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Ambroxol Rivopharm

Ask a doctor about a prescription for Ambroxol Rivopharm

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use Ambroxol Rivopharm

Leaflet attached to the packaging: information for the user

Ambroxol Rivopharm, 15 mg/5 ml, oral solution

Ambroxol hydrochloride

Read the leaflet carefully before taking the medicine, as it contains important information for the patient.

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist.

  • Keep this leaflet, you may need to read it again.
  • If you need advice or additional information, consult a pharmacist.
  • If the patient experiences any side effects, including any possible side effects not listed in the leaflet, tell your doctor or pharmacist. See section 4.
  • If there is no improvement after 5 days or the patient feels worse, contact a doctor.

Table of contents of the leaflet

  • 1. What is Ambroxol Rivopharm and what is it used for
  • 2. Important information before taking Ambroxol Rivopharm
  • 3. How to take Ambroxol Rivopharm
  • 4. Possible side effects
  • 5. How to store Ambroxol Rivopharm
  • 6. Contents of the packaging and other information

1. What is Ambroxol Rivopharm and what is it used for

Ambroxol Rivopharm contains the active substance ambroxol hydrochloride, which belongs to the group of mucolytics (anti-cough and anti-cold agents) that facilitate the clearance of airways.
Ambroxol Rivopharm, 15 mg/5 ml, is used to treat wet (productive) cough in children aged 6 to 12 years.
Wet cough (productive cough) is associated with lung and bronchial diseases characterized by excessive mucus production. Ambroxol Rivopharm works by thinning the mucus and reducing its viscosity, making it easier to cough up.
If there is no improvement after 5 days or the patient feels worse, consult a doctor.

2. Important information before taking Ambroxol Rivopharm

When not to take Ambroxol Rivopharm

Warnings and precautions

Before taking Ambroxol Rivopharm, consult a doctor or pharmacist:

Severe skin reactions associated with ambroxol administration have been reported. If the patient experiences a skin rash (including changes in the mucous membranes of the mouth, throat, nose, eyes, genitals), discontinue ambroxol and contact a doctor immediately.

Children

Ambroxol Rivopharm should not be used in children under 6 years of age.

Ambroxol Rivopharm and other medicines

Tell your doctor or pharmacist about all medicines the patient is taking or has recently taken, as well as any medicines the patient plans to take.
No interactions with other medicines are known.

Taking Ambroxol Rivopharm with food

Ambroxol Rivopharm should be taken after meals, but can be taken during meals.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, consult a doctor or pharmacist before taking this medicine.
Pregnancy
Ambroxol crosses the placenta to the fetus. Ambroxol Rivopharm should not be used during pregnancy, especially during the first three months of pregnancy.
Breastfeeding
Ambroxol is excreted into human milk. Ambroxol Rivopharm is not recommended for use in breastfeeding women.

Driving and using machines

This medicine should not affect the ability to drive or use machines.

Ambroxol Rivopharm contains sorbitol

The medicine contains sorbitol (E420). Consult a doctor before taking the medicine if the patient has been diagnosed with intolerance to some sugars.
Each 5 ml dose of the oral solution contains 1.75 g of sorbitol.

3. How to take Ambroxol Rivopharm

This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist. If in doubt, consult a doctor or pharmacist.
Unless otherwise directed by a doctor, the recommended dose of Ambroxol Rivopharm is:
Children aged 6 to 12 years
Take 5 ml of Ambroxol Rivopharm oral solution 2 to 3 times a day (corresponding to 30-45 mg of ambroxol hydrochloride per day).
Children under 6 years of age
Ambroxol Rivopharm should not be used in children under 6 years of age.
Patient with liver or kidney failure
In patients with kidney failure or severe liver failure, Ambroxol Rivopharm should not be used unless directed by a doctor. The dose of the medicine or intervals between doses may need to be adjusted.

How to take

This medicine is for oral use only.
Ambroxol Rivopharm should be taken after meals, measuring the correct dose using the dosing device (oral syringe).
It is recommended to drink a glass of water after taking the medicine and to drink plenty of fluids throughout the day.
If symptoms worsen or do not improve after 5 days, consult a doctor. Ambroxol Rivopharm should not be used without a doctor's recommendation for more than 4-5 days.
Follow the instructions to ensure proper dosing of the oral solution.

Bottle with child-resistant cap, bottle connector, and oral syringe with volume graduations
  • (a) Child-resistant bottle cap
  • (b) Bottle connector
  • (c) Bottle
  • (d) Oral syringe
  • 1. Open the cap by pressing and turning in the opposite direction to the arrow.
Syringe with cap, arrow indicating direction of pressure and rotation
  • 2. Press the syringe plunger.
Oral syringe with nozzle, side view with volume graduations marked
  • 3. Insert the syringe firmly into the bottle connector.
Syringe inserted into the bottle, arrow indicating direction of insertion
  • 4. Turn the bottle and oral syringe upside down. Pull out the syringe plunger until the correct dose is drawn.
Hands holding the inverted bottle with syringe, drawing liquid into the syringe

Overdose of Ambroxol Rivopharm

No specific symptoms of overdose have been observed in humans to date. Based on cases of accidental overdose and/or reports of misuse, symptoms corresponding to the known side effects of ambroxol hydrochloride at recommended doses (see section 4) have been observed.
In case of accidental ingestion of a larger dose of the medicine, consult a doctor or go to the nearest hospital.
Bring the leaflet and any remaining oral solution to the doctor or hospital to show which medicine was taken.

Missed dose of Ambroxol Rivopharm

If a dose is missed, take it as soon as possible, unless it is almost time for the next dose. If it is time for the next dose, take it at the usual time.
Do not take a double dose to make up for a missed dose.
If you have any further doubts about taking this medicine, consult a doctor or pharmacist.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

If you experience any of the following serious side effects, stop taking Ambroxol Rivopharm and contact a doctor immediately:

Frequency not known (frequency cannot be estimated from the available data):

  • anaphylactic reactions, including anaphylactic shock, angioedema (rapidly spreading skin, subcutaneous tissue, mucous membrane, or submucosal tissue swelling) and itching
  • severe skin reactions (including erythema multiforme, Stevens-Johnson syndrome/toxic epidermal necrolysis, and acute generalized exanthematous pustulosis) (see Warnings and precautions in section 2).

Other side effects:

Common (may affect up to 1 in 10 people):

  • nausea
  • change in taste
  • feeling of numbness in the mouth and throat (oral hypoesthesia).

Uncommon (may affect up to 1 in 100 people):

  • vomiting
  • dry mouth
  • diarrhea
  • indigestion
  • abdominal pain.

Rare (may affect up to 1 in 1000 people):

  • hypersensitivity reactions
  • rash, urticaria.

Frequency not known (frequency cannot be estimated from the available data):

  • dry throat.

Reporting side effects

If you experience any side effects, including any possible side effects not listed in the leaflet, tell your doctor or pharmacist. Side effects can be reported directly to the Department of Drug Safety Monitoring, Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products,
Jerozolimskie Avenue 181C, 02-222 Warsaw, phone: +48 22 49 21 301, fax: +48 22 49 21 309,
e-mail: [email protected].
Side effects can also be reported to the marketing authorization holder. By reporting side effects, you can help provide more information on the safety of this medicine.

5. How to store Ambroxol Rivopharm

Keep the medicine out of the sight and reach of children.
Do not use this medicine after the expiry date stated on the carton and label after "EXP". The expiry date refers to the last day of the month.
The medicine does not require special storage conditions.
Shelf life after first opening: 6 months.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the packaging and other information

What Ambroxol Rivopharm contains

  • The active substance is ambroxol hydrochloride. 1 ml of Ambroxol Rivopharm oral solution, 15 mg/5 ml, contains 3 mg of ambroxol hydrochloride.
  • The other ingredients are: sodium benzoate (E211), sorbitol (E420), sucralose, hydroxyethylcellulose, citric acid monohydrate (E330), purified water, and strawberry flavor (501440 T) (propylene glycol (E1520), flavorings).

What Ambroxol Rivopharm looks like and contents of the pack

Ambroxol Rivopharm oral solution is a colorless or pale yellow liquid with a strawberry flavor.
The bottle is made of orange glass (type III) with a child-resistant closure made of HDPE, with an outer cap made of PP and a connector made of PE. The packaging includes an oral syringe made of PP (5 ml syringe with 0.5 ml graduations) with a plunger made of HDPE.
Pack size: 100 ml oral solution.
An oral syringe is included in the packaging.
Not all pack sizes may be marketed.

Marketing authorization holder

Actavis Group PTC ehf.
Reykjavíkurvegi 76-78
220 Hafnarfjörður
Iceland

Manufacturer

Balkanpharma-Troyan AD
1, Krayrechna Str.
5600 Troyan
Bulgaria

Actavis Export International Limited, BLB 016 Bulebel Industrial Estate, ZTN3000, Zejtun, Malta.
Contact in Poland: phone (+48 22) 512 29 00.
Date of last revision of the leaflet:January 2020

Alternatives to Ambroxol Rivopharm in other countries

The best alternatives with the same active ingredient and therapeutic effect.

Alternative to Ambroxol Rivopharm in Spain

Dosage form: ORAL SOLUTION/SUSPENSION, 0.300 g ambroxol hydrochloride / 100 ml
Active substance: ambroxol
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 5 ml
Active substance: ambroxol
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 30 mg ambroxol hydrochloride / 5 ml
Active substance: ambroxol
Prescription not required
Dosage form: MODIFIED-RELEASE CAPSULE, 75 mg
Active substance: ambroxol
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 15 mg ambroxol hydrochloride/5 ml
Active substance: ambroxol
Prescription not required
Dosage form: ORAL SOLUTION/SUSPENSION, 6 mg/ml
Active substance: ambroxol
Prescription not required

Alternative to Ambroxol Rivopharm in Ukraine

Dosage form: solution, 10 mg/0.2 ml per 13 ml
Active substance: ambroxol
Prescription not required
Dosage form: syrup, 30mg/5ml, 100ml in a glass bottle
Active substance: ambroxol
Manufacturer: AT "Farmak
Prescription not required
Dosage form: syrup, 15mg/5ml
Active substance: ambroxol
Manufacturer: AT "Farmak
Prescription not required
Dosage form: solution, 7.5 mg/ml; 2 ml in ampoule
Active substance: ambroxol
Prescription required
Dosage form: solution, 7.5 mg/ml in 2 ml ampoules
Active substance: ambroxol
Dosage form: syrup, 30mg/5ml, 120ml in a bottle
Active substance: ambroxol
Prescription not required

Online doctors for Ambroxol Rivopharm

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Ambroxol Rivopharm – subject to medical assessment and local rules.

5.0(102)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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For five years, Dr Grzelewski served as the Head of two paediatric departments in Poland, managing complex clinical cases and leading multidisciplinary teams. He also worked in medical centres in the United Kingdom, gaining experience across both primary care and specialist environments. With over a decade of telemedicine experience, he has provided online consultations across Europe and is valued for his clear, structured and evidence-based medical guidance.

Dr Grzelewski is actively involved in clinical programmes focused on modern anti-allergic therapies. As a Principal Investigator, he leads research projects on sublingual and oral allergen desensitisation, supporting evidence-based progress in allergy treatment for both children and adults.

In addition to his background in allergology and paediatrics, he completed dermatology studies through the Cambridge Education Group (Royal College of Physicians of Ireland) and a Clinical Endocrinology course at Harvard Medical School. This advanced training enhances his ability to manage skin manifestations of allergies, atopic conditions, urticaria, endocrine-related symptoms and complex immunological reactions.

Patients commonly seek his care for:

  • seasonal and perennial allergies
  • allergic rhinitis and chronic nasal symptoms
  • asthma and breathing difficulties
  • food and medication allergies
  • urticaria, atopic dermatitis and skin reactions
  • recurrent infections in children
  • sports-related health questions
  • general family medicine concerns
Dr Tomasz Grzelewski is known for his clear communication style, structured medical approach and ability to explain treatment options in a concise and accessible way. His multidisciplinary background across allergy, paediatrics, dermatology and endocrinology allows him to provide safe, up-to-date and comprehensive care for patients of all ages.
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Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

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  • ongoing care for chronic conditions
  • follow-up after hospital discharge
  • interpretation of test results
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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
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  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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  • Migraines and recurring headaches.
  • Neck, back, lower back, and joint pain.
  • Post-traumatic pain following injury or surgery.
  • Nerve-related pain, fibromyalgia, and neuralgia.
In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
  • Preventive care and routine health check-ups.

Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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She integrates medical analysis, psychological insight, and real-life behaviour change tools to offer treatment plans tailored to each patient’s biochemistry, mental state, and lifestyle.

Main areas of practice:

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  • Emotional support and psychosomatic symptom care
Her approach is never one-size-fits-all – each consultation begins with a deep dive into your unique health history, test results, and emotional landscape. Consultations are available in Ukrainian, Polish, and Russian.
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You can consult Dr. Ben Harbi for:

  • General health concerns, prevention, and primary care.
  • Hypertension, type 1 and type 2 diabetes, metabolic issues.
  • Cold, cough, flu, respiratory infections, sore throat, fever.
  • Chronic digestive issues: bloating, gastritis, IBS, microbiome imbalance.
  • Skin rashes, mild allergic reactions, basic dermatological complaints.
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Cardiology – Diagnosis and treatment of:

  • High blood pressure, blood pressure fluctuations, and cardiovascular risk prevention.
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Endocrinology – Diabetes, thyroid, metabolism:
  • Diagnosis and management of type 1 and type 2 diabetes, and prediabetes.
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Gastroenterology – Digestive health:
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  • Stomach and intestinal conditions: gastritis, irritable bowel syndrome (IBS), indigestion.
  • Management of chronic digestive disorders and interpretation of tests (endoscopy, ultrasound, labs).
General internal medicine and preventive care:
  • Respiratory infections – cough, colds, bronchitis.
  • Lab test analysis, therapy adjustments, medication management.
  • Adult vaccinations – planning, contraindications assessment.
  • Cancer prevention – screening strategies and risk assessment.
  • Holistic approach – symptom relief, complication prevention, and quality of life improvement.
Dr Biriukova combines internal medicine with specialist insight, offering clear explanations, personalised treatment plans, and comprehensive care tailored to each patient.
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