crocin cold & flu max tablet - Paracetamol (500mg) + Caffeine (32mg) medicine

Actiffit 500mg/32mg Tablet: Complete Medicine Guide

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🏭 GlaxoSmithKline Consumer Healthcare 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for Paracetamol and Caffeine combination in pain relief.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Yellowing of the skin or eyes (jaundice)
  • Dark-colored urine or pale stools
  • Severe abdominal pain or vomiting blood
  • Blood in stool or black tarry stools
  • Swelling of the face, lips, tongue, or throat
  • Difficulty breathing or chest pain
  • Severe headache with confusion or vision changes
  • Unusual bruising or bleeding

If experiencing severe symptoms, call emergency services immediately.

What is crocin cold & flu max tablet used for?

This medicine is a combination of Paracetamol 500 mg and Caffeine 32 mg used for short-term relief of mild to moderate pain such as headache, dental pain, and muscle aches, and to reduce fever. It works by reducing pain signals in the brain and enhancing alertness. Do not exceed the recommended dose and avoid alcohol.

  • Generic Name: Paracetamol + Caffeine
  • Manufacturer: GlaxoSmithKline Consumer Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 crocin cold & flu max tablet के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल 500 मिलीग्राम और कैफीन 32 मिलीग्राम का संयोजन है। इसका उपयोग हल्के से मध्यम दर्द जैसे सिरदर्द, दांत दर्द, मांसपेशियों में दर्द और बुखार को कम करने के लिए किया जाता है। कैफीन दर्द निवारक प्रभाव को बढ़ाता है और सतर्कता बढ़ाता है। इसका उपयोग डॉक्टर की सलाह के अनुसार ही करें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, पेट में असहजता, बेचैनी और नींद न आना शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन जिगर की क्षति हो सकती है यदि अधिक मात्रा में लिया जाए। यदि आंखों या त्वचा का पीलापन, गहरे रंग का मूत्र, या गंभीर पेट दर्द हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। अनुशंसित मात्रा से अधिक न लें क्योंकि इससे जिगर को गंभीर नुकसान हो सकता है। इस दवा के साथ शराब न लें। यदि आपको जिगर या गुर्दे की समस्या है, या आप गर्भवती या स्तनपान करा रही हैं, तो डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? India has the highest number of USFDA-compliant plants outside the USA.

💊 crocin cold & flu max tablet Uses & Benefits

[{"condition":"Tension-type headache","description":"Relieves mild to moderate headache pain and associated tension.","evidence":"Well-established"},{"condition":"Migraine headache","description":"Provides symptomatic relief of migraine pain; Caffeine may enhance Paracetamol's effect.","evidence":"Well-established"},{"condition":"Dental pain","description":"Used for short-term relief of toothache and post-dental procedure pain.","evidence":"Well-established"},{"condition":"Musculoskeletal pain","description":"Helps reduce mild to moderate muscle aches and strains.","evidence":"Well-established"},{"condition":"Fever","description":"Paracetamol component reduces fever associated with infections.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Post-operative pain","description":"Sometimes used as part of multimodal analgesia after minor surgery.","evidence":"Limited"},{"condition":"Menstrual cramps","description":"May be used for relief of mild dysmenorrhea, though NSAIDs are often preferred.","evidence":"Limited"}]

Primary treatment for: Pain and fever

Also treats: Tension headache, Migraine, Dental pain, Musculoskeletal pain

📋 Drug Information

Generic Name(s)Paracetamol + Caffeine
Brand NameAlergin Cold Total Tablet
ManufacturerGlaxoSmithKline Consumer Healthcare
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAnalgesic Antipyretic Combination
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C in a dry place, away from direct sunlight. Keep in the original container.
Shelf Life24 months from the date of manufacture, or as stated 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
Always take this medicine with food or milk to reduce the chance of stomach upset.
2
Do not exceed 8 tablets in 24 hours, and avoid other Paracetamol-containing products.
3
Avoid alcohol completely while taking this medicine to protect your liver.
4
Take the last dose before 4 PM to prevent caffeine-related insomnia.
5
If pain or fever persists for more than 3 days, consult your doctor for further evaluation.
6
Keep a record of when you take this medicine to avoid accidental double dosing.
7
Inform your doctor if you have liver or kidney disease before starting this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Headache
This medicine is commonly used for tension and migraine headaches.
Likely Use
Fever
Paracetamol component reduces fever.
Likely Use
Muscle aches
Provides relief from mild to moderate muscle pain.
Likely Use
Toothache
Used for short-term dental pain relief.
Likely Use
Severe chest pain
This medicine is not appropriate for severe chest pain; seek emergency care.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. Caffeine is also rapidly absorbed from the gastrointestinal tract. Food may slightly delay the absorption of Paracetamol but does not significantly reduce the total amount absorbed.
DistributionParacetamol distributes widely into most body tissues, with a volume of distribution of approximately 0.9 L/kg. Caffeine distributes throughout body water and crosses the blood-brain barrier and placenta.
Protein BindingParacetamol is approximately 10-25% bound to plasma proteins. Caffeine is approximately 10-35% bound to plasma proteins.
MetabolismParacetamol is metabolized primarily in the liver by conjugation with glucuronic acid and sulfate. A small fraction is metabolized by cytochrome P450 2E1 to a toxic intermediate, N-acetyl-p-benzoquinone imine (NAPQI), which is normally detoxified by glutathione. Caffeine is metabolized in the liver by cytochrome P450 1A2 to paraxanthine, theobromine, and theophylline.
Half-LifeParacetamol elimination half-life is approximately 2-3 hours in adults with normal liver function. Caffeine elimination half-life is approximately 3-7 hours in adults.
ExcretionParacetamol is excreted in the urine mainly as glucuronide and sulfate conjugates. Caffeine and its metabolites are excreted in the urine.
BioavailabilityParacetamol oral bioavailability is approximately 80-100%. Caffeine oral bioavailability is approximately 99%.
Onset of ActionParacetamol begins to relieve pain and reduce fever within 30-60 minutes after oral administration. Caffeine's stimulant effect begins within 15-30 minutes.
Peak Plasma TimeParacetamol peak plasma concentration occurs within 0.5-2 hours after oral administration. Caffeine peak plasma concentration occurs within 0.5-2 hours.
Duration of ActionParacetamol pain relief lasts approximately 4-6 hours. Caffeine's stimulant effect lasts approximately 3-5 hours.

How It Works

Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which reduces pain perception and lowers fever. It also modulates descending pain pathways. Caffeine is an adenosine receptor antagonist that increases neuronal activity and releases neurotransmitters such as norepinephrine and dopamine, leading to increased alertness and enhanced analgesic effect when combined with Paracetamol. Caffeine also causes cerebral vasoconstriction, which may help relieve headache.

Mechanism Steps

1
Paracetamol central action: Paracetamol reduces prostaglandin synthesis in the brain and spinal cord, which decreases pain signal transmission and lowers body temperature.
2
Caffeine adenosine blockade: Caffeine blocks adenosine receptors in the brain, which increases the release of excitatory neurotransmitters and promotes wakefulness.
3
Enhanced analgesia: Caffeine may enhance the pain-relieving effect of Paracetamol by increasing its central nervous system activity and by constricting cerebral blood vessels.

💡 How to Take crocin cold & flu max tablet

Strength: Each tablet contains Paracetamol 500 mg and Caffeine 32 mg.

1Take this medicine by mouth with a full glass of water.
2Take with food or milk if it upsets your stomach.
3Swallow the tablet whole; do not crush or chew.
4Take at regular intervals as directed by your doctor.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is 1 to 2 tablets taken orally every 4 to 6 hours as needed for pain or fever, not exceeding 8 tablets in 24 hours. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the maximum daily dose of Paracetamol 4000 mg from all sources. For short-term use only unless directed by a doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of Caffeine and may have reduced liver or kidney function. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentIn patients with severe kidney impairment, the dose may need to be reduced or the dosing interval increased. Consult a doctor for individualized dosing.
Hepatic ImpairmentIn patients with liver impairment, the dose should be reduced or the medicine avoided. Consult a doctor for individualized dosing.
Maximum Daily DoseMaximum 8 tablets in 24 hours, not exceeding Paracetamol 4000 mg per day from all sources.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals or a snack
Reduces stomach upset.
Caffeine-containing beverages
Limit
Adds to caffeine content and may increase side 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 crocin cold & flu max tablet

✅ Common Side Effects

Nausea (Common (1-10%))
Take with food or milk to reduce stomach upset. If nausea persists, consult your doctor.
Stomach discomfort (Common (1-10%))
Take with a meal or snack. Avoid taking on an empty stomach.
Restlessness or jitteriness (Common (1-10%))
Avoid taking this medicine close to bedtime. Reduce caffeine intake from other sources.
Insomnia (Common (1-10%))
Take the last dose before 4 PM. If sleep problems continue, consult your doctor.

🚨 Serious Side Effects

Liver injury (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you develop a rash with blisters, peeling skin, or sores in the mouth.
Anaphylaxis (Very rare (<0.01%))
Seek emergency help if you experience swelling of the face, lips, tongue, or throat, or difficulty breathing.

⚠️ Rare Side Effects

Thrombocytopenia
Report unusual bruising or bleeding to your doctor immediately.
Agranulocytosis
Seek medical attention if you develop fever, sore throat, or mouth ulcers.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Other Paracetamol products Major
Carbamazepine Moderate
Phenytoin Moderate
Rifampicin Moderate
Fluconazole Moderate
Ketoconazole Moderate
Oral contraceptives Minor
Cimetidine Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Other Paracetamol-containing products

⚡ Moderate Interactions

  • Carbamazepine, Phenytoin, Rifampicin
  • Fluconazole, Ketoconazole

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine. Alcohol increases the risk of Paracetamol-induced liver damage, especially with regular or high-dose use. Even moderate alcohol consumption can increase this risk.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity or allergy to Paracetamol or Caffeine","Severe liver disease or active liver failure","Severe kidney disease","Regular heavy alcohol consumption","Use of other Paracetamol-containing products"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose because too much Paracetamol can cause serious liver damage.","Avoid alcohol while taking this medicine.","Do not use this medicine for more than a few days for pain or fever without consulting a doctor.","Consult your doctor before use if you have liver or kidney problems.","Consult your doctor before use if you are pregnant or breastfeeding.","Keep out of reach of children.","Caffeine may cause restlessness, insomnia, or palpitations; limit other caffeine sources.","Do not take other medicines containing Paracetamol while on this product."]

🤱 Lactation Safety

Paracetamol is considered safe during breastfeeding when used at recommended doses. Caffeine passes into breast milk in small amounts and may cause irritability or poor sleep in the infant if consumed in large quantities. Consult your doctor before use.

💊 Overdose Management

Overdose of Paracetamol can cause severe and potentially fatal liver damage. Symptoms of overdose may include nausea, vomiting, abdominal pain, and loss of appetite, but serious liver injury may not be apparent for 24-48 hours. If you suspect an overdose, seek emergency medical attention immediately. The antidote N-acetylcysteine is most effective when given within 8-10 hours of ingestion. Do not wait for symptoms to appear. Caffeine overdose may cause severe agitation, palpitations, and seizures; supportive care is required.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Always take this medicine exactly as directed by your doctor or as stated on the label. Do not exceed the recommended dose because too much Paracetamol can seriously damage the liver. Avoid taking other medicines that contain Paracetamol while using this product, as this can lead to accidental overdose. Limit or avoid alcohol consumption because alcohol increases the risk of liver damage. If you have liver or kidney problems, or if you are pregnant or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for more than a few days for pain or fever without medical advice. Keep this medicine out of the reach of children. If symptoms persist or worsen, stop the medicine and consult a doctor.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of Caffeine and may have reduced liver or kidney function. Use with caution and consult a doctor for appropriate dosing. Monitor for signs of liver or kidney problems.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Paracetamol is generally considered safe, but caffeine intake should be limited. Discuss all medications with your doctor.

🏥 Post-Surgery Considerations

This medicine may be used for post-operative pain relief under medical supervision. Do not self-medicate after surgery. Follow your surgeon's instructions regarding pain management.

🦷 Dental Procedures

This medicine can be used for short-term relief of dental pain, including after dental procedures. Inform your dentist if you are taking this medicine. Do not exceed the recommended dose.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce stress on your joints and muscles.
🥗
Stay well hydrated throughout the day.
😴
Get adequate sleep to help your body recover.
💧
Limit caffeine intake from other sources like coffee, tea, and cola.
🧘
Practice relaxation techniques to reduce tension headaches.
🌞
Exercise regularly with low-impact activities like walking or swimming.

🏋️ Exercise Considerations

This medicine may cause dizziness or restlessness in some people. Avoid strenuous exercise if you feel unsteady or have palpitations. Listen to your body and rest if needed.

🥗 Diet Recommendations

Include plenty of fruits and vegetables.
Choose whole grains over refined grains.
Limit processed and high-fat foods.
Stay well hydrated with water.
Avoid alcohol while taking this medicine.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness or dizziness in some individuals, especially if you are sensitive to Caffeine. Avoid driving or operating heavy machinery until you know how this medicine affects you. It may also cause insomnia if taken late in the day, which can affect your work performance.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your pain or fever persists for more than 3 days, if symptoms worsen, or if you experience any serious side effects such as yellowing of the skin or eyes, severe abdominal pain, or allergic reactions.

📅 Long-Term Use Effects

Long-term use of this medicine without medical supervision can lead to liver damage from Paracetamol and caffeine dependence or withdrawal headaches from Caffeine. Regular monitoring of liver function may be needed if used for prolonged periods. Consult your doctor if you need to use this medicine for more than a few days.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Physical therapy

Can help manage chronic pain conditions without medication.

Evidence: Well-established
Relaxation techniques

May reduce tension headaches and stress-related pain.

Evidence: Moderate
Cold or warm compresses

Can provide local pain relief for muscle aches and headaches.

Evidence: Limited

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. It can be taken before or after vaccination if needed for pain or fever. However, consult your doctor if you have concerns.

📦 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 it in a cool, dry place away from direct sunlight. When traveling across time zones, continue taking it as needed for pain or fever, but do not exceed the maximum daily dose. Check customs regulations for carrying medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with frequent tension headaches
She was prescribed this medicine for her headaches. She found that taking it with a light snack prevented stomach discomfort. She also limited her coffee intake to avoid jitteriness. Her headaches improved within an hour of taking the tablet.
💡 Lesson: Taking the medicine with food and limiting additional caffeine can improve tolerability.
👤 A 50-year-old man with dental pain after a tooth extraction
He took this medicine as directed for post-extraction pain. He experienced good pain relief but noticed difficulty sleeping when he took a dose late in the evening. He then took his last dose before 4 PM and slept better.
💡 Lesson: Avoid taking this medicine close to bedtime to prevent insomnia from the caffeine component.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts relieving pain and fever within 30 to 60 minutes after taking it by mouth.

Q: How many tablets can I take in a day?

A: Do not take more than 8 tablets in 24 hours, and do not exceed 4000 mg of Paracetamol from all sources per day.

Q: Can I take this medicine with other painkillers?

A: Do not take other Paracetamol-containing products with this medicine. Consult your doctor before combining with other painkillers.

Q: Is this medicine safe during pregnancy?

A: Paracetamol is generally considered safe during pregnancy at recommended doses, but caffeine should be limited. Consult your doctor before use.

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

A: 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.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my liver?
  • 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 crocin cold & flu max 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 completely safe and can be taken in any amount.
    Fact: Exceeding the recommended dose can cause serious liver damage.
  • Myth: This medicine can cure headaches permanently.
    Fact: It provides temporary relief but does not treat the underlying cause.
  • Myth: It is safe to take this medicine with other Paracetamol products.
    Fact: Combining Paracetamol products can lead to accidental overdose and liver injury.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol 500 mg + Caffeine 32 mg tablet

📊 Comparison with Similar Medicines

[{"medicine":"This medicine (Paracetamol + Caffeine)","uses":"Mild to moderate pain, fever, headache","onset":"30-60 minutes","duration":"4-6 hours","notes":"Caffeine enhances analgesia"},{"medicine":"Paracetamol alone","uses":"Mild to moderate pain, fever","onset":"30-60 minutes","duration":"4-6 hours","notes":"No stimulant effect"},{"medicine":"Ibuprofen","uses":"Pain, fever, inflammation","onset":"30-60 minutes","duration":"4-6 hours","notes":"NSAID; GI and kidney risks"}]

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