cetafen 400mg/500mg tablet - Ibuprofen (400mg) + Paracetamol (500mg) medicine

cetafen 400mg/500mg tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Waksman Selman Pharmaceuticals Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jul 1, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jul 01, 2026

What is cetafen 400mg/500mg tablet used for?

Adiflam Plus 400 mg/500 mg Tablet (Ibuprofen + Paracetamol) is used to treat PAIN ANALGESICS. It contains Ibuprofen (400mg) + Paracetamol (500mg), which Ibuprofen inhibits COX-1 and COX-2, reducing prostaglandin synthesis; Paracetamo. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Ibuprofen + Paracetamol
  • Manufacturer: Waksman Selman Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

๐Ÿ’Š cetafen 400mg/500mg tablet Uses & Benefits

Mild to moderate pain, fever, inflammation (e.g., headache, dental pain, dysmenorrhea, osteoarthritis).

Off-label uses: Patent ductus arteriosus closure (ibuprofen), migraine (paracetamol).

๐Ÿ“‹ Drug Information

Generic Name(s)Ibuprofen + Paracetamol
Brand NameAdiflam Plus 400 mg/500 mg Tablet
ManufacturerWaksman Selman Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassNonsteroidal Anti-inflammatory Drug (NSAID) + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionIbuprofen: Rapidly absorbed from GI tract; Paracetamol: Rapidly and completely absorbed from GI tract.
DistributionIbuprofen: Widely distributed, crosses placenta; Paracetamol: Uniformly distributed in body fluids, crosses placenta.
Protein BindingIbuprofen: ~99%; Paracetamol: 10-25%.
MetabolismIbuprofen: Hepatic via CYP2C9; Paracetamol: Hepatic via conjugation (glucuronidation, sulfation) and CYP2E1 (minor).
Half-LifeIbuprofen: 2-4 hours; Paracetamol: 1.5-3 hours.
ExcretionIbuprofen: Renal (90% as metabolites); Paracetamol: Renal (mostly as conjugates).
BioavailabilityIbuprofen: ~80-100%; Paracetamol: ~70-90%.
Onset of ActionIbuprofen: 30-60 min; Paracetamol: 30-60 min.
Peak Plasma TimeIbuprofen: 1-2 hours; Paracetamol: 30-60 min.
Duration of ActionIbuprofen: 4-6 hours; Paracetamol: 4-6 hours.

How It Works

Ibuprofen inhibits COX-1 and COX-2, reducing prostaglandin synthesis; Paracetamol inhibits COX in CNS, reducing pain and fever.

Mechanism Steps

1Ibuprofen inhibits COX-1 and COX-2 enzymes, reducing prostaglandin synthesis.
2Paracetamol inhibits COX in the central nervous system, reducing pain and fever.
3Decreased prostaglandins lead to reduced inflammation, pain, and fever.

๐Ÿ’ก How to Take cetafen 400mg/500mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cetafen 400mg/500mg tablet

โœ… Common Side Effects

  • Nausea
  • Dyspepsia
  • Headache
  • Dizziness
  • Rash

๐Ÿšจ Serious Side Effects

  • GI bleeding
  • Renal failure
  • Hepatotoxicity
  • Cardiovascular events
  • Stevens-Johnson syndrome

โš ๏ธ Rare Side Effects

  • Aplastic anemia
  • Agranulocytosis
  • Pancreatitis
  • Anaphylaxis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
Methotrexate Major Increased methotrexate toxicity
Lithium Major Increased lithium levels
Aspirin Major Increased GI bleeding risk
Other NSAIDs Major Additive GI and renal toxicity
ACE inhibitors Moderate Reduced antihypertensive effect
Diuretics Moderate Reduced diuretic effect
Anticoagulants Moderate Increased bleeding risk
Corticosteroids Moderate Increased GI ulcer risk
Antacids Minor Reduced absorption of ibuprofen
Caffeine Minor Additive analgesic effect
Cholestyramine Minor Reduced absorption of paracetamol

๐Ÿšจ Major Interactions

  • Warfarin
  • Methotrexate
  • Lithium
  • Aspirin
  • Other NSAIDs

โšก Moderate Interactions

  • ACE inhibitors
  • Diuretics
  • Anticoagulants
  • Corticosteroids

โ„น๏ธ Minor Interactions

  • Antacids
  • Caffeine
  • Cholestyramine

๐Ÿฝ๏ธ Food Interactions

Food may delay absorption; avoid high-fat meals.

๐Ÿท Alcohol Interaction

Increased risk of GI bleeding and hepatotoxicity.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, active GI bleeding, severe renal/hepatic impairment, third trimester pregnancy, history of asthma with NSAIDs.

๐Ÿ“Š Monitoring Parameters

Renal function, hepatic function, blood pressure, signs of GI bleeding.

๐Ÿคฑ Lactation Safety

Ibuprofen: Safe in low doses; Paracetamol: Safe.

๐Ÿ’Š Overdose Management

Activated charcoal, supportive care; for paracetamol overdose: N-acetylcysteine.

โฐ Missed Dose

Take as soon as remembered; if near next dose, skip missed dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jul 01, 2026

๐Ÿ”— View Profile

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