Ceedokid Plus Syrup: 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
- Difficulty breathing, swelling of face, lips, or throat
- Yellowing of skin or eyes, dark urine, severe abdominal pain
- Sudden fever, sore throat, mouth ulcers, unusual bleeding or bruising
- Severe drowsiness, confusion, or fainting
- Seizures or involuntary muscle movements
- Rapid or irregular heartbeat
- Decreased urine output or inability to urinate
If experiencing severe symptoms, call emergency services immediately.
What is ceedokid plus syrup used for?
This medicine is a combination syrup containing paracetamol and promethazine. It is used to treat allergic symptoms like runny nose and sneezing, and to reduce fever and mild pain. It also helps with nausea. It should not be given to children under 2 years.
- Generic Name: Paracetamol + Promethazine
- Manufacturer: Dexter Labratories
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ceedokid plus syrup के बारे में (Hindi Summary)
उपयोग: यह दवा पैरासिटामोल और प्रोमेथाज़ीन का संयोजन है। इसका उपयोग एलर्जी के लक्षणों जैसे नाक बहना, छींक आना, खुजली, और आंखों में पानी आना के इलाज के लिए किया जाता है। यह बुखार और हल्के दर्द को कम करने में भी मदद करती है। इसके अलावा, यह मतली और उल्टी को नियंत्रित करने में सहायक है। यह दवा 2 वर्ष से छोटे बच्चों को नहीं दी जानी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि और जी मिचलाना शामिल हैं। कभी-कभी गंभीर एलर्जी प्रतिक्रिया, जैसे चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई हो सकती है। प्रोमेथाज़ीन के कारण रक्त विकार भी हो सकते हैं। पैरासिटामोल अधिक मात्रा में लेने से लीवर को नुकसान हो सकता है। यदि आपको पीलिया, गहरे रंग का पेशाब या पेट में तेज दर्द हो, तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को बताएं यदि आप गर्भवती हैं, गर्भवती होने की योजना बना रही हैं, या स्तनपान करा रही हैं। 2 वर्ष से छोटे बच्चों को यह दवा न दें। इस दवा के साथ शराब का सेवन न करें। जब तक आपको पता न चले कि यह दवा आपको कैसे प्रभावित करती है, वाहन न चलाएं। पैरासिटामोल युक्त अन्य दवाओं को बिना डॉक्टर की सलाह के न लें। यदि आपको लीवर या किडनी की बीमारी, दमा, ग्लूकोमा, या पेशाब में कठिनाई है, तो डॉक्टर को बताएं। इस दवा को बच्चों की पहुंच से दूर रखें।
💊 ceedokid plus syrup Uses & Benefits
[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itching, and watery eyes associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Urticaria","description":"Helps reduce itching and skin rash in allergic skin conditions.","evidence":"Well-established"},{"condition":"Fever and mild pain","description":"Paracetamol component reduces fever and alleviates mild to moderate pain such as headache or body ache.","evidence":"Well-established"},{"condition":"Nausea and vomiting","description":"Promethazine component provides antiemetic effect, useful in motion sickness or other causes of nausea.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Insomnia","description":"Sometimes used off-label for short-term management of insomnia due to sedative effects of promethazine.","evidence":"Limited"},{"condition":"Anxiety","description":"Occasionally used for its calming effect, but not a first-line treatment.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis
Also treats: Urticaria, Fever, Mild pain, Nausea and vomiting
📋 Drug Information
| Generic Name(s) | Paracetamol + Promethazine |
| Brand Name | Adwin P |
| Manufacturer | Dexter Labratories |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Antipyretic + Antihistamine |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed. Do not freeze. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture, or as indicated on the packaging. |
| 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 distinct mechanisms. Paracetamol acts primarily in the central nervous system to reduce pain and fever; it inhibits prostaglandin synthesis in the brain and may also affect the hypothalamic heat-regulating center. Promethazine is a first-generation antihistamine that competitively blocks histamine H1 receptors, thereby reducing allergic symptoms. It also has anticholinergic and sedative properties due to its action on the central nervous system, and it can suppress nausea and vomiting by blocking dopamine receptors in the chemoreceptor trigger zone.
Mechanism Steps
💡 How to Take ceedokid plus syrup
Strength: Each 5 ml of syrup contains paracetamol 125 mg and promethazine 5 mg. The total strength is 125 mg/5 ml + 125 mg + 5 mg per 5 ml.
Dosage Information
| Adult Dosage | The dosage of this medicine must be individualized by a qualified clinician based on the indication, age, weight, and renal and hepatic function. For adults, a typical dose might be 10 ml to 20 ml (providing 250 mg to 500 mg paracetamol and 10 mg to 20 mg promethazine) taken every 4 to 6 hours as needed for symptoms, not to exceed the maximum daily dose. However, because this is a combination product, it is essential to follow your doctor's prescription exactly. Do not self-medicate. The maximum daily dose of paracetamol should not exceed 4000 mg for adults, and promethazine should not exceed 100 mg per day. Always check with your doctor or pharmacist before adjusting your dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. This medicine is contraindicated in children under 2 years of age due to the risk of severe respiratory depression. For children 2 years and older, the dose must be determined by a pediatrician based on weight and clinical condition. Do not attempt to calculate the dose yourself. |
| Elderly Dosage | Elderly patients may be more sensitive to the sedative and anticholinergic effects of promethazine. Use with caution and consider lower doses. The dose must be individualized by a clinician based on renal and hepatic function, and the presence of other medical conditions. |
| Renal Impairment | Dosage adjustment may be necessary in patients with renal impairment. Paracetamol is generally safe, but promethazine may accumulate and increase the risk of side effects. Consult a clinician for individualized dosing. |
| Hepatic Impairment | Dosage adjustment is required in patients with hepatic impairment. Paracetamol should be used with caution and at reduced doses due to the risk of hepatotoxicity. Promethazine is metabolized in the liver and may require dose reduction. Consult a clinician for individualized dosing. |
| Maximum Daily Dose | The maximum daily dose of paracetamol should not exceed 4000 mg for adults. The maximum daily dose of promethazine should not exceed 100 mg for adults. The exact maximum daily dose of this combination product must be determined by a qualified clinician based on the patient's condition and other factors. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ceedokid plus syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Alcohol | Major | |
| Benzodiazepines | Major | |
| MAOIs | Major | |
| Tricyclic antidepressants | Moderate | |
| Fluoxetine | Moderate | |
| Carbamazepine | Moderate | |
| Antacids | Minor | |
| Activated charcoal | Minor | |
| Rifampicin | Moderate |
🚨 Major Interactions
- Other central nervous system depressants (e.g., alcohol, benzodiazepines, opioids)
- Monoamine oxidase inhibitors (MAOIs)
- Warfarin
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)
- CYP2D6 inhibitors (e.g., fluoxetine, paroxetine)
- Enzyme inducers (e.g., carbamazepine, rifampicin)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine. It can increase the sedative effects of promethazine and raise the risk of liver damage from paracetamol, especially with regular or high-dose use.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to paracetamol, promethazine, or any component of the formulation.","Children under 2 years of age.","Severe liver disease or severe hepatic impairment.","Narrow-angle glaucoma.","Urinary retention or prostatic hypertrophy.","Severe central nervous system depression.","Comatose patients.","Concurrent use with MAOIs."]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Do not consume alcohol while taking this medicine.","Do not exceed the recommended dose of paracetamol; overdose can cause serious liver damage.","Use with caution in elderly patients due to increased risk of confusion, sedation, and anticholinergic effects.","Use with caution in patients with asthma, glaucoma, or difficulty urinating.","May impair mental and physical abilities required for performing hazardous tasks.","Avoid use in children under 2 years; consult a pediatrician for children 2 years and older.","Do not use for prolonged periods without medical supervision."]
🤱 Lactation Safety
Paracetamol is excreted in breast milk in small amounts and is generally considered compatible with breastfeeding. Promethazine is also excreted in breast milk and may cause drowsiness or irritability in the nursing infant. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine can be serious. Paracetamol overdose can cause potentially fatal liver damage, even if you feel well initially. Symptoms of paracetamol overdose may include nausea, vomiting, abdominal pain, and loss of appetite, but liver damage may not become apparent for several days. Promethazine overdose can cause severe drowsiness, seizures, respiratory depression, and coma. If you suspect an overdose, seek emergency medical attention immediately, even if you feel fine. Do not wait for symptoms to appear. Treatment may include activated charcoal, acetylcysteine for paracetamol toxicity, and supportive care.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Before taking this medicine, inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. This medicine should not be given to children under two years of age. Avoid alcohol while taking this medicine, as it can increase drowsiness and the risk of liver damage from paracetamol. Do not drive or operate heavy machinery until you know how this medicine affects you. Do not take other products containing paracetamol without consulting your doctor, as this can lead to accidental overdose. If you have liver or kidney disease, asthma, glaucoma, an enlarged prostate, or difficulty urinating, tell your doctor before using this medicine. Keep this medicine out of the reach of children. Store it at room temperature, away from direct sunlight and moisture. Do not use this medicine beyond its expiry date. If symptoms persist or worsen after a few days, consult your doctor.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative and anticholinergic effects of promethazine, which can increase the risk of falls, confusion, and urinary retention. Use with caution and consider lower doses. Regular monitoring for side effects is recommended.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Paracetamol is generally considered safe, but promethazine should be used only if clearly needed. Discuss the risks and benefits with your healthcare provider.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used for pain and nausea, but it can increase sedation and respiratory depression when combined with other postoperative medications. Use only under medical supervision. Inform your surgeon and anesthesiologist if you are taking this medicine.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. Promethazine can cause dry mouth, which may increase the risk of dental caries. Additionally, the sedative effects may interact with sedatives used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine can cause drowsiness and dizziness, which may impair your ability to exercise safely. Avoid strenuous exercise or activities that require balance and coordination until you know how the medicine affects you. If you feel dizzy or sleepy, do not exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause significant drowsiness, which may affect your ability to work, drive, or perform tasks requiring alertness. It is best to avoid driving or operating heavy machinery until you know how it affects you. If your job requires mental alertness, discuss with your doctor about timing the dose or alternative medications.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms do not improve within a few days, if they worsen, or if you experience any serious side effects. Do not stop abruptly if you have been taking it regularly for a long time without consulting your doctor, as withdrawal symptoms may occur.
📅 Long-Term Use Effects
Long-term use of this medicine should be avoided unless supervised by a doctor. Prolonged use of paracetamol can increase the risk of liver damage, especially with high doses or alcohol consumption. Promethazine may cause tolerance to its sedative effects and, rarely, tardive dyskinesia with long-term use. Regular monitoring of liver function and blood counts may be necessary if used for extended periods. Consult your doctor if you need to use this medicine for more than a few days.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
For allergies, non-sedating antihistamines like loratadine or cetirizine may be preferred if drowsiness is a concern.
Evidence: Well-establishedHelps relieve nasal congestion without medication.
Evidence: Well-establishedIdentifying and avoiding triggers can reduce the need for medication.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are scheduled to receive a live vaccine, inform your doctor that you are taking this medicine, as promethazine may affect immune response. Generally, it is safe to receive vaccines 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
When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription or a letter from your doctor, especially for international travel. Store it in a cool, dry place away from direct sunlight. If traveling across time zones, adjust dosing times gradually to maintain consistent intervals. Check local customs regulations regarding controlled substances, as promethazine may be regulated in some countries. Always keep the medicine in your carry-on luggage to avoid temperature extremes in checked baggage.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Paracetamol starts working within 30-60 minutes, while promethazine's effects begin within 20-60 minutes. Peak effects occur around 2-3 hours.
A: You should avoid taking other products containing paracetamol or promethazine to prevent overdose. Always check labels and consult your doctor or pharmacist.
A: No, this medicine is contraindicated in children under 2 years due to the risk of severe respiratory depression. Consult a pediatrician for alternative treatments.
🤔 Common Patient Concerns
🛑 Myths vs. Facts
- Myth: This medicine is safe for all ages.
Fact: It is not safe for children under 2 years due to the risk of severe respiratory depression. - Myth: It is a good idea to take extra doses if symptoms are severe.
Fact: Taking more than the recommended dose can cause serious liver damage from paracetamol and severe sedation from promethazine. - Myth: It can be taken with alcohol.
Fact: Alcohol increases the risk of liver damage and excessive drowsiness.
🔄 Alternative Options
Generic Alternatives
- Paracetamol + Promethazine syrup (generic)
Brand Alternatives
- Phenergan with Dextromethorphan
- Promethazine VC with Codeine
- Other paracetamol and promethazine combinations