acedome 10mg/500mg tablet - Domperidone (10mg) + Paracetamol (500mg) medicine

Adom P 10mg/500mg Tablet: Complete Information

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🏭 Symbiosis Lab 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 18, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for combination use in nausea and dyspepsia.
Reviewed by
SaathiMed Expert Panel | Oct 18, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Irregular heartbeat or palpitations
  • Severe dizziness or fainting
  • Muscle stiffness, tremors, or unusual movements
  • Swelling of face, lips, or throat
  • Difficulty breathing
  • Yellowing of skin or eyes
  • Severe abdominal pain
  • Blood in vomit or stool

If experiencing severe symptoms, call emergency services immediately.

What is acedome 10mg/500mg tablet used for?

This medicine is a combination of Domperidone and Paracetamol used to treat nausea, vomiting, and associated pain. It works by improving stomach emptying and reducing pain and fever.

  • Generic Name: Domperidone (10mg) + Paracetamol (500mg)
  • Manufacturer: Symbiosis Lab
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 acedome 10mg/500mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डोम्पेरिडोन और पैरासिटामोल का संयोजन है, जिसका उपयोग मतली, उल्टी और उससे जुड़े दर्द के इलाज के लिए किया जाता है। यह पेट की खाली होने की गति को बढ़ाती है और दर्द तथा बुखार को कम करती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, सिरदर्द, नींद आना और पेट में हल्की ऐंठन शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इसमें अनियमित दिल की धड़कन, मांसपेशियों में अकड़न और एलर्जी प्रतिक्रिया हो सकती है। किसी भी असामान्य लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। शराब का सेवन न करें क्योंकि इससे लीवर को नुकसान और नींद आने की समस्या बढ़ सकती है। यदि आपको दिल, लीवर या किडनी की समस्या है तो डॉक्टर को बताएं। गाड़ी चलाने या मशीन चलाने से बचें यदि आपको नींद आती है। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 acedome 10mg/500mg tablet Uses & Benefits

[{"condition":"Nausea and vomiting","description":"This medicine helps relieve nausea and vomiting by blocking dopamine receptors in the brain and improving gastric emptying.","evidence":"Well-established"},{"condition":"Functional dyspepsia","description":"It reduces symptoms of bloating, early satiety, and upper abdominal discomfort by enhancing gastric motility.","evidence":"Moderate"},{"condition":"Gastroparesis","description":"Domperidone component improves gastric emptying in diabetic or idiopathic gastroparesis, while Paracetamol provides pain relief.","evidence":"Moderate"},{"condition":"Migraine-associated nausea","description":"Used to relieve nausea and pain during migraine attacks, though not a primary migraine treatment.","evidence":"Limited"}]

Off-label uses: [{"condition":"Prevention of chemotherapy-induced nausea","description":"Sometimes used as an add-on antiemetic, but not first-line.","evidence":"Limited"},{"condition":"Post-operative nausea and vomiting","description":"May be used off-label for short-term management, but other agents are preferred.","evidence":"Limited"}]

Primary treatment for: Nausea and vomiting with associated pain

Also treats: Functional dyspepsia, Gastroparesis, Migraine

📋 Drug Information

Generic Name(s)Domperidone (10mg) + Paracetamol (500mg)
Brand Nameacedome 10mg/500mg tablet
ManufacturerSymbiosis Lab
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a cool, dry place away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Take this medicine exactly as prescribed by your doctor; do not self-medicate.
2
Take with food to reduce the risk of stomach upset.
3
Avoid alcohol while taking this medicine to prevent liver damage and drowsiness.
4
Do not exceed the recommended dose of Paracetamol to avoid liver toxicity.
5
If you experience palpitations, dizziness, or fainting, seek medical attention immediately.
6
Inform your doctor if you have heart, liver, or kidney problems before taking this medicine.
7
Do not use this medicine for longer than your doctor recommends without a follow-up.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nausea and vomiting
This medicine is commonly prescribed for this.
Likely Use
✅
Abdominal pain
Paracetamol component helps relieve pain.
Likely Use
❌
Fever
This medicine is not a primary fever reducer, though Paracetamol has antipyretic effects.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDomperidone is rapidly absorbed after oral administration, with peak plasma concentrations occurring within 30 to 60 minutes. Paracetamol is also rapidly and completely absorbed from the gastrointestinal tract, with peak levels within 30 to 60 minutes. Food may slightly delay the absorption of both components.
DistributionDomperidone is widely distributed in body tissues but does not readily cross the blood-brain barrier. It is highly protein-bound (approximately 91-93%). Paracetamol is distributed throughout most body fluids and tissues, with a volume of distribution of about 0.9 L/kg. It crosses the placenta and is excreted in breast milk.
Protein BindingDomperidone: approximately 91-93% bound to plasma proteins. Paracetamol: approximately 10-25% bound to plasma proteins.
MetabolismDomperidone undergoes extensive first-pass metabolism in the liver and intestinal wall via CYP3A4 and CYP1A2 enzymes. Paracetamol is metabolized primarily in the liver by conjugation with glucuronic acid and sulfate, and a small fraction via CYP2E1 to a toxic metabolite, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.
Half-LifeDomperidone: approximately 7-9 hours in healthy individuals. Paracetamol: approximately 2-3 hours.
ExcretionDomperidone is excreted mainly in feces (approximately 66%) and urine (approximately 33%) as metabolites. Paracetamol is excreted in urine as conjugated metabolites, with less than 5% excreted unchanged.
BioavailabilityDomperidone: approximately 13-17% due to extensive first-pass metabolism. Paracetamol: approximately 80-90%.
Onset of ActionDomperidone: onset of antiemetic effect within 30-60 minutes. Paracetamol: onset of analgesia within 30-60 minutes.
Peak Plasma TimeDomperidone: 30-60 minutes. Paracetamol: 30-60 minutes.
Duration of ActionDomperidone: approximately 6-8 hours. Paracetamol: approximately 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary actions. Domperidone is a peripheral dopamine D2 receptor antagonist that blocks dopamine receptors in the chemoreceptor trigger zone (CTZ) and in the gastrointestinal tract. This action reduces nausea and vomiting and enhances gastric motility and emptying. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which reduces pain and fever. The combination provides both prokinetic and analgesic effects, making it useful for conditions where nausea and pain coexist.

Mechanism Steps

1
Domperidone blocks dopamine D2 receptors: Domperidone antagonizes dopamine D2 receptors in the chemoreceptor trigger zone and gastrointestinal tract, reducing nausea and enhancing gastric motility.
2
Enhanced gastric emptying: By blocking D2 receptors, Domperidone increases lower esophageal sphincter tone and promotes gastric peristalsis, leading to faster stomach emptying.
3
Paracetamol inhibits central prostaglandin synthesis: Paracetamol acts on the central nervous system to inhibit prostaglandin synthesis, which reduces pain and fever.
4
Combined symptomatic relief: The combination provides relief from nausea, vomiting, and pain, improving overall comfort in conditions like dyspepsia and migraine.

💡 How to Take acedome 10mg/500mg tablet

Strength: Tablet containing Domperidone 10 mg and Paracetamol 500 mg.

1Swallow the tablet whole with a glass of water.
2Take with or without food as directed by your doctor.
3Do not crush, chew, or break the tablet unless advised.
4Follow the prescribed schedule exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken up to three times daily, depending on the condition being treated. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. Take with or without food as directed by your doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine. Use with caution and adjust dose as needed based on renal and hepatic function. Consult your doctor.
Renal ImpairmentDose adjustment may be required in patients with severe renal impairment. Consult your doctor for individualized dosing.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose reduction may be necessary. Consult your doctor.
Maximum Daily DoseThe maximum daily dose of Paracetamol should not exceed 4000 mg (8 tablets of 500 mg) from all sources. Domperidone maximum daily dose is 30 mg (3 tablets of 10 mg). Do not exceed these limits.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit juice
Avoid
May increase Domperidone levels.
Alcohol
Avoid
Increases risk of liver damage and drowsiness.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of acedome 10mg/500mg tablet

✅ Common Side Effects

Dry mouth (Common (1-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if persistent.
Headache (Common (1-10%))
Rest and stay hydrated. If headache persists or is severe, consult your doctor.
Drowsiness (Common (1-10%))
Avoid driving or operating machinery until you know how this medicine affects you.
Abdominal cramps (Common (1-10%))
Take with food to reduce stomach upset. Consult doctor if cramps are severe.

🚨 Serious Side Effects

Irregular heartbeat (QT prolongation) (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, dizziness, or fainting.
Extrapyramidal symptoms (muscle stiffness, tremors) (Rare (<0.1%))
Stop the medicine and contact your doctor immediately if you develop unusual muscle movements.
Allergic reactions (rash, swelling, difficulty breathing) (Rare (<0.1%))
Seek emergency medical help if you experience swelling of face, lips, or throat, or difficulty breathing.
Liver damage (Paracetamol overdose) (Rare (<0.1%))
Do not exceed the recommended dose. Seek immediate medical attention if you experience yellowing of eyes or skin, dark urine, or severe abdominal pain.

⚠️ Rare Side Effects

Galactorrhea (breast milk secretion)
Consult your doctor if you notice nipple discharge or breast tenderness.
Gynecomastia (breast enlargement in males)
Report to your doctor if you notice breast enlargement or tenderness.
Blood dyscrasias (e.g., thrombocytopenia)
Seek medical attention if you experience unusual bleeding or bruising.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Warfarin Major
Amiodarone Major
Atropine Moderate
Opioids Moderate
Alcohol Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Ketoconazole, Itraconazole, Clarithromycin
  • Warfarin
  • Amiodarone, Sotalol, Haloperidol

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., Atropine)
  • Opioid analgesics
  • Alcohol

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver damage from Paracetamol and may enhance drowsiness caused by Domperidone. It can also worsen gastrointestinal side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Domperidone or Paracetamol","Severe liver disease","Known QT prolongation or family history of long QT syndrome","Concomitant use with QT-prolonging drugs or potent CYP3A4 inhibitors","Gastrointestinal obstruction, perforation, or bleeding","Prolactin-releasing pituitary tumor (prolactinoma)"]

⚠️ Warnings & Precautions

["Use with caution in elderly patients due to increased risk of side effects.","Avoid in patients with severe renal impairment; dose adjustment may be needed.","Do not use for prolonged periods without medical supervision.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you have heart, liver, or kidney disease.","Do not exceed the recommended dose of Paracetamol to avoid liver damage."]

🤱 Lactation Safety

Domperidone is excreted in breast milk and may cause side effects in the infant. Paracetamol is considered safe during breastfeeding in usual doses. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage due to Paracetamol and cardiac arrhythmias due to Domperidone. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, N-acetylcysteine for Paracetamol toxicity, and supportive care for cardiac effects. Do not induce vomiting unless instructed by a healthcare professional.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose to catch up.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid alcohol while taking this medicine as it can increase the risk of liver damage and drowsiness. Inform your doctor if you have heart, liver, or kidney problems, or if you are taking other medications, especially blood thinners or antidepressants. Do not drive or operate heavy machinery if you feel drowsy. Keep out of reach of children. Store in a cool, dry place away from direct sunlight. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for longer than your doctor recommends without a follow-up.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more susceptible to side effects such as drowsiness, dry mouth, and cardiac arrhythmias. Use with caution and adjust dose based on renal and hepatic function. Regular monitoring is recommended.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination in pregnancy is not well established. Your doctor may recommend alternative treatments.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative nausea and vomiting, but only under medical supervision. It may interact with other medications used during surgery. Inform your surgeon and anesthesiologist about all medicines you are taking.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with medications used during dental procedures. Your dentist may advise adjusting the dose or timing.

💚 Lifestyle Tips for Better Results

🏃
Eat small, frequent meals to reduce nausea and aid digestion.
🥗
Avoid spicy, oily, and heavy foods that can worsen stomach discomfort.
😴
Stay hydrated by drinking plenty of fluids.
💧
Get adequate rest and manage stress through relaxation techniques.
🧘
Avoid alcohol and smoking as they can worsen your condition.

🏋️ Exercise Considerations

Avoid strenuous exercise immediately after taking this medicine if you feel drowsy or dizzy. Light activities like walking are generally safe. Consult your doctor before starting any exercise regimen.

🥗 Diet Recommendations

Include bland, easily digestible foods like bananas, rice, applesauce, and toast.
Avoid caffeine and carbonated drinks.
Eat smaller, more frequent meals.
Stay well hydrated with water and clear fluids.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also cause dry mouth, so keep water handy. Generally, it does not significantly impact desk work.

🛑 When to Stop This Medicine

Do not stop taking this medicine without consulting your doctor. If you experience serious side effects like irregular heartbeat, muscle stiffness, or allergic reactions, stop immediately and seek medical help. Your doctor will advise on the duration of treatment.

📅 Long-Term Use Effects

Long-term use of this medicine should be under medical supervision. Prolonged use of Domperidone may increase the risk of cardiac arrhythmias and extrapyramidal symptoms. Long-term high-dose Paracetamol can cause liver damage. Regular monitoring of liver and kidney function may be required.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Dietary changes

Eating small, frequent, bland meals can help reduce nausea and dyspepsia.

Evidence: Well-established
Ginger

Ginger may help reduce nausea, but evidence is limited.

Evidence: Limited
Acupuncture

May help with nausea and vomiting, but evidence is mixed.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interactions with vaccines are known. However, if you are unwell with nausea or vomiting, it may be advisable to postpone vaccination until you recover. Consult your doctor.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with frequent nausea and abdominal pain due to functional dyspepsia.
She was prescribed this medicine twice daily. After a week, her nausea reduced significantly and abdominal pain was relieved. She was advised to take it with food to avoid stomach upset.
💡 Lesson: Taking this medicine with food improves tolerability and efficacy.
👤 A 50-year-old man with diabetic gastroparesis experiencing nausea and bloating.
He started this medicine as prescribed. His symptoms improved over two weeks, but he experienced mild drowsiness initially. He was advised not to drive until he knew how the medicine affected him.
💡 Lesson: Drowsiness can occur; avoid driving until you know how the medicine affects you.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 to 60 minutes after oral administration.

Q: Can I take it on an empty stomach?

A: It can be taken with or without food, but taking it with food may reduce stomach upset.

Q: Is it safe during pregnancy?

A: Consult your doctor before use. The safety profile in pregnancy is not well established for the combination.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • Can I drive after taking this medicine?
  • Does it interact with my blood pressure medicine?
  • What if I miss a dose?
  • Can I drink alcohol while taking this?

🔄 Substitutes for acedome 10mg/500mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Adom P can be taken for any type of stomach pain.
    Fact: It is specifically for nausea, vomiting, and associated pain, not for all stomach pains.
  • Myth: It is safe to take Adom P without a prescription.
    Fact: It is a prescription medicine and should only be taken under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Domperidone + Paracetamol combination tablets from other manufacturers

Brand Alternatives

  • Domperidone + Paracetamol tablets (various brands)

📊 Comparison with Similar Medicines

[{"medicine":"Domperidone alone","difference":"Lacks analgesic effect; used only for nausea and vomiting."},{"medicine":"Paracetamol alone","difference":"Lacks prokinetic effect; used only for pain and fever."},{"medicine":"Metoclopramide + Paracetamol","difference":"Metoclopramide has more central side effects; Domperidone is preferred for peripheral action."}]

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