coldstat 2 mg/500 mg/60 mg tablet - Chlorpheniramine Maleate (2mg) + Paracetamol (500mg) medicine

Allerfree Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Rusi Remedies P Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual components; combination evidence is limited.
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

  • Blood in stool or vomit
  • Severe abdominal pain
  • Chest pain or difficulty breathing
  • Severe headache with visual changes
  • Sudden swelling of face, lips, or throat
  • Yellowing of skin or eyes
  • Decreased urine output
  • Unusual bleeding or bruising

If experiencing severe symptoms, call emergency services immediately.

What is coldstat 2 mg/500 mg/60 mg tablet used for?

This medicine is a combination of Chlorpheniramine Maleate (an antihistamine) and Paracetamol (a pain reliever and fever reducer). It is used to treat symptoms of allergies and the common cold, such as sneezing, runny nose, itching, fever, and body ache. It is available as an oral tablet and should be taken as prescribed by a doctor.

  • Generic Name: Chlorpheniramine Maleate + Paracetamol
  • Manufacturer: Rusi Remedies P Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 coldstat 2 mg/500 mg/60 mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा क्लोरफेनिरामाइन मेलिएट और पैरासिटामोल का संयोजन है। इसका उपयोग एलर्जी और सर्दी-जुकाम के लक्षणों जैसे छींक आना, नाक बहना, आंखों में खुजली, बुखार और शरीर दर्द में राहत के लिए किया जाता है। यह दवा डॉक्टर के परामर्श से ही लेनी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि, जी मिचलाना और कब्ज शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, लीवर की समस्या या खून की बीमारी हो सकती है। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। इसके साथ शराब न लें। गाड़ी चलाने या मशीन चलाने से बचें क्योंकि इससे नींद आ सकती है। यदि आपको लीवर या किडनी की बीमारी, ग्लूकोमा, प्रोस्टेट की समस्या या सांस लेने में तकलीफ है तो डॉक्टर को बताएं। 7 दिन से ज्यादा इसका इस्तेमाल बिना डॉक्टर की सलाह के न करें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 coldstat 2 mg/500 mg/60 mg tablet Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itching, and watery eyes associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Urticaria","description":"Reduces itching and hives due to allergic reactions.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief from fever, body ache, and allergic symptoms like sneezing and runny nose.","evidence":"Well-established"},{"condition":"Allergic conjunctivitis","description":"Helps reduce eye itching and redness associated with allergies.","evidence":"Limited"}]

Off-label uses: [{"condition":"Insomnia","description":"Sometimes used off-label for its sedative effects to promote sleep, but not recommended due to side effects.","evidence":"Limited"},{"condition":"Motion sickness","description":"May be used off-label for prevention of motion sickness due to antihistamine properties.","evidence":"Limited"}]

Primary treatment for: Allergic rhinitis

Also treats: Urticaria, Common cold, Allergic conjunctivitis

📋 Drug Information

Generic Name(s)Chlorpheniramine Maleate + Paracetamol
Brand NameAlex P Syrup
ManufacturerRusi Remedies P Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntihistamine + Analgesic/Antipyretic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep in original container.
Shelf Life24 months from 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
Avoid driving or operating heavy machinery until you know how this medicine affects you.
3
Do not drink alcohol while taking this medicine as it increases drowsiness and liver risk.
4
Do not exceed the recommended dose of 4 tablets in 24 hours.
5
Consult your doctor if symptoms persist beyond 7 days or worsen.
6
Inform your doctor if you have liver or kidney disease, glaucoma, or difficulty urinating.
7
Keep out of reach of children and store in a cool, dry place.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Sneezing and runny nose
This medicine is commonly prescribed for allergic rhinitis.
Likely Use
✅
Fever
Paracetamol in this medicine helps reduce fever.
Likely Use
✅
Itchy eyes
Antihistamine component helps with allergic eye symptoms.
Likely Use
❌
Chest pain
This medicine is not for chest pain; seek immediate medical help.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionChlorpheniramine is well absorbed from the gastrointestinal tract after oral administration. Paracetamol is rapidly and almost completely absorbed from the gastrointestinal tract.
DistributionChlorpheniramine is widely distributed throughout the body, including the central nervous system. Paracetamol distributes rapidly into most body tissues.
Protein BindingChlorpheniramine is approximately 70% bound to plasma proteins. Paracetamol is about 10-25% bound to plasma proteins.
MetabolismChlorpheniramine is metabolized in the liver primarily by CYP2D6 and CYP3A4. Paracetamol is metabolized in the liver via glucuronidation and sulfation, with a small fraction via CYP2E1 to a toxic metabolite.
Half-LifeChlorpheniramine half-life is approximately 12-43 hours. Paracetamol half-life is about 2-3 hours.
ExcretionChlorpheniramine and its metabolites are excreted mainly in urine. Paracetamol metabolites are excreted in urine.
BioavailabilityChlorpheniramine oral bioavailability is about 25-50%. Paracetamol oral bioavailability is about 80-100%.
Onset of ActionChlorpheniramine onset is within 30-60 minutes. Paracetamol onset is within 30-60 minutes.
Peak Plasma TimeChlorpheniramine peak plasma time is about 2-6 hours. Paracetamol peak plasma time is about 0.5-2 hours.
Duration of ActionChlorpheniramine duration is about 4-6 hours. Paracetamol duration is about 4-6 hours.

How It Works

Chlorpheniramine Maleate is a first-generation antihistamine that competitively blocks histamine H1 receptors, thereby preventing histamine-mediated allergic responses such as vasodilation, increased vascular permeability, and sensory nerve stimulation. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which leads to reduction of fever and pain. The combination provides both antihistaminic and analgesic-antipyretic effects.

Mechanism Steps

1
Histamine H1 receptor blockade: Chlorpheniramine binds to H1 receptors on effector cells, preventing histamine from triggering allergic symptoms.
2
Central prostaglandin inhibition: Paracetamol inhibits prostaglandin synthesis in the brain, reducing fever and pain perception.
3
Anticholinergic effects: Chlorpheniramine also exhibits anticholinergic properties, contributing to dry mouth and sedation.

💡 How to Take coldstat 2 mg/500 mg/60 mg tablet

Strength: Each tablet contains Chlorpheniramine Maleate 2 mg and Paracetamol 500 mg.

1Take this medicine by mouth with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food or milk if it upsets your stomach.
4Follow the prescribed dose and frequency.
5Do not take more than 4 tablets in 24 hours.

Dosage Information

Adult DosageThe usual adult dose is 1 tablet orally every 6 to 8 hours as needed for symptoms, not to exceed 4 tablets in 24 hours. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the side effects, especially drowsiness, dizziness, and anticholinergic effects. Use with caution and lower doses may be appropriate. Dose must be individualized by a qualified clinician.
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 DoseMaximum 4 tablets in 24 hours (providing 2000 mg paracetamol and 8 mg chlorpheniramine). Do not exceed.

Dosage Timeline

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

🍽️ Food Timing Guide

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

⏰ 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 coldstat 2 mg/500 mg/60 mg tablet

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water or chew sugarless gum. Consult doctor if persistent.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid alcohol.
Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling, severe dizziness, or trouble breathing.
Liver damage (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Blood disorders (Very rare (<0.01%))
Report unusual bleeding, bruising, or persistent sore throat to your doctor.

⚠️ Rare Side Effects

Palpitations
Consult a doctor if you experience fast or irregular heartbeat.
Urinary retention
Consult a doctor if you have difficulty urinating.
Confusion
Report to doctor, especially in elderly patients.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Alcohol Major
Warfarin Moderate
CNS depressants Moderate
Anticholinergics Moderate
Carbamazepine Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Alcohol
  • Warfarin

⚡ Moderate Interactions

  • CNS depressants (e.g., benzodiazepines, opioids)
  • Anticholinergic drugs (e.g., tricyclic antidepressants)
  • Carbamazepine

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and the risk of liver damage, especially with paracetamol.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to chlorpheniramine, paracetamol, or any component","Newborns and premature infants","Nursing mothers","Severe liver disease","Severe kidney disease","Patients taking MAOIs"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in patients with glaucoma, enlarged prostate, or urinary retention.","Use with caution in elderly patients due to increased risk of confusion and falls.","Do not use for more than 7 days without consulting a doctor.","Do not exceed recommended dose of paracetamol; risk of liver damage.","Consult doctor if symptoms persist or worsen."]

🤱 Lactation Safety

Not recommended during breastfeeding as chlorpheniramine may pass into breast milk and cause drowsiness in the infant. Consult your doctor.

💊 Overdose Management

Overdose may cause severe liver damage, nausea, vomiting, abdominal pain, and confusion. Seek immediate medical attention. Treatment includes gastric lavage, activated charcoal, and administration of acetylcysteine for paracetamol toxicity. Supportive care for antihistamine 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 dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose. Avoid alcohol and other central nervous system depressants while taking this medicine. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have liver or kidney disease, glaucoma, enlarged prostate, or breathing problems. Do not use for more than 7 days without consulting a doctor. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the sedative and anticholinergic effects of chlorpheniramine. They may experience confusion, dizziness, and increased risk of falls. Use with caution and lower doses may be needed.

🤰 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 during pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, as it may interact with other medications or affect recovery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may cause dry mouth and interact with other medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Avoid known allergens such as dust, pollen, and pet dander.
🥗
Use air purifiers and keep windows closed during high pollen seasons.
😴
Wash bedding regularly in hot water to reduce dust mites.
💧
Stay hydrated to help thin mucus and relieve dry mouth.
🧘
Get adequate rest to support your immune system.
🌞
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

This medicine may cause drowsiness and dizziness. Avoid strenuous exercise or activities requiring alertness until you know how it affects you. Light exercise is generally safe if you feel well.

🥗 Diet Recommendations

Include vitamin C-rich foods like oranges and bell peppers.
Drink plenty of fluids to stay hydrated.
Avoid alcohol and caffeine, which can worsen symptoms.
Eat a balanced diet to support immune function.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness, which may affect your ability to drive or operate machinery. It is best to avoid these activities until you know how the medicine affects you. Inform your employer if your job requires alertness.

🛑 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 regularly for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use of paracetamol can increase the risk of liver damage, especially with alcohol. Chlorpheniramine may cause tolerance and dependence. Regular monitoring of liver function may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Allergen avoidance

Identifying and avoiding triggers can reduce allergy symptoms.

Evidence: Well-established
Saline nasal irrigation

Helps clear nasal passages and reduce congestion.

Evidence: Well-established
Second-generation antihistamines

Less sedating alternatives like cetirizine or loratadine may be preferred.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are unwell with a 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 moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying medications.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with seasonal allergies
She started taking this medicine as prescribed for her sneezing and runny nose. She noticed relief within an hour but felt drowsy, so she took it at bedtime. She was advised to avoid driving after taking it.
💡 Lesson: This medicine can cause drowsiness; taking it at bedtime may help manage daytime sleepiness.
👤 A 50-year-old man with common cold and fever
He took this medicine for his fever and body ache. His symptoms improved, but he experienced dry mouth. He was advised to sip water frequently and to not exceed the dose.
💡 Lesson: Dry mouth is a common side effect; staying hydrated can help. Always follow the recommended dose.

💬 Questions Patients Often Ask

Q: How long does it take to work?

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

Q: Can I take it on an empty stomach?

A: It can be taken with or without food, but taking it with food may 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: Can I take it with other cold medicines?

A: Consult your doctor before taking other medicines, as they may contain paracetamol or antihistamines, leading to overdose.

🤔 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 coldstat 2 mg/500 mg/60 mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Allerfree Tablet is an antibiotic.
    Fact: This medicine is not an antibiotic; it is a combination of an antihistamine and a pain reliever.
  • Myth: Allerfree Tablet can be taken long-term for allergies.
    Fact: This medicine is for short-term symptomatic relief. Long-term use should be under medical supervision.
  • Myth: Allerfree Tablet is safe to take with alcohol.
    Fact: Alcohol should be avoided as it increases drowsiness and risk of liver damage.

🔄 Alternative Options

Generic Alternatives

  • Chlorpheniramine Maleate + Paracetamol tablet

Brand Alternatives

  • Allerfree Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Allerfree Tablet","composition":"Chlorpheniramine Maleate 2mg + Paracetamol 500mg","onset":"30-60 minutes","sedation":"High","duration":"4-6 hours"},{"medicine":"Cetirizine + Paracetamol","composition":"Cetirizine 5mg + Paracetamol 500mg","onset":"30-60 minutes","sedation":"Low","duration":"12-24 hours"}]

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