Coldman Tablet: Comprehensive Guide to Uses, Side Effects, and Safety
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, tongue, or throat
- Difficulty breathing or wheezing
- Severe skin rash or blistering
- Irregular or fast heartbeat
- Severe dizziness or fainting
- Yellowing of the eyes or skin
- Blood in sputum or vomit
- Persistent high fever
If experiencing severe symptoms, call emergency services immediately.
What is coldman tablet used for?
This medicine is a combination of Ambroxol (a mucolytic) and Levocetirizine (an antihistamine) used to treat productive cough with thick mucus and allergic symptoms. It helps loosen mucus and reduces sneezing, runny nose, and itching. It may cause drowsiness, so avoid driving. Take it exactly as prescribed by your doctor.
- Generic Name: Ambroxol + Levocetirizine
- Manufacturer: Sundyota Numandis Probioceuticals Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 coldman tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एम्ब्रोक्सोल और लेवोसेटिरिज़ीन का संयोजन है। इसका उपयोग गाढ़े बलगम वाली खांसी और एलर्जी के लक्षणों जैसे छींक, नाक बहना, खुजली और आंखों में पानी आना के इलाज में किया जाता है। एम्ब्रोक्सोल बलगम को पतला करके निकालने में मदद करता है, जबकि लेवोसेटिरिज़ीन एलर्जी के कारण होने वाले लक्षणों को कम करता है। यह दवा नींद ला सकती है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें। इसे डॉक्टर के बताए अनुसार ही लें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, मुंह सूखना, थकान, सिरदर्द और हल्का पेट दर्द शामिल हैं। कुछ लोगों को जी मिचलाना, चक्कर आना या कड़वा स्वाद भी महसूस हो सकता है। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई या त्वचा पर गंभीर दाने दिखें तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं। यह दवा नींद ला सकती है, इसलिए गाड़ी चलाने, मशीन चलाने या ध्यान देने वाले कामों से बचें जब तक आपको पता न चल जाए कि यह आप पर कैसा असर करती है। इस दवा के साथ शराब न पिएं क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। अगर आपको किडनी या लीवर की समस्या है, तो डॉक्टर को बताएं। बिना डॉक्टर की सलाह के सूखी खांसी के लिए इस दवा का इस्तेमाल न करें। बच्चों की पहुंच से दूर रखें।
💊 coldman tablet Uses & Benefits
[{"condition":"Productive cough with thick mucus","description":"This medicine helps loosen and thin bronchial secretions, making it easier to cough out mucus in conditions such as acute or chronic bronchitis.","evidence":"Well-established for Ambroxol component"},{"condition":"Allergic rhinitis","description":"The Levocetirizine component reduces sneezing, runny nose, itching, and watery eyes associated with seasonal or perennial allergies.","evidence":"Well-established for Levocetirizine component"},{"condition":"Allergic cough with mucus","description":"This combination may be used when an allergic cough is accompanied by thick mucus, providing both antihistamine and mucolytic effects.","evidence":"Limited, based on clinical practice"}]
Off-label uses: [{"condition":"Chronic sinusitis with thick secretions","description":"Sometimes prescribed to help thin sinus secretions and reduce allergic symptoms, though not a primary approved indication.","evidence":"Limited"},{"condition":"Smoker's cough with mucus","description":"May be used to help clear mucus in chronic smokers, but smoking cessation remains the main treatment.","evidence":"Limited"}]
Primary treatment for: Productive cough with thick mucus and allergic rhinitis
Also treats: Acute bronchitis, Chronic bronchitis, Allergic cough, Seasonal allergic rhinitis
📋 Drug Information
| Generic Name(s) | Ambroxol + Levocetirizine |
| Brand Name | Alerfix Total Tablet SR |
| Manufacturer | Sundyota Numandis Probioceuticals Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Mucolytic + Antihistamine |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C. Protect from light and moisture. Keep in the original container. |
| Shelf Life | 24 months from the date of manufacture, or as printed on the packaging. |
| 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. Ambroxol acts as a mucolytic and secretolytic agent; it increases serous bronchial secretion, reduces mucus viscosity, and stimulates surfactant production, which helps mucus move more easily. It also has local anesthetic and antioxidant properties. Levocetirizine is the active enantiomer of cetirizine and works as a selective peripheral H1-receptor antagonist. By blocking histamine at H1 receptors, it reduces allergic symptoms such as sneezing, itching, and nasal discharge. Together, these actions help relieve cough associated with thick mucus and allergic symptoms.
Mechanism Steps
💡 How to Take coldman tablet
Strength: Tablet containing Ambroxol 30 mg and Levocetirizine 2.5 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, or as directed by your doctor. The exact dose and frequency depend on the condition being treated, your age, kidney and liver function, and other medicines you may be taking. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and dizziness. Dose adjustment may be needed based on kidney function. Consult a doctor for appropriate dosing. |
| Renal Impairment | In patients with kidney impairment, the dose of Levocetirizine may need to be reduced. For moderate renal impairment, a lower dose or less frequent dosing may be advised. In severe renal impairment, this medicine is contraindicated. Consult a doctor for dose adjustment. |
| Hepatic Impairment | No specific dose adjustment is established for mild to moderate liver impairment. In severe liver disease, use with caution and consult a doctor. |
| Maximum Daily Dose | The maximum recommended daily dose is one tablet twice daily, but this must be confirmed by your doctor. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of coldman 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 | |
| Benzodiazepines | Major | |
| Opioid pain relievers | Major | |
| Tricyclic antidepressants | Moderate | |
| Ritonavir | Moderate | |
| Theophylline | Minor | |
| Antacids | Minor |
🚨 Major Interactions
- Alcohol
- CNS depressants (e.g., benzodiazepines, opioids, sleep aids)
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)
- Ritonavir
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and impair your ability to concentrate. Combining alcohol with Levocetirizine may also increase the risk of central nervous system depression.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to Ambroxol, Levocetirizine, or any component of this medicine","Severe renal impairment (creatinine clearance less than 10 mL/min)","Children under 6 years of age (unless specifically prescribed by a pediatrician)","Pregnancy and breastfeeding (unless advised by a doctor)"]
⚠️ 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 patients with kidney or liver disease.","Do not use for a dry, non-productive cough without medical advice.","Consult a doctor if symptoms persist beyond 7 days or worsen.","Keep out of reach of children."]
🤱 Lactation Safety
Not established from the available information. It is not known whether Ambroxol or Levocetirizine pass into breast milk in significant amounts. 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, agitation or difficulty breathing. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if taken recently. Contact a poison control center or emergency department right away.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. However, 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 increase the dose or take it more often than directed. Because this medicine can cause drowsiness, avoid driving, operating heavy machinery, or performing activities that require full alertness until you know how it affects you. Avoid drinking alcohol while taking this medicine, as it can increase drowsiness and impair your ability to think clearly. If you have kidney or liver problems, tell your doctor before starting this medicine, as the dose may need adjustment. Do not use this medicine for a dry, non-productive cough without medical advice. Keep this medicine out of the reach of children. If you are pregnant, planning pregnancy, or breastfeeding, consult your doctor before using this medicine.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the drowsiness and dizziness caused by this medicine. They may also have reduced kidney function, which can affect drug clearance. Dose adjustment may be needed. Consult a doctor for appropriate dosing.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, consult your doctor before taking this medicine. The safety of this combination in pregnancy is not well established. Your doctor will weigh the benefits and risks.
🏥 Post-Surgery Considerations
If you have recently had surgery, consult your doctor before taking this medicine. It may interact with other medications or affect your recovery. Do not self-medicate.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure. The antihistamine component may cause dry mouth, which can affect dental health. Stay hydrated.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness. Avoid strenuous exercise or activities that require full alertness until you know how it affects you. Light exercise like walking may be fine 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 these activities until you know how the medicine affects you. If your job requires alertness, discuss with your doctor about timing your dose.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects. Do not stop abruptly if you have been taking it for a long time without medical advice.
📅 Long-Term Use Effects
Long-term use of this medicine should be under medical supervision. Prolonged use may increase the risk of side effects such as drowsiness, dry mouth, and rarely, liver enzyme changes. Regular monitoring of kidney and liver function may be advised if used for extended periods. Do not use it for more than 7 days without consulting your doctor.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps loosen mucus and relieve congestion.
Evidence: Well-established for symptom reliefCan help clear nasal passages and reduce allergy symptoms.
Evidence: Well-establishedReducing exposure to allergens can decrease allergic symptoms.
Evidence: Well-established💉 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 with a copy of your prescription. Store it at room temperature, away from direct sunlight and moisture. If crossing time zones, adjust your dosing schedule gradually as advised by your doctor. Check local customs regulations regarding prescription medicines before you travel.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 1-2 hours. Ambroxol begins thinning mucus within 30-60 minutes, while Levocetirizine reduces allergic symptoms within 1 hour.
A: Yes, you can take it with or without food. Taking it with food may help reduce stomach upset.
A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate use in children.
A: The safety of this medicine in pregnancy is not well established. Consult your doctor before using it if you are pregnant or planning pregnancy.
🤔 Common Patient Concerns
🔄 Substitutes for coldman tablet
View AllAlternative brands with exact same active ingredient:
-
leet am syrupWest-Coast Pharmaceutical Works Ltd ₹31.43 53% CHEAPER
-
elzin plus 2.5 mg/30 mg/60 mg tabletSalud Care India Pvt Ltd ₹32.81 50.9% CHEAPER
-
albicet am syrupAlbia Biocare ₹36.00 46.1% CHEAPER
-
drocet am syrupBiocorp Life Sciences Pvt Ltd ₹42.19 36.9% CHEAPER
-
lecetez-am syrupGiriraj Healthcare ₹42.19 36.9% 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 Ambroxol, a mucolytic, and Levocetirizine, an antihistamine. It does not kill bacteria. - Myth: This medicine can cure any type of cough.
Fact: This medicine is specifically for productive cough with thick mucus and allergic symptoms. It is not effective for dry cough or cough due to other causes. - Myth: It is safe to take this medicine with alcohol.
Fact: Alcohol can increase drowsiness and dizziness caused by this medicine. It is best to avoid alcohol while taking it.
🔄 Alternative Options
Generic Alternatives
- Ambroxol + Levocetirizine combination tablets from other manufacturers
Brand Alternatives
- Coldman Tablet