Alday AM Tablet SR: Complete Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or shortness of breath
- Swelling of the face, lips, tongue, or throat
- Severe dizziness or fainting
- Seizures or convulsions
- Blood in cough or vomit
- Chest pain or fast, irregular heartbeat
- Severe skin rash with blistering or peeling
- Yellowing of the skin or eyes
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is cetnez am 5mg/75mg tablet used for?
This medicine is a combination of levocetirizine (an antihistamine) and ambroxol (a mucolytic) used to relieve cough with thick mucus and allergic symptoms like runny nose and sneezing. It is taken by mouth, usually once or twice daily, and should be used only as prescribed by a doctor.
- Generic Name: Levocetirizine + Ambroxol
- Manufacturer: Sitnez Biocare Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 cetnez am 5mg/75mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा लेवोसेटिरिज़िन और एम्ब्रोक्सोल का संयोजन है। इसका उपयोग एलर्जी के कारण होने वाले लक्षणों जैसे नाक बहना, छींक आना, आंखों में खुजली और पानी आना, तथा गले और छाती में जमे हुए बलगम को पतला करके खांसी को साफ करने में मदद करने के लिए किया जाता है। यह दवा बैक्टीरिया को नहीं मारती, इसलिए यह एंटीबायोटिक नहीं है। इसे डॉक्टर के निर्देशानुसार मुंह से लिया जाता है। इस दवा से कुछ लोगों को नींद आ सकती है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। गुर्दे या लीवर की बीमारी वाले लोगों को डॉक्टर से सलाह लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, सिरदर्द, थकान और पेट में हल्की परेशानी शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। कभी-कभी चक्कर आना, जी मिचलाना या त्वचा पर हल्के दाने हो सकते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई, या तेज़ धड़कन हो, तो तुरंत डॉक्टर से मिलें। दौरे पड़ना बहुत दुर्लभ है। कोई भी असामान्य लक्षण दिखने पर दवा बंद करें और डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपने आप मात्रा न बढ़ाएं। दवा लेने के बाद नींद आ सकती है, इसलिए जब तक आपको पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक गाड़ी चलाने या मशीन चलाने से बचें। शराब न पिएं। अगर आप गर्भवती हैं, स्तनपान करा रही हैं, या गर्भधारण की योजना बना रही हैं, तो डॉक्टर से सलाह लें। अपने डॉक्टर को अपनी सभी दवाओं, सप्लीमेंट्स और हर्बल उत्पादों के बारे में बताएं। गुर्दे या लीवर की बीमारी हो तो डॉक्टर को जरूर बताएं। दवा को बच्चों से दूर, ठंडी और सूखी जगह पर, मूल पैकेजिंग में रखें।
💊 cetnez am 5mg/75mg tablet Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus in the airways, making it easier to cough out and clear chest congestion.","evidence":"Well-established for ambroxol component"},{"condition":"Allergic rhinitis with cough","description":"Reduces sneezing, runny nose, itching, and watery eyes caused by allergies, which may also reduce post-nasal drip-related cough.","evidence":"Well-established for levocetirizine component"},{"condition":"Upper respiratory tract infections with allergic symptoms","description":"Provides symptomatic relief when both allergy symptoms and mucus buildup are present, but does not treat the underlying infection.","evidence":"Supportive"},{"condition":"Chronic urticaria","description":"Levocetirizine component may help relieve itching and hives, but this combination is not primarily used for this purpose.","evidence":"Well-established for levocetirizine alone"}]
Off-label uses: [{"condition":"Acute bronchitis with mucus","description":"Sometimes prescribed to help clear mucus in acute bronchitis, though evidence for combination therapy is limited.","evidence":"Limited"},{"condition":"Post-nasal drip cough","description":"May be used when allergic post-nasal drip is thought to cause chronic cough, but this is not a standard approved use.","evidence":"Limited"}]
Primary treatment for: Productive cough with allergic rhinitis
Also treats: Upper respiratory tract infection with mucus, Allergic bronchitis, Post-nasal drip
📋 Drug Information
| Generic Name(s) | Levocetirizine + Ambroxol |
| Brand Name | Amicet |
| Manufacturer | Sitnez Biocare Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Antihistamine + Mucolytic |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C, away from direct sunlight, moisture, and heat. Keep the tablets in their original container or blister pack, tightly closed. |
| Shelf Life | Typically 24 months from the date of manufacture, but refer to the packaging for the exact expiry date. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with different mechanisms. Levocetirizine is the active enantiomer of cetirizine and works as a selective peripheral H1-receptor antagonist. It blocks histamine from binding to H1 receptors on blood vessels and nerve endings, which reduces sneezing, itching, runny nose, and watery eyes. Ambroxol is a mucolytic and expectorant that increases the production of serous fluid in the airways and breaks down acidic mucopolysaccharide fibers in mucus, making it less sticky and easier to cough up. Together, they address both allergic symptoms and mucus congestion.
Mechanism Steps
💡 How to Take cetnez am 5mg/75mg tablet
Strength: Tablet containing Levocetirizine 5 mg and Ambroxol 75 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken by mouth once or twice daily, or as directed by your doctor. The exact dose and frequency depend on your symptoms, kidney function, liver function, and other medicines you are taking. Do not take more than the prescribed dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the drowsiness and dizziness caused by levocetirizine. The dose may need to be reduced, especially if kidney function is impaired. Consult your doctor for appropriate dosing. |
| Renal Impairment | In people with kidney impairment, the dose of this medicine may need to be reduced. Levocetirizine is mainly excreted by the kidneys, and ambroxol is also excreted in urine. Consult your doctor for dose adjustment based on your kidney function. |
| Hepatic Impairment | In people with liver impairment, caution is advised. Ambroxol is metabolized in the liver. Your doctor may adjust the dose or recommend an alternative. Consult your doctor for guidance. |
| Maximum Daily Dose | The maximum daily dose should not exceed the dose prescribed by your doctor. Typically, the maximum adult dose is one tablet twice daily, but this may vary. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of cetnez am 5mg/75mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| CNS depressants | Major | |
| MAOIs | Major | |
| Ritonavir | Moderate | |
| Theophylline | Moderate | |
| Anticholinergics | Moderate | |
| Cimetidine | Minor | |
| Ketoconazole | Minor | |
| Erythromycin | Minor | |
| Alcohol | Major | |
| Opioid painkillers | Major |
🚨 Major Interactions
- CNS depressants (e.g., benzodiazepines, opioids, alcohol)
- Monoamine oxidase inhibitors (MAOIs)
⚡ Moderate Interactions
- Ritonavir
- Theophylline
- Anticholinergic drugs (e.g., oxybutynin, benztropine)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and difficulty concentrating caused by levocetirizine. Combining alcohol with this medicine may also increase the risk of falls and accidents. If you must drink alcohol, discuss it with your doctor first and never drive or operate machinery afterward.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy or hypersensitivity to levocetirizine, ambroxol, or any component of this medicine","Severe kidney impairment (dose adjustment or avoidance may be needed)","Children under 6 years of age (unless specifically prescribed by a pediatrician)","Use in people with rare hereditary problems of galactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption (due to tablet excipients)"]
⚠️ Warnings & Precautions
["This medicine may cause drowsiness. Avoid driving or operating machinery until you know how it affects you.","Avoid alcohol while taking this medicine.","Use with caution in people with kidney or liver disease. Dose adjustment may be needed.","Use with caution in people with a history of seizures.","Do not use this medicine for longer than the recommended duration without consulting a doctor.","Do not take more than the prescribed dose.","Keep out of reach of children.","Inform your doctor about all other medicines you are taking."]
🤱 Lactation Safety
Levocetirizine passes into breast milk in small amounts and may cause drowsiness in a breastfed baby. Ambroxol is also excreted in breast milk. This medicine should be used during breastfeeding only if the potential benefit justifies the potential risk to the baby. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose of this medicine may cause increased drowsiness, dizziness, nausea, and in severe cases, seizures or difficulty breathing. If you suspect an overdose, seek immediate medical attention or contact a poison control center. Treatment is supportive and symptomatic. There is no specific antidote. Do not try to vomit unless instructed by a healthcare professional.
⏰ 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 take a double dose to make up for a missed one.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not crush, chew, or break the tablet unless your doctor or pharmacist tells you it is safe to do so. Avoid driving, operating machinery, or doing activities that need full alertness until you know how this medicine affects you, because it can cause drowsiness. Do not drink alcohol while taking this medicine, as it can increase drowsiness and dizziness. Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding, because the dose and suitability need to be reviewed. Inform your doctor about all other medicines, supplements, and herbal products you take, especially sedatives, painkillers, and blood pressure medicines. If you have kidney or liver problems, your doctor may need to adjust the dose or monitor you more closely. Do not use this medicine for more than the recommended duration without consulting a doctor. Keep this medicine out of the reach of children and store it 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 likely to experience drowsiness, dizziness, and confusion with levocetirizine. Kidney function often declines with age, which can increase drug levels. The dose may need to be reduced, and close monitoring is advised. Falls are a risk, so avoid driving and take precautions when walking.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. There is limited information on the safety of this combination during pregnancy. Your doctor may recommend alternative treatments if needed.
🏥 Post-Surgery Considerations
After surgery, this medicine may be used if you have allergic symptoms or mucus buildup, but it can increase drowsiness when combined with anesthesia or pain medicines. Inform your surgeon and anesthesiologist about all medicines you are taking. Do not take this medicine without your doctor's approval after surgery.
🦷 Dental Procedures
This medicine may cause dry mouth, which can increase the risk of dental problems. Inform your dentist if you are taking this medicine before any dental procedure. It may also interact with sedatives used during dental work, so tell your dentist about all medicines you take.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness, so avoid strenuous exercise or activities that require full alertness until you know how it affects you. If you feel dizzy or weak, do not exercise. Light activities like walking are generally safe if you feel well.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive, operate machinery, or concentrate at work. Avoid tasks that require full alertness until you know how the medicine affects you. If your job involves driving or heavy machinery, discuss with your doctor about alternative options or adjustments.
🛑 When to Stop This Medicine
Stop taking this medicine if your symptoms improve and your doctor advises you to stop. If you experience any serious side effects like severe allergic reactions, seizures, or difficulty breathing, stop the medicine and seek immediate medical help. Do not stop suddenly if you have been taking it for a long time without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of levocetirizine may lead to tolerance or increased drowsiness, and ambroxol's long-term effects are not well studied. If you need this medicine for more than 7 days, consult your doctor to determine the underlying cause and appropriate treatment. Regular monitoring of kidney and liver function may be needed in some people.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and relieve nasal congestion naturally.
Evidence: SupportiveCan help clear nasal passages and reduce allergy symptoms.
Evidence: Well-establishedReducing exposure to dust, pollen, and other allergens can decrease the need for medicines.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, if you are unwell with a fever or severe cough, it is better to postpone vaccination until you recover. Consult your doctor for personalized advice.
📦 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
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after expiry date
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your hand luggage to avoid loss or exposure to extreme temperatures. Store it at room temperature, away from direct sunlight and moisture. If you are crossing time zones, continue taking your doses at the same intervals as prescribed, but consult your doctor if you are unsure. Check the customs regulations of your destination country regarding prescription medicines. Always carry enough supply for your entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Levocetirizine starts working within 1 hour to relieve allergic symptoms like runny nose and sneezing. Ambroxol may take a few hours to loosen mucus. You may notice improvement in cough over 1 to 2 days.
A: Yes, you can take this medicine with or without food. Taking it with food may help reduce stomach upset.
A: 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.
A: This medicine may cause drowsiness. Avoid driving or operating machinery until you know how it affects you.
A: Consult your doctor before taking this medicine during pregnancy. It should be used only if clearly needed and advised by your doctor.
🤔 Common Patient Concerns
🔄 Substitutes for cetnez am 5mg/75mg tablet
View AllAlternative brands with exact same active ingredient:
-
cetry plus 5mg/75mg tabletMDC Pharmaceuticals Pvt Ltd ₹35.16 16.7% CHEAPER
-
lazine plus 5 mg/75 mg capsuleHetero Drugs Ltd ₹35.63 15.5% CHEAPER
-
l cetron a 5 mg/75 mg capsuleAdcock Ingram Healthcare Pvt Ltd ₹37.86 10.3% CHEAPER
-
levocet plus tabletHetero Drugs Ltd ₹38.39 9% CHEAPER
-
betzet-am 5mg/75mg tabletSan Boston Life Sciences ₹41.00 2.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine is an antibiotic.
Fact: This medicine is not an antibiotic. It contains an antihistamine and a mucolytic, which treat symptoms but do not kill bacteria. - Myth: This medicine can cure any type of cough.
Fact: This medicine is helpful for cough with thick mucus and allergic symptoms. It is not effective for all types of cough, such as dry cough or cough due to acid reflux. - Myth: You can stop this medicine as soon as you feel better.
Fact: You should complete the course as prescribed by your doctor. Stopping early may cause symptoms to return. - Myth: This medicine is safe to take with alcohol.
Fact: Alcohol should be avoided while taking this medicine because it increases drowsiness and dizziness.
🔄 Alternative Options
Generic Alternatives
- Levocetirizine + Ambroxol generic
Brand Alternatives
- Alday AM Tablet SR