comcet a 2.5mg/60mg tablet - Levocetirizine (2.5mg) + Ambroxol (60mg) medicine

Comcet A 2.5mg/60mg Tablet: Complete Information

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🏭 Lifecom Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 22, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for combination use in allergic cough; individual components have well-established evidence.
Reviewed by
SaathiMed Expert Panel | Oct 22, 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

  • Difficulty breathing or swelling of face, lips, or throat
  • Severe allergic reaction with rash and itching
  • Irregular heartbeat or palpitations
  • Yellowing of skin or eyes
  • Severe abdominal pain
  • Unusual bleeding or bruising
  • Seizures

If experiencing severe symptoms, call emergency services immediately.

What is comcet a 2.5mg/60mg tablet used for?

This medicine is a combination of levocetirizine (antihistamine) and ambroxol (mucolytic) used to treat allergic symptoms with productive cough. It relieves sneezing, runny nose, and thins mucus to ease cough.

  • Generic Name: Levocetirizine + Ambroxol
  • Manufacturer: Lifecom Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 comcet a 2.5mg/60mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा लेवोसेटिरिज़िन और एम्ब्रोक्सोल का संयोजन है, जिसका उपयोग एलर्जी के लक्षणों जैसे छींक, नाक बहना, खुजली और बलगम वाली खांसी के इलाज के लिए किया जाता है। यह एलर्जी को कम करती है और बलगम को पतला करके खांसी को आसान बनाती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, थकान, सिरदर्द और हल्का पेट दर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको सांस लेने में कठिनाई, चकत्ते, या दिल की धड़कन में अनियमितता महसूस हो तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अधिक मात्रा में न लें। इस दवा को लेने के बाद नींद आ सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। शराब का सेवन न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर को बताएं। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 comcet a 2.5mg/60mg tablet Uses & Benefits

[{"condition":"Allergic rhinitis with productive cough","description":"Relieves sneezing, runny nose, itching, and watery eyes while thinning mucus to ease cough.","evidence":"Well-established"},{"condition":"Sinusitis with thick mucus","description":"Helps reduce allergic symptoms and facilitates drainage of thick sinus secretions.","evidence":"Moderate"},{"condition":"Productive cough due to respiratory allergies","description":"Levocetirizine controls allergy while ambroxol helps expel mucus.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Chronic urticaria with mucus","description":"Sometimes prescribed off-label for itching with associated mucus, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Allergic rhinitis with productive cough

Also treats: Sinusitis, Bronchitis, Chronic urticaria

📋 Drug Information

Generic Name(s)Levocetirizine + Ambroxol
Brand NameAmicet
ManufacturerLifecom Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntihistamine + Mucolytic
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. Keep out of reach of children.
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 to reduce stomach upset.
2
Avoid driving or operating heavy machinery until you know how it affects you.
3
Do not consume alcohol while taking this medicine.
4
Stay well hydrated to help thin mucus.
5
Consult your doctor if symptoms persist beyond 7 days.
6
Do not exceed the prescribed dose.
7
Inform your doctor if you have kidney or liver problems.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Allergic rhinitis with cough
This medicine is commonly prescribed for this.
Likely Use
❌
Dry cough
This medicine is not for dry cough; it is for productive cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevocetirizine is rapidly absorbed after oral administration. Ambroxol is also well absorbed from the gastrointestinal tract. Food does not significantly affect the absorption of levocetirizine, but may slightly delay ambroxol absorption.
DistributionLevocetirizine is widely distributed in the body. Ambroxol distributes into lung tissue and bronchial secretions. Both agents cross the blood-brain barrier to some extent, but levocetirizine has limited CNS penetration compared to first-generation antihistamines.
Protein BindingLevocetirizine is approximately 90% bound to plasma proteins. Ambroxol is about 90% bound to plasma proteins.
MetabolismLevocetirizine undergoes minimal hepatic metabolism. Ambroxol is metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4.
Half-LifeThe elimination half-life of levocetirizine is approximately 6-8 hours in healthy adults. The elimination half-life of ambroxol is approximately 7-12 hours.
ExcretionLevocetirizine is primarily excreted unchanged in the urine. Ambroxol is excreted in the urine as metabolites.
BioavailabilityLevocetirizine has a high oral bioavailability of approximately 100%. Ambroxol bioavailability is about 70-80% due to first-pass metabolism.
Onset of ActionLevocetirizine begins to work within 1 hour. Ambroxol's mucolytic effect may take a few hours to become noticeable.
Peak Plasma TimeLevocetirizine reaches peak plasma concentration in about 1 hour. Ambroxol peaks in about 2-3 hours.
Duration of ActionLevocetirizine's antihistaminic effect lasts for about 24 hours. Ambroxol's mucolytic effect lasts for about 6-8 hours, requiring multiple daily doses.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Levocetirizine is a selective peripheral H1-receptor antagonist. It competes with histamine for binding sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract, thereby reducing allergic symptoms. Ambroxol is a mucolytic agent that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance, making cough more productive. Together, they address both allergic and mucus-related components of respiratory conditions.

Mechanism Steps

1
Histamine H1 receptor blockade: Levocetirizine binds to H1 receptors, preventing histamine from triggering allergic responses like sneezing and itching.
2
Reduction of allergic symptoms: By blocking H1 receptors, levocetirizine reduces vascular permeability, itching, and mucus secretion associated with allergies.
3
Mucolytic action of ambroxol: Ambroxol increases serous secretion and reduces mucus viscosity, making it easier to cough out.
4
Enhanced mucociliary clearance: Ambroxol stimulates ciliary movement, helping to clear mucus from the airways.

💡 How to Take comcet a 2.5mg/60mg tablet

Strength: Tablet containing Levocetirizine 2.5 mg and Ambroxol 60 mg.

1Take the tablet orally with a glass of water.
2Swallow it whole; do not crush or chew.
3Take it with or without food, but preferably with food to reduce stomach upset.
4Follow the prescribed dose and frequency exactly.
5Do not take more than the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally once or twice daily, as prescribed by your doctor. The exact dose and frequency depend on the condition being treated, your age, weight, and kidney/liver function. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the 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. Dose adjustment may be necessary based on renal function. Consult your doctor.
Renal ImpairmentDose adjustment is required in patients with renal impairment. In severe renal impairment (creatinine clearance <10 mL/min), levocetirizine is contraindicated. Consult your doctor for appropriate dosing.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution and consult your doctor.
Maximum Daily DoseThe 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

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.

⏰ 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 comcet a 2.5mg/60mg tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water frequently. Chew sugar-free gum if needed.
Fatigue (Common (5-10%))
Get adequate rest. Consult doctor if persistent.
Headache (Common (5-10%))
Take rest, stay hydrated. Consult doctor if severe.
Nausea (Uncommon (1-5%))
Take with food to reduce stomach upset.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling, or difficulty breathing.
Irregular heartbeat (Rare (<0.1%))
Consult a doctor immediately if you feel palpitations or chest discomfort.
Blood disorders (e.g., agranulocytosis) (Very rare (<0.01%))
Report any unusual bruising, bleeding, or fever to your doctor.

⚠️ Rare Side Effects

Liver enzyme elevation
Regular monitoring if on long-term therapy. Report yellowing of eyes or skin.
Seizures
Seek immediate medical help if seizures occur.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Benzodiazepines Major
Opioids Major
MAOIs Major
Ketoconazole Moderate
Erythromycin Moderate
Anticholinergics Moderate

🚨 Major Interactions

  • CNS depressants (e.g., alcohol, benzodiazepines, opioids)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin)
  • Anticholinergic drugs

🍷 Alcohol Interaction

Alcohol may increase drowsiness and dizziness caused by levocetirizine. Avoid alcohol while taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to levocetirizine, ambroxol, or any component","Severe renal impairment (creatinine clearance

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in patients with renal or hepatic impairment.","Not recommended for children under 6 years.","Consult doctor if symptoms persist beyond 7 days.","Do not exceed the recommended dose."]

🤱 Lactation Safety

Levocetirizine and ambroxol may pass into breast milk. Consult your doctor before breastfeeding while taking this medicine.

💊 Overdose Management

Overdose may cause increased drowsiness, dizziness, nausea, and tachycardia. Seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote.

⏰ Missed Dose

If you miss a dose, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not take more than the recommended dose. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it may cause drowsiness. Avoid consuming alcohol while taking this medicine, as it can increase drowsiness and dizziness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine for a longer duration than prescribed without consulting your doctor. Keep out of reach of children. Store at room temperature away from direct sunlight and moisture. If you miss a dose, take it as soon as you remember, but if it is almost time for the next dose, skip the missed dose and continue with your regular schedule. Do not double the dose to catch up.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to drowsiness and dizziness. Dose adjustment may be needed based on kidney function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. 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 increase the risk of dental issues. Maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce respiratory strain.
🥗
Avoid known allergens like dust, pollen, and pet dander.
😴
Use a humidifier to keep airways moist.
💧
Stay well hydrated to thin mucus.
🧘
Get adequate rest to support recovery.
🌞
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel drowsy or dizzy. Light activities like walking are generally safe. Consult your doctor before starting any exercise routine.

🥗 Diet Recommendations

Include warm fluids like soups and herbal teas.
Avoid cold and processed foods that may worsen congestion.
Include vitamin C-rich fruits to boost immunity.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, affecting your ability to drive or operate machinery. Avoid such activities until you know how it affects you. It may also cause dry mouth, so keep water handy.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, or if you experience any serious side effects. 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 should be under medical supervision. Prolonged use of levocetirizine may lead to tolerance or rare blood disorders. Ambroxol is generally safe for short-term use. Regular monitoring of kidney and liver function may be advised if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Can help relieve nasal congestion and allergy symptoms.

Evidence: Well-established
Steam inhalation

Helps loosen mucus and ease breathing.

Evidence: Traditional

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific vaccine interactions are known. However, consult your doctor if you are due for any vaccinations while taking this medicine.

📦 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 times gradually as advised by your doctor. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with allergic rhinitis and productive cough
She was prescribed this medicine for her symptoms. After taking it as directed, she noticed significant relief from sneezing and her cough became more productive and less bothersome. She experienced mild drowsiness initially, which subsided after a few days.
💡 Lesson: Taking the medicine consistently and avoiding driving until you know its effects can help manage side effects.
👤 A 50-year-old man with chronic sinusitis
He started this medicine for sinus congestion and cough. Within a week, his nasal congestion improved and he could breathe easier. He was advised to drink plenty of water, which further helped thin the mucus.
💡 Lesson: Hydration enhances the mucolytic effect of ambroxol and improves overall symptom relief.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Levocetirizine starts working within 1 hour, while ambroxol's mucolytic effect may take a few hours. You may notice relief from sneezing and runny nose quickly, but cough improvement may take a day or two.

Q: Can I take this medicine with other cold medicines?

A: Consult your doctor before combining with other cold medicines, as they may contain similar ingredients and increase the risk of side effects.

Q: Is it safe to take during pregnancy?

A: The safety of this combination during pregnancy is not well established. Consult your doctor before taking it.

🤔 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 comcet a 2.5mg/60mg 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 can cure all types of cough.
    Fact: It is effective only for allergic cough with mucus; it does not treat dry cough or infections.
  • Myth: It is safe to take without a prescription.
    Fact: It is a prescription medicine and should only be taken under medical supervision.

🔄 Alternative Options

Generic Alternatives

  • Levocetirizine + Ambroxol combination tablets from other manufacturers

Brand Alternatives

  • Comcet A 2.5mg/60mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"Levocetirizine + Ambroxol","composition":"Levocetirizine 2.5mg + Ambroxol 60mg","uses":"Allergic rhinitis with productive cough","notes":"Combination provides dual action."},{"medicine":"Levocetirizine alone","composition":"Levocetirizine 5mg","uses":"Allergic rhinitis","notes":"No mucolytic action."},{"medicine":"Ambroxol alone","composition":"Ambroxol 30mg","uses":"Productive cough","notes":"No antihistamine action."}]

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