diabetes, as it may alter blood glucose levels. Your doctor may monitor your blood glucose levels while you are taking this medicine.

Can I take propranolol (blood pressure lowering pills) with Terkof B Syrup?

No, you are not recommended to take propranolol with Terkof B Syrup as it may reduce the effectiveness of both medicines. Also, propranolol may cause a narrowing of airways sometimes, which may trigger severe asthmatic attacks or worsen breathing problems. However, you are recommended to consult a doctor before using other medicines with Terkof B Syrup.

How long should I take Terkof B Syrup?

You are recommended to take Terkof B Syrup for as long as your doctor has prescribed it. However, if the symptoms persist or worsen, with rash, fever, or persistent headache, after 1 week of using Terkof B Syrup, please consult your doctor.

Can I stop taking Terkof B Syrup on my own?

No, you are not recommended to stop taking Terkof B Syrup without consulting your doctor, as it may worsen the cough or cause recurring symptoms. Therefore, take Terkof B Syrup for as long as your doctor has prescribed it, and if you experience any difficulty while taking Terkof B Syrup, please consult your doctor.

How many times can I take Terkof B Syrup in a day?

Your doctor will advise the dose and frequency based on your medical condition. Follow your doctor’s instructions.

When can I take Terkof B Syrup?

Your doctor will decide the best time to take Terkof B Syrup. Follow your doctor’s instructions.

Does Terkof B Syrup cause drowsiness?

Yes, Terkof B Syrup may cause drowsiness. Avoid alcohol intake as it may increase drowsiness. This does not require any medical treatment, as this will gradually reduce over time. Please consult the doctor if it persists for more than a few days.

Can we give Terkof B Syrup to elderly patients?

Elderly patients are more susceptible to the side effects of Terkof B Syrup. Additionally, conditions such as glaucoma, prostate issues, and liver or kidney diseases are more common in this age group, which can worsen Terkof B Syrup side effects. Please consult a doctor before administering it to elderly patients.

Is Terkof B Syrup good for dry cough?

Terkof B Syrup is used to manage chesty cough (wet cough). Avoid using Terkof B Syrup for any purpose other than the condition for which it is prescribed.

Can Terkof B Syrup be taken empty stomach?

Terkof B Syrup can be taken with or without food or as advised by your doctor.

What is the composition of Terkof B Syrup?

Terkof B Syrup contains bromhexine, guaifenesin, and terbutaline as its active substances.

What are the instructions for the storage and disposal of Terkof B Syrup?

Store Terkof B Syrup at a temperature below 30°C in a cool and dry place. Protect from light. Keep it out of reach of children. Terkof B Syrup should be disposed, by following local guidelines or asking your pharmacist how to properly dispose of any unused medicine.

Can I take Terkof B Syrup along with other medicines?

Terkof B Syrup may interact with propranolol (lowers high blood pressure), epinephrine (affects heart rate), furosemide, promethazine (anti-allergic), oxytocin (uterine stimulant), bronchodilators (formoterol), and ondansetron (anti-sickness). Therefore, consult a doctor before taking other medicines while on treatment with Terkof B Syrup.

Will a higher than the recommended dose of Terkof B Syrup be more effective?

No, higher than the recommended dose of Terkof B Syrup will not be more effective, instead it can lead to increased side effects. Therefore, do not exceed the recommended dose. It can lead to symptoms like hypertension, hyperglycaemia, tremors and seizures. If you suspect you have taken overdose or experience any of these symptoms, please consult your doctor.

Terkof B Syrup

Prescription drug

MRP ₹28.35

(Inclusive of all Taxes)

₹4.3 Cashback (15%)

Extra 15% Off with Bank Offers

Written By Veda Maddala , M Pharmacy

Reviewed By Dr Aneela Siddabathuni , MPharma., PhD

Terkof B Syrup is used to treat cough associated with mucus. It works by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helping to remove it from the airways. Also, it relaxes muscles and widens the airways. Thereby, it makes breathing easier. It thins and loosens phlegm (mucus) in the lungs, windpipe and nose. Thus, it helps cough up easily. Some people may experience side effects such as nausea, vomiting, drowsiness, headache, dizziness, skin rash, tremor, stomach upset and fast heartbeats.

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About Terkof B Syrup

Terkof B Syrup is used to treat cough associated with mucus. Coughing (dry or productive) is the body’s way of clearing irritants (such as allergens, mucus, or smoke) from the airways, thereby preventing respiratory infections.

Terkof B Syrup is a combination of three drugs, namely Guaifenesin, Terbutaline and Bromhexine. Guaifenesin is an expectorant that works by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helping to remove it from the airways. Terbutaline is a bronchodilator that relaxes muscles and widens the airways. Thus, it makes breathing easier. Bromhexine is a mucolytic agent (cough/sputum thinner) that thins and loosens phlegm (mucus) in the lungs, windpipe and nose. Thus, it helps cough up easily.

Use Terkof B Syrup as prescribed by your doctor. Some people may experience nausea, vomiting, drowsiness, headache, dizziness, skin rash, tremors, stomach upset and fast heartbeats. Most of the side effects of Terkof B Syrup do not require medical attention and resolve gradually over time. However, if the side effects persist or worsen, please consult your doctor.

Please tell your doctor if you are allergic to Terkof B Syrup or any other medicines. If you are pregnant or breastfeeding, it is advised to inform your doctor before using Terkof B Syrup. If you have a history of fits or are suffering from fits, please inform your doctor before taking Terkof B Syrup as it may increase the risk of recurrent fits. If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Terkof B Syrup.

Uses of Terkof B Syrup

Terkof B Syrup is used to treat chesty cough. The detailed uses of Terkof B Syrup are as follows:

Relief from Cough: Terkof B Syrup is used to treat persistent coughs. It soothes the throat by minimising irritation.
Expectorant Properties: Terkof B Syrup loosens mucus in the respiratory tract, making it easier to expel phlegm and breathe.
Eases breathing in respiratory conditions: It relaxes the airway muscles, improving airflow and reducing wheezing or shortness of breath.
Breaks down mucus: It thins and dissolves mucus, making it easier to clear from the respiratory tract.

Have a query?

Directions for Use

Terkof B Syrup can be taken with or without food as advised by your doctor.
Follow your doctor's instructions on the dosage and timing of this medication.
Measure the prescribed dose using a measuring cup, and administer it orally.
Avoid using regular household spoons, as they may not measure the dose correctly. Shake well before use.

Medicinal Benefits

Terkof B Syrup provides relief from cough, chest congestion, and breathing difficulty.
Guaifenesin helps loosen and thin mucus, making it easier to cough out.
Terbutaline relaxes and widens the airways, improving airflow and breathing.
Bromhexine clears the airways effectively by breaking up thick mucus.
Promotes easier expectoration and faster recovery from respiratory infections.
Syrup form is ideal for both adults and children, improving compliance.

How Terkof B Syrup Works

Terkof B Syrup is a combination of three drugs, namely Guaifenesin, Terbutaline and Bromhexine. Guaifenesin belongs to the class of expectorants that work by increasing the volume of fluid in the airways, reducing the stickiness of mucus and helping to remove it from the airways. Terbutaline belongs to the class of bronchodilators that relax muscles and widen the airways. Thus, it makes breathing easier. Bromhexine belongs to the class of mucolytic agents (cough/sputum thinner) that work by thinning and loosening phlegm (mucus) in the lungs, windpipe and nose. Thus, it helps cough up easily.

Storage

• Store in a cool and dry place away from sunlight. • Keep out of sight and reach of children. • Non cold chain - To be stored in cool places at 10ºC to 25ºC or below 30ºC.

Side effects of Terkof B Syrup

Involuntary Shaking

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.

Nervousness

Here are the steps to manage medication-triggered Nervousness:

Tell your doctor immediately if you experience symptoms of Nervousness, such as anxiety, jitteriness, or an increased heart rate, after taking medication or adjusting your medication regimen.
Your doctor may adjust your medication regimen to alleviate symptoms of Nervousness. This can include switching to a different medication, reducing the dosage, or temporarily stopping the medication. Your doctor may also recommend alternative techniques like relaxation, mindfulness meditation, or journaling. These techniques can help reduce anxiety and Nervousness.
Practice stress-reducing techniques, such as deep breathing exercises, yoga, or journaling, to help manage Nervousness.
Engage in regular physical activity, such as walking or jogging, to help reduce anxiety and improve mood.
Your doctor may advise considering cognitive-behavioural therapy (CBT) or other forms of talk therapy to address underlying anxiety or Nervousness.
You should maintain regular follow-up appointments with your doctor to monitor nervousness symptoms, adjust treatment plans as needed, and discuss any concerns or questions.

Increased Heart Rate

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.

Rapid Or Irregular Heart Rate

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.

What if I have taken an overdose of Terkof B Syrup

Do not take more than the prescribed dose of Terkof B Syrup as it may cause an overdose. If you suspect you have taken an overdose, please consult a doctor immediately.

Drug Warnings

If you are known to be allergic to Terkof B Syrup or any other medicines, please tell your doctor.
If you are pregnant or breastfeeding, it is advised to inform your doctor before using Terkof B Syrup.
If you are suffering from fits (epilepsy) or have a history of fits, please inform your doctor before taking Terkof B Syrup as it may increase the risk of recurrent fits.
If you have diabetes, regular monitoring of blood sugar levels is recommended while taking Terkof B Syrup.
If you have diabetes, high blood pressure, overactive thyroid (hyperthyroidism), stomach ulcers/bleeding, phenylketonuria (a congenital disability with high protein in the body), kidney, liver or heart problems, please inform your doctor before taking Terkof B Syrup.

Drug-Drug Interactions

TerbutalineCeritinib

Severe

TerbutalineAmisulpride

Severe

Drug-Drug Interactions

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TerbutalineCeritinib

Severe

How does the drug interact with Terkof B Syrup:
Taking Terkof B Syrup with ceritinib can increase the risk of irregular heart rhythm.

How to manage the interaction:
Although there is a interaction between Ceritinib and Terkof B Syrup, 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.

TerbutalineAmisulpride

Severe

How does the drug interact with Terkof B Syrup:
Using Terkof B Syrup together with amisulpride can increase the risk of severe irregular heart rhythm.

How to manage the interaction:
Amisulpride and Terkof B Syrup 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.

TerbutalinePropranolol

Severe

How does the drug interact with Terkof B Syrup:
Using propranolol together with Terkof B Syrup may reduce the benefits of both medications, since they have opposing effects in the body. In addition, propranolol can sometimes cause breathing problems.

How to manage the interaction:
Although taking Propranolol together with Terkof B Syrup can possibly result in an interaction, they can be taken together if prescribed by your doctor. However, if you experience any unusual symptoms contact your doctor immediately. Do not stop using any medications without first talking to your doctor.

TerbutalineZiprasidone

Severe

How does the drug interact with Terkof B Syrup:
Taking Terkof B Syrup with Ziprasidone can increase the risk of abnormal heart rhythm.

How to manage the interaction:
Co-administration of Ziprasidone with Terkof B Syrup can possibly result in an interaction, but it can be taken together if prescribed by a doctor. However, consult your doctor if you experience sudden dizziness, lightheadedness, fainting, shortness of breath. Do not discontinue any medications without consulting a doctor.

TerbutalineCarvedilol

Severe

How does the drug interact with Terkof B Syrup:
Taking Carvedilol and Terkof B Syrup may reduce the beneficial effects of both medications.

How to manage the interaction:
There may be a possibility of interaction between Terkof B Syrup and Carvedilol, but it can be taken if prescribed by a doctor. Consult your doctor immediately if you experience shortness of breath, palpitations, or chest discomfort. Do not stop using any medications without a doctor's advice.

TerbutalineLabetalol

Severe

How does the drug interact with Terkof B Syrup:
Co-administration of Labetalol and Terkof B Syrup together can decrease the medical benefits of both medications.

How to manage the interaction:
Although taking Labetalol and Terkof B Syrup together can result in an interaction, it can be taken if a doctor has prescribed it. Do not forget to inform the doctor if you have severe chronic obstructive pulmonary disease (COPD) or a history of asthma, as labetalol is often not advised in these conditions. Do not discontinue any medications without a doctor's advice.

TerbutalineMoxifloxacin

Severe

How does the drug interact with Terkof B Syrup:
Using moxifloxacin together with Terkof B Syrup can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Although there is a possible interaction between Moxifloxacin and Terkof B Syrup, 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 first consulting your doctor.

TerbutalineDisopyramide

Severe

How does the drug interact with Terkof B Syrup:
The combined use of Terkof B Syrup and Disopyramide can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Co-administration of Terkof B Syrup and Disopyramide can lead to an interaction, 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 first consulting your doctor.

TerbutalineEfavirenz

Severe

How does the drug interact with Terkof B Syrup:
Taking Efavirenz and Terkof B Syrup can increase the risk or severity of irregular heart rhythms. The risk increases in patients with a history of heart illness or electrolyte imbalance.

How to manage the interaction:
Taking Efavirenz and Terkof B Syrup together can result in an interaction, it can be taken if your doctor has advised it. However, if you experience sudden dizziness, lightheadedness, fainting, shortness of breath, chest pain or tightness, rapid heartbeat, or memory loss, contact a doctor immediately. Do not discontinue any medications without consulting a doctor.

TerbutalineNilotinib

Severe

How does the drug interact with Terkof B Syrup:
Combining Terkof B Syrup and nilotinib can increase the risk of an irregular heart rhythm.

How to manage the interaction:
Taking Terkof B Syrup and nilotinib together can lead to an interaction, 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 first consulting your doctor.

Drug-Food Interactions

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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Diet & Lifestyle Advise

Avoid dairy products such as milk, as they may increase mucus production. Also, avoid processed or refined foods to relieve a cough.
Replace baked foods, fried foods, white bread, white pasta, French fries, sugary desserts and chips with green leafy vegetables.
Drink plenty of fluids to avoid a dry throat while you have a cough and loosen mucus.
Avoid citrus fruits as they may worsen the cough. Eat fruits rich in water content, such as pears, watermelon, peaches and pineapples.

Habit Forming

No

Therapeutic Class

EXPECTORANT AND COUGH PRODUCTS

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Alcohol

Consult your doctor

The interaction of alcohol with Terkof B Syrup is unknown. Please consult a doctor before consuming alcohol with Terkof B Syrup.

Pregnancy

Consult your doctor

The safety of Terkof B Syrup in pregnant women is unknown. Therefore, it is given to pregnant women only if the doctor thinks the benefits outweigh the risks.

Breast Feeding

Consult your doctor

It is unknown whether Terkof B Syrup is excreted in human milk. Terkof B Syrup is given to breastfeeding mothers only if the doctor believes the benefits outweigh the risks.

Driving

Caution

Terkof B Syrup may cause dizziness or drowsiness in some people. Therefore, drive only if you are alert after taking Terkof B Syrup.

Liver

Caution

Take Terkof B Syrup with caution, especially if you have a history of liver disease. The dose may be adjusted by your doctor as required.

Kidney

Caution

Take Terkof B Syrup with caution, especially if you have a history of kidney disease. The dose may be adjusted by your doctor as required.

Children

Caution

Terkof B Syrup should be used with caution in children and only in doses as prescribed by a doctor.

Heart

Caution

Terkof B Syrup can be used in heart patients if prescribed by the physician. Please consult your physician if you have any concerns.

Geriatrics

Caution

Exercise caution while giving Terkof B Syrup in geriatric patients. Close monitoring of the individual is required.

FAQs

Country of origin

India

Other Info - TE51027

Author Details

Written By

Veda Maddala

M Pharmacy

Reviewed By

Dr Aneela Siddabathuni

MPharma., PhD

Last Updated

Nov 21, 2025 | 11:23 AM IST

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