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TUSCLIN SYRUP

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About the medicine

How to use TUSCLIN SYRUP

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This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

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Introduction

Package Leaflet: Information for the User

Tusclin Syrup

Extract of Hedera helix L.

Read the entire package leaflet carefully before starting to take this medicine, as it contains important information for you.

Follow the administration instructions for the medicine contained in this package leaflet or as indicated by your doctor or pharmacist.

  • Keep this package leaflet, as you may need to read it again.
  • If you need advice or more information, consult your pharmacist.
  • If you experience side effects, consult your doctor or pharmacist, even if they are side effects not listed in this package leaflet. See section 4.
  • You should consult a doctor if your symptoms worsen or do not improve after 7 days.

Contents of the Package Leaflet

  1. What Tusclin Syrup is and what it is used for
  2. What you need to know before taking Tusclin Syrup
  3. How to take Tusclin Syrup
  4. Possible side effects
  5. Storage of Tusclin Syrup
  6. Package Contents and Additional Information

1. What Tusclin Syrup is and what it is used for

It is a plant-based medicine used as an expectorant in cases of productive cough.

Tusclin Syrup is indicated for adults, adolescents, and children over 2 years of age.

You should consult a doctor if your symptoms worsen or do not improve after 7 days.

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before taking Tusclin Syrup

Do not take Tusclin Syrup

If you are allergic to the active ingredient, ivy (Hedera helix L.), to any component of the araliaceae family, or to any of the other components of this medicine (listed in section 6).

Do not administer the medicine to children under 2 years of age, as there is a risk of worsening respiratory symptoms.

Warnings and PrecautionsConsult your doctor or pharmacist before taking Tusclin Syrup.

Consult your doctor or pharmacist if you experience difficulty breathing, fever, or purulent secretions.

If you are taking other cough suppressants such as codeine or dextromethorphan, you should consult your doctor or pharmacist before taking Tusclin Syrup. Concurrent use with other cough suppressants is not recommended.

If you have gastritis or gastric ulcer, consult your doctor before taking Tusclin Syrup.

Children

In children between 2 and 4 years of age with persistent or recurrent cough, a medical diagnosis is required before starting treatment.

The medicine should not be administered to children under 2 years of age due to the risk of worsening respiratory symptoms.

Use in Patients with Renal and/or Hepatic Impairment

If you have renal or hepatic insufficiency, consult your doctor or pharmacist before taking Tusclin Syrup. There are no data to recommend a dose in these patients.

Other Medicines and Tusclin Syrup

Taking Tusclin Syrup with other medicines.

Inform your doctor or pharmacist if you are taking, have recently taken, or may need to take any other medicine.

Pregnancy and Breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor or pharmacist before using this medicine.

There are no adequate and well-controlled studies in pregnant or breastfeeding women, so its administration is not recommended.

Driving and Using Machines

No studies have been conducted on the ability to drive and use machines.

Tusclin Syrup contains Sorbitol (E-420)

This medicine contains 498 mg per ml. Sorbitol is a source of fructose. If your doctor has told you that you (or your child) have an intolerance to certain sugars, or have been diagnosed with hereditary fructose intolerance (HFI), a rare genetic disease in which the patient cannot break down fructose, consult your doctor before taking this medicine.

3. How to Take Tusclin Syrup

Follow the administration instructions for the medicine contained in this package leaflet or as indicated by your doctor or pharmacist. In case of doubt, ask your doctor or pharmacist.

The recommended dose is:

Adults and adolescents over 12 years: 5 ml of syrup, 2 or 3 times a day (equivalent to 70-105 mg daily of dry extract of ivy leaves).

Children between 6 and 12 years: 2.5 ml of syrup, 2 to 4 times a day or 5 ml of syrup 2 times a day (equivalent to 35-70 mg daily of extract).

Children between 2 and 5 years: 2.5 ml of syrup, 2 times a day (equivalent to 35 mg daily of extract).

In children between 2 and 4 years of age with persistent or recurrent cough, a medical diagnosis is required before starting treatment.

Children under 2 years: Tusclin Syrup should not be administered to children under 2 years of age due to the risk of worsening respiratory symptoms.

If you think the effect of the medicine is too strong or too weak, tell your doctor or pharmacist.

Tusclin Syrup is taken orally. Shake the bottle well before use. To ensure you always take the recommended dose, you should use the measuring cup included, which is graduated in 2.5 ml, 5 ml, and 10 ml.

You should consult a doctor or pharmacist if your symptoms worsen or persist after 7 days of treatment.

If you take more Tusclin Syrup than you should

If you have accidentally taken more than the recommended dose, you may experience nausea, diarrhea, vomiting, or restlessness (feeling more excited).

In case of overdose or accidental ingestion, consult your pharmacist or doctor immediately or call the Toxicology Information Service, phone 91 562 04 20, indicating the product and the amount ingested.

If you forget to take Tusclin Syrup

Do not take a double dose to make up for forgotten doses.

In case of forgetting a dose, take the medicine as soon as possible, continuing the treatment as recommended. However, if the next dose is near, it is better not to take the forgotten dose and wait for the next one.

If you stop taking Tusclin Syrup

If you have any other doubts about the use of this medicine, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible Side Effects

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

Frequent (may affect 1 to 10 in every 100 patients): gastrointestinal system reactions such as nausea, vomiting, or diarrhea have been reported.

Uncommon (may affect 1 to 10 in every 1000 patients): allergic reactions such as hives, skin rashes, and difficulty breathing (dyspnea) have been reported. If you experience these symptoms, stop taking the medicine and consult your doctor or pharmacist.

Reporting of Side Effects

If you experience any type of side effect, consult your doctor or pharmacist, even if it is a possible side effect not listed in this package leaflet. You can also report them directly through the Spanish Pharmacovigilance System for Human Use Medicines: https://www.notificaram.es. By reporting side effects, you can contribute to providing more information on the safety of this medicine.

5. Storage of Tusclin Syrup

No special storage conditions are required.

Keep this medicine out of the sight and reach of children.

Once the package is opened, discard the medicine if 3 months have passed since the opening date. Mark the opening date on the white box of the medicine package provided for this purpose.

Do not use Tusclin Syrup after the expiration date shown on the package, after the abbreviation "EXP". The expiration date is the last day of the month indicated.

Medicines should not be disposed of via wastewater or household waste. Deposit the packages and medicines you no longer need at the SIGRE point in the pharmacy. In case of doubt, ask your pharmacist how to dispose of the packages and medicines you no longer need. This way, you will help protect the environment.

6. Package Contents and Additional Information

Composition of Tusclin Syrup

  • The active ingredient is the dry extract of ivy leaf; 1 ml of syrup contains 7 mg of dry extract of ivy leaf (Hedera helix L.) (4-8: 1). Extraction solvent: ethanol 30% (m/m).
  • The other components are: potassium sorbate, anhydrous citric acid, xanthan gum, non-crystallizable liquid sorbitol (E-420), cherry flavor, and purified water.

Appearance of the Product and Package Contents

Tusclin Syrup is presented in 100 ml and 200 ml amber glass bottles with a child-resistant plastic cap. A graduated measuring cup of 2 ml to 15 ml, including 2.5 ml and 5 ml measures, is included.

Not all package sizes may be marketed.

Marketing Authorization Holder

LABORATORIOS ERN, S.A.

Perú, 228

08020 Barcelona, Spain

Manufacturer

LABORATORIOS ERN, S.A.

Gorgs Lladó, 188

08210 Barberá del Vallés, Barcelona, Spain

Date of the Last Revision of this Package Leaflet: July 2017

Detailed and updated information on this medicine is available on the website of the Spanish Agency for Medicines and Health Products (AEMPS) http://www.aemps.gob.es/

Online doctors for TUSCLIN SYRUP

Discuss questions about TUSCLIN SYRUP, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

5.0 (69)
Doctor

Tarek Agami

General medicine 11 years exp.

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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5.0 (63)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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€59
5.0 (17)
Doctor

Anastasiia Shalko

Family medicine 13 years exp.

Dr. Anastasiia Shalko is a general practitioner with a background in both paediatrics and general medicine. She graduated from Bogomolets National Medical University in Kyiv and completed her paediatric internship at the P.L. Shupyk National Medical Academy of Postgraduate Education. After working as a paediatrician in Kyiv, she relocated to Spain, where she has been practising general medicine since 2015, providing care for both adults and children.

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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€50
5.0 (3)
Doctor

Tomasz Grzelewski

Dermatology 21 years exp.

Dr Tomasz Grzelewski is an MD, PhD specialist in allergy, paediatrics, general practice and sports medicine, with a clinical focus on dermatology, endocrinology, allergology and sports-related health. He has more than 20 years of clinical experience and completed his medical training at the Medical University of Łódź, where he defended his PhD thesis with distinction. His doctoral research was recognised by the Polish Society of Allergology for its innovative contribution to the field. Throughout his career, he has gained extensive expertise in diagnosing and managing a wide range of allergic and paediatric conditions, including modern allergen desensitisation techniques.

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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€80

Frequently Asked Questions

Is a prescription required for TUSCLIN SYRUP?
TUSCLIN SYRUP does not require a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.
What is the active substance in TUSCLIN SYRUP?
The active ingredient in TUSCLIN SYRUP is Hederae helicis folium. This information helps identify medicines with the same composition but different brand names.
Who manufactures TUSCLIN SYRUP?
TUSCLIN SYRUP is manufactured by Laboratorios Ern S.A.. Pharmacy brands and packaging may differ depending on the distributor.
Which doctors can assess the use of TUSCLIN SYRUP online?
Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether TUSCLIN SYRUP is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.
What are the alternatives to TUSCLIN SYRUP?
Other medicines with the same active substance (Hederae helicis folium) include ABRILAR SYRUP, ACTUATOS 35 mg ORAL SOLUTION IN SACHETS, ACTUATOS 7 mg/ml SYRUP. 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.
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