alcold 5 mg/120 mg tablet - Cetirizine (5mg) + Pseudoephedrine (120mg) medicine

Alcold 5 mg/120 mg Tablet: Complete Medicine Guide

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🏭 Biological E Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 17, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for allergic rhinitis and common cold.
Reviewed by
SaathiMed Expert Panel | Oct 17, 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
  • Inability to urinate
  • Severe dizziness or fainting
  • Yellowing of skin or eyes

If experiencing severe symptoms, call emergency services immediately.

What is alcold 5 mg/120 mg tablet used for?

This medicine is a combination of cetirizine (antihistamine) and pseudoephedrine (decongestant) used to treat nasal congestion, sneezing, and runny nose due to allergies or colds. It works by blocking histamine and shrinking nasal blood vessels. It is usually taken every 12 hours as needed, but do not exceed two tablets in 24 hours.

  • Generic Name: Cetirizine + Pseudoephedrine
  • Manufacturer: Biological E Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 alcold 5 mg/120 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एलर्जी और सर्दी-जुकाम से होने वाली नाक बंद, छींक, बहती नाक और आंखों में खुजली को कम करने के लिए इस्तेमाल की जाती है। इसमें सेटिरिज़िन और स्यूडोएफेड्रिन होते हैं जो मिलकर काम करते हैं।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, मुंह सूखना, सिरदर्द, बेचैनी और धड़कन बढ़ना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन अगर सांस लेने में तकलीफ, सीने में दर्द या गंभीर सिरदर्द हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुद से मात्रा न बढ़ाएं। नींद आने पर वाहन न चलाएं। शराब न पिएं। अगर आपको उच्च रक्तचाप, हृदय रोग या ग्लूकोमा है तो डॉक्टर को बताएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 alcold 5 mg/120 mg tablet Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief of nasal congestion, sneezing, and runny nose due to viral upper respiratory infections.","evidence":"Well-established"},{"condition":"Sinusitis","description":"Helps reduce nasal congestion and pressure in acute or chronic sinusitis.","evidence":"Moderate"},{"condition":"Eustachian tube dysfunction","description":"May relieve congestion and pressure in the middle ear related to allergies or colds.","evidence":"Limited"}]

Off-label uses: [{"condition":"Allergic conjunctivitis","description":"Sometimes used for eye itching and redness due to allergies, though topical eye drops are preferred.","evidence":"Limited"},{"condition":"Urticaria","description":"Cetirizine component may help itching and hives, but pseudoephedrine is not typically indicated.","evidence":"Limited"}]

Primary treatment for: Allergic rhinitis

Also treats: Common cold, Sinusitis

📋 Drug Information

Generic Name(s)Cetirizine + Pseudoephedrine
Brand NameAlcold
ManufacturerBiological E Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntihistamine + Decongestant
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
Shelf Life24 months from 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 with food to reduce stomach upset.
2
Avoid driving or operating machinery if you feel drowsy.
3
Do not take more than two tablets in 24 hours.
4
Monitor your blood pressure if you have hypertension.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Avoid alcohol and other sedatives while taking this medicine.

🔍 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
✅
Sneezing
Cetirizine component helps relieve sneezing.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Sore throat
This medicine does not treat sore throat directly.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCetirizine is rapidly absorbed after oral administration, with peak levels in about 1 hour. Pseudoephedrine is also well absorbed from the gastrointestinal tract. Food does not significantly affect absorption.
DistributionCetirizine is widely distributed; about 93% bound to plasma proteins. Pseudoephedrine distributes into body tissues and crosses the placenta and blood-brain barrier to a small extent.
Protein BindingCetirizine: approximately 93%. Pseudoephedrine: not significantly protein-bound.
MetabolismCetirizine undergoes minimal hepatic metabolism. Pseudoephedrine is partially metabolized in the liver by N-demethylation.
Half-LifeCetirizine: about 8-10 hours in adults. Pseudoephedrine: about 4-6 hours.
ExcretionCetirizine is primarily excreted unchanged in urine. Pseudoephedrine is excreted in urine, with about 55-75% as unchanged drug.
BioavailabilityCetirizine: high, approximately 70% or more. Pseudoephedrine: approximately 90%.
Onset of ActionCetirizine: within 1 hour. Pseudoephedrine: within 15-30 minutes.
Peak Plasma TimeCetirizine: 1 hour. Pseudoephedrine: 1-2 hours.
Duration of ActionCetirizine: 24 hours. Pseudoephedrine: 4-6 hours.

How It Works

Cetirizine selectively antagonizes peripheral H1 receptors, reducing histamine-mediated allergic symptoms. Pseudoephedrine acts on alpha-adrenergic receptors in nasal mucosa, causing vasoconstriction and decreased swelling. The combination provides both antihistaminic and decongestant effects.

Mechanism Steps

1
Histamine H1 receptor blockade: Cetirizine binds to H1 receptors on blood vessels and nerve endings, preventing histamine from causing vasodilation, itching, and mucus secretion.
2
Alpha-adrenergic stimulation: Pseudoephedrine stimulates alpha-adrenergic receptors on nasal mucosal blood vessels, causing vasoconstriction and reduced edema.
3
Combined symptomatic relief: The dual action reduces both allergic and congestive components of rhinitis, leading to improved nasal patency and fewer allergy symptoms.

💡 How to Take alcold 5 mg/120 mg tablet

Strength: Tablet: Cetirizine 5 mg + Pseudoephedrine 120 mg

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with or without food, but with food if stomach upset occurs.
4Do not take more than prescribed.
5Avoid alcohol while taking this medicine.

Dosage Information

Adult DosageThe usual adult dose is one tablet orally every 12 hours as needed, not to exceed two tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not use for more than 7 days without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to side effects. Use with caution and lower doses may be appropriate. Consult a doctor.
Renal ImpairmentDose adjustment may be required in renal impairment. Consult a doctor.
Hepatic ImpairmentCaution in hepatic impairment. Dose adjustment may be needed. Consult a doctor.
Maximum Daily DoseTwo tablets (cetirizine 10 mg + pseudoephedrine 240 mg) in 24 hours.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit juice
Avoid
May increase cetirizine levels.
Caffeine
Limit
May increase nervousness and insomnia.

⏰ What to Do If You Miss a Dose

📌 Less than 6 hours since missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 6 hours since missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of alcold 5 mg/120 mg tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water, chew sugar-free gum, or use saliva substitutes. Consult if persistent.
Headache (Common (5-10%))
Rest, hydrate, and use over-the-counter pain relief if needed. Consult if severe.
Nervousness (Common (5-10%))
Reduce caffeine intake. If bothersome, consult your doctor.
Insomnia (Common (5-10%))
Avoid taking close to bedtime. Consult if persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience rash, swelling, or difficulty breathing.
Hypertensive crisis (Rare (<0.1%))
Seek immediate medical attention if you have severe headache, blurred vision, or chest pain.
Cardiac arrhythmias (Rare (<0.1%))
Go to the emergency room if you notice palpitations, dizziness, or fainting.
Urinary retention (Rare (<0.1%))
Consult a doctor if you are unable to urinate.

⚠️ Rare Side Effects

Hallucinations
Discontinue and seek medical advice.
Seizures
Seek emergency care.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Beta-blockers Major
Tricyclic antidepressants Major
Alcohol Moderate
Benzodiazepines Moderate
Anticholinergics Moderate
Digoxin Moderate
Antacids Minor
Ketoconazole Minor
Caffeine Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Beta-blockers
  • Tricyclic antidepressants

⚡ Moderate Interactions

  • CNS depressants (alcohol, benzodiazepines)
  • Anticholinergics
  • Digoxin

🍷 Alcohol Interaction

Alcohol increases drowsiness and impairs motor skills. Avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Severe hypertension","Coronary artery disease","Hyperthyroidism","Narrow-angle glaucoma","Urinary retention","MAOI therapy within 14 days","Hypersensitivity to any component"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving.","Use with caution in elderly.","Avoid in patients with cardiovascular disease.","Do not exceed recommended dose.","Not for children under 12 without medical advice."]

🤱 Lactation Safety

Cetirizine and pseudoephedrine pass into breast milk. Pseudoephedrine may reduce milk supply. Consult your doctor before use.

💊 Overdose Management

Overdose may cause severe drowsiness, tachycardia, hypertension, or seizures. Seek emergency medical care immediately. Treatment is supportive and symptomatic.

⏰ 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.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed. Do not exceed the recommended dose. Avoid driving or operating machinery if you feel drowsy. Do not use with alcohol or other sedatives. Check your blood pressure regularly if you have hypertension. Avoid taking other decongestants or antihistamines without consulting your doctor. Do not use for more than 7 days without medical advice. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to side effects like drowsiness, confusion, and urinary retention. Use with caution and lower doses may be needed.

🤰 Pregnancy Planning (TTC)

Consult your doctor before use if you are pregnant or planning pregnancy. Pseudoephedrine may affect blood flow to the placenta.

🏥 Post-Surgery Considerations

Consult your doctor before use after surgery, as pseudoephedrine can affect blood pressure and heart rate.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with anesthetics or cause dry mouth.

💚 Lifestyle Tips for Better Results

🏃
Stay hydrated to thin mucus.
🥗
Use a humidifier to ease nasal congestion.
😴
Avoid allergens like dust and pollen.
💧
Get plenty of rest.
🧘
Practice good hand hygiene to prevent colds.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel drowsy or dizzy. Stay hydrated during exercise.

🥗 Diet Recommendations

Include vitamin C-rich foods
Avoid dairy if it thickens mucus
Stay well hydrated
Limit caffeine

💼 Impact on Daily Work & Life

May cause drowsiness, affecting driving and operating machinery. Avoid these activities until you know how the medicine affects you.

🛑 When to Stop This Medicine

Stop if you experience severe side effects or if symptoms persist beyond 7 days. Consult your doctor before stopping if you have been on long-term therapy.

📅 Long-Term Use Effects

Long-term use of pseudoephedrine can lead to rebound congestion and increased blood pressure. Cetirizine is generally safe for long-term use but may cause drowsiness. Regular monitoring is advised if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Can help relieve nasal congestion without medication.

Evidence: Well-established
Allergen avoidance

Reducing exposure to allergens can decrease symptoms.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, consult your doctor if you are scheduled for vaccination.

📦 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 intervals as advised by your doctor. Check customs regulations for carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with seasonal allergies
She started this medicine for sneezing and nasal congestion. Within an hour, her symptoms improved significantly. She experienced mild drowsiness, so she took it at bedtime. She was advised not to drive after taking it.
💡 Lesson: Taking the medicine at bedtime can help manage drowsiness during the day.
👤 A 50-year-old man with high blood pressure
He used this medicine for a cold and noticed his blood pressure increased. He consulted his doctor, who advised him to stop it and use a decongestant-free alternative.
💡 Lesson: People with high blood pressure should avoid pseudoephedrine-containing products unless approved by a doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Cetirizine starts working within 1 hour, and pseudoephedrine within 15-30 minutes. You may feel relief within an hour.

Q: Can I take it at night?

A: Yes, but it may cause insomnia due to pseudoephedrine. If it keeps you awake, take it earlier in the day.

Q: Is it safe for high blood pressure?

A: Pseudoephedrine can raise blood pressure. Consult your doctor before use if you have hypertension.

Q: Can I drink alcohol while taking it?

A: No, alcohol increases drowsiness and other side effects. Avoid alcohol.

🤔 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 alcold 5 mg/120 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: It can be taken for any type of cold.
    Fact: It is only for congestion and allergic symptoms; it does not treat infections.
  • Myth: It is safe for everyone.
    Fact: It is not safe for people with certain heart conditions, high blood pressure, or glaucoma.
  • Myth: More is better.
    Fact: Exceeding the dose can cause serious side effects like hypertensive crisis.

🔄 Alternative Options

Generic Alternatives

  • Cetirizine + Pseudoephedrine combination tablets

Brand Alternatives

  • Alcold 5 mg/120 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Cetirizine + Pseudoephedrine","onset":"1 hour","duration":"12 hours","sedation":"Moderate","blood_pressure_effect":"Yes"},{"medicine":"Loratadine + Pseudoephedrine","onset":"1-3 hours","duration":"12-24 hours","sedation":"Low","blood_pressure_effect":"Yes"},{"medicine":"Cetirizine alone","onset":"1 hour","duration":"24 hours","sedation":"Moderate","blood_pressure_effect":"No"}]

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