Citimed AM 10 mg/60 mg Tablet: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Swelling of the face, lips, or throat
- Difficulty breathing or wheezing
- Severe or persistent dizziness or fainting
- Widespread rash or blistering of the skin
- Unusual bruising or bleeding
- Yellowing of the eyes or skin
- Chest pain or palpitations
- Symptoms that worsen or do not improve after 7 days
If experiencing severe symptoms, call emergency services immediately.
What is citimed am 10 mg/60 mg tablet used for?
This medicine is a prescription oral tablet combining cetirizine 10 mg and ambroxol 60 mg. Cetirizine is an antihistamine that relieves sneezing, runny nose, and itchy eyes, while ambroxol is a mucolytic that thins thick mucus and makes cough more productive. It is used for allergic rhinitis with chest congestion or a productive cough. It can cause drowsiness, so avoid driving and alcohol. Take it exactly as prescribed by your doctor.
- Generic Name: Cetirizine + Ambroxol
- Manufacturer: Zydus Cadila
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 citimed am 10 mg/60 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा सिटिरिज़िन 10 मिलीग्राम और एम्ब्रोक्सोल 60 मिलीग्राम का संयोजन है। इसका उपयोग एलर्जी से होने वाली नाक बहना, छींक आना, आँखों में खुजली और गले में जमा गाढ़े बलगम को पतला करने के लिए किया जाता है। यह उन रोगियों के लिए उपयुक्त है जिनमें एलर्जी के लक्षणों के साथ-साथ गाढ़ा बलगम और खाँसी भी हो। यह दवा डॉक्टर के परामर्श के बिना नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा से आमतौर पर नींद आना, मुँह सूखना, थकान, सिरदर्द और हल्का पेट दर्द हो सकता है। कुछ लोगों को जी मिचलाना या चक्कर आना भी महसूस हो सकता है। कभी-कभी एलर्जी की गंभीर प्रतिक्रिया जैसे चेहरे या गले में सूजन, साँस लेने में कठिनाई या शरीर पर चकत्ते हो सकते हैं। ऐसा होने पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर द्वारा बताई गई मात्रा में ही लें और अपने मन से मात्रा न बढ़ाएँ। इस दवा से नींद आ सकती है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें जब तक आपको इसका असर समझ न आ जाए। इस दवा के साथ शराब न लें। यदि आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। अपनी अन्य सभी दवाओं की जानकारी डॉक्टर को दें।
💊 citimed am 10 mg/60 mg tablet Uses & Benefits
[{"condition":"Allergic rhinitis with thick mucus or productive cough","description":"Relieves sneezing, runny nose, itchy eyes, and postnasal drip while thinning bronchial secretions so cough is more productive.","evidence":"Established for the individual components; combination use is common in clinical practice."},{"condition":"Allergic cough with chest congestion","description":"Reduces the allergic trigger and helps clear sticky mucus from the airways, making cough less distressing.","evidence":"Supported by the known effects of cetirizine and ambroxol."},{"condition":"Upper respiratory tract infection with allergic features and viscid secretions","description":"Used when a patient has both allergy-like symptoms and thick mucus that is difficult to expectorate.","evidence":"Common clinical use; not a substitute for antibiotics when bacterial infection is present."},{"condition":"Postnasal drip syndrome with cough","description":"Cetirizine reduces the allergic postnasal drip while ambroxol helps clear associated mucus.","evidence":"Reasonable based on component pharmacology."}]
Off-label uses: [{"condition":"Chronic sinusitis with thick secretions","description":"Sometimes prescribed to reduce mucus viscosity and allergic symptoms in selected patients.","evidence":"Limited"},{"condition":"Smoker's cough with tenacious sputum","description":"Occasionally used to help loosen secretions, though smoking cessation remains the main treatment.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis with thick mucus or productive cough
Also treats: Allergic cough, Postnasal drip syndrome, Upper respiratory tract infection with allergic features
📋 Drug Information
| Generic Name(s) | Cetirizine + Ambroxol |
| Brand Name | Amcold |
| Manufacturer | Zydus Cadila |
| 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 in a dry place, away from direct sunlight and moisture. Keep the tablets in the original blister pack or container. |
| Shelf Life | Refer to the expiry date printed on the pack. Do not use after the 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 complementary actions. Cetirizine is a selective peripheral H1-receptor antagonist that blocks histamine from binding to H1 receptors on blood vessels, sensory nerves, and respiratory mucosa, thereby reducing sneezing, itching, watery eyes, and allergic mucus secretion. Ambroxol is a mucoactive agent that increases serous bronchial secretion, reduces mucus viscosity and adhesiveness, and stimulates ciliary movement, which improves mucus transport and clearance from the airways. Together, they address both the allergic drive and the thick mucus component of upper and lower airway symptoms.
Mechanism Steps
💡 How to Take citimed am 10 mg/60 mg tablet
Strength: Cetirizine 10 mg and Ambroxol 60 mg immediate-release tablet.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, depending on the severity of symptoms and the prescribing clinician's assessment. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the prescribed dose. If you have kidney or liver disease, your doctor may adjust the dose or frequency. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Older adults may be more sensitive to the drowsiness caused by cetirizine and may have reduced kidney function, so a lower dose or less frequent dosing may be advised by the clinician. Dose must be individualized by a qualified clinician based on renal and hepatic function and other medicines being taken. |
| Renal Impairment | In patients with reduced kidney function, cetirizine clearance is decreased and the risk of side effects increases. The dose and dosing interval must be individualized by a qualified clinician according to the degree of renal impairment. This medicine should be used with caution in severe renal impairment. |
| Hepatic Impairment | Ambroxol is metabolized in the liver, so patients with significant liver disease may need dose adjustment or alternative therapy. The dose must be individualized by a qualified clinician based on liver function and clinical response. |
| Maximum Daily Dose | The maximum daily dose must be determined by the prescribing clinician. Do not exceed the dose prescribed for you. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of citimed am 10 mg/60 mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Alcohol | Major | |
| Opioid analgesics | Major | |
| Benzodiazepines | Moderate | |
| Anticholinergic drugs | Moderate | |
| Theophylline | Moderate | |
| Ritonavir | Moderate | |
| Antacids | Minor | |
| Cough suppressants | Minor |
🚨 Major Interactions
- Alcohol and other central nervous system depressants
- Opioid analgesics
⚡ Moderate Interactions
- Anticholinergic drugs
- Theophylline
- Ritonavir
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because cetirizine can cause drowsiness and alcohol can add to this effect, leading to increased sedation, impaired coordination, and reduced alertness. This can affect driving and the ability to operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to cetirizine, ambroxol, or any component of this medicine","Severe renal impairment without medical supervision","Children below the age approved by the prescribing clinician","Use in patients who must remain fully alert without medical clearance"]
⚠️ Warnings & Precautions
["This medicine can cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol and other sedative medicines while taking this product.","Use with caution in patients with kidney or liver disease, and follow your doctor's dose advice.","Do not use this medicine for a dry, non-productive cough without medical advice.","Consult your doctor if symptoms persist beyond 7 days or worsen.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.","Keep out of reach of children and store in the original packaging."]
🤱 Lactation Safety
Cetirizine passes into breast milk in small amounts and may cause drowsiness or irritability in a breastfed infant. Ambroxol data in breast milk are limited. Breastfeeding mothers should consult their doctor before using this medicine, and monitor the infant for unusual sleepiness or poor feeding.
💊 Overdose Management
Overdose of this medicine may cause marked drowsiness, dizziness, nausea, agitation, or, rarely, difficulty breathing. If you suspect an overdose, contact your doctor or a poison control center immediately and go to the nearest emergency department. Do not try to induce vomiting unless instructed by a medical professional. Treatment is supportive and based on the symptoms observed.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember, provided there is enough time before your next scheduled dose. If it is almost time for the 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 only as prescribed by your doctor, and do not increase the dose on your own. Because cetirizine can make you sleepy, avoid driving, cycling, or operating heavy machinery until you know how this medicine affects you. Do not drink alcohol while taking this medicine, as it can increase drowsiness and impair alertness. Tell your doctor if you are pregnant, planning pregnancy, or breastfeeding, because the dose and suitability need individual assessment. Inform your doctor about all other medicines you take, especially sedatives, opioid painkillers, antidepressants, and drugs for asthma or blood pressure. Keep this medicine out of reach of children and store it in its original packaging. If your cough, breathlessness, or allergy symptoms worsen or do not improve within the expected time, contact your doctor instead of continuing self-adjustment.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Older adults may be more sensitive to drowsiness and dry mouth from cetirizine, and kidney function often declines with age, which can increase drug levels. A lower dose or less frequent dosing may be advised by the clinician. Falls risk should be considered if drowsiness or dizziness occurs.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, discuss this medicine with your doctor before conception. Cetirizine is generally considered acceptable when clearly needed, but ambroxol use in pregnancy should be evaluated by a clinician. Do not start or stop this medicine on your own during pregnancy planning.
🏥 Post-Surgery Considerations
After surgery, this medicine should be used only if prescribed by your surgeon or doctor. Drowsiness from cetirizine may add to the effects of anesthesia and pain medicines, so timing and dose need medical guidance.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. Drowsiness and dry mouth may affect your comfort during dental work, and the dentist may need to adjust other medicines or timing.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Mild exercise is usually safe, but avoid strenuous activity if you feel drowsy or dizzy from this medicine. If you have breathing difficulty or chest congestion, consult your doctor before starting or continuing an exercise routine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive, operate machinery, or perform tasks requiring full alertness. If your work involves these activities, discuss timing and dose with your doctor. Most people can continue office or desk work with caution.
🛑 When to Stop This Medicine
Stop this medicine and contact your doctor if you develop a severe allergic reaction, difficulty breathing, unusual bruising or bleeding, yellowing of the eyes or skin, or if your symptoms worsen. Do not stop a prescribed course without consulting your doctor, especially if you have an underlying lung or allergic condition.
📅 Long-Term Use Effects
Long-term use of this medicine should be reviewed by a doctor. Prolonged cetirizine use may cause persistent drowsiness, dry mouth, and, rarely, mood changes. Ambroxol is generally well tolerated, but long-term use without a clear indication is not advised. Regular review of symptoms, kidney function, and liver function is recommended if the medicine is used for more than a few weeks.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps clear nasal passages and thin mucus without medicine.
Evidence: Well-established for allergic rhinitis and sinus symptoms.Moist air can help loosen thick mucus and ease chest congestion.
Evidence: Commonly used; evidence is supportive but limited.Reducing exposure to dust, pollen, and pet dander can lower the need for medicines.
Evidence: Well-established.💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine is not known to interact with vaccines. If you are due for a vaccine, inform the healthcare provider about all medicines you are taking. There is no established need to stop this medicine before vaccination unless your doctor advises otherwise.
📦 Storage Guide
✅ DO
Store at room temperature between 15°C and 30°C
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in the original blister pack or container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in the bathroom cabinet
✅ DO
Keep out of reach of children
❌ DON'T
Do not use after the expiry date
✈️ Traveling with This Medicine
Carry this medicine in its original packaging with the prescription copy when travelling. Keep it in your hand luggage if you need it during the journey, and store it away from direct sunlight and moisture. If you are crossing time zones, continue your doses at the same interval as prescribed, and consult your doctor if you are unsure about adjusting the schedule. Check the customs rules of your destination for prescription medicines, and carry enough supply for the entire trip.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: Cetirizine usually starts relieving allergy symptoms within about one hour, while the mucolytic effect on thick mucus may take a few hours to a day of regular use.
A: Yes, it can be taken at night, and some patients prefer this because drowsiness may help with sleep. Follow your doctor's instructions about timing.
A: Drowsiness is a common side effect because of the cetirizine component. Avoid driving or operating machinery until you know how it affects you.
A: It is often prescribed alongside antibiotics when both allergy and infection are present, but always confirm with your doctor before combining medicines.
A: Use it for the duration advised by your doctor. If symptoms persist beyond 7 days, contact your doctor for review.
A: Use in pregnancy should be discussed with your doctor. Cetirizine is generally considered acceptable when clearly needed, but ambroxol data are limited.
🤔 Common Patient Concerns
🔄 Substitutes for citimed am 10 mg/60 mg tablet
View AllAlternative brands with exact same active ingredient:
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure any type of cough.
Fact: It is intended for allergic cough with thick mucus, not for all cough types, and it does not treat bacterial infection. - Myth: More tablets will give faster relief.
Fact: Taking more than the prescribed dose increases the risk of drowsiness and other side effects without giving faster relief. - Myth: It is safe to drive after taking this medicine.
Fact: Cetirizine can cause drowsiness, so driving should be avoided until you know how the medicine affects you. - Myth: This medicine can be taken long-term without review.
Fact: It should be used for the duration advised by your doctor, and long-term use needs medical review.
🔄 Alternative Options
Generic Alternatives
- Cetirizine 10 mg + Ambroxol 60 mg tablet
Brand Alternatives
- Citimed AM 10 mg/60 mg tablet