Anecold Tablet: Complete 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
- 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 ctz plus syrup used for?
This medicine is a combination of cetirizine (an antihistamine) and paracetamol (a pain reliever and fever reducer). It is used to treat symptoms of allergies and the common cold, such as runny nose, sneezing, watery eyes, and mild fever. It works by blocking histamine and reducing pain and fever.
- Generic Name: Cetirizine + Paracetamol
- Manufacturer: Psychotropics India Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 ctz plus syrup के बारे में (Hindi Summary)
उपयोग: यह दवा एलर्जी और सर्दी-जुकाम के लक्षणों जैसे नाक बहना, छींक आना, आंखों में पानी आना, हल्का बुखार और शरीर दर्द में राहत देने के लिए इस्तेमाल की जाती है। इसमें सेटिरिज़िन और पैरासिटामोल दो दवाएं होती हैं। सेटिरिज़िन एलर्जी को कम करता है और पैरासिटामोल दर्द और बुखार को कम करता है।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में नींद आना, मुंह सूखना, थकान और हल्का पेट दर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सांस लेने में कठिनाई, या पीलिया जैसे लक्षण दिखने पर तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुद से ज्यादा मात्रा में न लें। दवा लेने के बाद नींद आ सकती है, इसलिए गाड़ी चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। अगर आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें।
💊 ctz plus syrup Uses & Benefits
[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy and watery eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief from runny nose, sneezing, and mild fever or body ache associated with the common cold.","evidence":"Well-established"},{"condition":"Urticaria","description":"Helps reduce itching and hives associated with allergic skin reactions.","evidence":"Well-established"},{"condition":"Allergic conjunctivitis","description":"Reduces itching, redness, and tearing of the eyes due to allergies.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Mild anxiety","description":"Sometimes used off-label for its sedative effects, but not recommended as a primary treatment.","evidence":"Limited"},{"condition":"Insomnia","description":"Occasionally used off-label for short-term sleep aid due to drowsiness, but not recommended.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis
Also treats: Common cold, Urticaria, Allergic conjunctivitis
📋 Drug Information
| Generic Name(s) | Cetirizine + Paracetamol |
| Brand Name | Alerid Cold Tablet |
| Manufacturer | Psychotropics India Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | Antihistamine + Analgesic/Antipyretic |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a cool, dry place. Protect from light and moisture. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| 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 complementary mechanisms. Cetirizine is a second-generation antihistamine that selectively antagonizes peripheral H1 receptors, reducing allergic symptoms by blocking histamine release. Paracetamol acts centrally to inhibit prostaglandin synthesis, thereby reducing pain and fever. The combination provides relief from both allergic and pain/fever symptoms.
Mechanism Steps
💡 How to Take ctz plus syrup
Strength: Tablet containing Cetirizine 2.5 mg and Paracetamol 125 mg.
Dosage Information
| Adult Dosage | The usual adult dose is 1 to 2 tablets taken orally every 4 to 6 hours as needed for symptoms, not to exceed 6 tablets in 24 hours. However, dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects, especially drowsiness. Use with caution and consult a doctor for appropriate dosing. |
| Renal Impairment | Dose adjustment may be required in patients with renal impairment. Consult a doctor for appropriate dosing. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose reduction may be necessary. Consult a doctor. |
| Maximum Daily Dose | The maximum daily dose should not exceed 6 tablets in 24 hours, providing a total of 750 mg paracetamol and 15 mg cetirizine. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of ctz plus syrup
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Alcohol | Major | |
| CNS depressants | Major | |
| Carbamazepine | Moderate | |
| Phenytoin | Moderate | |
| Rifampicin | Moderate | |
| Isoniazid | Moderate | |
| Antacids | Minor | |
| Cholestyramine | Minor | |
| Grapefruit juice | Minor |
🚨 Major Interactions
- Warfarin
- Alcohol
- Other antihistamines, sedatives, or CNS depressants
⚡ Moderate Interactions
- Carbamazepine, phenytoin, rifampicin
- Isoniazid
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine. Alcohol increases the risk of liver damage from paracetamol and enhances the drowsiness caused by cetirizine. It can also impair your ability to drive or operate machinery.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known hypersensitivity to cetirizine, paracetamol, or any component of the formulation","Severe hepatic impairment","Severe renal impairment (creatinine clearance
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol and other CNS depressants.","Do not exceed the recommended dose of paracetamol; overdose can cause severe liver damage.","Use with caution in patients with liver or kidney disease.","Consult a doctor if symptoms persist beyond 7 days or worsen.","Not recommended for children under 2 years without medical advice."]
🤱 Lactation Safety
Cetirizine and paracetamol are excreted in breast milk in small amounts. Consult your doctor before use during breastfeeding.
💊 Overdose Management
Overdose of this medicine can cause severe liver damage due to paracetamol. Symptoms of overdose may include nausea, vomiting, abdominal pain, and yellowing of skin or eyes. Seek immediate medical attention. Treatment may include administration of N-acetylcysteine as an antidote for paracetamol toxicity. Cetirizine overdose may cause drowsiness, agitation, or tachycardia; supportive care is recommended.
⏰ 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 the dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed 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 the risk of liver damage and enhance drowsiness. Inform your doctor if you have liver or kidney disease, or if you are pregnant or breastfeeding. Do not use this medicine for longer than recommended without consulting your doctor. Keep out of reach of children. Store in a cool, dry place away from direct sunlight.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness and confusion. Use with caution and consult a doctor for appropriate dosing.
🤰 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 increase the risk of dental issues. It may also interact with anesthetics.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise if you feel drowsy or fatigued. Light activities like walking are generally safe. Consult your doctor before starting any exercise routine while on this medicine.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also reduce your concentration, so take precautions at work.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if your symptoms persist beyond 7 days, worsen, 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 is not recommended without medical supervision. Prolonged use of paracetamol can increase the risk of liver damage, especially with alcohol. Cetirizine may cause tolerance or persistent drowsiness. Regular monitoring of liver and kidney function may be required if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps clear nasal congestion and allergens.
Evidence: Well-establishedCan relieve nasal congestion and soothe airways.
Evidence: ModerateReducing exposure to allergens can prevent symptoms.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are unwell 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 light and moisture. If traveling across time zones, continue your regular dosing schedule as prescribed. Check customs regulations for carrying medications.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 1 hour for allergic symptoms and within 30-60 minutes for fever and pain.
A: It can be taken with or without food, but taking it with food may reduce stomach upset.
A: It is intended for short-term use. Consult your doctor if you need it for more than 7 days.
A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Consult your doctor before combining with other medicines, as they may contain paracetamol or antihistamines, leading to overdose.
🤔 Common Patient Concerns
🔄 Substitutes for ctz plus syrup
View AllAlternative brands with exact same active ingredient:
-
sinact syrupPharmatech Healthcare ₹23.25 7% CHEAPER
-
megacold kid syrupAaron Pharmaceuticals Pvt Ltd ₹31.88 27.5% COSTLIER
-
kilcold cc syrupUniversal Micro Sciences ₹33.00 32% COSTLIER
-
lemohist-c syrupHiral Labs Ltd ₹33.00 32% COSTLIER
-
sinorin plus suspensionVega Laboratories Pvt Ltd ₹33.33 33.3% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can cure the common cold.
Fact: This medicine only relieves symptoms; it does not cure the underlying viral infection. - Myth: It is safe to take extra doses for faster relief.
Fact: Taking more than the recommended dose can cause serious liver damage from paracetamol. - Myth: It is non-drowsy.
Fact: Cetirizine can cause significant drowsiness in some people; avoid driving until you know how it affects you.
🔄 Alternative Options
Generic Alternatives
- Cetirizine + Paracetamol combination tablets from other manufacturers
Brand Alternatives
- Anecold Tablet