acelamine tablet - Paracetamol (500mg) + Phenylpropanolamine (12.5mg) medicine

Acelamine Tablet: Comprehensive Medicine Guide

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🏭 Orison Pharma International 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited for combination; individual components have varying evidence.
Reviewed by
SaathiMed Expert Panel | Oct 16, 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

  • Severe headache with blurred vision
  • Chest pain or palpitations
  • Difficulty breathing or swelling of face/lips/throat
  • Yellowing of skin or eyes
  • Dark urine or severe abdominal pain
  • Unusual bleeding or bruising
  • Seizures or confusion

If experiencing severe symptoms, call emergency services immediately.

What is acelamine tablet used for?

This medicine is a combination of Paracetamol and Phenylpropanolamine used for short-term relief of nasal congestion, headache, and fever associated with colds and allergies. It works by reducing fever and pain and constricting nasal blood vessels.

  • Generic Name: Paracetamol + Phenylpropanolamine
  • Manufacturer: Orison Pharma International
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 acelamine tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और फेनिलप्रोपेनॉलामाइन का संयोजन है, जिसका उपयोग सर्दी, एलर्जी और साइनसाइटिस से जुड़ी नाक की भीड़, सिरदर्द, बदन दर्द और बुखार के लक्षणों से राहत के लिए किया जाता है। यह नाक के रक्त वाहिकाओं को सिकोड़कर भीड़ कम करती है और दर्द व बुखार को कम करती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, मुँह सूखना, सिरदर्द, चक्कर आना और घबराहट शामिल हैं। फेनिलप्रोपेनॉलामाइन के कारण हृदय गति बढ़ सकती है और रक्तचाप बढ़ सकता है। गंभीर दुष्प्रभावों में तेज रक्तचाप, अनियमित हृदय गति, और यकृत क्षति शामिल हैं। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक से अधिक न लें। इस दवा के साथ शराब का सेवन न करें क्योंकि इससे यकृत को नुकसान हो सकता है। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड या ग्लूकोमा है, तो डॉक्टर को बताएं। 5-7 दिनों से अधिक इसका उपयोग न करें। चक्कर आने पर वाहन न चलाएं। 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.

💊 acelamine tablet Uses & Benefits

[{"condition":"Common cold with nasal congestion","description":"Relieves nasal stuffiness, headache, body ache, and fever associated with the common cold.","evidence":"Well-established for short-term symptomatic relief."},{"condition":"Allergic rhinitis","description":"Helps reduce nasal congestion and associated headache in allergic rhinitis.","evidence":"Limited evidence; used for symptomatic relief."},{"condition":"Sinusitis","description":"Provides symptomatic relief of nasal congestion and pain in sinusitis.","evidence":"Limited evidence; used as adjunctive therapy."}]

Off-label uses: [{"condition":"Tension headache with nasal congestion","description":"Sometimes used off-label for headache when accompanied by nasal congestion.","evidence":"Limited"}]

Primary treatment for: Common cold

Also treats: Allergic rhinitis, Sinusitis

📋 Drug Information

Generic Name(s)Paracetamol + Phenylpropanolamine
Brand NameAnglocet Plus Tablet
ManufacturerOrison Pharma International
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAnalgesic, Antipyretic, Decongestant
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
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
Always check the Paracetamol content in other medicines you are taking to avoid exceeding the maximum daily dose.
2
Monitor your blood pressure regularly if you have hypertension, as Phenylpropanolamine can raise it.
3
Avoid taking this medicine with MAOIs or within 14 days of stopping them due to the risk of hypertensive crisis.
4
Do not use this medicine for more than 5-7 days without consulting a doctor.
5
Stay hydrated and rest well to help your body recover from the cold.
6
If you experience palpitations, severe headache, or chest pain, stop the medicine and seek immediate medical attention.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nasal congestion
This medicine is commonly prescribed for this.
Likely Use
✅
Fever
Paracetamol in this medicine helps reduce fever.
Likely Use
✅
Headache
Paracetamol provides pain relief.
Likely Use
❌
Chest pain
This medicine is not for chest pain; seek immediate medical attention.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract. Phenylpropanolamine is also absorbed from the gastrointestinal tract. Food may delay absorption of Paracetamol but does not significantly affect the extent of absorption.
DistributionParacetamol distributes widely into body tissues and fluids. Phenylpropanolamine distributes into various tissues, including the central nervous system. Both drugs cross the placenta and are excreted in breast milk.
Protein BindingParacetamol is minimally bound to plasma proteins (about 10-25%). Phenylpropanolamine binding is not well established.
MetabolismParacetamol is metabolized primarily in the liver via glucuronidation and sulfation, with a small fraction metabolized by cytochrome P450 2E1 to a toxic intermediate (NAPQI) that is normally detoxified by glutathione. Phenylpropanolamine undergoes limited metabolism, mainly by oxidative deamination.
Half-LifeParacetamol half-life is about 2-3 hours in adults with normal liver function. Phenylpropanolamine half-life is approximately 3-4 hours.
ExcretionParacetamol is excreted in urine as glucuronide and sulfate conjugates. Phenylpropanolamine is excreted largely unchanged in urine.
BioavailabilityParacetamol oral bioavailability is about 80-100%. Phenylpropanolamine oral bioavailability is not well established but is considered high.
Onset of ActionParacetamol onset of action is within 30-60 minutes. Phenylpropanolamine onset of decongestant effect is within 15-30 minutes.
Peak Plasma TimeParacetamol peak plasma levels occur within 0.5-2 hours. Phenylpropanolamine peak levels occur within 1-2 hours.
Duration of ActionParacetamol duration of action is 4-6 hours. Phenylpropanolamine duration of action is 4-6 hours.

How It Works

This medicine combines two active ingredients with different mechanisms. Paracetamol acts primarily in the central nervous system to reduce pain and fever, likely by inhibiting prostaglandin synthesis in the brain. Phenylpropanolamine is a sympathomimetic amine that directly and indirectly stimulates alpha-adrenergic receptors, causing vasoconstriction in the nasal mucosa, which reduces swelling and congestion. It also has some beta-adrenergic activity that can increase heart rate and blood pressure.

Mechanism Steps

1
Paracetamol central action: Paracetamol inhibits prostaglandin synthesis in the hypothalamus and spinal cord, reducing fever and pain perception.
2
Phenylpropanolamine alpha-adrenergic stimulation: Phenylpropanolamine binds to alpha-adrenergic receptors on nasal blood vessels, causing vasoconstriction and reduced nasal congestion.
3
Indirect sympathomimetic effect: Phenylpropanolamine also causes release of norepinephrine from nerve endings, contributing to its decongestant and stimulant effects.

💡 How to Take acelamine tablet

Strength: Tablet: Paracetamol 500 mg + Phenylpropanolamine 12.5 mg

1Take this medicine orally with a full glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food or milk if it upsets your stomach.
4Do not take more than the prescribed dose.
5Follow your doctor's instructions carefully.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally every 4 to 6 hours as needed for symptoms, not to exceed 4 tablets in 24 hours. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the maximum daily dose of Paracetamol 2000 mg (4 tablets) from all sources. Always follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the cardiovascular effects of Phenylpropanolamine. Use with caution and lower doses may be appropriate. Consult a doctor for individualized dosing.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult a doctor for individualized dosing.
Hepatic ImpairmentDose adjustment may be needed in patients with hepatic impairment. Paracetamol should be used with caution and at reduced doses. Consult a doctor for individualized dosing.
Maximum Daily DoseMaximum daily dose: 4 tablets in 24 hours. Do not exceed 2000 mg of Paracetamol per day from all sources.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals or milk
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage and cardiovascular effects.

⏰ 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 acelamine tablet

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset. If persistent, consult your doctor.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugarless gum. Usually resolves on its own.
Headache (Common (5-10%))
Rest and stay hydrated. If headache is severe or persistent, consult your doctor.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how this medicine affects you.
Nervousness (Common (5-10%))
Limit caffeine intake. If symptoms are bothersome, consult your doctor.

🚨 Serious Side Effects

Severe hypertension (Rare (<0.1%))
Seek immediate medical attention if you experience severe headache, blurred vision, or chest pain.
Cardiac arrhythmias (Rare (<0.1%))
Go to the emergency room if you notice palpitations, irregular heartbeat, or fainting.
Liver damage (Paracetamol overdose) (Rare (<0.1%))
Seek emergency care if you accidentally take too much or experience yellowing of eyes or skin, dark urine, or severe abdominal pain.
Severe allergic reaction (anaphylaxis) (Very rare (<0.01%))
Call emergency services immediately if you have swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Hallucinations
Discontinue and seek immediate medical attention.
Blood dyscrasias (e.g., agranulocytosis)
Report unusual bruising, bleeding, or infections to your doctor promptly.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Warfarin Major
Beta-blockers Moderate
Tricyclic antidepressants Moderate
Caffeine Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Other sympathomimetic amines
  • Warfarin

⚡ Moderate Interactions

  • Beta-blockers
  • Tricyclic antidepressants
  • Caffeine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of Paracetamol-induced liver damage and may worsen Phenylpropanolamine-related cardiovascular effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Uncontrolled hypertension","Severe coronary artery disease","Hyperthyroidism","Concurrent use of MAOIs or within 14 days of stopping MAOIs","Severe liver disease","Severe kidney disease","Known hypersensitivity to Paracetamol or Phenylpropanolamine"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose of Paracetamol; higher doses can cause liver damage.","Use with caution in patients with cardiovascular disease, diabetes, glaucoma, or prostatic hypertrophy.","Avoid alcohol while taking this medicine.","Do not use for more than 5-7 days without consulting a doctor.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]

🤱 Lactation Safety

Paracetamol is considered safe during breastfeeding in usual doses. Phenylpropanolamine may pass into breast milk and could cause adverse effects in the infant. Consult your doctor before use.

💊 Overdose Management

Overdose of Paracetamol can cause severe liver damage. Symptoms may include nausea, vomiting, abdominal pain, and yellowing of skin or eyes. Seek immediate medical attention. The antidote is N-acetylcysteine, which is most effective when given within 8-10 hours of overdose. Phenylpropanolamine overdose can cause severe hypertension, tachycardia, and arrhythmias; supportive care and blood pressure monitoring are required.

⏰ 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 take more than the recommended dose. Avoid alcohol while taking this medicine because it increases the risk of liver damage from Paracetamol. Do not use this medicine for more than 5-7 days without consulting a doctor. If you have high blood pressure, heart disease, diabetes, thyroid problems, or glaucoma, inform your doctor before taking this medicine. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Keep this medicine out of reach of children. Store at room temperature away from moisture and heat. Do not use this medicine if you are pregnant or breastfeeding without medical advice. Always check with your doctor before taking any other cold or pain medicine to avoid duplication of Paracetamol.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the cardiovascular effects of Phenylpropanolamine. Use with caution and monitor blood pressure regularly. Lower doses may be appropriate.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are pregnant, planning to become pregnant, or breastfeeding. Paracetamol is generally considered safe, but Phenylpropanolamine may not be safe.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, as it may interact with other medications or affect blood pressure.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with anesthetics or other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Get plenty of rest to help your body fight the infection.
🥗
Stay hydrated by drinking warm fluids like soups and herbal teas.
😴
Use a humidifier to ease nasal congestion.
💧
Avoid exposure to cold and allergens.
🧘
Wash your hands frequently to prevent spreading infections.
🌞
Quit smoking to improve respiratory health.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine, especially if you experience dizziness or palpitations. Light activity is fine if you feel up to it.

🥗 Diet Recommendations

Include warm soups and broths.
Avoid alcohol and caffeine.
Eat light, easily digestible meals.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to rest at home if you have a fever or severe symptoms.

🛑 When to Stop This Medicine

Stop taking this medicine if your symptoms improve or after 5-7 days of use. If symptoms persist or worsen, consult your doctor. Do not stop abruptly if you have been taking it regularly for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended. Prolonged use of Paracetamol can increase the risk of liver damage, especially with alcohol. Phenylpropanolamine can cause cardiovascular effects such as increased blood pressure and heart rate. Regular monitoring may be required if used for extended periods under medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal spray

Helps relieve nasal congestion without medication.

Evidence: Well-established
Steam inhalation

Can temporarily relieve nasal stuffiness.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information. Consult your doctor regarding vaccinations while taking this medicine.

📦 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 it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing intervals as advised by your doctor. Check local customs regulations regarding carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with common cold and nasal congestion
He took this medicine as prescribed and experienced relief from congestion and headache within an hour. He was advised to monitor his blood pressure because he had borderline hypertension. After 3 days, his symptoms improved, and he stopped the medicine.
💡 Lesson: This medicine provides effective short-term relief but requires monitoring in patients with cardiovascular risk factors.
👤 A 50-year-old woman with allergic rhinitis
She used this medicine for nasal stuffiness and sneezing. She felt better but developed mild dizziness and dry mouth. She was advised to take it with food and to avoid driving until she knew how it affected her.
💡 Lesson: Common side effects like dizziness and dry mouth can occur; taking with food and avoiding driving can help manage them.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30-60 minutes for pain and fever, and within 15-30 minutes for nasal decongestion.

Q: Can I take it with other cold medicines?

A: Do not take with other medicines containing Paracetamol or decongestants without consulting your doctor, as it may lead to overdose.

Q: Is it safe for people with high blood pressure?

A: It should be used with caution in people with high blood pressure because Phenylpropanolamine can raise blood pressure. Consult your doctor.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my blood pressure?
  • 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 acelamine tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is safe for everyone.
    Fact: It is not safe for people with uncontrolled hypertension, heart disease, or those taking MAOIs.
  • Myth: More is better for faster relief.
    Fact: Taking more than the recommended dose can cause serious liver damage and cardiovascular effects.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol + Phenylpropanolamine combination generics

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol + Phenylpropanolamine","active_ingredients":"Paracetamol 500 mg + Phenylpropanolamine 12.5 mg","uses":"Nasal congestion, headache, fever","notes":"Phenylpropanolamine has cardiovascular risks."},{"medicine":"Paracetamol + Phenylephrine","active_ingredients":"Paracetamol 500 mg + Phenylephrine 5 mg","uses":"Nasal congestion, headache, fever","notes":"Phenylephrine is considered safer for blood pressure."}]

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