Tablets
Optibreathe-N Tablet
Acebrophylline 100 mg and acetylcysteine 600 mg tablets
Optibreathe-N is a registered product of Ramnova Healthcare Private Limited.
Optibreathe-N Tablet composition
100 mg / 600 mg
| Ingredient | Strength |
|---|---|
| Acebrophylline | 100 mg |
| Acetylcysteine | 600 mg |
About Optibreathe-N Tablet
OPTIBREATHE-N tablets combine acebrophylline 100 mg, which relaxes the airways and helps clear mucus, with acetylcysteine 600 mg, which thins thick phlegm so it is easier to cough up. It is used in asthma and chronic obstructive pulmonary disease (COPD), including chronic bronchitis, to ease breathlessness, chest tightness and cough with sticky mucus.
Take it exactly as your doctor prescribes, usually after food. Common side effects include nausea, stomach upset and headache. It does not relieve a sudden asthma attack, so keep your reliever inhaler with you, and tell your doctor if you have heart, liver, kidney or thyroid problems or a stomach ulcer.
Therapy category: Respiratory medicine.
Uses of Optibreathe-N Tablet
- Asthma
- Chronic obstructive pulmonary disease (COPD)
Benefits of Optibreathe-N Tablet
Asthma
In asthma the airways tighten and fill with sticky mucus. Acebrophylline relaxes the airway muscles and improves mucus clearance, while acetylcysteine thins the mucus, helping you breathe and cough more easily. It is used alongside your inhalers, not instead of them.
Chronic obstructive pulmonary disease (COPD)
In COPD and chronic bronchitis, narrowed airways and thick phlegm cause breathlessness and a persistent cough. By opening the airways and loosening phlegm, this combination can make daily activities easier and coughing more productive.
Side effects of Optibreathe-N Tablet
Most side effects are mild and settle as your body adjusts. Tell your doctor if they continue or worry you.
- Nausea, vomiting or indigestion
- Abdominal pain, diarrhoea or constipation
- Headache
- Loss of appetite
- Rash or itching
- Rarely, a fast heartbeat or chest tightness
How to take Optibreathe-N Tablet
Take this medicine in the dose and for the length of time your doctor advises, preferably after food to reduce stomach upset. Swallow the tablet whole with water; do not chew or crush it. Drink plenty of fluids during the day to help loosen mucus.
How Optibreathe-N Tablet works
Acebrophylline combines ambroxol, which helps the lungs produce thinner mucus and clear it more easily, with a theophylline-like compound that relaxes the muscles of the airways. Acetylcysteine breaks the chemical bonds that make mucus thick and sticky, so phlegm becomes thinner and easier to cough up.
Safety advice for Optibreathe-N Tablet
- Use with caution
Alcohol
Alcohol can worsen breathing problems and stomach upset. Limit it.
- Consult your doctor
Pregnancy
Safety in pregnancy has not been established. Use only if your doctor advises it.
- Unsafe
Breastfeeding
Must not be used while breastfeeding.
- Consult your doctor
Driving
Not known to affect driving. Do not drive if you feel dizzy or unwell.
- Unsafe
Kidney
Must not be used in severe kidney disease. Tell your doctor about any kidney problem.
- Unsafe
Liver
Must not be used in severe liver disease. Tell your doctor about any liver problem.
Quick tips
- Take it after food, at the same time each day.
- Drink plenty of water to help loosen mucus.
- Keep your reliever inhaler with you. This tablet does not treat a sudden breathing attack.
- Stop taking it and get help if your breathing suddenly gets worse after a dose.
- If you smoke, stopping is the most important thing you can do for your lungs.
- If you take antibiotics by mouth, take them at least 2 hours apart from this tablet.
Warnings and interactions
Safety details must be checked against the current pack insert and advice from a qualified healthcare professional.
Warnings
- Acetylcysteine can occasionally cause tightening of the airways, especially in people with asthma. Stop taking it and seek help if this happens.
- Use with caution in older people and in people with heart disease, high blood pressure, heart failure, an overactive thyroid, very low blood oxygen levels or a history of stomach ulcers.
- Rarely, serious skin reactions have been reported with both ingredients. Stop taking it and seek medical help if a widespread rash, blistering or peeling develops.
- Mucus may increase at first as it loosens. Tell your doctor if you find it hard to cough up.
- It is not intended for children unless a doctor advises it.
Contraindications
- Allergy to acebrophylline, ambroxol, theophylline or similar medicines (xanthines), acetylcysteine or any other ingredient
- A recent heart attack
- Low blood pressure
- Severe liver or kidney disease
- Breastfeeding
Important interactions
- Cough suppressants should not be taken with it, as they stop you from clearing the loosened mucus.
- Take oral antibiotics at least 2 hours apart, as acetylcysteine may reduce their effect.
- It may increase the effect of nitroglycerin (glyceryl trinitrate), which can cause headache or low blood pressure.
- Activated charcoal reduces the effect of acetylcysteine.
- Acebrophylline is related to theophylline, so tell your doctor if you take theophylline or other medicines for breathing.
Frequently asked questions about Optibreathe-N Tablet
- Optibreathe-N Tablet is used for: asthma; and chronic obstructive pulmonary disease (COPD).
- Common side effects of Optibreathe-N Tablet include: nausea, vomiting or indigestion; abdominal pain, diarrhoea or constipation; headache; loss of appetite; rash or itching; and rarely, a fast heartbeat or chest tightness. Tell your doctor if they continue or worry you.
- Take this medicine in the dose and for the length of time your doctor advises, preferably after food to reduce stomach upset. Swallow the tablet whole with water; do not chew or crush it. Drink plenty of fluids during the day to help loosen mucus.
- Do not take Optibreathe-N Tablet in the following cases: allergy to acebrophylline, ambroxol, theophylline or similar medicines (xanthines), acetylcysteine or any other ingredient; a recent heart attack; low blood pressure; severe liver or kidney disease; and breastfeeding.
- Alcohol can worsen breathing problems and stomach upset. Limit it.
- Safety in pregnancy has not been established. Use only if your doctor advises it.
- Not known to affect driving. Do not drive if you feel dizzy or unwell.
- Optibreathe-N is a registered product of Ramnova Healthcare Private Limited, Silvassa, India, and is marketed by Ramnova Healthcare.
- Optibreathe-N Tablet contains acebrophylline 100 mg and acetylcysteine 600 mg in each tablet.
What is Optibreathe-N Tablet used for?
What are the side effects of Optibreathe-N Tablet?
How should I take Optibreathe-N Tablet?
Who should not take Optibreathe-N Tablet?
Can I drink alcohol with Optibreathe-N Tablet?
Is Optibreathe-N Tablet safe in pregnancy?
Can I drive after taking Optibreathe-N Tablet?
Who markets Optibreathe-N Tablet?
What is the composition of Optibreathe-N Tablet?
More information
Marketed by Ramnova Healthcare Private Limited, Silvassa, India.
For dosage, pack sizes or prescribing information, refer to the current pack insert or contact Ramnova Healthcare. Catalogue information updated 2026-10-01.
- electronic medicines compendium (emc): Acetylcysteine 600 mg effervescent tablets: Summary of Product Characteristics (United Kingdom, accessed 2026-10-01)
- Agenzia Italiana del Farmaco (AIFA): Ambroxol acefyllinate (acebrophylline) 100 mg granules: Summary of Product Characteristics (AIC 027089022) (Italy, accessed 2026-10-01)
