How to use Hederasal
Contents of the leaflet
- What is Hederasal and what is it used for
- Important information before taking Hederasal
- How to take Hederasal
- Possible side effects
- Storing Hederasal
- Package contents and other information
1. What is Hederasal and what is it used for
Hederasal syrup contains a dry extract of ivy leaves ( Hederae helicis folii extractum
siccum), which has an expectorant and spasmolytic effect on the smooth muscles of the bronchi. It reduces the frequency and painfulness of coughing fits. It thins the thick mucus that accumulates in the throat, larynx, and bronchi. It facilitates expectoration, soothes the cough reflex, and does not block the cough reflex.
Indications for use
The herbal medicinal product is used as an expectorant in the case of productive cough (wet cough with difficult expectoration of thick mucus).
2. Important information before taking Hederasal
When not to take Hederasal:
- -If the patient is allergic to the active substance, including plants of the Araliaceae family, or to any of the excipients (listed in section 6).
- Due to the possibility of exacerbating respiratory symptoms during the use of secretolytic (expectorant) drugs, the medicine should not be used in children under 2 years of age.
Warnings and precautions
Before starting treatment with Hederasal, the patient should discuss it with their doctor or pharmacist.
Persistent or recurrent cough in children aged 2 to 4 years requires a diagnosis by a doctor before treatment.
If shortness of breath, fever, bloody or purulent sputum occurs, the patient should consult their doctor or pharmacist.
Concomitant use of this medicine with opioid cough suppressants, such as codeine or dextromethorphan, is not recommended without consulting a doctor.
Care should be taken in patients with gastritis or gastric ulcer disease.
Children
The medicine should not be used in children under 2 years of age.
The medicine contains sorbitol.
If the patient has previously been diagnosed with intolerance to certain sugars, they should consult their doctor before taking the medicine.
A single dose of the syrup (5 ml) contains 4.935 g of sorbitol.
Guidelines for diabetics: the medicine does not contain sucrose. It can be used by people with diabetes. 1 teaspoon (5 ml, equivalent to 6.2 g) of the syrup contains 3.36 g of D-sorbitol, which corresponds to 0.28 bread units (BE).
Hederasal and other medicines
The patient should inform their doctor or pharmacist about all medicines they are currently taking or have recently taken, as well as any medicines they plan to take.
Interactions with other medicines are not known.
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 their doctor or pharmacist before taking this medicine.
Pregnancy
The safety of use during pregnancy has not been established. Due to the lack of sufficient data, the use of the medicinal product is not recommended during this period.
Breastfeeding
The safety of use during breastfeeding has not been established. Due to the lack of sufficient data, the use of the medicinal product is not recommended during this period.
Fertility
The effect on fertility is not known.
Driving and using machines
No studies have been conducted on the effect of the product on the ability to drive and use machines.
There is no evidence that herbal medicinal products containing ivy leaf extracts affect the ability to drive and use machines.
3. How to take Hederasal
This medicine should always be taken exactly as described in the patient leaflet or as directed by a doctor or pharmacist.
In case of doubts, the patient should consult their doctor or pharmacist.
Oral administration. A measuring cup is attached to the packaging.
The syrup should be taken undiluted, followed by water.
Dosage
Children aged 2 to 5 years - 2 to 3 times a day, 2.5 ml or ½ teaspoon.
Children aged 6 to 11 years - 2 times a day, 5 ml or 1 teaspoon.
Adults and adolescents over 12 years - 3 to 4 times a day, 5 ml or 1 teaspoon.
Duration of use
If symptoms persist for more than a week during treatment with the medicinal product, the patient should consult their doctor or pharmacist.
Taking a higher dose of Hederasal than recommended
The recommended doses should not be exceeded, as nausea, vomiting, diarrhea, and agitation may occur.
In case of taking a higher dose than recommended and experiencing side effects, the patient should seek medical advice.
Missing a dose of Hederasal
Treatment should be continued. A double dose should not be taken to make up for a missed dose.
Stopping treatment with Hederasal
Stopping treatment with Hederasal syrup may cause worsening of difficulties in expectorating thick mucus in the throat, larynx, and bronchi.
4. Possible side effects
Like all medicines, Hederasal can cause side effects, although not everybody gets them.
Side effects are presented in accordance with the MedDRA system organ classification and frequency: unknown (cannot be determined from available data).
The following side effects may occur during treatment with Hederasal syrup:
Gastrointestinal disorders (nausea, vomiting, diarrhea) - frequency unknown.
Immune system disorders (allergic reactions: rash, urticaria, shortness of breath) - frequency unknown.
In case of any of the above symptoms, the patient should stop taking the medicine and seek medical advice.
Reporting side effects
If any side effects occur, including any side effects not listed in the leaflet, the patient should inform their doctor or pharmacist. 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
phone: +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 can help gather more information on the safety of the medicine.
5. Storing Hederasal
The medicine should be stored out of sight and reach of children.
Do not store above 25°C.
Do not use this medicine after the expiry date stated on the packaging.
The expiry date refers to the last day of the specified month.
Shelf life after first opening: 6 months.
Medicines should not be disposed of via wastewater or household waste. The patient should ask their pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.
6. Package contents and other information
What Hederasal contains
The active substance of the medicine is a dry extract of ivy leaves ( Hederae helicis folii extractum
siccum).
100 g (equivalent to 81 ml) of the syrup contains 430.55 mg of dry extract of Hedera helicisL.
folium(ivy leaves), (DER 4-8:1), extraction solvent: ethanol 30% ( m/m).
Excipients: potassium sorbate, anise essential oil, propylene glycol, non-crystallizing liquid sorbitol 70%, purified water.
What Hederasal looks like and what the package contains
Hederasal is a brown syrup with a permissible slight opalescence or turbidity.
Package
A brown glass bottle with an HDPE cap containing 125 g of syrup, placed in a cardboard box with a leaflet and a measuring cup.
Marketing authorization holder and manufacturer
Wrocławskie Zakłady Zielarskie „Herbapol” S.A.
50-951 Wrocław, ul. Św. Mikołaja 65/68
phone: +48 71 33 57 225
fax: +48 71 37 24 740
e-mail: [email protected]
To obtain more detailed information, the patient should contact the marketing authorization holder: phone 71 321 86 04, ext. 123
Date of last update of the leaflet:

- Country of registration
- Dosage formSyrup, 26.6 mg/5 ml
- ATC codeR05CA12
- Active substance
- Prescription requiredNo
- Manufacturer
- ImporterWrocławskie Zakłady Zielarskie "Herbapol" S.A.
- This information is for reference only and does not constitute medical advice. Always consult a doctor before taking any medication. Oladoctor is not responsible for medical decisions based on this content.
- Alternatives to HederasalDosage form: Syrup, 700 mg/100 mlActive substance: Hederae helicis foliumManufacturer: Krewel Meuselbach GmbHPrescription not requiredDosage form: Syrup, 40 mg/5 mlActive substance: Hederae helicis foliumManufacturer: Krewel Meuselbach GmbHPrescription not requiredDosage form: Tablets, 52.5 mgActive substance: Hederae helicis foliumManufacturer: Wrocławskie Zakłady Zielarskie "Herbapol" S.A.Prescription not required
Online doctors for Hederasal
Discuss questions about Hederasal, including use, safety considerations and prescription review, subject to medical assessment and local regulations.
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Frequently Asked Questions
Hederasal does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.
The active ingredient in Hederasal is Hederae helicis folium. This information helps identify medicines with the same composition but different brand names.
Hederasal is manufactured by Wrocławskie Zakłady Zielarskie "Herbapol" S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether Hederasal is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.
You can buy Hederasal in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.
To obtain a prescription, you can use Oladoctor:
Other medicines with the same active substance (Hederae helicis folium) include Hedecton, Hedelix, Hederasal Max. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.
















