Alles D Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Severe allergic reaction with swelling of face, lips, or throat
- Chest pain or irregular heartbeat
- Severe headache with blurred vision
- Difficulty breathing
- Unusual bleeding or bruising
- Seizures
If experiencing severe symptoms, call emergency services immediately.
What is alles d tablet used for?
This medicine is a combination of levocetirizine (an antihistamine) and phenylephrine (a decongestant) used for short-term relief of allergy symptoms and nasal congestion. It is taken orally, usually once or twice daily, and should not be used for more than 7 days without medical advice.
- Generic Name: Levocetirizine + Phenylephrine
- Manufacturer: Destin Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 alles d tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसेटिरिज़िन और फेनिलएफ्रिन का संयोजन है, जिसका उपयोग एलर्जी राइनाइटिस, सर्दी-जुकाम और नाक बंद होने के लक्षणों से राहत के लिए किया जाता है। यह छींक, बहती नाक, खुजली और आंखों में पानी आने को कम करती है। यह दवा अल्पकालिक उपयोग के लिए है और इसे डॉक्टर की सलाह के बिना 7 दिनों से अधिक नहीं लेना चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, सिरदर्द, थकान और जी मिचलाना शामिल हैं। कुछ लोगों को दिल की धड़कन तेज होना या बेचैनी महसूस हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि सांस लेने में कठिनाई, चेहरे या गले में सूजन, या सीने में दर्द हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। निर्धारित मात्रा से अधिक न लें। जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन चलाने या मशीनरी चलाने से बचें। इस दवा के साथ शराब न पिएं। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड की समस्या या प्रोस्टेट बढ़ा हुआ है, तो अपने डॉक्टर को बताएं।
💊 alles d tablet Uses & Benefits
[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy and watery eyes, and nasal itching associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold with nasal congestion","description":"Provides temporary relief of nasal stuffiness and allergy symptoms when both are present.","evidence":"Established for short-term use"},{"condition":"Vasomotor rhinitis","description":"May help reduce nasal congestion and sneezing in non-allergic rhinitis.","evidence":"Limited"}]
Off-label uses: [{"condition":"Sinusitis","description":"Sometimes used to relieve congestion and allergic symptoms in acute or chronic sinusitis, but not a primary treatment.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally used for symptomatic relief of nasal congestion in children, but evidence is weak.","evidence":"Insufficient"}]
Primary treatment for: Allergic rhinitis
Also treats: Common cold, Vasomotor rhinitis, Sinusitis
📋 Drug Information
| Generic Name(s) | Levocetirizine + Phenylephrine |
| Brand Name | Allercet Cold Tablet |
| Manufacturer | Destin Laboratories Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Antihistamine + Decongestant |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Levocetirizine is the active enantiomer of cetirizine and works as a selective peripheral H1-receptor antagonist. It prevents histamine from binding to H1 receptors on blood vessels and nerve endings, reducing allergy symptoms such as sneezing, itching, and runny nose. Phenylephrine is a direct-acting sympathomimetic amine that selectively stimulates alpha-1 adrenergic receptors on nasal blood vessels, causing vasoconstriction and reducing swelling of the nasal mucosa. The combination provides both antihistaminic and decongestant effects.
Mechanism Steps
💡 How to Take alles d tablet
Strength: Levocetirizine 5 mg + Phenylephrine 25 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily as directed by your doctor. The exact dose and frequency depend on your condition, age, and kidney function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine, especially drowsiness and cardiovascular effects. Dose adjustment may be needed based on renal function. Consult a doctor. |
| Renal Impairment | In patients with renal impairment, dose reduction of levocetirizine is recommended. Consult a doctor for appropriate dose adjustment. |
| Hepatic Impairment | No specific dose adjustment is established for hepatic impairment. Use with caution and consult a doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet twice daily, but this must be confirmed by a doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of alles d tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Beta-blockers | Major | |
| Tricyclic antidepressants | Major | |
| Alcohol | Moderate | |
| Antihypertensives | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor | |
| Cimetidine | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Beta-blockers
- Tricyclic antidepressants
⚡ Moderate Interactions
- CNS depressants (e.g., alcohol, benzodiazepines)
- Antihypertensives
- Digoxin
🍷 Alcohol Interaction
Alcohol can increase drowsiness and impair motor skills when taken with this medicine. Avoid alcohol while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to levocetirizine, phenylephrine, or any component of the formulation","Severe hypertension or uncontrolled high blood pressure","Severe coronary artery disease","Uncontrolled hyperthyroidism","Use within 14 days of stopping MAO inhibitors","Severe renal impairment (for levocetirizine component)"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not exceed the recommended dose.","Use with caution in patients with cardiovascular disease, diabetes, or prostate enlargement.","Do not use for more than 7 days without consulting a doctor.","Avoid alcohol while taking this medicine.","Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding."]
🤱 Lactation Safety
Levocetirizine may pass into breast milk and could cause drowsiness in the infant. Phenylephrine may reduce breast milk production. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause severe drowsiness, agitation, hypertension, or irregular heartbeat. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.
⏰ 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
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid driving or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine because it can increase drowsiness. Inform your doctor if you have high blood pressure, heart disease, diabetes, thyroid problems, or prostate enlargement. Do not use this medicine for more than 7 days without consulting a doctor. Keep out of reach of children. Store at room temperature away from moisture and direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to drowsiness and cardiovascular effects. Dose adjustment may be needed based on renal function. Monitor blood pressure regularly.
🤰 Pregnancy Planning (TTC)
Consult your doctor before planning pregnancy if you are taking this medicine. It is not recommended during pregnancy unless clearly needed.
🏥 Post-Surgery Considerations
Consult your doctor before using this medicine after surgery, especially if you are taking other medications or have cardiovascular concerns.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may interact with certain medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or increase heart rate. Avoid strenuous exercise until you know how it affects you.
🥗 Diet Recommendations
💼 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 it affects you. It may also cause dry mouth, so keep water handy.
🛑 When to Stop This Medicine
Stop this medicine if you experience severe side effects such as allergic reactions, irregular heartbeat, or severe headache. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of decongestants like phenylephrine can lead to rebound congestion. Regular monitoring of blood pressure and renal function may be needed.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps clear nasal passages and reduce congestion without medication.
Evidence: Well-establishedReducing exposure to allergens can decrease the need for medication.
Evidence: Well-establishedEffective for allergic rhinitis but require prescription.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
No specific vaccine interactions are established. Consult your doctor if you are due for vaccinations.
📦 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 moisture. 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.
💬 Questions Patients Often Ask
A: Levocetirizine starts working within 1 hour, and phenylephrine may relieve congestion within 15-30 minutes.
A: Yes, but it may cause drowsiness. If it makes you sleepy, taking it at night may be helpful.
A: Pediatric dosing is not established. Consult a pediatrician.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine can cure allergies permanently.
Fact: This medicine only provides symptomatic relief. It does not cure allergies. - Myth: It is safe to take every day for months.
Fact: It should be used short-term unless advised by a doctor. Long-term use requires medical supervision. - Myth: It is safe for everyone.
Fact: It is not safe for people with certain heart conditions, severe hypertension, or those taking MAOIs.
🔄 Alternative Options
Generic Alternatives
- Levocetirizine + Phenylephrine generic tablets