cuflift tablet - Ambroxol (60mg) + Levocetirizine (5mg) medicine

Alevict Plus Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Leeford Healthcare Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Moderate for combination use in cough and allergic rhinitis.
Reviewed by
SaathiMed Expert Panel | Sep 23, 2026

When to Call Your Doctor IMMEDIATELY

  • Difficulty breathing or swallowing
  • Swelling of face, lips, tongue, or throat
  • Severe rash or blistering skin
  • Irregular or fast heartbeat
  • Severe drowsiness or confusion
  • Blood in mucus or vomit
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is cuflift tablet used for?

This medicine is a combination of Ambroxol (a mucolytic) and Levocetirizine (an antihistamine) used to treat productive cough with thick mucus and allergic symptoms like sneezing and runny nose. It works by thinning mucus and blocking histamine.

  • Generic Name: Ambroxol + Levocetirizine
  • Manufacturer: Leeford Healthcare Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 cuflift tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एम्ब्रोक्सोल और लेवोसेटिरिज़िन का संयोजन है, जिसका उपयोग बलगम वाली खांसी और एलर्जी के लक्षणों जैसे छींक, नाक बहना और आंखों में पानी आना के इलाज के लिए किया जाता है। यह बलगम को पतला करके बाहर निकालने में मदद करती है और एलर्जी को कम करती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, थकान, जी मिचलाना और सिरदर्द शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यदि आपको चेहरे, होंठ या गले में सूजन, सांस लेने में कठिनाई, या त्वचा पर गंभीर दाने हों तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। इसके सेवन के दौरान वाहन चलाने या मशीनरी चलाने से बचें क्योंकि इससे नींद आ सकती है। शराब का सेवन न करें। यदि आप गर्भवती हैं, स्तनपान करा रही हैं, या आपको किडनी या लीवर की समस्या है तो डॉक्टर को बताएं। 7 दिनों तक लक्षणों में सुधार न होने पर डॉक्टर से संपर्क करें।

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

💊 cuflift tablet Uses & Benefits

[{"condition":"Productive cough with thick mucus","description":"Helps thin and loosen mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Allergic rhinitis with cough","description":"Reduces allergic symptoms such as sneezing, runny nose, and itchy eyes while also relieving cough associated with postnasal drip.","evidence":"Well-established"},{"condition":"Acute bronchitis","description":"Provides symptomatic relief by reducing mucus viscosity and alleviating allergic components.","evidence":"Moderate"},{"condition":"Chronic bronchitis","description":"May help in managing chronic mucus hypersecretion and associated allergic symptoms.","evidence":"Moderate"}]

Off-label uses: [{"condition":"Sinusitis","description":"Sometimes used to relieve sinus congestion and postnasal drip due to its mucolytic and antihistamine effects.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally prescribed to help clear middle ear fluid, though evidence is limited.","evidence":"Limited"}]

Primary treatment for: Productive cough with allergic rhinitis

Also treats: Acute bronchitis, Chronic bronchitis, Allergic rhinitis, Sinusitis

📋 Drug Information

Generic Name(s)Ambroxol + Levocetirizine
Brand NameAlerfix Total Tablet SR
ManufacturerLeeford Healthcare Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassMucolytic + Antihistamine
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container.
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 this medicine affects you.
3
Do not consume alcohol while taking this medicine.
4
Stay well hydrated to help thin mucus.
5
Do not use this medicine for dry cough or for more than 7 days without medical advice.
6
Consult your doctor if you have kidney or liver problems before taking this medicine.
7
Report any unusual drowsiness, palpitations, or allergic reactions immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

Productive cough with thick mucus
This medicine is commonly prescribed for this.
Likely Use
Sneezing and runny nose
This medicine helps relieve allergic symptoms.
Likely Use
Dry cough
This medicine is not effective for dry cough.
Not Primary
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionAmbroxol is rapidly absorbed from the gastrointestinal tract after oral administration. Levocetirizine is also rapidly and extensively absorbed. Food does not significantly affect the absorption of either component.
DistributionAmbroxol distributes widely into body tissues, including lung tissue, and crosses the blood-brain barrier to some extent. Levocetirizine distributes into body tissues, with a volume of distribution of approximately 0.4 L/kg.
Protein BindingAmbroxol is approximately 90% bound to plasma proteins. Levocetirizine is about 90% bound to plasma proteins.
MetabolismAmbroxol is metabolized in the liver primarily by conjugation, forming inactive metabolites such as dibromanthranilic acid. Levocetirizine undergoes minimal metabolism, with about 14% metabolized in the liver.
Half-LifeThe elimination half-life of Ambroxol is approximately 7 to 12 hours. The elimination half-life of Levocetirizine is approximately 6 to 8 hours in adults with normal renal function.
ExcretionAmbroxol and its metabolites are excreted primarily in the urine. Levocetirizine is excreted mainly unchanged in the urine, with about 85% of the dose recovered in urine.
BioavailabilityThe oral bioavailability of Ambroxol is approximately 70-80% due to first-pass metabolism. Levocetirizine has a high oral bioavailability of approximately 100%.
Onset of ActionThe onset of action for Ambroxol's mucolytic effect is typically within 30 to 60 minutes. Levocetirizine begins to relieve allergic symptoms within 1 hour.
Peak Plasma TimeAmbroxol reaches peak plasma concentrations about 1 to 3 hours after oral administration. Levocetirizine reaches peak plasma concentrations about 0.9 hours after oral administration.
Duration of ActionThe mucolytic effect of Ambroxol lasts approximately 6 to 8 hours. The antihistamine effect of Levocetirizine lasts about 24 hours, allowing for once-daily dosing.

How It Works

This medicine combines two active ingredients with complementary mechanisms. Ambroxol is a mucolytic agent that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance, thereby facilitating the expulsion of mucus from the respiratory tract. It also has local anesthetic and antioxidant properties. Levocetirizine is a selective histamine H1-receptor antagonist that blocks histamine binding to H1 receptors, reducing allergic inflammatory responses such as sneezing, rhinorrhea, and lacrimation. Together, they address both mucus retention and allergic inflammation in the airways.

Mechanism Steps

1
Ambroxol increases serous secretion: Ambroxol stimulates serous cells in the respiratory tract to produce more watery secretions, which helps thin thick mucus.
2
Reduction of mucus viscosity: By altering mucus composition, Ambroxol reduces its stickiness and makes it easier to expel.
3
Enhanced ciliary clearance: Ambroxol improves the beating of cilia, the tiny hair-like structures that move mucus out of the airways.
4
Levocetirizine blocks H1 receptors: Levocetirizine competitively antagonizes histamine at H1 receptors, preventing histamine-mediated allergic responses.
5
Reduced allergic inflammation: By blocking histamine, Levocetirizine decreases sneezing, runny nose, and itchy, watery eyes, which often accompany cough.

💡 How to Take cuflift tablet

Strength: Each immediate-release tablet contains Ambroxol 60 mg and Levocetirizine 5 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food to reduce stomach upset.
4Take at the same time each day to maintain consistent levels.
5Do not take more than the prescribed dose.
6If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally once or twice daily, as prescribed by your doctor. The exact dose and duration depend on the condition being treated, your age, weight, kidney and liver function, and response to therapy. 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 of this medicine, especially drowsiness and anticholinergic effects. Dose adjustment may be necessary based on renal function. Use with caution and monitor closely.
Renal ImpairmentIn patients with renal impairment, dose adjustment is required. For Levocetirizine, the dose should be reduced in moderate to severe renal impairment. Consult your doctor for specific dosing recommendations based on creatinine clearance.
Hepatic ImpairmentIn patients with severe hepatic impairment, dose adjustment may be necessary. Use with caution and monitor for side effects.
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.
Alcohol
Avoid
Increases drowsiness and impairs psychomotor performance.

⏰ 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 cuflift tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugarless gum. Consult doctor if persistent.
Fatigue (Common (5-10%))
Get adequate rest. If severe, consult your doctor.
Nausea (Common (5-10%))
Take with food to reduce stomach upset. If persistent, consult doctor.
Headache (Common (5-10%))
Usually resolves on its own. Consult doctor if severe or persistent.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience swelling of face, lips, throat, difficulty breathing, or severe rash.
Stevens-Johnson syndrome (Very rare (<0.01%))
Seek immediate medical attention if you develop painful red or purple rash that spreads, blisters, or peeling skin.
Palpitations (Rare (<0.1%))
Consult your doctor if you experience fast or irregular heartbeat.
Urinary retention (Rare (<0.1%))
Consult your doctor if you have difficulty urinating.

⚠️ Rare Side Effects

Tremors
Consult your doctor if you experience involuntary shaking.
Seizures
Seek immediate medical attention.
Blood dyscrasias
Consult doctor if you notice unusual bleeding, bruising, or signs of infection.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Benzodiazepines Major
Opioids Major
MAO inhibitors Major
Tricyclic antidepressants Moderate
Ritonavir Moderate
Ketoconazole Minor
Theophylline Minor

🚨 Major Interactions

  • CNS depressants (e.g., alcohol, benzodiazepines, opioids)
  • MAO inhibitors

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)
  • Ritonavir

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can enhance the sedative effects of Levocetirizine, leading to increased drowsiness, dizziness, and impaired coordination. This can affect your ability to drive or operate machinery and may increase the risk of accidents.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to Ambroxol, Levocetirizine, or any component of the formulation","Severe renal impairment (creatinine clearance < 10 mL/min)","Children under 12 years of age (safety and efficacy not established)","Pregnancy (especially first trimester) unless clearly needed","Breastfeeding without medical advice"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Avoid alcohol and other CNS depressants.","Use with caution in patients with kidney or liver disease.","Not recommended for children under 12 years.","Do not use for dry cough or cough without mucus.","Consult doctor if symptoms persist beyond 7 days or worsen.","May cause anticholinergic effects; use with caution in patients with glaucoma, urinary retention, or prostatic hyperplasia.","Do not exceed the recommended dose."]

🤱 Lactation Safety

Levocetirizine is excreted in breast milk. Ambroxol is also likely to pass into breast milk. This medicine should be used during breastfeeding only if the potential benefit justifies the potential risk to the infant. Consult your doctor before use.

💊 Overdose Management

Overdose of this medicine may cause severe drowsiness, agitation, confusion, tachycardia, and gastrointestinal symptoms. If you suspect an overdose, seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote. Gastric lavage may be considered if ingestion is recent. Monitor vital signs and provide supportive care.

⏰ 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

Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Avoid driving or operating heavy machinery until you know how this medicine affects you, as it may cause drowsiness. Do not consume alcohol while taking this medicine, as it can increase drowsiness and impair your ability to perform tasks. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. This medicine may interact with other medications, including sedatives, antidepressants, and certain antibiotics, so always provide a complete list of medicines you are taking. If you have kidney or liver problems, your doctor may need to adjust your dose or monitor you more closely. Do not use this medicine for a dry cough or for a cough that produces no mucus. If your symptoms do not improve within 7 days or worsen, consult your doctor. Keep this medicine out of reach of children and store it in its original packaging at room temperature.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the side effects of this medicine, especially drowsiness, dry mouth, and urinary retention. Dose adjustment may be needed based on kidney function. Use with caution and monitor closely.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this medicine during pregnancy is not well established, and it should be used only if clearly needed.

🏥 Post-Surgery Considerations

If you have recently undergone surgery, consult your doctor before taking this medicine. It may interact with anesthetics or other medications used during surgery. Also, drowsiness may affect your recovery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may cause dry mouth, which can affect dental health, and drowsiness may interfere with your ability to undergo certain procedures.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus and ease coughing.
🥗
Use a humidifier to add moisture to the air, which can soothe airways.
😴
Avoid exposure to allergens such as dust, pollen, and pet dander.
💧
Get plenty of rest to support your immune system.
🧘
Practice good hand hygiene to prevent infections.
🌞
Avoid smoking and secondhand smoke.

🏋️ Exercise Considerations

While taking this medicine, you may experience drowsiness or dizziness. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. Light exercise like walking may be beneficial, but listen to your body and rest if you feel tired.

🥗 Diet Recommendations

Include warm fluids like soups and herbal teas to soothe your throat.
Avoid cold and sugary drinks that can irritate your throat.
Eat a balanced diet rich in fruits and vegetables to support immunity.
Avoid spicy and oily foods that may worsen cough.
Stay hydrated by drinking plenty of water throughout the day.

💼 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 the medicine affects you. It is advisable to take it when you do not need to be alert, such as at bedtime, if prescribed once daily. 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 severe side effects. Do not stop abruptly if you have been taking it for a long time without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine should be monitored by a doctor. Prolonged use of Levocetirizine may lead to tolerance or rebound symptoms if stopped abruptly. Ambroxol is generally well tolerated, but long-term effects are not well studied. Regular monitoring of kidney and liver function may be advised. Do not use for extended periods without medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and relieve congestion.

Evidence: Well-established
Saline nasal irrigation

Can help clear nasal passages and reduce postnasal drip.

Evidence: Well-established
Allergen avoidance

Reducing exposure to allergens can decrease allergic symptoms.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

There are no known interactions between this medicine and vaccines. However, if you are scheduled for vaccination, inform your healthcare provider that you are 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

When traveling, carry this medicine in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or moisture. If crossing time zones, adjust the timing of doses gradually to maintain a consistent schedule. Check local customs regulations regarding prescription medications before you travel.

💰 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 with food, she noticed significant relief in her cough and sneezing within 3 days. She experienced mild drowsiness initially, which subsided after a few days. She was advised to avoid driving until she knew how the medicine affected her.
💡 Lesson: Taking the medicine with food and following safety precautions helps manage side effects and improves outcomes.
👤 A 50-year-old man with chronic bronchitis
He started this medicine for his chronic cough with thick mucus. He found that his cough became more productive and easier to clear. He was advised to drink plenty of water and avoid alcohol. His symptoms improved over a week, and he was able to resume his daily activities.
💡 Lesson: Hydration and avoiding alcohol enhance the effectiveness of this medicine and reduce side effects.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 1 hour, but you may notice significant relief in cough and allergic symptoms within 2-3 days of regular use.

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

A: Consult your doctor before combining with other cold medicines, as they may contain overlapping ingredients or interact with this medicine.

Q: Is it safe to take during pregnancy?

A: The safety of this medicine during pregnancy is not well established. Consult your doctor before taking it if you are pregnant or planning to become pregnant.

🤔 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 cuflift 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 an antibiotic.
    Fact: This medicine is not an antibiotic. It is a combination of a mucolytic and an antihistamine.
  • Myth: It can cure any type of cough.
    Fact: It is only effective for productive cough with mucus and allergic symptoms. It is not for dry cough.
  • Myth: It is safe to take long-term without doctor supervision.
    Fact: Long-term use should be monitored by a doctor due to potential side effects and the need for dose adjustment in kidney or liver disease.

🔄 Alternative Options

Generic Alternatives

  • Ambroxol + Levocetirizine combination generics

Brand Alternatives

  • Alevect Plus
  • Ambrodil-L
  • Mucolite-L
  • Cetzine-AL

📊 Comparison with Similar Medicines

[{"medicine":"Ambroxol + Levocetirizine","composition":"Ambroxol 60mg + Levocetirizine 5mg","uses":"Productive cough with allergic rhinitis","sedation":"Moderate"},{"medicine":"Ambroxol + Cetirizine","composition":"Ambroxol 60mg + Cetirizine 10mg","uses":"Productive cough with allergic rhinitis","sedation":"Higher"},{"medicine":"Levocetirizine + Montelukast","composition":"Levocetirizine 5mg + Montelukast 10mg","uses":"Allergic rhinitis, asthma","sedation":"Low"}]

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