cetgrain 20 mg/500 mg tablet - Domperidone (20mg) + Paracetamol (500mg) medicine

cetgrain 20 mg/500 mg tablet

4.7 (18 reviews)
๐Ÿญ Pegasus Farmaco India Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Aug 22, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Aug 22, 2026

What is cetgrain 20 mg/500 mg tablet used for?

Anadom 10mg/500mg Tablet (Domperidone + Paracetamol) is used to treat NEURO CNS. It contains Domperidone (20mg) + Paracetamol (500mg), which Domperidone: Dopamine D2 receptor antagonist in CTZ and GI tract; Paracetamol: C. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Domperidone + Paracetamol
  • Manufacturer: Pegasus Farmaco India 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 cetgrain 20 mg/500 mg tablet Uses & Benefits

Migraine, nausea/vomiting, pain, fever.

Off-label uses: Domperidone: Gastroparesis; Paracetamol: Osteoarthritis pain.

๐Ÿ“‹ Drug Information

Generic Name(s)Domperidone + Paracetamol
Brand NameAnadom 10mg/500mg Tablet
ManufacturerPegasus Farmaco India Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassNEURO CNS
Action ClassAntiemetic + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light and moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionDomperidone: Rapidly absorbed after oral administration; Paracetamol: Rapidly and completely absorbed from GI tract.
DistributionDomperidone: Widely distributed, crosses blood-brain barrier poorly; Paracetamol: Uniformly distributed into most body tissues.
Protein BindingDomperidone: 91-93%; Paracetamol: 10-25%.
MetabolismDomperidone: Extensive hepatic metabolism via CYP3A4; Paracetamol: Hepatic metabolism via conjugation (glucuronidation, sulfation) and CYP450 (minor).
Half-LifeDomperidone: 7-9 hours; Paracetamol: 1.5-2.5 hours.
ExcretionDomperidone: 31% urine, 66% feces; Paracetamol: Mainly urine as metabolites.
BioavailabilityDomperidone: 13-17%; Paracetamol: 60-90%.
Onset of ActionDomperidone: 30-60 minutes; Paracetamol: 30-60 minutes.
Peak Plasma TimeDomperidone: 1-2 hours; Paracetamol: 0.5-2 hours.
Duration of ActionDomperidone: 4-6 hours; Paracetamol: 4-6 hours.

How It Works

Domperidone: Dopamine D2 receptor antagonist in CTZ and GI tract; Paracetamol: COX inhibition in CNS, possibly via TRPV1 and cannabinoid receptors.

Mechanism Steps

1Domperidone blocks D2 receptors in chemoreceptor trigger zone and GI tract, increasing gastric motility and reducing nausea.
2Paracetamol inhibits COX-2 in CNS, reducing prostaglandin synthesis, leading to analgesia and antipyresis.
3Paracetamol also activates TRPV1 and cannabinoid receptors, contributing to pain relief.

๐Ÿ’ก How to Take cetgrain 20 mg/500 mg tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cetgrain 20 mg/500 mg tablet

โœ… Common Side Effects

  • Dry mouth
  • Headache
  • Dizziness
  • Nausea
  • Constipation

๐Ÿšจ Serious Side Effects

  • QT prolongation
  • Torsades de pointes
  • Hepatotoxicity
  • Anaphylaxis

โš ๏ธ Rare Side Effects

  • Galactorrhea
  • Gynecomastia
  • Extrapyramidal symptoms
  • Blood dyscrasias

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Warfarin Major Increased bleeding risk
MAOIs Major Hypertensive crisis
Ketoconazole Major Increased domperidone levels, QT prolongation
QT-prolonging drugs Major Increased risk of arrhythmias
Anticholinergics Moderate Reduced GI motility
Opioids Moderate Reduced GI motility
Alcohol Moderate Increased hepatotoxicity risk
NSAIDs Moderate Increased nephrotoxicity risk
Chloramphenicol Minor Increased paracetamol half-life
Oral contraceptives Minor Reduced paracetamol efficacy

๐Ÿšจ Major Interactions

  • Warfarin
  • MAOIs
  • CYP3A4 inhibitors (e.g., ketoconazole)
  • QT-prolonging drugs

โšก Moderate Interactions

  • Anticholinergics
  • Opioids
  • Alcohol
  • NSAIDs

โ„น๏ธ Minor Interactions

  • Chloramphenicol
  • Oral contraceptives

๐Ÿฝ๏ธ Food Interactions

Domperidone: Food reduces absorption; Paracetamol: No significant effect.

๐Ÿท Alcohol Interaction

Increased risk of hepatotoxicity with chronic alcohol use.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Domperidone: GI hemorrhage, perforation, prolactinoma; Paracetamol: Severe hepatic impairment.

๐Ÿ“Š Monitoring Parameters

Liver function, ECG (QT interval), renal function.

๐Ÿคฑ Lactation Safety

Domperidone: Excreted in milk, avoid; Paracetamol: Safe in usual doses.

๐Ÿ’Š Overdose Management

Paracetamol: N-acetylcysteine; Domperidone: Supportive care, ECG monitoring.

โฐ Missed Dose

Take as soon as remembered; skip if near next dose; do not double.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Last reviewed on: Aug 22, 2026

๐Ÿ”— View Profile

โญ User Reviews

Trusted Reviewer Jul 10, 2026

Helpful and effective medicine as per my experience. Always consult a doctor.

Trusted Reviewer Jul 10, 2026

Found this to be a helpful product. Good results.

Certified Buyer Jul 10, 2026

This medicine was effective for me. I followed the doctor's advice.

Certified Buyer Jul 10, 2026

Effective and reliable. Worked as expected.

Verified User Jul 10, 2026

Found this to be a helpful product. Good results.

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