coldrif tablet - Paracetamol (500mg) + Phenylpropanolamine (25mg) medicine

Anoril 500mg/25mg Tablet: Complete Medicine Guide

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🏭 Sresan Pharmaceuticals 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Limited for combination; individual components have well-established evidence for specific indications.
Reviewed by
SaathiMed Expert Panel | Sep 21, 2026

When to Call Your Doctor IMMEDIATELY

  • Severe headache with blurred vision
  • Chest pain or palpitations
  • Difficulty breathing or swelling of face/throat
  • Yellowing of skin or eyes
  • Dark urine or severe abdominal pain
  • Blood in stool or vomit
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is coldrif tablet used for?

This medicine is a combination of Paracetamol and Phenylpropanolamine used for temporary relief of nasal congestion, headache, and fever due to cold or allergies. It works by reducing pain and fever and shrinking nasal blood vessels. It should not be used for more than 5-7 days without medical advice.

  • Generic Name: Paracetamol + Phenylpropanolamine
  • Manufacturer: Sresan Pharmaceuticals
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 coldrif tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और फेनिलप्रोपेनॉलामाइन का संयोजन है, जिसका उपयोग सर्दी, एलर्जी या साइनसाइटिस के कारण होने वाली नाक की भीड़, सिरदर्द और बुखार से राहत के लिए किया जाता है। यह दवा नाक के रक्त वाहिकाओं को सिकोड़कर भीड़ को कम करती है और दर्द तथा बुखार को कम करती है। इसका उपयोग केवल अल्पकालिक राहत के लिए किया जाना चाहिए और बिना डॉक्टर की सलाह के 5-7 दिनों से अधिक नहीं लेना चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में बेचैनी, अनिद्रा, चक्कर आना, सिरदर्द, मतली और मुँह सूखना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें उच्च रक्तचाप, धड़कन, सीने में दर्द, पेशाब में कठिनाई और एलर्जी प्रतिक्रियाएँ शामिल हो सकती हैं। यदि आपको कोई गंभीर या असामान्य लक्षण महसूस हो तो तुरंत चिकित्सा सहायता लें।

सुरक्षा सलाह: इस दवा की अनुशंसित खुराक से अधिक न लें। इस दवा के साथ पैरासिटामोल युक्त अन्य उत्पाद न लें। बिना डॉक्टर की सलाह के 5-7 दिनों से अधिक इसका उपयोग न करें। शराब का सेवन न करें क्योंकि इससे लीवर को नुकसान का खतरा बढ़ जाता है। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड की समस्या या पेशाब में कठिनाई है तो इस दवा को लेने से पहले डॉक्टर से परामर्श करें। गर्भवती और स्तनपान कराने वाली महिलाओं को डॉक्टर से परामर्श करना चाहिए।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 coldrif tablet Uses & Benefits

[{"condition":"Common cold with nasal congestion","description":"Relieves nasal stuffiness, sinus pressure, headache, and fever associated with the common cold.","evidence":"Well-established for short-term symptomatic relief"},{"condition":"Allergic rhinitis","description":"Reduces nasal congestion and associated headache in allergic rhinitis.","evidence":"Limited evidence; used for symptomatic relief"},{"condition":"Sinusitis","description":"Helps alleviate sinus congestion and pain.","evidence":"Limited evidence; used for symptomatic relief"}]

Off-label uses: []

Primary treatment for: Common cold

Also treats: Allergic rhinitis, Sinusitis

📋 Drug Information

Generic Name(s)Paracetamol + Phenylpropanolamine
Brand NameAnglocet Plus Tablet
ManufacturerSresan Pharmaceuticals
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.
Shelf Life24 months from the date of manufacture.
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
Take this medicine with food or milk to reduce stomach upset.
2
Do not exceed the recommended dose of 6 tablets in 24 hours.
3
Avoid alcohol while taking this medicine to prevent liver damage.
4
Do not use for more than 5-7 days without consulting a doctor.
5
Monitor your blood pressure if you have hypertension.
6
Report any unusual bleeding, bruising, or severe headache 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
This medicine contains Paracetamol which reduces fever.
Likely Use
Headache
This medicine contains Paracetamol which relieves pain.
Likely Use
Chest pain
This medicine is not for chest pain; seek immediate medical attention.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract. Phenylpropanolamine is also absorbed from the gastrointestinal tract.
DistributionParacetamol distributes widely into body tissues. Phenylpropanolamine distribution is not well characterized.
Protein BindingParacetamol: approximately 10-25% bound to plasma proteins. Phenylpropanolamine: Not established from the available information.
MetabolismParacetamol is metabolized primarily in the liver via glucuronidation and sulfation, with a small fraction metabolized by cytochrome P450 2E1 to a toxic intermediate (NAPQI) that is detoxified by glutathione. Phenylpropanolamine undergoes limited metabolism, primarily by monoamine oxidase.
Half-LifeParacetamol: 2-3 hours in adults. Phenylpropanolamine: 3-7 hours.
ExcretionParacetamol is excreted in urine as metabolites. Phenylpropanolamine is excreted unchanged in urine.
BioavailabilityParacetamol: approximately 80-100%. Phenylpropanolamine: Not established from the available information.
Onset of ActionParacetamol: 30-60 minutes. Phenylpropanolamine: 15-30 minutes.
Peak Plasma TimeParacetamol: 0.5-2 hours. Phenylpropanolamine: 1-2 hours.
Duration of ActionParacetamol: 4-6 hours. Phenylpropanolamine: 4-6 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Paracetamol acts primarily in the central nervous system to reduce pain and fever, though its exact mechanism is not fully understood; it may inhibit prostaglandin synthesis in the brain. Phenylpropanolamine is a sympathomimetic amine that stimulates alpha-adrenergic receptors, causing vasoconstriction in the nasal mucosa, which reduces swelling and congestion. It also has some beta-adrenergic activity.

Mechanism Steps

1
Paracetamol central action: Paracetamol inhibits prostaglandin synthesis in the central nervous system, raising the pain threshold and lowering fever.
2
Phenylpropanolamine alpha-adrenergic stimulation: Phenylpropanolamine binds to alpha-adrenergic receptors on nasal blood vessels, causing vasoconstriction and reduced nasal congestion.
3
Phenylpropanolamine beta-adrenergic effects: It also stimulates beta-adrenergic receptors, which can cause increased heart rate and blood pressure.

💡 How to Take coldrif tablet

Strength: Tablet containing Paracetamol 500 mg and Phenylpropanolamine 25 mg.

1Take this medicine by mouth with a full glass of water.
2Take with food or milk to reduce stomach upset.
3Do not crush or chew the tablet; swallow it whole.
4Take at the same times each day if prescribed regularly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet every 4 to 6 hours as needed for symptoms, not to exceed 6 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not use for more than 5-7 days without medical advice.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of Phenylpropanolamine, especially on blood pressure and heart rate. Use with caution and lower doses may be appropriate. Consult a doctor.
Renal ImpairmentUse with caution in patients with renal impairment. Dose adjustment may be required. Consult a doctor.
Hepatic ImpairmentUse with caution in patients with hepatic impairment. Dose adjustment may be required. Consult a doctor.
Maximum Daily DoseParacetamol: 4000 mg per day. Phenylpropanolamine: 150 mg per day. Do not exceed the recommended dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals or milk
Reduces stomach upset.
Alcohol
Avoid
Increases risk of liver damage.
Caffeine
Limit
May increase nervousness and insomnia.

⏰ 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 coldrif tablet

✅ Common Side Effects

Nervousness (Common (5-10%))
Usually resolves on its own. Consult doctor if persistent.
Insomnia (Common (5-10%))
Avoid taking close to bedtime. Consult doctor if persistent.
Dizziness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you.
Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset.
Dry mouth (Common (5-10%))
Sip water frequently. Consult doctor if persistent.

🚨 Serious Side Effects

Severe hypertension (Rare (<0.1%))
Seek immediate medical attention if you experience severe headache, blurred vision, or chest pain.
Hemorrhagic stroke (Rare (<0.1%))
Seek immediate medical attention if you experience sudden severe headache, confusion, or weakness.
Liver damage (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Allergic reactions (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face or throat, or difficulty breathing.

⚠️ Rare Side Effects

Arrhythmias
Seek immediate medical attention if you experience palpitations or irregular heartbeat.
Psychosis
Seek immediate medical attention if you experience hallucinations or confusion.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Warfarin Major
Beta-blockers Moderate
Tricyclic antidepressants Moderate
Alcohol Moderate

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Other sympathomimetics
  • Warfarin

⚡ Moderate Interactions

  • Beta-blockers
  • Tricyclic antidepressants
  • Alcohol

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage from Paracetamol and may worsen central nervous system side effects.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Paracetamol or Phenylpropanolamine","Severe hypertension or coronary artery disease","Hyperthyroidism","Use with MAOIs or within 14 days of stopping MAOIs","Severe liver or kidney impairment","Benign prostatic hyperplasia with urinary retention","Closed-angle glaucoma"]

⚠️ Warnings & Precautions

["Do not exceed recommended dose.","Avoid alcohol.","Use with caution in patients with cardiovascular disease.","Use with caution in patients with diabetes.","Use with caution in patients with glaucoma.","Use with caution in patients with prostatic hypertrophy.","May cause dizziness; avoid driving until you know how it affects you.","Do not use for more than 5-7 days without medical advice."]

🤱 Lactation Safety

Not established from the available information. Consult a doctor before use.

💊 Overdose Management

Overdose of Paracetamol can cause severe liver damage. Symptoms may include nausea, vomiting, abdominal pain, and yellowing of skin or eyes. Seek immediate medical attention. Treatment may include activated charcoal, N-acetylcysteine, and supportive care. Phenylpropanolamine overdose can cause severe hypertension, tachycardia, and arrhythmias; management is supportive.

⏰ 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 dose.

Additional Safety Advice

General Safety

Do not exceed the recommended dose of this medicine. Avoid taking other products containing Paracetamol while on this medicine to prevent accidental overdose. Do not use this medicine for more than 5-7 days without consulting a doctor. Avoid alcohol consumption as it increases the risk of liver damage. If you have high blood pressure, heart disease, diabetes, thyroid problems, or difficulty urinating due to an enlarged prostate, consult your doctor before taking this medicine. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Pregnant and breastfeeding women should consult a doctor before use. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the cardiovascular effects of Phenylpropanolamine. Use with caution and monitor blood pressure. Lower doses may be appropriate.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are pregnant, planning to become pregnant, or breastfeeding. The safety of this combination in pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, especially if you are taking other medications or have underlying conditions.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine. It may interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Stay hydrated by drinking plenty of fluids.
🥗
Get adequate rest to help your body recover.
😴
Use a humidifier to ease nasal congestion.
💧
Avoid exposure to allergens and irritants.
🧘
Practice good hand hygiene to prevent infections.
🌞
Avoid alcohol and caffeine while taking this medicine.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel dizzy or fatigued. Light activity is generally safe, but listen to your body and rest when needed.

🥗 Diet Recommendations

Include warm soups and broths.
Eat fruits rich in vitamin C.
Avoid processed and spicy foods that may upset your stomach.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It is advisable to rest if you feel unwell.

🛑 When to Stop This Medicine

Stop taking this medicine if your symptoms do not improve within 5-7 days or if they worsen. Consult a doctor before stopping if you have been taking it regularly for a prescribed condition.

📅 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 alcohol. Phenylpropanolamine can cause cardiovascular effects. Regular monitoring of liver function and blood pressure may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal spray

Helps relieve nasal congestion without medication.

Evidence: Well-established
Steam inhalation

Can temporarily relieve nasal stuffiness.

Evidence: Limited
Rest and hydration

Supports recovery from cold and flu.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you are acutely ill with fever, consult your doctor before vaccination.

📦 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

Carry this medicine in its original packaging with a copy of your prescription. Store at room temperature and protect from direct sunlight. If traveling across time zones, continue your regular dosing schedule as advised by your doctor. Check customs regulations for carrying medications in your destination country.

💰 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 directed for 3 days and experienced significant relief from congestion and headache. He was advised to avoid alcohol and not exceed the dose. He recovered fully without side effects.
💡 Lesson: Short-term use as directed is effective and safe for most people.
👤 A 50-year-old woman with high blood pressure
She took this medicine for cold symptoms without consulting her doctor and experienced a severe headache and elevated blood pressure. She was advised to avoid Phenylpropanolamine-containing products in the future.
💡 Lesson: People with high blood pressure should avoid this medicine unless approved by a doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30-60 minutes after taking it.

Q: Can I take it on an empty stomach?

A: It is best taken with food or milk to reduce stomach upset.

Q: Is it safe for children?

A: Pediatric dosing is not established. Consult a pediatrician.

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

A: Take it as soon as you remember, but skip if it's almost time for the next 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 kidney function?
  • 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 coldrif tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: This medicine is safe for everyone.
    Fact: It is not safe for people with certain conditions like high blood pressure, heart disease, or those taking MAOIs.
  • Myth: You can take this medicine for as long as you want.
    Fact: It should only be used for short-term relief, typically not more than 5-7 days.
  • Myth: It is okay to drink alcohol while taking this medicine.
    Fact: Alcohol increases the risk of liver damage and should be avoided.

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol + Phenylpropanolamine","composition":"Paracetamol 500 mg + Phenylpropanolamine 25 mg","uses":"Nasal congestion, headache, fever","notes":"Phenylpropanolamine has been withdrawn in some countries."},{"medicine":"Paracetamol + Phenylephrine","composition":"Paracetamol 500 mg + Phenylephrine 5 mg","uses":"Nasal congestion, headache, fever","notes":"Phenylephrine is generally considered safer than Phenylpropanolamine."}]

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