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

How to use Deflegmin Effect

Leaflet attached to the packaging: information for the user

Deflegmin EFFECT

30 mg, tablets

Ambroxol hydrochloride

Please read carefully the contents of the leaflet before using the medicine, as it contains

important information for the patient.
This medicine should always be used exactly as described in the patient leaflet or as directed by
the doctor or pharmacist.

The leaflet should be kept in case it needs to be read again.
If advice or additional information is needed, the pharmacist should be consulted.
If the patient experiences any side effects, including any possible side effects not listed in the leaflet, they should inform the doctor or pharmacist. See section 4.
If after 4 to 5 days there is no improvement or the patient feels worse, they should contact the doctor.

Table of contents of the leaflet:

1. What is Deflegmin EFFECT and what is it used for
2. Important information before using Deflegmin EFFECT
3. How to use Deflegmin EFFECT
4. Possible side effects
5. How to store Deflegmin EFFECT
6. Contents of the packaging and other information

1. What is Deflegmin EFFECT and what is it used for

Deflegmin EFFECT in the form of tablets is a mucolytic medicine containing ambroxol hydrochloride.
It increases the secretion of mucus in the respiratory tract and improves its transport, making it easier to cough up and relieving cough.
Deflegmin EFFECT is used in acute and chronic lung and bronchial diseases with difficulty in coughing up sticky secretions from the respiratory tract.

2. Important information before using Deflegmin EFFECT

When not to use Deflegmin EFFECT

if the patient is allergic to ambroxol hydrochloride or any of the other ingredients of this medicine (listed in section 6);
directly before bedtime.

Warnings and precautions

Before starting to use Deflegmin EFFECT, the patient should discuss it with the doctor or
pharmacist:

if the patient has stomach or duodenal ulcer disease;
if the patient has liver or kidney function disorders;
if the cough reflex is weakened or there are disorders of ciliary clearance of the bronchi (there is a risk of secretions accumulating in the respiratory tract);
if the patient has bronchial asthma (Deflegmin EFFECT may initially worsen cough).

Severe skin reactions associated with the use of ambroxol hydrochloride have been reported.
If a rash occurs (including changes in mucous membranes, e.g. mouth, throat, nose, eyes, genitals), the use of Deflegmin EFFECT should be discontinued and the doctor should be contacted immediately.

Deflegmin EFFECT and other medicines

The patient should inform the doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.

Ambroxol increases the concentration of antibiotics (amoxicillin, cefuroxime, erythromycin, doxycycline) in lung tissue.
Cough suppressants (e.g. codeine) weaken the effect of ambroxol by inhibiting the cough reflex and making it difficult to cough up liquefied mucus.
No interaction between ambroxol and other medicines has been found.

Deflegmin EFFECT with food and drink

Deflegmin EFFECT in the form of tablets should be taken after meals and washed down with a small
amount of liquid.

Pregnancy, breastfeeding, and fertility

If the patient is pregnant or breastfeeding, thinks they may be pregnant, or plans to have a child, they should consult the doctor or pharmacist before using this medicine.
The use of Deflegmin EFFECT is not recommended during pregnancy, especially in the first
trimester of pregnancy.
Ambroxol passes into breast milk. The use of Deflegmin EFFECT is not recommended during breastfeeding.
The effect of the medicine on human fertility has not been studied.
Animal studies have not shown any harmful effects of ambroxol on fertility.

Driving and using machines

There is no evidence of the medicine's effect on the ability to drive and use machines.
No studies have been conducted on the effect of Deflegmin EFFECT on the ability to drive and use machines.

Deflegmin EFFECT contains lactose

If the patient has previously been diagnosed with intolerance to some sugars, they should consult the doctor before taking the medicine.

3. How to use Deflegmin EFFECT

This medicine should always be used exactly as described in the patient leaflet or as directed by
the doctor or pharmacist. In case of doubts, the doctor or pharmacist should be consulted.
The usual dose of Deflegmin EFFECT in the form of tablets:
for adults and children over 12 years of age:
initially, for 2 to 3 days, 1 tablet 3 times a day, then the dose should be reduced to
1 tablet 2 times a day;
for children between 6 and 12 years of age:
half a tablet 2 to 3 times a day;
for children under 6 years of age:
the medicine in the form of tablets should not be used in children under 6 years of age (Deflegmin in the form of oral drops, solution, or syrup can be used).
If after 4 to 5 days of using the medicine there is no improvement or the patient feels worse, they should contact the doctor.

Using a higher dose of Deflegmin EFFECT than recommended

No cases of overdose have been reported. However, if symptoms such as nausea, excessive fatigue, or excessive mucus production occur, the doctor should be contacted immediately.

Missing a dose of Deflegmin EFFECT

If a dose is missed, it should be taken as soon as possible. However, if it is almost time for the next dose, the missed dose should be skipped. A double dose should not be taken to make up for a missed dose.

Stopping the use of Deflegmin EFFECT

Stopping the use of Deflegmin EFFECT does not cause any adverse effects, except for the possibility of worsening symptoms of the disease for which it is used.
In case of any further doubts about the use of this medicine, the doctor or pharmacist should be consulted.

4. Possible side effects

Like all medicines, Deflegmin EFFECT can cause side effects, although not everybody gets them.

If any of the following side effects occur, the use of the medicine should be discontinued and the doctor should be contacted immediately:

anaphylactic reactions, including anaphylactic shock, angioedema (rapidly progressing swelling of the skin, subcutaneous tissue, mucous membrane, or submucosal tissue), and itching,
severe skin reactions (including erythema multiforme, Stevens-Johnson syndrome, toxic epidermal necrolysis, and acute generalized exanthematous pustulosis).

The frequency of the above side effects is unknown (cannot be determined from available data).
In addition, the following side effects may occur:
Common side effects(may occur in up to 1 in 10 people):

nausea.

Uncommon side effects(may occur in up to 1 in 100 people):

vomiting, diarrhea, indigestion, and abdominal pain.

Rare side effects(may occur in up to 1 in 1000 people):

hypersensitivity reactions;
rash, urticaria.

Side effects with unknown frequency(frequency cannot be determined from available data):

itching, other allergic reactions not listed above.

Reporting side effects

If any side effects occur, including any side effects not listed in the leaflet, the doctor or pharmacist should be informed. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products:
Al. Jerozolimskie 181 C, 02-222 Warsaw
tel.: +48 22 49 21 301, fax: +48 22 49 21 309
Website: https://smz.ezdrowie.gov.pl.
Side effects can also be reported to the marketing authorization holder.
Reporting side effects will help to gather more information on the safety of the medicine.

5. How to store Deflegmin EFFECT

Store in a temperature below 25°C. Store in the original packaging to protect from light and moisture.
The medicine should be kept out of sight and reach of children.
The medicine should not be used after the expiry date stated on the packaging after "Expiry date". The expiry date refers to the last day of the specified month.
Medicines should not be disposed of via wastewater or household waste. The pharmacist should be asked how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Deflegmin EFFECT contains

The active substance of the medicine is ambroxol hydrochloride. 1 tablet contains 30 mg of ambroxol hydrochloride.
The other ingredients of the medicine are: lactose, corn starch, colloidal silica, magnesium stearate.

What Deflegmin EFFECT looks like and what the packaging contains

White, round, biconvex tablets.
Deflegmin EFFECT in the form of tablets is packaged in Al/PCW film blisters. The carton contains one blister with 20 tablets.

Marketing authorization holder:

Bausch Health Ireland Limited
3013 Lake Drive
Citywest Business Campus
Dublin 24, D24PPT3
Ireland

Manufacturer:

ICN Polfa Rzeszów S.A.
ul. Przemysłowa 2
35-105 Rzeszów, Poland
Date of last update of the leaflet:April 2025

Country of registration
Poland
Active substance
ambroxol
Prescription required
No
Importer
ICN Polfa Rzeszów S.A.
This information is for reference only and does not constitute medical advice. Always consult a licensed doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
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Aflegan
Dosage form: Solution, 7.5 mg/ml
Active substance: ambroxol
Manufacturer: Przedsiębiorstwo Farmaceutyczne Jelfa S.A.
Prescription required
Ambroksol Apteo Med
Dosage form: Syrup, 15 mg/5 ml
Active substance: ambroxol
Manufacturer: Sopharma PLC
Prescription not required
Ambroksol Apteo Med
Dosage form: Syrup, 30 mg/5 ml
Active substance: ambroxol
Prescription not required

Alternatives to Deflegmin Effect in other countries

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

Alternative to Deflegmin Effect in Spain

MOTOSOL 3mg/ml SYRUP

Dosage form: ORAL SOLUTION/SUSPENSION, 0.300 g ambroxol hydrochloride / 100 ml

Active substance: ambroxol

Manufacturer: Opella Healthcare Spain S.L.

Prescription not required

MUXIMED SYRUP

Dosage form: ORAL SOLUTION/SUSPENSION, 5 ml

Active substance: ambroxol

Manufacturer: Amneal Pharma Spain S.L.

Prescription not required

MUCOSAN 6 mg/mL SYRUP

Dosage form: ORAL SOLUTION/SUSPENSION, 30 mg ambroxol hydrochloride / 5 ml

Active substance: ambroxol

Manufacturer: Opella Healthcare Spain S.L.

Prescription not required

MUCOSAN RETARD 75 mg PROLONGED-RELEASE CAPSULES

Dosage form: MODIFIED-RELEASE CAPSULE, 75 mg

Active substance: ambroxol

Manufacturer: Opella Healthcare Spain S.L.

Prescription not required

MUCOSAN PEDIATRIC 3 mg/ml SYRUP

Dosage form: ORAL SOLUTION/SUSPENSION, 15 mg ambroxol hydrochloride/5 ml

Active substance: ambroxol

Manufacturer: Opella Healthcare Spain S.L.

Prescription not required

MUCIBRON FORTE 6 mg/ml ORAL SOLUTION

Dosage form: ORAL SOLUTION/SUSPENSION, 6 mg/ml

Active substance: ambroxol

Manufacturer: Laboratorios Normon S.A.

Prescription not required

Alternative to Deflegmin Effect in Ukraine

RESPIKS SPREJ

Dosage form: solution, 10 mg/0.2 ml per 13 ml

Active substance: ambroxol

Manufacturer: Aj Ti Si PRODAKSN S.R.L.

Prescription not required

PEKTOLVAN ZI SMAKOM POLUNICI

Dosage form: syrup, 30mg/5ml, 100ml in a glass bottle

Active substance: ambroxol

Manufacturer: AT "Farmak

Prescription not required

PEKTOLVAN ZI SMAKOM LISOVIH AGID

Dosage form: syrup, 15mg/5ml

Active substance: ambroxol

Manufacturer: AT "Farmak

Prescription not required

MUKOSOL

Dosage form: solution, 7.5 mg/ml; 2 ml in ampoule

Active substance: ambroxol

Manufacturer: Privatne akcionerne tovaristvo "Lekhim-Harkiv

Prescription required

MUKOLVAN

Dosage form: solution, 7.5 mg/ml in 2 ml ampoules

Active substance: ambroxol

Manufacturer: Tovaristvo z obmezenou vidpovidal'nistu "Doslidnij zavod "GNCLS" (kontrol' akosti, vipusk serii)

Prescription required

BRONHOTON AMBRO

Dosage form: syrup, 30mg/5ml, 120ml in a bottle

Active substance: ambroxol

Manufacturer: VETPROM AD, virobnica dil'nica Vifarma

Prescription not required

Online doctors for Deflegmin Effect

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

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Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

Chest pain, shortness of breath, heart palpitations, high blood pressure
Hypertension control and cardiovascular disease prevention
Interpretation of ECG, blood tests, and Holter monitor results
Management of heart failure and coronary artery disease
General medical issues: infections, fever, fatigue, gastrointestinal symptoms
Guidance on diagnostics, treatment plans, and medication adjustments

Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.

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Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

Preventive and family medicine
Women’s health, including gynaecology and obstetrics
Chronic disease management: hypertension, diabetes, and more
Mental health support, anxiety, and counselling
Postoperative care and lab test interpretation

She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.

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Tarek Agami

General medicine10 years of experience

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
Evaluation of symptoms and guidance on further diagnostic testing
Preventive check-ups and regular health monitoring
Medical support during travel or after relocation
Treatment adjustments and lifestyle recommendations based on your personal history

Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

interpretation of test results and personalised treatment planning
menstrual irregularities, PCOS, endometriosis
abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
care during perimenopause and menopause, hormonal balance, cancer prevention
breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
support during the postpartum and lactation period

Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.

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Hocine Lokchiri

General medicine20 years of experience

Dr. Hocine Lokchiri is a French consultant with over 20 years of experience in General and Emergency Medicine. He works with adults and children, helping patients with urgent symptoms, infections, sudden health changes and everyday medical concerns that require timely evaluation. His background includes clinical practice in France, Switzerland and the United Arab Emirates, which allows him to navigate different healthcare systems and manage a wide range of conditions with confidence. Patients value his calm, structured approach, clear explanations and evidence-based decision-making.

Online consultations with Dr. Lokchiri are suitable for many situations when someone needs quick medical guidance, reassurance or a clear next step. Common reasons for booking include:

fever, chills, fatigue and viral symptoms
cough, sore throat, nasal congestion, breathing discomfort
bronchitis and mild asthma flare-ups
nausea, diarrhoea, abdominal pain, digestive infections
rashes, allergic reactions, redness, insect bites
muscle or joint pain, mild injuries, sprains
headache, dizziness, migraine symptoms
stress-related symptoms, sleep disturbances
questions about test results and treatment plans
management of chronic conditions in stable phases

Many patients reach out when symptoms appear suddenly and cause concern, when a child becomes unwell unexpectedly, when a rash changes or spreads, or when it’s unclear whether an in-person examination is necessary. His emergency medicine background is particularly valuable online, helping patients understand risk levels, identify warning signs and choose safe next steps.

Some situations are not suitable for online care. If a patient has loss of consciousness, severe chest pain, uncontrolled bleeding, seizures, major trauma or symptoms suggesting a stroke or heart attack, he will advise seeking immediate local emergency services. This improves safety and ensures patients receive the right level of care.

Dr. Lokchiri’s professional training includes:

Advanced Trauma Life Support (ATLS)
Basic and Advanced Cardiac Life Support (BLS/ACLS)
Pediatric Advanced Life Support (PALS)
Prehospital Trauma Life Support (PHTLS)
eFAST and critical care transthoracic echocardiography
aviation medicine

He is an active member of several professional organisations, including the French Society of Emergency Medicine (SFMU), the French Association for Emergency Physicians (AMUF) and the Swiss Society of Emergency and Rescue Medicine (SGNOR). In consultations, he works with clarity and precision, helping patients understand their symptoms, possible risks and the safest treatment options.

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Anastasiia Shalko

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Her work focuses on urgent, short-term medical concerns – situations where patients need quick guidance, symptom assessment and clear next steps. She helps people understand whether their symptoms require in-person evaluation, home management or a change in treatment. Common reasons for booking an online consultation include:

acute respiratory symptoms (cough, sore throat, runny nose, fever)
viral illnesses such as colds and seasonal infections
gastrointestinal complaints (nausea, diarrhoea, abdominal pain, gastroenteritis)
sudden changes in how a child or adult feels
questions about existing treatment and whether adjustments are needed
renewal of prescriptions when clinically appropriate

Dr. Shalko works specifically with urgent and short-term problems, providing practical recommendations and helping patients determine the safest next step. She explains symptoms clearly, guides patients through decision-making and offers straightforward medical advice for everyday acute issues.

She does not provide long-term management of chronic conditions, ongoing follow-up or comprehensive care plans for complex long-term illnesses. Her consultations are designed for acute symptoms, sudden concerns and situations where timely medical input is important.

With clinical experience in both paediatrics and general medicine, Dr. Shalko confidently supports adults and children. Her communication style is clear, simple and reassuring, helping patients feel informed and supported throughout the consultation.

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Roman Raevskii

General medicine6 years of experience

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Dr. Raevskii provides medical care in the following areas:

Diagnosis and management of common conditions: hypertension, diabetes, respiratory and digestive disorders.
Oncological consultations: early cancer detection, risk evaluation, and treatment navigation.
Supportive care for oncology patients – pain control, symptom relief, and side effect management.
Preventive medicine and health screenings.
Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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Dmytro Horobets

Family medicine6 years of experience

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Areas of expertise:

Endocrinology: diabetes type 1 and type 2, prediabetes, thyroid disorders, metabolic syndrome, hormonal imbalance.
Obesity medicine: structured weight management plans, nutritional counselling, obesity-related health risks.
Gastroenterology: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), liver and biliary conditions.
Pediatric care: infections, respiratory symptoms, digestive issues, growth and development monitoring.
General surgery support: pre- and post-surgical consultations, wound care, rehabilitation.
Pain management: chronic and acute pain, back pain, joint pain, post-traumatic pain syndromes.
Cardiovascular health: hypertension, cholesterol control, risk assessment for heart disease.
Preventive medicine: regular check-ups, health screenings, long-term management of chronic conditions.

Dr. Horobets combines evidence-based medicine with a patient-centred approach. He carefully evaluates each patient’s medical history and symptoms, offering clear explanations and structured treatment plans adapted to individual needs.

Whether you need help managing diabetes, tackling weight-related health issues, interpreting lab results, or receiving general family medicine support, Dr. Horobets provides professional online care tailored to your specific health goals.

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Nuno Tavares Lopes

Family medicine17 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies
Family medicine: hypertension, diabetes, cholesterol, chronic disease management
Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses
Sexual and reproductive health: PrEP, STD prevention, counselling, treatment
Weight management and wellness: personalised weight loss programmes, lifestyle guidance
Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis
Pain management: acute and chronic pain, post-surgical care
Public health: prevention, health screenings, long-term monitoring
Sick leave (Baixa médica) connected to Segurança Social in Portugal
IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.

Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
Mental health concerns such as stress, sleep issues, anxiety, and burnout
Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
Work-related health questions, sick leave documentation, and medical guidance for returning to work

Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

Book a video appointment