coldargic drop - Paracetamol (125mg) + Phenylpropanolamine (12.5mg) medicine

Coldargic Drop: Complete Medicine Guide

No reviews yet
🏭 Nodysis Pharma Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited for the combination; Paracetamol has well-established evidence for pain and fever, while Phenylpropanolamine's risk-benefit profile is unfavorable.
Reviewed by
SaathiMed Expert Panel | Oct 16, 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

  • Severe headache with blurred vision or confusion
  • Chest pain or irregular heartbeat
  • Difficulty breathing or swelling of face, lips, or throat
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain
  • Blood in vomit or stool
  • Sudden severe dizziness or fainting

If experiencing severe symptoms, call emergency services immediately.

What is coldargic drop used for?

This medicine is a combination of Paracetamol and Phenylpropanolamine used for short-term relief of nasal congestion, fever, and pain associated with colds. However, due to safety concerns with Phenylpropanolamine, it should only be used under medical supervision.

  • Generic Name: Paracetamol + Phenylpropanolamine
  • Manufacturer: Nodysis Pharma Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 coldargic drop के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और फेनिलप्रोपेनॉलामाइन का संयोजन है, जिसका उपयोग सर्दी-जुकाम में नाक बंद होने, बुखार और दर्द से राहत के लिए किया जाता है। यह केवल अल्पकालिक उपयोग के लिए है और डॉक्टर की सलाह के बिना न लें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में जी मिचलाना, मुँह सूखना, चक्कर आना, बेचैनी और सिरदर्द शामिल हैं। कभी-कभी हृदय गति बढ़ सकती है या रक्तचाप बढ़ सकता है। गंभीर दुष्प्रभाव जैसे एलर्जी, हृदय संबंधी समस्याएं या यकृत की क्षति दुर्लभ हैं। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का उपयोग केवल डॉक्टर के निर्देशानुसार करें। निर्धारित मात्रा से अधिक न लें। अन्य पैरासिटामोल युक्त दवाओं के साथ न लें। उच्च रक्तचाप या हृदय रोग होने पर सावधानी बरतें। शराब का सेवन न करें। गाड़ी चलाते समय सावधानी रखें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 coldargic drop Uses & Benefits

[{"condition":"Common cold with nasal congestion","description":"Provides temporary relief of nasal stuffiness and associated headache or fever.","evidence":"Established for short-term symptomatic relief"},{"condition":"Allergic rhinitis with congestion","description":"Helps reduce nasal blockage and discomfort, though antihistamines are often preferred.","evidence":"Limited, short-term use only"},{"condition":"Sinusitis with congestion","description":"May ease nasal congestion and pain as part of supportive care.","evidence":"Supportive, not a substitute for antibiotics when indicated"},{"condition":"Fever with upper respiratory symptoms","description":"Paracetamol component reduces fever while Phenylpropanolamine addresses congestion.","evidence":"Established for symptom relief"}]

Off-label uses: [{"condition":"Weight loss (historical)","description":"Phenylpropanolamine was formerly used as an appetite suppressant but is no longer recommended due to safety concerns.","evidence":"Not recommended; withdrawn in many countries"}]

Primary treatment for: Common cold

Also treats: Allergic rhinitis, Sinusitis, Upper respiratory tract infections

📋 Drug Information

Generic Name(s)Paracetamol + Phenylpropanolamine
Brand NameAnglocet Plus Tablet
ManufacturerNodysis Pharma Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAnalgesic, Antipyretic, Decongestant
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Keep the container tightly closed. Do not refrigerate unless specified. Keep out of reach of children.
Shelf Life24 months from the date of manufacture, or as indicated on the packaging.
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
Use this medicine only for short-term relief, typically not exceeding 5 days.
2
Monitor blood pressure regularly if you have hypertension or are at risk.
3
Avoid taking other Paracetamol-containing products to prevent overdose.
4
Do not use this medicine if you are taking MAOIs or have taken them in the last 14 days.
5
Consult a doctor before use in children, pregnant women, or breastfeeding mothers.
6
Report any palpitations, severe headache, or visual changes immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nasal congestion
This medicine is commonly prescribed for this.
Likely Use
✅
Fever
Paracetamol component reduces fever.
Likely Use
✅
Headache
Paracetamol provides pain relief.
Likely Use
❌
Sore throat
This medicine is not a primary treatment for sore throat.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. Phenylpropanolamine is also well absorbed orally. The liquid drop formulation may provide faster absorption than solid dosage forms.
DistributionParacetamol distributes widely into most body tissues, with relatively low protein binding. Phenylpropanolamine distributes into tissues and crosses the blood-brain barrier to some extent.
Protein BindingParacetamol: approximately 10-25% bound to plasma proteins. Phenylpropanolamine: Not established from the available information.
MetabolismParacetamol is primarily metabolized in the liver via glucuronidation and sulfation, with a small fraction oxidized by CYP2E1 to a toxic intermediate that is normally detoxified by glutathione. Phenylpropanolamine undergoes limited metabolism, mainly by oxidative deamination.
Half-LifeParacetamol: 2-3 hours in adults with normal liver function. Phenylpropanolamine: approximately 3-4 hours. These values may be prolonged in hepatic or renal impairment.
ExcretionParacetamol metabolites are excreted primarily in urine. Phenylpropanolamine is excreted largely unchanged in urine, with excretion dependent on urinary pH.
BioavailabilityParacetamol: approximately 80-100% after oral administration. Phenylpropanolamine: Not established from the available information.
Onset of ActionParacetamol: 30-60 minutes for fever and pain relief. Phenylpropanolamine: 15-30 minutes for nasal decongestion.
Peak Plasma TimeParacetamol: 0.5-2 hours. Phenylpropanolamine: 1-2 hours.
Duration of ActionParacetamol: 4-6 hours. Phenylpropanolamine: 4-6 hours for decongestion.

How It Works

Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which raises the pain threshold and lowers fever through effects on the hypothalamic heat-regulating center. Phenylpropanolamine is a mixed-acting sympathomimetic amine that both releases norepinephrine from nerve endings and directly stimulates alpha-adrenergic receptors, causing vasoconstriction of nasal mucosal blood vessels and reduced swelling. This dual action relieves nasal congestion. The combination does not treat the underlying infection but provides symptomatic relief.

Mechanism Steps

1
Paracetamol central action: Paracetamol reduces prostaglandin synthesis in the brain, which decreases pain perception and lowers body temperature.
2
Phenylpropanolamine release of norepinephrine: Phenylpropanolamine displaces norepinephrine from storage vesicles, increasing its concentration at synapses.
3
Alpha-adrenergic receptor stimulation: Increased norepinephrine and direct receptor stimulation cause constriction of blood vessels in the nasal mucosa.
4
Reduced nasal congestion: Vasoconstriction decreases blood flow and fluid leakage in the nasal passages, relieving stuffiness.
5
Systemic cardiovascular effects: Phenylpropanolamine can also raise blood pressure and heart rate by stimulating alpha and beta adrenergic receptors throughout the body.

💡 How to Take coldargic drop

Strength: Each dose unit (drop) contains Paracetamol 125 mg and Phenylpropanolamine 12.5 mg.

1Shake the bottle well before use.
2Use the dropper provided to measure the exact dose prescribed by your doctor.
3Take the medicine orally, with or without food. Taking with food may reduce stomach upset.
4Do not exceed the recommended dose.
5Wash the dropper after each use.
6Close the bottle tightly after use.

Dosage Information

Adult DosageThe adult dose of this medicine is individualized by a qualified clinician based on the indication, severity of symptoms, age, weight, and renal and hepatic function. Typically, it is taken every 4 to 6 hours as needed for symptoms, but the exact dose and frequency must be determined by your doctor. Do not exceed the maximum daily dose. Follow your doctor's instructions carefully.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the cardiovascular effects of Phenylpropanolamine and to the central nervous system effects of Paracetamol. Use with caution and under medical supervision. Dose adjustment may be necessary based on renal and hepatic function.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be required. Consult your doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Paracetamol dose should be reduced or avoided in severe liver disease. Consult your doctor.
Maximum Daily DoseThe maximum daily dose of Paracetamol should not exceed 4 grams (4000 mg) for adults, and the Phenylpropanolamine content should not exceed 150 mg per day. However, the exact maximum daily dose for this specific combination product must be determined by a qualified clinician based on the patient's condition and other factors.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage and cardiovascular effects.

⏰ 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 coldargic drop

✅ Common Side Effects

Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset. Consult doctor if persistent.
Dry mouth (Common (5-10%))
Sip water frequently. Usually resolves on its own.
Restlessness or mild dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how this medicine affects you.
Headache (Common (5-10%))
Usually transient. If severe or persistent, consult your doctor.
Increased heart rate (Uncommon (1-5%))
Monitor pulse. If palpitations occur, seek medical advice.

🚨 Serious Side Effects

Severe hypertensive crisis (Rare (<0.1%))
Seek emergency medical attention if you experience severe headache, blurred vision, or chest pain.
Cardiac arrhythmias (Rare (<0.1%))
Go to the nearest emergency room if you feel irregular heartbeat or fainting.
Hepatotoxicity (Paracetamol overdose) (Rare with recommended doses)
Seek immediate medical help if you notice yellowing of eyes or skin, dark urine, or severe abdominal pain.
Severe allergic reaction (anaphylaxis) (Very rare (<0.01%))
Call emergency services if you develop swelling of face, lips, throat, or difficulty breathing.

⚠️ Rare Side Effects

Hallucinations or confusion
Discontinue and seek immediate medical attention.
Blood dyscrasias (e.g., agranulocytosis)
Report unusual bruising, bleeding, or infections to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Warfarin Major
Beta-blockers Moderate
Tricyclic antidepressants Moderate
Caffeine Moderate
Antacids Minor
Cholestyramine Minor
Other sympathomimetics Major
Digoxin Moderate
Ergot alkaloids Moderate

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Other sympathomimetics (e.g., pseudoephedrine, ephedrine)
  • Warfarin

⚡ Moderate Interactions

  • Beta-blockers
  • Tricyclic antidepressants
  • Caffeine

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of Paracetamol-induced liver injury and may worsen cardiovascular effects of Phenylpropanolamine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Paracetamol, Phenylpropanolamine, or any component","Uncontrolled hypertension","Severe coronary artery disease","Hyperthyroidism","Closed-angle glaucoma","Concurrent use of MAOIs or within 14 days of stopping MAOIs","Severe liver disease","Pregnancy (especially first trimester) and breastfeeding"]

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disease, hypertension, diabetes, or thyroid disorders.","Do not exceed recommended dose or duration.","Avoid alcohol.","May cause dizziness; avoid driving or operating machinery until effects are known.","Consult a doctor if symptoms persist beyond 5 days or worsen.","Keep out of reach of children.","Do not use in children under 2 years without medical advice."]

🤱 Lactation Safety

Paracetamol is considered compatible with breastfeeding. Phenylpropanolamine may pass into breast milk and could cause stimulation or other effects in the infant. Avoid using this combination while breastfeeding unless advised by a doctor.

💊 Overdose Management

Overdose of Paracetamol can cause severe liver damage, which may be delayed. Symptoms of Paracetamol overdose include nausea, vomiting, abdominal pain, and later signs of liver failure. Phenylpropanolamine overdose can cause severe hypertension, tachycardia, and arrhythmias. If overdose is suspected, seek emergency medical care immediately. Treatment may include activated charcoal, N-acetylcysteine for Paracetamol toxicity, and supportive care for cardiovascular effects.

⏰ 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

Use this medicine only as directed by a qualified clinician. Do not exceed the recommended dose or duration. Avoid taking other products that contain Paracetamol to prevent accidental overdose. Check your blood pressure regularly if you have hypertension or are at risk. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Avoid alcohol completely while taking this medicine because it increases the risk of liver damage. Inform your doctor about all other medicines, especially blood pressure drugs, antidepressants, and blood thinners. Keep this medicine out of reach of children. Store in a cool, dry place away from direct sunlight. Do not use after the expiry date.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more susceptible to the cardiovascular effects of Phenylpropanolamine and the central nervous system effects of Paracetamol. Use with caution and monitor blood pressure and heart rate. Dose adjustment may be necessary.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Phenylpropanolamine is not recommended during pregnancy. Paracetamol may be used if clearly needed, but only under medical advice.

🏥 Post-Surgery Considerations

Consult your surgeon before using this medicine after surgery, as it may interact with other medications or affect blood pressure. Paracetamol may be used for pain if approved, but Phenylpropanolamine should be avoided due to cardiovascular effects.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. Phenylpropanolamine can interact with local anesthetics containing epinephrine, potentially causing cardiovascular effects.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus and relieve congestion.
🥗
Get plenty of rest to support your immune system.
😴
Use a humidifier to ease nasal congestion.
💧
Avoid exposure to smoke and other irritants.
🧘
Practice good hand hygiene to prevent spreading infections.

🏋️ Exercise Considerations

Avoid strenuous exercise while taking this medicine, especially if you experience dizziness, palpitations, or increased blood pressure. Light activity may be fine if you feel well, but consult your doctor before resuming intense workouts.

🥗 Diet Recommendations

Drink warm fluids like soups and herbal teas.
Include vitamin C-rich fruits and vegetables.
Avoid caffeine and alcohol.
Eat light, easily digestible meals.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or restlessness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It is advisable to rest and recover rather than push through work if you are unwell.

🛑 When to Stop This Medicine

Stop taking this medicine if your symptoms improve or after the recommended duration (usually not more than 5 days). If symptoms persist or worsen, consult your doctor. 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. Prolonged use of Paracetamol can increase the risk of liver damage, especially with high doses or alcohol consumption. Phenylpropanolamine can cause cardiovascular complications such as hypertension and arrhythmias. Regular monitoring of blood pressure and liver function may be necessary if used for extended periods under medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal sprays

Help relieve nasal congestion without systemic side effects.

Evidence: Well-established
Steam inhalation

Can temporarily ease nasal stuffiness.

Evidence: Commonly used, limited evidence
Antihistamines

May help if congestion is due to allergies.

Evidence: Well-established for allergic rhinitis

💉 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 along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust dosing intervals as advised by your doctor. Check local regulations regarding Phenylpropanolamine, as it may be restricted in some countries.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with common cold and nasal congestion
He took this medicine as prescribed by his doctor. Within 30 minutes, his nasal congestion improved and fever reduced. He experienced mild dry mouth but it resolved. He was advised not to exceed the dose and to avoid alcohol.
💡 Lesson: This medicine provides effective short-term relief but must be used cautiously and only as directed.
👤 A 50-year-old woman with hypertension
She was prescribed this medicine for a cold. After taking it, she felt palpitations and her blood pressure increased. She consulted her doctor, who discontinued it and switched to a safer alternative.
💡 Lesson: Patients with hypertension should avoid Phenylpropanolamine-containing products due to cardiovascular risks.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Paracetamol starts relieving fever and pain within 30-60 minutes, while Phenylpropanolamine reduces nasal congestion within 15-30 minutes.

Q: Can I take this medicine with food?

A: Yes, taking it with food can reduce stomach upset.

Q: Is it safe for children?

A: Pediatric dosing is not established. Consult a pediatrician before giving this medicine to children.

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

A: Take it as soon as you remember, but if it's almost time for the next dose, skip the missed dose. Do not double dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my blood pressure?
  • 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 coldargic drop

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Coldargic drop is safe for everyone.
    Fact: It is not safe for people with high blood pressure, heart disease, or those taking certain medications.
  • Myth: It can be used for long periods.
    Fact: It should only be used for short-term relief, typically not more than 5 days.
  • Myth: It is a cure for the common cold.
    Fact: It only relieves symptoms; it does not cure the underlying viral infection.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol + Phenylpropanolamine generic drops (if available)

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Paracetamol + Phenylpropanolamine","primary_use":"Cold with congestion and fever","notes":"Phenylpropanolamine carries cardiovascular risks."},{"medicine":"Paracetamol + Phenylephrine","active_ingredients":"Paracetamol + Phenylephrine","primary_use":"Cold with congestion and fever","notes":"Phenylephrine is considered safer than Phenylpropanolamine."},{"medicine":"Paracetamol alone","active_ingredients":"Paracetamol","primary_use":"Fever and pain","notes":"No decongestant action."}]

😊 Was this information helpful?

Browse Medicines A-Z

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Back to Medicines Directory