cetmet acc tablet - Ambroxol (NA) + Dextromethorphan Hydrobromide (NA) medicine

cetmet acc tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Almet Corporation Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 29, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
SaathiMed Expert Panel | Jun 29, 2026

What is cetmet acc tablet used for?

Altim CF Syrup (Ambroxol + Dextromethorphan Hydrobromide) is used to treat RESPIRATORY. It contains Ambroxol (NA) + Dextromethorphan Hydrobromide (NA), which Ambroxol increases mucus clearance by stimulating surfactant production and redu. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Ambroxol + Dextromethorphan Hydrobromide
  • Manufacturer: Almet Corporation Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š cetmet acc tablet Uses & Benefits

Productive and non-productive cough associated with respiratory tract infections

Off-label uses: Chronic bronchitis, COPD exacerbations

๐Ÿ“‹ Drug Information

Generic Name(s)Ambroxol + Dextromethorphan Hydrobromide
Brand NameAltim CF Syrup
ManufacturerAlmet Corporation Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassMucolytic and Antitussive
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from light
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionRapidly absorbed from gastrointestinal tract
DistributionWidely distributed in body tissues; crosses blood-brain barrier
Protein BindingAmbroxol: ~90%; Dextromethorphan: ~60-70%
MetabolismAmbroxol: Hepatic via glucuronidation; Dextromethorphan: Hepatic via CYP2D6 to dextrorphan
Half-LifeAmbroxol: 3-4 hours; Dextromethorphan: 3-6 hours
ExcretionRenal (primarily as metabolites)
BioavailabilityAmbroxol: ~70-80%; Dextromethorphan: ~11% (first-pass metabolism)
Onset of Action30-60 minutes
Peak Plasma TimeAmbroxol: 1-2 hours; Dextromethorphan: 2-2.5 hours
Duration of Action6-8 hours

How It Works

Ambroxol increases mucus clearance by stimulating surfactant production and reducing mucus viscosity; Dextromethorphan suppresses cough reflex by central action on cough center in medulla oblongata

Mechanism Steps

1Ambroxol stimulates type II pneumocytes to increase surfactant production
2Ambroxol reduces mucus viscosity by breaking disulfide bonds in mucoproteins
3Dextromethorphan binds to NMDA receptors in the cough center

๐Ÿ’ก How to Take cetmet acc tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of cetmet acc tablet

โœ… Common Side Effects

  • Nausea
  • Dizziness
  • Drowsiness
  • Headache

๐Ÿšจ Serious Side Effects

  • Serotonin syndrome
  • Respiratory depression
  • Allergic reactions

โš ๏ธ Rare Side Effects

  • QT prolongation
  • Seizures
  • Hallucinations

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Risk of serotonin syndrome
SSRIs Major Increased risk of serotonin syndrome
Alcohol Moderate Enhanced CNS depression
CYP2D6 inhibitors Moderate Increased dextromethorphan levels

๐Ÿšจ Major Interactions

  • MAOIs
  • SSRIs
  • Linezolid
  • Selegiline

โšก Moderate Interactions

  • CYP2D6 inhibitors (e.g., quinidine, fluoxetine)
  • Alcohol
  • CNS depressants

โ„น๏ธ Minor Interactions

  • Anticholinergics
  • Cimetidine

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase dextromethorphan levels

๐Ÿท Alcohol Interaction

Increased CNS depression and risk of sedation

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity, concurrent MAOI use, severe hypertension, asthma exacerbation, children <2 years

๐Ÿ“Š Monitoring Parameters

Cough frequency, sputum characteristics, CNS depression signs

๐Ÿคฑ Lactation Safety

Not recommended; may pass into breast milk

๐Ÿ’Š Overdose Management

Activated charcoal, supportive care; naloxone may reverse CNS depression

โฐ Missed Dose

Take as soon as remembered; skip if near next dose

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 29, 2026

๐Ÿ”— View Profile

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