Amicet 5 mg/60 mg Tablet: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, tongue, or throat, or difficulty breathing or swallowing.
- Severe dizziness, fainting, or a seizure.
- A widespread painful rash with blisters, peeling skin, or sores in the mouth or eyes.
- Fever with mouth ulcers, unusual bruising, or bleeding.
- Yellowing of the eyes or skin, dark urine, or severe abdominal pain.
- Chest pain, palpitations, or severe shortness of breath.
- Confusion, extreme drowsiness, or difficulty waking up.
- Symptoms that worsen after starting the medicine or do not improve after 7 days.
If experiencing severe symptoms, call emergency services immediately.
What is baret la 5mg/60mg tablet used for?
This medicine is a combination of levocetirizine 5 mg and ambroxol 60 mg. Levocetirizine is an antihistamine that relieves sneezing, runny nose, and itching, while ambroxol is a mucolytic that thins thick mucus and makes it easier to cough out. It is used for allergic cough and congestion, but it is not an antibiotic and does not treat infection by itself.
- Generic Name: Levocetirizine + Ambroxol
- Manufacturer: Afive Pharma
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 baret la 5mg/60mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसेटिरिज़िन 5 मिलीग्राम और एम्ब्रोक्सोल 60 मिलीग्राम का संयोजन है। यह एलर्जी से होने वाली छींक, नाक बहना, खुजली, आंखों में पानी आना और गले में खराश जैसे लक्षणों को कम करने में मदद करती है। एम्ब्रोक्सोल गाढ़े बलगम को पतला करता है, जिससे खांसी के साथ बलगम बाहर निकलना आसान हो जाता है। यह दवा एलर्जिक खांसी, ब्रोंकाइटिस और नाक-गले की एलर्जी में आमतौर पर दी जाती है। यह एंटीबायोटिक नहीं है, इसलिए यह बैक्टीरिया के संक्रमण को अकेले ठीक नहीं कर सकती। इसका सेवन डॉक्टर की सलाह के अनुसार ही करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, मुंह सूखना, हल्का सिरदर्द, थकान और कभी-कभी जी मिचलाना शामिल है। कुछ लोगों को चक्कर आना, धुंधली दृष्टि या त्वचा पर दाने भी हो सकते हैं। बहुत कम मामलों में चेहरे, होंठ, जीभ या गले में सूजन, सांस लेने में कठिनाई, या गंभीर एलर्जी प्रतिक्रिया हो सकती है। अगर ऐसा कुछ हो, तो तुरंत डॉक्टर से मिलें। दवा लेने के बाद अगर आपको बहुत नींद आती है, तो गाड़ी चलाने या मशीन चलाने से बचें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें और अपनी मर्जी से मात्रा न बढ़ाएं। इसे पानी के साथ पूरा निगलें, बेहतर होगा कि खाने के बाद लें ताकि पेट में जलन न हो। इस दवा से नींद आ सकती है, इसलिए जब तक आपको इसका असर समझ न आए, गाड़ी न चलाएं और मशीन न चलाएं। इस दवा के साथ शराब न लें। अगर आपको किडनी या लिवर की बीमारी है, गर्भावस्था है, या आप स्तनपान करा रही हैं, तो डॉक्टर को जरूर बताएं। दवा को बच्चों से दूर, ठंडी और सूखी जगह पर रखें।
💊 baret la 5mg/60mg tablet Uses & Benefits
[{"condition":"Allergic rhinitis with cough","description":"Helps control sneezing, runny nose, itchy watery eyes, and post-nasal drip cough by blocking histamine H1 receptors.","evidence":"Well-established for the levocetirizine component"},{"condition":"Productive cough with thick mucus","description":"Ambroxol thins sticky bronchial secretions and makes it easier to cough out sputum in acute or chronic bronchitis.","evidence":"Well-established for the ambroxol component"},{"condition":"Allergic bronchitis","description":"May reduce allergic airway symptoms and help clear mucus when both allergy and congestion are present.","evidence":"Moderate"},{"condition":"Upper respiratory tract infection with allergic symptoms","description":"Used for symptom relief when a viral cold is accompanied by allergic sneezing and thick mucus, but it does not treat the infection itself.","evidence":"Limited to symptomatic use"},{"condition":"Chronic urticaria with respiratory mucus symptoms","description":"Levocetirizine treats itching and hives, while ambroxol may help if there is associated mucus congestion.","evidence":"Limited for the combination"}]
Off-label uses: [{"condition":"Chronic sinusitis with thick secretions","description":"Sometimes prescribed to reduce allergic nasal symptoms and thin sinus mucus, but this is not a primary approved use.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally used to help thin middle-ear fluid in selected patients, but evidence is not strong.","evidence":"Limited"},{"condition":"Smoker's cough with mucus","description":"May be used for short-term mucus clearance in smokers, but smoking cessation remains the main treatment.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis with productive cough and thick mucus.
Also treats: Allergic bronchitis, Acute bronchitis with allergic symptoms, Chronic bronchitis with mucus congestion, Upper respiratory tract infection with allergic symptoms, Sinusitis with thick nasal secretions
📋 Drug Information
| Generic Name(s) | Levocetirizine + Ambroxol |
| Brand Name | Amicet |
| Manufacturer | Afive Pharma |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Antihistamine + Mucolytic |
| Route of Administration | Oral. This medicine is an immediate-release tablet that is swallowed whole with water. It should not be crushed, chewed, or dissolved unless your doctor or pharmacist specifically instructs you to do so |
| Storage | Store this medicine at room temperature, between 15°C and 30°C, in a dry place. Keep it in the original strip or container, away from direct sunlight, moisture, and heat. Do not store it in the bathroom. Keep it out of reach of children and pets. |
| Shelf Life | The shelf life is usually 24 months from the date of manufacture, but the exact expiry date is printed on the pack. Do not use the tablet after the expiry date. Check the packaging for the specific shelf life of your batch. |
| WHO Guideline | Not established from the available information. The World Health Organization does not have a specific guideline for this fixed-dose combination. Treatment should follow local clinical guidelines and the prescribing doctor's judgment. |
| ICMR Guideline | Not established from the available information. The Indian Council of Medical Research does not have a specific guideline for this fixed-dose combination. Use should follow standard Indian clinical practice and the prescribing doctor's advice. |
👨⚕️ 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 works through two complementary actions. Levocetirizine is the active enantiomer of cetirizine and acts as a selective peripheral H1 histamine receptor antagonist. By blocking H1 receptors, it reduces histamine-driven sneezing, itching, runny nose, and watery eyes. Ambroxol is a mucoactive agent that increases serous bronchial secretions, reduces mucus viscosity, and stimulates surfactant production and ciliary movement, which helps thick mucus move out of the airways more easily. Together, these actions address allergic symptoms and mucus congestion at the same time.
Mechanism Steps
💡 How to Take baret la 5mg/60mg tablet
Strength: Immediate-release oral tablet containing levocetirizine 5 mg and ambroxol 60 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, depending on the doctor's assessment of the allergic symptoms and cough. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not take more than the prescribed dose. If you have kidney or liver disease, your doctor may reduce the dose or recommend a different medicine. Always follow the prescription label and do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This combination should not be given to children unless a qualified pediatrician specifically prescribes it and determines the correct dose based on the child's age, weight, and clinical condition. |
| Elderly Dosage | Elderly patients, especially those above 65 years, may be more sensitive to the drowsiness and dizziness caused by levocetirizine. Kidney function often declines with age, which can increase levocetirizine levels in the body. The dose must be individualized by a qualified clinician based on renal function, other medicines, and overall health. Elderly patients should take extra care to avoid falls and should not drive if drowsy. |
| Renal Impairment | In people with mild kidney impairment, the dose may not need to be changed, but caution is advised. In moderate to severe kidney impairment, levocetirizine can accumulate and increase the risk of drowsiness, dizziness, and other side effects. The dose must be individualized by a qualified clinician based on the estimated glomerular filtration rate. In severe kidney disease, this medicine may be avoided or used only under close medical supervision. |
| Hepatic Impairment | In mild to moderate liver disease, no specific dose adjustment is usually required, but caution is advised. In severe liver disease, ambroxol metabolism may be reduced, and the dose must be individualized by a qualified clinician. People with severe liver disease should use this medicine only under medical supervision and should report symptoms such as jaundice, dark urine, or persistent nausea. |
| Maximum Daily Dose | The maximum daily dose should not exceed the amount prescribed by your doctor. For this combination, the usual maximum is one tablet twice daily in adults, but the exact limit depends on the indication, kidney function, liver function, and other medicines. Do not exceed the prescribed dose. In kidney or liver impairment, the maximum daily dose may be lower. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of baret la 5mg/60mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Opioid painkillers | Major | |
| Ketoconazole or itraconazole | Moderate | |
| Diphenhydramine or promethazine | Moderate | |
| Oxybutynin or amitriptyline | Moderate | |
| Theophylline | Moderate | |
| Ritonavir | Minor | |
| Cimetidine | Minor | |
| Antacids | Minor | |
| Blood pressure medicines | Moderate |
🚨 Major Interactions
- Alcohol and central nervous system depressants
- Opioid painkillers such as codeine, tramadol, or morphine
- Strong CYP3A4 inhibitors such as ketoconazole, itraconazole, or ritonavir
⚡ Moderate Interactions
- Anticholinergic medicines such as oxybutynin or amitriptyline
- Sedating antihistamines such as diphenhydramine or promethazine
- Blood pressure medicines that cause dizziness
- Theophylline
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. Alcohol increases the sedative effect of levocetirizine and can cause excessive drowsiness, dizziness, impaired coordination, and reduced alertness. Combining alcohol with this medicine also raises the risk of accidents while driving or operating machinery. If you cannot avoid alcohol completely, discuss safe limits with your doctor, but the safest choice is to avoid it during treatment.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to levocetirizine, ambroxol, or any ingredient of this tablet.","Severe kidney disease with significantly reduced kidney function, unless specifically advised by a doctor.","Severe liver disease, unless specifically advised by a doctor.","Children below the age recommended by a pediatrician for this combination.","Use during pregnancy or breastfeeding without medical advice.","Use in people with a history of seizures without medical review."]
⚠️ Warnings & Precautions
["This medicine can cause drowsiness. Avoid driving, riding a two-wheeler, or operating heavy machinery until you know how it affects you.","Avoid alcohol and other sedating medicines while taking this medicine.","Tell your doctor if you have kidney disease, liver disease, epilepsy, glaucoma, or prostate enlargement.","Do not use this medicine for a dry cough that has no mucus, because the ambroxol component is meant for productive cough.","Do not use this medicine for more than the recommended duration without medical review.","Keep this medicine out of reach of children and store it in its original packaging.","If you are pregnant, planning pregnancy, or breastfeeding, speak to your doctor before using this medicine.","Stop the medicine and seek urgent help if you develop swelling of the face, lips, tongue, or throat, or difficulty breathing."]
🤱 Lactation Safety
Levocetirizine may pass into breast milk in small amounts and could cause drowsiness or irritability in a breastfed infant. Ambroxol is also expected to pass into breast milk. Breastfeeding mothers should use this medicine only if a doctor advises it, and they should watch the baby for excessive sleepiness, poor feeding, or unusual irritability.
💊 Overdose Management
Overdose of this medicine may cause excessive drowsiness, dizziness, nausea, vomiting, restlessness, or, in severe cases, seizures and breathing difficulty. If you suspect an overdose, contact a poison control center or go to the nearest emergency department immediately. Do not try to vomit unless a healthcare professional tells you to. Treatment is supportive and may include monitoring of breathing, heart rate, and blood pressure, along with activated charcoal if the overdose is recent and the patient is stable. There is no specific antidote for this combination, so medical observation is important.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided there is enough time before your next scheduled dose. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose. If you are unsure what to do, contact your doctor or pharmacist for advice.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor, and do not increase the dose on your own. Swallow the tablet whole with a glass of water, preferably with or after food, to reduce stomach upset. Because this medicine can make you sleepy, avoid driving, riding a two-wheeler, or operating heavy machines until you know how it affects you. Do not drink alcohol while taking this medicine, as alcohol can increase drowsiness and impair alertness. Tell your doctor about all other medicines you take, especially sedatives, sleeping pills, opioid painkillers, antidepressants, blood pressure medicines, and antibiotics. If you have kidney or liver disease, your doctor may need to adjust the dose or may choose a different medicine. Do not use this medicine for more than the recommended duration without medical review. Keep the tablet in its original strip or container, away from moisture, direct sunlight, and out of reach of children. If you are pregnant, planning pregnancy, or breastfeeding, do not start this medicine without first speaking to your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more likely to experience drowsiness, dizziness, dry mouth, and confusion with this medicine. Kidney function often declines with age, which can increase levocetirizine levels and the risk of side effects. The dose must be individualized by a qualified clinician, and elderly patients should take extra care to prevent falls. Avoid driving and operating machinery if you feel drowsy or unsteady.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, speak to your doctor before taking this medicine. Levocetirizine and ambroxol should be used during pregnancy only when a qualified clinician decides that the benefit clearly outweighs the potential risk. Do not start or stop this medicine on your own if you are trying to conceive or are already pregnant.
🏥 Post-Surgery Considerations
After surgery, this medicine should be used only if your surgeon or doctor advises it. Drowsiness and dizziness from levocetirizine can increase the risk of falls, especially after anesthesia or surgery. Ambroxol may help if you have thick mucus and a productive cough after surgery, but it should not replace prescribed breathing exercises or physiotherapy. Always inform your surgical team about all medicines you take.
🦷 Dental Procedures
Tell your dentist if you are taking this medicine before any dental procedure. Drowsiness and dry mouth may affect your comfort during dental work. Dry mouth can increase the risk of dental irritation, so drink water regularly and maintain good oral hygiene. If you need sedation for a dental procedure, inform the dentist about this medicine because it can add to the sedative effect.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, so avoid strenuous exercise, heavy lifting, or activities that require balance until you know how it affects you. If you feel dizzy or weak, stop exercising and rest. Light activities such as walking are usually fine if you feel well. People with asthma or heart disease should follow their doctor's advice about exercise while taking this medicine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, dry mouth, and dizziness, which may affect your ability to drive, operate machinery, or concentrate at work. If your job involves driving, heavy machinery, or working at heights, avoid these tasks until you know how the medicine affects you. Office workers may find that dry mouth and mild tiredness are manageable with frequent water breaks. If symptoms interfere with your work or daily activities, speak to your doctor about timing the dose or adjusting the treatment.
🛑 When to Stop This Medicine
Stop this medicine and contact your doctor if your symptoms do not improve within 7 days, if they get worse, or if you develop any serious side effect such as severe drowsiness, rash, swelling, breathing difficulty, or unusual bruising or bleeding. Do not stop a prescribed medicine suddenly without talking to your doctor, especially if you have been taking it for a long time. Your doctor will decide whether to stop, change, or continue the medicine based on your condition.
📅 Long-Term Use Effects
Long-term use of this medicine is not usually recommended without regular medical review. Prolonged use of levocetirizine may lead to persistent drowsiness, dry mouth, and, rarely, mood changes or sleep disturbance. Long-term ambroxol use is generally well tolerated, but rare liver enzyme changes have been reported. If you need this medicine for more than a few weeks, your doctor should reassess the underlying cause of your symptoms, check kidney and liver function if needed, and consider whether a different treatment would be safer or more effective.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Rinsing the nose with saline solution can help clear allergens and mucus in allergic rhinitis.
Evidence: Well-establishedInhaling steam can help loosen thick mucus and soothe irritated airways.
Evidence: Commonly used, limited formal evidenceReducing exposure to dust, pollen, and pet dander can lower the need for medicines.
Evidence: Well-establishedThese are effective for allergic rhinitis and may be recommended by your doctor instead of or along with oral medicines.
Evidence: Well-establishedStopping smoking is the single most important step to reduce chronic cough and mucus production.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine is not known to interact with vaccines. However, if you have a fever or an active infection, your doctor may advise delaying vaccination until you recover. Always inform the vaccination provider about all medicines you are taking, including this one.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C.
❌ DON'T
Do not refrigerate unless specifically instructed.
✅ DO
Keep the tablets in their original strip or container.
❌ DON'T
Do not transfer them to unmarked containers.
✅ DO
Keep away from direct sunlight and moisture.
❌ DON'T
Do not store in the bathroom cabinet.
✅ DO
Keep out of reach of children and pets.
❌ DON'T
Do not use after the expiry date printed on the pack.
✅ DO
Check the expiry date before each use.
❌ DON'T
Do not use tablets that are discoloured, broken, or damaged.
✈️ Traveling with This Medicine
When travelling, carry this medicine in its original packaging with the prescription label clearly visible. Keep a copy of your doctor's prescription with you, especially for international travel, because this is a prescription medicine in many countries. Store the tablets in a cool, dry place, away from direct sunlight and moisture, and do not leave them in a hot car. If you are crossing time zones, continue taking the medicine at the same interval as prescribed, but ask your doctor or pharmacist for specific advice if you take it more than once daily. Declare the medicine at customs if required and check the local rules of your destination before travelling.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Levocetirizine starts reducing allergic symptoms such as sneezing and runny nose within about 1 hour. Ambroxol's mucus-thinning effect usually becomes noticeable after 1 to 2 days of regular use. Most people notice clear improvement in cough and congestion within 3 to 7 days.
A: No. This medicine is not an antibiotic. It contains an antihistamine and a mucolytic, which relieve allergic symptoms and thin mucus. It does not kill bacteria, so it will not cure a bacterial infection on its own.
A: This medicine is best for a productive cough with thick mucus. For a dry cough without mucus, the ambroxol component may not be helpful, and your doctor may recommend a different treatment.
A: Levocetirizine is less sedating than older antihistamines, but it can still cause drowsiness in some people. Avoid driving or operating machinery until you know how it affects you.
A: It is best to avoid alcohol completely while taking this medicine. Alcohol increases drowsiness, dizziness, and the risk of accidents.
A: Do not take this medicine during pregnancy without first speaking to your doctor. Your doctor will decide whether the benefits outweigh the risks for you and your baby.
A: Pediatric dosing is not established from available information. Consult a pediatrician. This combination should only be given to children if a qualified pediatrician prescribes it.
A: If you remember within half the dosing interval, take the missed dose. If more than half the interval has passed, skip it and take the next dose at the regular time. Do not double the dose.
A: Yes, it can interact with alcohol, opioid painkillers, sedatives, some antifungals, and certain blood pressure medicines. Always tell your doctor about all medicines you take.
A: Store it at room temperature between 15°C and 30°C, in a dry place, away from direct sunlight and moisture. Keep it in the original packaging and out of reach of children.
🤔 Common Patient Concerns
🔄 Substitutes for baret la 5mg/60mg tablet
View AllAlternative brands with exact same active ingredient:
-
coldthrow am 5 mg/60 mg tabletMankind Pharma Ltd ₹10.55 76.6% CHEAPER
-
cuflift tabletLeeford Healthcare Ltd ₹14.06 68.8% CHEAPER
-
lc a 5mg/60mg tabletTechyon Biotech Pvt Ltd ₹27.19 39.6% CHEAPER
-
alvicet-m 5mg/60mg tabletSigman Wellness ₹30.00 33.3% CHEAPER
-
hadlev a 5mg/60mg tabletBen Hadded Pharma Pvt Ltd ₹30.00 33.3% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is an antibiotic and can cure any cough.
Fact: This medicine is not an antibiotic. It contains an antihistamine and a mucolytic, so it only relieves allergic symptoms and thins mucus. It does not kill bacteria. - Myth: This medicine can be taken for a dry cough.
Fact: The ambroxol component is meant for a productive cough with thick mucus. For a dry cough, this medicine may not be the right choice. - Myth: This medicine is completely non-sedating.
Fact: Levocetirizine is less sedating than older antihistamines, but it can still cause drowsiness in some people. Avoid driving until you know how it affects you. - Myth: More tablets will make the cough go away faster.
Fact: Taking more than the prescribed dose does not improve results and increases the risk of side effects. Always follow the prescribed dose. - Myth: This medicine can be taken long-term without any review.
Fact: This medicine should be used for the duration advised by your doctor. Long-term use without review is not recommended.
🔄 Alternative Options
Generic Alternatives
- Levocetirizine 5 mg + Ambroxol 60 mg tablet
Brand Alternatives
- Amicet 5 mg/60 mg tablet