cetdom 10mg/325mg tablet - Domperidone (10mg) + Paracetamol (325mg) medicine

Actidol-DP Tablet: Complete Medicine Guide

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🏭 Biophar Lifesciences Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for approved indications; limited for off-label uses.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Blood in vomit or stool
  • Severe abdominal pain
  • Chest pain or palpitations
  • Difficulty breathing or swelling of face/lips/throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unusual muscle stiffness or tremors

If experiencing severe symptoms, call emergency services immediately.

What is cetdom 10mg/325mg tablet used for?

This medicine is a combination of Domperidone and Paracetamol used to treat nausea, vomiting, and mild to moderate pain or fever. It works by blocking nausea signals in the brain and reducing pain and fever centrally. It should be taken as prescribed, usually before meals, and not for more than 7 days without medical advice.

  • Generic Name: Domperidone + Paracetamol
  • Manufacturer: Biophar Lifesciences Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cetdom 10mg/325mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा डोम्पेरिडोन और पैरासिटामोल का संयोजन है, जिसका उपयोग मतली, उल्टी और हल्के से मध्यम दर्द या बुखार के इलाज के लिए किया जाता है। यह पेट की गति को सुधारती है और मस्तिष्क में मतली के संकेतों को रोकती है। यह दवा आमतौर पर भोजन से पहले ली जाती है और डॉक्टर के निर्देशानुसार ही लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मुँह सूखना, सिरदर्द, नींद आना और पेट में हल्की परेशानी शामिल हैं। कभी-कभी दिल की धड़कन असामान्य हो सकती है, जो गंभीर हो सकती है। अगर आपको चक्कर आना, धड़कन तेज होना, या सांस लेने में कठिनाई हो, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसके साथ शराब न पिएं। अगर आपको दिल, लीवर या किडनी की बीमारी है, तो डॉक्टर को बताएं। सात दिनों से ज्यादा इसका इस्तेमाल बिना डॉक्टर की सलाह के न करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से परामर्श करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 cetdom 10mg/325mg tablet Uses & Benefits

[{"condition":"Nausea and vomiting with pain","description":"This medicine is used to relieve nausea and vomiting while also reducing accompanying mild to moderate pain or fever.","evidence":"Well-established"},{"condition":"Gastroparesis with discomfort","description":"Domperidone improves gastric emptying, and Paracetamol helps with abdominal discomfort associated with delayed stomach emptying.","evidence":"Moderate"},{"condition":"Migraine-associated nausea and pain","description":"This combination can help manage nausea and pain during migraine attacks, though it is not a primary migraine treatment.","evidence":"Limited"},{"condition":"Post-operative nausea and pain","description":"Sometimes used after surgery to control nausea and mild pain, but only under medical supervision.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Functional dyspepsia","description":"Domperidone may be used off-label to relieve symptoms of functional dyspepsia, and Paracetamol addresses associated pain.","evidence":"Limited"},{"condition":"Nausea in early pregnancy","description":"In some cases, Domperidone may be prescribed off-label for pregnancy-related nausea, but only after careful evaluation by a doctor.","evidence":"Limited"}]

Primary treatment for: Nausea and vomiting with mild to moderate pain or fever

Also treats: Gastroparesis, Functional dyspepsia, Migraine-associated nausea

📋 Drug Information

Generic Name(s)Domperidone + Paracetamol
Brand NameAnadom 10mg/500mg Tablet
ManufacturerBiophar Lifesciences Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassAntiemetic + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from moisture and direct sunlight. Keep in the original container.
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 15-30 minutes before meals for best results.
2
Do not exceed the recommended dose or duration of treatment.
3
Avoid alcohol completely while taking this medicine.
4
Inform your doctor if you have heart, liver, or kidney problems.
5
Do not drive or operate machinery if you feel drowsy.
6
Consult your doctor if symptoms persist beyond 7 days.
7
Keep this medicine out of reach of children.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nausea and vomiting
This medicine is commonly prescribed for this.
Likely Use
✅
Mild to moderate pain
Paracetamol component helps relieve pain.
Likely Use
✅
Fever
Paracetamol reduces fever.
Likely Use
❌
Severe headache
This medicine is not a primary treatment for severe headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionDomperidone is rapidly absorbed from the gastrointestinal tract after oral administration, with peak plasma levels occurring within 30 to 60 minutes. Paracetamol is also rapidly and completely absorbed from the gastrointestinal tract, with peak plasma concentrations reached within 30 to 60 minutes. Food may delay the absorption of Domperidone slightly.
DistributionDomperidone is widely distributed in body tissues but does not readily cross the blood-brain barrier. Paracetamol is distributed throughout most body fluids and tissues. Both drugs have relatively low protein binding.
Protein BindingDomperidone is approximately 91-93% bound to plasma proteins. Paracetamol is about 10-25% bound to plasma proteins.
MetabolismDomperidone undergoes extensive first-pass metabolism in the liver and intestinal wall via CYP3A4 and CYP1A2 enzymes. Paracetamol is primarily metabolized in the liver by conjugation with glucuronic acid and sulfate, and a small fraction is oxidized by CYP2E1 to a toxic metabolite, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione.
Half-LifeThe elimination half-life of Domperidone is approximately 7-9 hours in healthy individuals. Paracetamol has an elimination half-life of about 2-3 hours.
ExcretionDomperidone is excreted mainly in the feces (about 66%) and urine (about 33%) as metabolites. Paracetamol is excreted in the urine primarily as glucuronide and sulfate conjugates.
BioavailabilityThe oral bioavailability of Domperidone is approximately 13-17% due to extensive first-pass metabolism. Paracetamol has a high oral bioavailability of about 80-100%.
Onset of ActionDomperidone begins to relieve nausea within 30 to 60 minutes after oral administration. Paracetamol starts reducing pain and fever within 30 to 60 minutes.
Peak Plasma TimePeak plasma concentrations for both Domperidone and Paracetamol are reached within 30 to 60 minutes after oral intake.
Duration of ActionThe antiemetic effect of Domperidone lasts about 6 to 8 hours, while Paracetamol's analgesic and antipyretic effects last about 4 to 6 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Domperidone is a peripheral dopamine D2 receptor antagonist that blocks dopamine receptors in the chemoreceptor trigger zone and the gastrointestinal tract, thereby reducing nausea and vomiting and enhancing gastric motility. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which reduces pain and fever. Together, they provide symptomatic relief of nausea, vomiting, and mild to moderate pain or fever.

Mechanism Steps

1
Dopamine receptor blockade: Domperidone blocks dopamine D2 receptors in the chemoreceptor trigger zone, preventing nausea signals.
2
Enhanced gastric motility: Domperidone promotes gastric emptying and intestinal transit, reducing bloating and nausea.
3
Central analgesia: Paracetamol acts on the central nervous system to inhibit prostaglandin synthesis, reducing pain and fever.
4
Symptom relief: The combined effects alleviate nausea, vomiting, and accompanying pain or fever.

💡 How to Take cetdom 10mg/325mg tablet

Strength: Each tablet contains Domperidone 10 mg and Paracetamol 325 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it preferably 15-30 minutes before meals for best effect.
4Follow your doctor's instructions regarding dose and duration.
5Do not take more than the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally up to three times a day, preferably before meals. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and clinical response. Do not exceed the maximum recommended daily dose. This medicine is for short-term use only, and prolonged use should be avoided unless advised by a doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects of this medicine, especially cardiac effects and drowsiness. Dose adjustment may be necessary based on renal and hepatic function. Use with caution and under medical supervision.
Renal ImpairmentIn patients with severe renal impairment, the dose of this medicine may need to be reduced or the dosing interval increased. Consult a doctor for individualized dosing.
Hepatic ImpairmentIn patients with hepatic impairment, the dose of this medicine should be reduced or avoided, especially due to the risk of Paracetamol-induced liver toxicity. Consult a doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose of this medicine should not exceed 3 tablets in 24 hours, unless otherwise prescribed by a doctor. The maximum daily dose of Paracetamol should not exceed 3000 mg from all sources.

Dosage Timeline

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

🍽️ Food Timing Guide

With meals
Take 15-30 minutes before meals
Enhances absorption and effectiveness of Domperidone.
Grapefruit juice
Avoid
May increase Domperidone levels and risk of side effects.
Alcohol
Avoid
Increases risk of liver damage 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 cetdom 10mg/325mg tablet

✅ Common Side Effects

Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if persistent.
Headache (Common (5-10%))
Rest and stay hydrated. If headache persists, consult your doctor.
Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how this medicine affects you.
Abdominal cramps (Common (5-10%))
Take with food to reduce stomach upset. Consult doctor if severe.

🚨 Serious Side Effects

QT prolongation and arrhythmias (Rare (<0.1%))
Seek immediate medical attention if you experience palpitations, dizziness, or fainting.
Extrapyramidal symptoms (Rare (<0.1%))
Report muscle stiffness, tremors, or difficulty speaking to your doctor immediately.
Severe allergic reaction (Rare (<0.1%))
Stop the medicine and seek emergency care if you develop rash, swelling, or difficulty breathing.
Liver damage (Rare (<0.1%))
Seek medical help if you notice yellowing of eyes or skin, dark urine, or severe abdominal pain.

⚠️ Rare Side Effects

Galactorrhea
Consult your doctor if you notice breast milk secretion unrelated to breastfeeding.
Gynecomastia
Report breast enlargement or tenderness to your doctor.
Blood dyscrasias
Seek medical attention if you experience unusual bleeding, bruising, or infections.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Ketoconazole Major
Erythromycin Major
Warfarin Moderate
Anticholinergics Moderate
Opioids Moderate
Carbamazepine Moderate
Antacids Minor
Cholestyramine Minor
Ritonavir Major
Amiodarone Major

🚨 Major Interactions

  • Ketoconazole
  • Erythromycin
  • Warfarin

⚡ Moderate Interactions

  • Anticholinergic drugs
  • Opioid analgesics
  • Carbamazepine

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine. It increases the risk of liver damage from Paracetamol and can worsen drowsiness and dizziness caused by Domperidone. Chronic alcohol use also raises the risk of Paracetamol-induced hepatotoxicity.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Domperidone or Paracetamol","Gastrointestinal obstruction, perforation, or bleeding","Prolactin-releasing pituitary tumor (prolactinoma)","Severe hepatic impairment","Severe renal impairment","Known QT prolongation or congenital long QT syndrome","Concomitant use with QT-prolonging drugs or potent CYP3A4 inhibitors"]

⚠️ Warnings & Precautions

["Use with caution in patients with heart disease or electrolyte imbalances.","Avoid in patients with liver or kidney disease unless prescribed by a doctor.","Do not exceed the recommended dose or duration of treatment.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor if symptoms persist beyond 7 days.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Keep out of reach of children."]

🤱 Lactation Safety

Domperidone passes into breast milk and may cause side effects in the infant. Paracetamol is considered safe during breastfeeding. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage from Paracetamol and cardiac arrhythmias from Domperidone. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, N-acetylcysteine for Paracetamol toxicity, and supportive care for cardiac effects. Monitor liver function, ECG, and vital signs.

⏰ 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 the dose to catch up.

Additional Safety Advice

General Safety

Always take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid consuming alcohol while taking this medicine, as it can increase the risk of liver damage and drowsiness. Inform your doctor if you have a history of heart problems, liver disease, kidney disease, or electrolyte imbalances. Do not use this medicine for more than seven days without consulting a doctor. If you are pregnant, planning to become pregnant, or breastfeeding, discuss the risks and benefits with your healthcare provider before using this medicine. Keep this medicine out of the reach of children. Do not drive or operate heavy machinery if you feel drowsy or dizzy after taking this medicine. Store this medicine in its original packaging at room temperature, away from moisture and direct sunlight.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more susceptible to the cardiac side effects of Domperidone and the liver toxicity of Paracetamol. Dose adjustment may be necessary, and regular monitoring of heart and liver function is advised. Use with caution and under medical supervision.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. The safety of this combination during pregnancy is not well established, and alternative treatments may be recommended.

🏥 Post-Surgery Considerations

This medicine may be used after surgery to manage nausea and mild pain, but only under medical supervision. Inform your surgeon and anesthesiologist about all medicines you are taking before surgery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may interact with anesthetics or other medications used during dental work. Your dentist may advise adjusting the dose or timing.

💚 Lifestyle Tips for Better Results

🏃
Eat small, frequent meals to reduce nausea.
🥗
Stay well hydrated throughout the day.
😴
Avoid alcohol and smoking.
💧
Get adequate rest and sleep.
🧘
Practice stress-reducing techniques like deep breathing.
🌞
Maintain a healthy weight to reduce gastric pressure.

🏋️ Exercise Considerations

Avoid strenuous exercise immediately after taking this medicine if you feel drowsy or dizzy. Light activities like walking are generally safe. Consult your doctor before starting any new exercise regimen while on this medicine.

🥗 Diet Recommendations

Include bland, easily digestible foods like bananas, rice, and toast.
Avoid spicy, oily, and processed foods.
Stay well hydrated with water and clear fluids.
Limit caffeine and carbonated drinks.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness or dizziness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also cause dry mouth, which can be managed by sipping water. Inform your employer if your work 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 you experience serious side effects, or if you develop new symptoms. Do not stop abruptly if you have been on long-term therapy without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use of Domperidone can increase the risk of cardiac arrhythmias and hyperprolactinemia. Long-term Paracetamol use at high doses can cause liver damage. Regular monitoring of liver and heart function may be required if extended use is necessary.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Ginger

Ginger may help reduce nausea and vomiting naturally.

Evidence: Moderate
Acupressure

Acupressure bands on the wrist may help relieve nausea.

Evidence: Limited
Dietary changes

Eating small, frequent meals and avoiding trigger foods can reduce nausea.

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 for vaccination, inform your healthcare provider about all medicines you are taking.

📦 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, carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from moisture and direct sunlight. If crossing time zones, adjust dosing times gradually as advised by your doctor. Check local customs regulations regarding prescription medicines before you travel.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with migraine-associated nausea and pain
She was prescribed this medicine for nausea and headache during migraine attacks. She took it before meals as directed and noticed significant relief within 45 minutes. She avoided alcohol and reported no serious side effects.
💡 Lesson: Taking this medicine before meals and avoiding alcohol improves tolerability and effectiveness.
👤 A 60-year-old man with gastroparesis and abdominal discomfort
He was prescribed this medicine to manage nausea and bloating after meals. He experienced mild dry mouth but found that taking it regularly before meals helped him eat better and reduced his discomfort.
💡 Lesson: Consistent use before meals can improve gastric emptying and reduce nausea in gastroparesis.

💬 Questions Patients Often Ask

Q: How long does it take to work?

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

Q: Can I take it on an empty stomach?

A: It is best taken 15-30 minutes before meals for optimal effect, but it can be taken with food if it causes stomach upset.

Q: Is it safe during pregnancy?

A: Consult your doctor before using this medicine during pregnancy. The safety profile is not well established for the combination.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember if less than half the dosing interval has passed. Otherwise, skip the missed dose and continue with your regular schedule.

🤔 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 cetdom 10mg/325mg 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 be taken for any type of pain.
    Fact: This medicine is specifically for nausea and vomiting with mild to moderate pain or fever. It is not effective for all types of pain.
  • Myth: It is safe to take this medicine for a long time.
    Fact: Prolonged use can cause serious side effects, including heart rhythm problems and liver damage. It should only be used short-term under medical supervision.
  • Myth: This medicine can be taken without a prescription.
    Fact: This medicine is a prescription drug and should only be taken under a doctor's supervision.

🔄 Alternative Options

Generic Alternatives

  • Domperidone + Paracetamol combination tablets from other manufacturers

Brand Alternatives

  • Domperidone + Paracetamol tablets (various brands)

📊 Comparison with Similar Medicines

[{"medicine":"Domperidone + Paracetamol","composition":"Domperidone 10 mg + Paracetamol 325 mg","primary_use":"Nausea, vomiting, and pain/fever","route":"Oral"},{"medicine":"Domperidone alone","composition":"Domperidone 10 mg","primary_use":"Nausea and vomiting","route":"Oral"},{"medicine":"Paracetamol alone","composition":"Paracetamol 500 mg","primary_use":"Pain and fever","route":"Oral"}]

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