cemol plus 500mg/4mg/60mg tablet - Paracetamol (500mg) + Chlorpheniramine Maleate (4mg) medicine

Anatryl Plus Tablet: Complete Information on Uses, Side Effects, and Safety

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🏭 Casca Remedies Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for symptomatic relief of cold and allergy symptoms.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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

  • Yellowing of skin or eyes
  • Dark urine
  • Severe abdominal pain
  • Difficulty breathing or swelling of face, lips, or throat
  • Unusual bleeding or bruising
  • Severe drowsiness or confusion
  • Persistent fever for more than 3 days

If experiencing severe symptoms, call emergency services immediately.

What is cemol plus 500mg/4mg/60mg tablet used for?

This medicine is a combination of Paracetamol and Chlorpheniramine Maleate used to treat symptoms of common cold and allergies such as runny nose, sneezing, and mild fever. It works by reducing pain and fever and blocking histamine.

  • Generic Name: Paracetamol + Chlorpheniramine Maleate
  • Manufacturer: Casca Remedies Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cemol plus 500mg/4mg/60mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और क्लोरफेनिरामाइन मेलिएट का संयोजन है, जिसका उपयोग सर्दी-जुकाम और एलर्जी के लक्षणों जैसे नाक बहना, छींक आना, आंखों में पानी आना और हल्के बुखार के इलाज के लिए किया जाता है। यह दर्द और बुखार को कम करने और हिस्टामिन को ब्लॉक करने में मदद करती है।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि और पेट में परेशानी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें गंभीर एलर्जी प्रतिक्रिया, यकृत क्षति और रक्त विकार शामिल हो सकते हैं। यदि आपको पीलिया, गहरे रंग का मूत्र, गंभीर पेट दर्द या सांस लेने में कठिनाई हो तो तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: इस दवा को अपने डॉक्टर के निर्देशानुसार ही लें। अनुशंसित खुराक से अधिक न लें। शराब और अन्य नींद लाने वाली दवाओं से बचें क्योंकि इससे नींद और बढ़ सकती है। जब तक आपको पता न चले कि यह दवा आपको कैसे प्रभावित करती है, तब तक वाहन न चलाएं या भारी मशीनरी न चलाएं। यदि आप गर्भवती हैं, गर्भवती होने की योजना बना रही हैं या स्तनपान करा रही हैं तो अपने डॉक्टर को बताएं। बिना डॉक्टर की सलाह के 7 दिनों से अधिक इसका उपयोग न करें। 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.

💊 cemol plus 500mg/4mg/60mg tablet Uses & Benefits

[{"condition":"Common cold","description":"Relieves symptoms such as runny nose, sneezing, and mild fever associated with the common cold.","evidence":"Well-established"},{"condition":"Allergic rhinitis","description":"Reduces sneezing, rhinorrhea, and itching of the nose and throat due to allergies.","evidence":"Well-established"},{"condition":"Upper respiratory tract allergy","description":"Provides symptomatic relief from allergic symptoms affecting the upper respiratory tract.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Mild pain with allergic component","description":"Sometimes used for pain relief when an allergic component is also present.","evidence":"Limited"}]

Primary treatment for: Common cold and allergic rhinitis

Also treats: Allergic rhinitis, Upper respiratory tract allergy

📋 Drug Information

Generic Name(s)Paracetamol + Chlorpheniramine Maleate
Brand NameAnatryl Plus Tablet
ManufacturerCasca Remedies Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntipyretic, Analgesic, Antihistamine
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight.
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
Take this medicine with food to reduce stomach upset.
2
Avoid driving or operating machinery until you know how this medicine affects you.
3
Do not consume alcohol while taking this medicine.
4
Do not exceed the recommended dose; overdose can cause liver damage.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Inform your doctor if you have liver or kidney disease before taking this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Runny nose
This medicine is commonly prescribed for this.
Likely Use
✅
Sneezing
This medicine helps relieve sneezing due to allergies.
Likely Use
✅
Mild fever
Paracetamol component reduces fever.
Likely Use
❌
Severe headache
This medicine is not a primary treatment for severe headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract. Chlorpheniramine Maleate is also well absorbed from the gastrointestinal tract.
DistributionParacetamol is distributed widely throughout most body tissues. Chlorpheniramine Maleate is distributed widely, including into the central nervous system.
Protein BindingParacetamol: Approximately 10-25% bound to plasma proteins. Chlorpheniramine: Approximately 70% bound to plasma proteins.
MetabolismParacetamol is metabolized primarily in the liver via conjugation with glucuronic acid and sulfate, and a small amount via cytochrome P450 2E1 to N-acetyl-p-benzoquinone imine (NAPQI). Chlorpheniramine is metabolized in the liver via cytochrome P450 enzymes.
Half-LifeParacetamol: 2-3 hours. Chlorpheniramine: 12-15 hours.
ExcretionParacetamol is excreted primarily in urine as glucuronide and sulfate conjugates. Chlorpheniramine is excreted in urine as unchanged drug and metabolites.
BioavailabilityParacetamol: Approximately 80-100%. Chlorpheniramine: Approximately 25-50%.
Onset of ActionParacetamol: 30-60 minutes. Chlorpheniramine: 30-60 minutes.
Peak Plasma TimeParacetamol: 0.5-2 hours. Chlorpheniramine: 2-6 hours.
Duration of ActionParacetamol: 4-6 hours. Chlorpheniramine: 4-6 hours.

How It Works

Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which leads to pain relief and fever reduction. Chlorpheniramine Maleate is a first-generation antihistamine that competitively blocks histamine H1 receptors, thereby reducing allergic symptoms such as sneezing, runny nose, and itching. The combination provides both analgesic and antihistaminic effects.

Mechanism Steps

1
Paracetamol action: Paracetamol inhibits prostaglandin synthesis in the central nervous system, leading to reduced pain and fever.
2
Chlorpheniramine action: Chlorpheniramine competitively blocks histamine H1 receptors, preventing histamine-mediated allergic responses.
3
Combined effect: The combination provides relief from pain, fever, and allergic symptoms such as runny nose and sneezing.

💡 How to Take cemol plus 500mg/4mg/60mg tablet

Strength: Tablet: Paracetamol 500 mg + Chlorpheniramine Maleate 4 mg

1Take this medicine by mouth with a glass of water.
2It can be taken with or without food.
3Swallow the tablet whole; do not crush or chew.
4Take exactly as prescribed by your doctor.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is 1 tablet every 6 to 8 hours as needed for symptoms, not to exceed 4 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects, especially drowsiness and confusion. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentDose adjustment may be required in patients with renal impairment. Consult a doctor.
Hepatic ImpairmentDose adjustment may be required in patients with hepatic impairment. Consult a doctor.
Maximum Daily DoseParacetamol: 4000 mg per day. Chlorpheniramine: 24 mg per day.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver toxicity and drowsiness.

⏰ 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 cemol plus 500mg/4mg/60mg tablet

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water or chew sugarless gum. Consult doctor if persistent.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid alcohol.
Blurred vision (Uncommon (1-5%))
Avoid driving. Consult doctor if persists.
Nausea (Uncommon (1-5%))
Take with food. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, tongue, or throat, difficulty breathing, or severe rash.
Liver damage (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Blood disorders (e.g., thrombocytopenia, leukopenia) (Rare (<0.1%))
Report unusual bleeding, bruising, or signs of infection to your doctor immediately.

⚠️ Rare Side Effects

Photosensitivity
Avoid excessive sun exposure. Use sunscreen.
Confusion
Consult doctor if confusion occurs, especially in elderly.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Benzodiazepines Major
MAOIs Moderate
Tricyclic antidepressants Moderate

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • CNS depressants (e.g., benzodiazepines, opioids)

⚡ Moderate Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Tricyclic antidepressants

🍷 Alcohol Interaction

Avoid alcohol consumption while taking this medicine as it can increase the risk of liver damage and enhance drowsiness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to paracetamol, chlorpheniramine, or any component of the formulation","Severe liver disease","Narrow-angle glaucoma","Urinary retention","Asthma","Breastfeeding"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Do not use for more than 7 days without consulting a doctor.","Use with caution in patients with liver or kidney disease.","Use with caution in elderly patients due to increased risk of confusion and falls.","Consult doctor if pregnant or planning to become pregnant."]

🤱 Lactation Safety

Paracetamol is considered safe during breastfeeding. Chlorpheniramine may pass into breast milk and cause drowsiness in the infant. Consult your doctor before use.

💊 Overdose Management

Overdose may cause severe liver damage, nausea, vomiting, and abdominal pain. Seek immediate medical attention. Treatment includes activated charcoal, N-acetylcysteine, 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 double dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid alcohol and other central nervous system depressants as they can increase drowsiness. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use for more than 7 days without consulting a doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more prone to side effects such as drowsiness, confusion, and falls. Use with caution and consider lower doses. Consult a doctor before use.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are planning to become pregnant. Paracetamol is generally considered safe, but chlorpheniramine should be used with caution.

🏥 Post-Surgery Considerations

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

🦷 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 recover.
🥗
Stay hydrated by drinking fluids like water, soup, and herbal tea.
😴
Use a humidifier to ease nasal congestion.
💧
Avoid exposure to allergens like dust and pollen.
🧘
Wash your hands frequently to prevent spreading infections.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine, especially if you feel drowsy or dizzy. Light activity like walking may be fine if you feel up to it.

🥗 Diet Recommendations

Include vitamin C-rich foods like oranges and lemons.
Drink warm fluids to soothe a sore throat.
Avoid alcohol and caffeine.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. It is advisable to avoid such activities until you know how the medicine affects you. Inform your employer if your job requires alertness.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 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 medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use of paracetamol can increase the risk of liver damage, especially with high doses or alcohol consumption. Chlorpheniramine may cause tolerance and dependence. Regular monitoring of liver function may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal rinse

Can help relieve nasal congestion without medication.

Evidence: Well-established
Antihistamine nasal sprays

Alternative for allergic rhinitis with fewer systemic side effects.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

Not established from the available information.

📦 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 schedule 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 experienced sneezing, runny nose, and itchy eyes every spring. Her doctor prescribed this medicine. She took it as directed and found significant relief within an hour. She noted that taking it at night helped her sleep better due to drowsiness.
💡 Lesson: This medicine effectively relieves allergy symptoms, but its sedative effect can be beneficial at night and problematic during the day.
👤 A 50-year-old man with common cold
He had a cold with body aches and mild fever. He took this medicine every 8 hours. His symptoms improved, but he felt drowsy during the day. He was advised to avoid driving and to rest.
💡 Lesson: This medicine provides symptomatic relief but causes drowsiness; patients should avoid driving and rest adequately.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30-60 minutes after oral administration.

Q: Can I take this medicine on an empty stomach?

A: It can be taken with or without food, but taking it with food may reduce stomach upset.

Q: Is it safe to take this medicine daily?

A: It is intended for short-term use. Consult your doctor if you need it for more than 7 days.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my kidney function?
  • 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 cemol plus 500mg/4mg/60mg 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 can cure the common cold.
    Fact: This medicine only provides symptomatic relief; it does not cure the underlying viral infection.
  • Myth: It is safe to take more than the recommended dose.
    Fact: Exceeding the recommended dose can cause severe liver damage.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol + Chlorpheniramine Maleate combination tablets

Brand Alternatives

  • Anatryl Plus Tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Paracetamol 500 mg + Chlorpheniramine Maleate 4 mg","uses":"Cold, allergy symptoms"},{"medicine":"Paracetamol + Phenylephrine + Chlorpheniramine","composition":"Paracetamol 500 mg + Phenylephrine 5 mg + Chlorpheniramine 2 mg","uses":"Cold with nasal congestion"}]

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