eltriz plus tablet - Levocetirizine (5mg) + Ambroxol (2.5mg) medicine

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

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🏭 Serin Formulations Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 23, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Evidence for the combination is limited; individual components have well-established evidence for their respective indications.
Reviewed by
SaathiMed Expert Panel | Oct 23, 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

  • Swelling of face, lips, or throat
  • Difficulty breathing or wheezing
  • Severe skin rash with blisters or peeling
  • Yellowing of eyes or skin
  • Dark urine or severe abdominal pain
  • Extreme drowsiness or confusion
  • Fast or irregular heartbeat

If experiencing severe symptoms, call emergency services immediately.

What is eltriz plus tablet used for?

This medicine is a combination of levocetirizine (an antihistamine) and ambroxol (a mucolytic) used to treat allergic symptoms with cough and mucus. It relieves sneezing, runny nose, and thins mucus to ease expectoration. It is taken orally, usually once or twice daily, as prescribed by a doctor.

  • Generic Name: Levocetirizine (5mg) + Ambroxol (2.5mg)
  • Manufacturer: Serin Formulations Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 eltriz plus tablet के बारे में (Hindi Summary)

उपयोग: यह दवा लेवोसेटिरिज़िन और एम्ब्रोक्सोल का संयोजन है। इसका उपयोग एलर्जी के लक्षणों जैसे छींक, नाक बहना, खुजली और गले में कफ जमने के कारण होने वाली खांसी के इलाज में किया जाता है। लेवोसेटिरिज़िन एलर्जी को कम करता है और एम्ब्रोक्सोल कफ को पतला करके बाहर निकालने में मदद करता है। यह दवा मुंह से ली जाती है और डॉक्टर के निर्देशानुसार दिन में एक या दो बार ली जा सकती है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, थकान, और हल्का पेट दर्द शामिल हैं। कुछ लोगों को चक्कर आना या सिरदर्द भी हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर 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 बताए अनुसार ही लें। अपनी मर्जी से मात्रा न बढ़ाएं या घटाएं। इस दवा के साथ शराब न लें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। अगर आपको किडनी या लीवर की समस्या है तो डॉक्टर को बताएं। गर्भवती या स्तनपान कराने वाली महिलाएं बिना डॉक्टर की सलाह के इस दवा का सेवन न करें। दवा को बच्चों की पहुंच से दूर रखें और कमरे के तापमान पर स्टोर करें।

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

💊 eltriz plus tablet Uses & Benefits

[{"condition":"Allergic rhinitis with productive cough","description":"This medicine helps relieve sneezing, runny nose, itching, and watery eyes while also thinning mucus to ease cough.","evidence":"Well-established for individual components; combination use is common in clinical practice."},{"condition":"Upper respiratory tract infections with allergic component","description":"Used to reduce allergic symptoms and help clear mucus in conditions like common cold with cough.","evidence":"Commonly prescribed, though evidence for combination is limited."},{"condition":"Chronic bronchitis with mucus hypersecretion","description":"Ambroxol helps in mucolysis, while levocetirizine may reduce associated allergic symptoms.","evidence":"Ambroxol is well-established as a mucolytic; levocetirizine is established for allergic symptoms."}]

Off-label uses: [{"condition":"Post-nasal drip","description":"Sometimes used to reduce post-nasal drip and associated cough, though not a labeled indication.","evidence":"Limited"},{"condition":"Sinusitis with allergic rhinitis","description":"May be used to alleviate allergic symptoms and thin mucus in sinusitis, but not a primary treatment.","evidence":"Limited"}]

Primary treatment for: Allergic rhinitis with productive cough

Also treats: Upper respiratory tract infections with allergic component, Chronic bronchitis with mucus hypersecretion

📋 Drug Information

Generic Name(s)Levocetirizine (5mg) + Ambroxol (2.5mg)
Brand Nameeltriz plus tablet
ManufacturerSerin Formulations Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from moisture and direct sunlight. 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 the chance of stomach upset.
2
Avoid driving or operating heavy machinery until you know how this medicine affects your alertness.
3
Do not consume alcohol while taking this medicine as it can increase drowsiness.
4
If you have kidney problems, inform your doctor because the dose may need adjustment.
5
Do not use this medicine for more than 7 days without consulting your doctor if symptoms persist.
6
Keep yourself well hydrated to help thin mucus and ease cough.
7
Report any unusual skin rash or swelling immediately to your doctor.

🔍 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
✅
Cough with thick mucus
Ambroxol helps thin mucus and ease expectoration.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
❌
Dry cough
This medicine is not effective for dry cough without mucus.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionLevocetirizine is rapidly and extensively absorbed after oral administration. Ambroxol is also well absorbed from the gastrointestinal tract. Food does not significantly affect the absorption of levocetirizine, but it may delay the absorption of ambroxol.
DistributionLevocetirizine distributes into body tissues, with a volume of distribution of approximately 0.4 L/kg. It does not extensively penetrate the central nervous system at therapeutic doses. Ambroxol distributes widely, including into lung tissue, which is important for its mucolytic action.
Protein BindingLevocetirizine is approximately 90% bound to plasma proteins. Ambroxol is about 90% bound to plasma proteins as well.
MetabolismLevocetirizine undergoes minimal hepatic metabolism; about 14% is metabolized. Ambroxol is metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4, to inactive metabolites.
Half-LifeThe elimination half-life of levocetirizine is approximately 6 to 8 hours in adults with normal renal function. The half-life of ambroxol is about 7 to 12 hours.
ExcretionLevocetirizine is primarily excreted unchanged in the urine (about 85% of the dose). Ambroxol and its metabolites are excreted mainly in the urine.
BioavailabilityThe oral bioavailability of levocetirizine is high, approximately 90% or more. Ambroxol has a bioavailability of about 70-80% due to first-pass metabolism.
Onset of ActionLevocetirizine begins to relieve allergic symptoms within 1 hour of oral administration. Ambroxol's mucolytic effect may take several hours to become noticeable.
Peak Plasma TimeLevocetirizine reaches peak plasma concentration in about 0.9 hours. Ambroxol peaks at around 1-2 hours after oral intake.
Duration of ActionThe antihistaminic effect of levocetirizine lasts for about 24 hours, allowing once-daily dosing. Ambroxol's mucolytic effect lasts for several hours, often requiring multiple daily doses.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Levocetirizine is the active enantiomer of cetirizine and acts as a selective peripheral H1-receptor antagonist. It binds to histamine H1 receptors, preventing histamine from triggering allergic responses such as vasodilation, increased vascular permeability, and sensory nerve stimulation. Ambroxol is a mucolytic agent that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance. It also has local anesthetic and antioxidant properties. Together, they address allergic symptoms and mucus congestion.

Mechanism Steps

1
Histamine H1 receptor blockade: Levocetirizine binds to H1 receptors on effector cells, preventing histamine from initiating allergic responses.
2
Reduction of allergic symptoms: This blockade reduces sneezing, nasal itching, rhinorrhea, and lacrimation.
3
Mucolytic action of ambroxol: Ambroxol increases serous secretion and breaks down acidic mucopolysaccharides, lowering mucus viscosity.
4
Enhanced mucociliary clearance: Thinner mucus is easier to expel, and ambroxol also stimulates ciliary movement, aiding clearance.

💡 How to Take eltriz plus tablet

Strength: Each tablet contains levocetirizine 5 mg and ambroxol 2.5 mg.

1Swallow the tablet whole with a glass of water.
2Take with or without food, but taking with food may reduce stomach upset.
3Do not crush, chew, or break the tablet unless advised by your doctor.
4Follow the prescribed schedule consistently.
5If 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, depending on the severity of symptoms and the prescribing doctor's judgment. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-adjust the dose. Take with or without food. If you have kidney or liver problems, your doctor may adjust the dose.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the sedative effects of levocetirizine. Dose adjustment may be necessary based on renal function. The dose must be individualized by a qualified clinician.
Renal ImpairmentIn patients with renal impairment, dose reduction is recommended. For creatinine clearance 30-50 mL/min, the dose may be reduced to one tablet once daily. For creatinine clearance 10-30 mL/min, one tablet every other day may be appropriate. For creatinine clearance <10 mL/min, use is not recommended. Dose must be individualized by a qualified clinician.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution and under medical supervision. Dose must be individualized by a qualified clinician.
Maximum Daily DoseThe maximum recommended daily dose is one tablet twice daily, but this should not be exceeded without medical advice. The maximum daily dose must be individualized by a qualified clinician.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset and may improve tolerability.
Grapefruit juice
Avoid large amounts
May increase ambroxol levels by inhibiting CYP3A4.

⏰ 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 eltriz plus tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you. If persistent, consult your doctor.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if severe.
Fatigue (Common (5-10%))
Get adequate rest. If it interferes with daily activities, talk to your doctor.
Nausea (Uncommon (1-5%))
Take with food to reduce nausea. If it persists, consult your doctor.
Headache (Uncommon (1-5%))
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 (SJS) or toxic epidermal necrolysis (TEN) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you develop skin rash, blisters, or peeling skin with fever.
Severe drowsiness or confusion (Rare (<0.1%))
Avoid driving or operating machinery. Contact your doctor if severe.

⚠️ Rare Side Effects

Palpitations
Report to your doctor if you experience irregular or fast heartbeat.
Hepatotoxicity
Seek medical attention if you notice yellowing of eyes or skin, dark urine, or severe abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Benzodiazepines Major
Opioids Major
Ritonavir Moderate
Theophylline Moderate
Anticholinergics Minor

🚨 Major Interactions

  • Alcohol
  • CNS depressants (e.g., benzodiazepines, opioids)

⚡ Moderate Interactions

  • Ritonavir
  • Theophylline

🍷 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. If you consume alcohol regularly, discuss it with your doctor before taking this medicine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to levocetirizine, ambroxol, or any component of the formulation","Severe renal impairment (creatinine clearance < 10 mL/min) without specialist supervision","Children under 6 years of age (safety and efficacy not established)","Pregnancy (first trimester for ambroxol; consult doctor)","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 renal impairment; dose adjustment may be needed.","Use with caution in patients with liver disease.","Do not exceed the recommended dose.","If symptoms persist or worsen after 7 days, consult your doctor.","Rare severe skin reactions have been reported with ambroxol; stop and seek medical help if rash occurs.","Elderly patients may be more sensitive to sedative effects.","Not recommended for children under 6 years without medical advice."]

🤱 Lactation Safety

Levocetirizine is excreted in breast milk in small amounts and may cause drowsiness in the infant. Ambroxol is also excreted in breast milk. This medicine should be used during breastfeeding only if the potential benefit justifies the potential risk to the infant. Consult your doctor.

💊 Overdose Management

Overdose of this medicine may cause increased drowsiness, dizziness, nausea, and in severe cases, agitation or seizures. 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 double the dose to catch up. If you are unsure, consult your doctor or pharmacist.

Additional Safety Advice

General Safety

Take this medicine exactly as prescribed by your doctor. Do not increase or decrease the dose without medical advice. Avoid alcohol and other central nervous system depressants while taking this medicine, as they can increase drowsiness. If you have kidney or liver problems, inform your doctor before taking this medicine, as dose adjustment may be needed. Do not use this medicine for longer than recommended without a follow-up evaluation. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before use. Keep this medicine out of reach of children. Store it at room temperature, away from moisture and direct sunlight. Do not use it after the expiry date. If you miss a dose, take it as soon as you remember, but skip it if it is almost time for the next dose. Never double the dose to catch up. If you experience any signs of an allergic reaction, stop the medicine and seek medical help immediately.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the sedative effects of levocetirizine and may experience increased drowsiness, confusion, or dizziness. Dose adjustment may be needed based on kidney function. Regular monitoring of renal function is advised. Falls risk may increase due to drowsiness; take precautions.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Levocetirizine is generally considered safe, but ambroxol should be avoided in the first trimester. Your doctor may recommend alternative treatments if needed.

🏥 Post-Surgery Considerations

After surgery, inform your surgeon and anesthesiologist about this medicine. It may interact with anesthetic agents and increase sedation. Your doctor may advise stopping it before surgery. Do not resume without medical advice.

🦷 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. Also, the sedative effect may interact with sedatives used in dental procedures. Your dentist may recommend adjusting the dose or timing.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce overall inflammation.
🥗
Regular low-impact exercise like walking or swimming can help improve respiratory health.
😴
Practice good posture to support lung function.
💧
Include anti-inflammatory foods like fruits, vegetables, and omega-3 rich fish in your diet.
🧘
Get adequate sleep to support immune function.
🌞
Avoid known allergens such as dust, pollen, and pet dander.
🚭
Use a humidifier if the air is dry to help soothe airways.

🏋️ Exercise Considerations

While taking this medicine, you may experience drowsiness or dizziness. Avoid strenuous exercise or activities that require full alertness until you know how the medicine affects you. If you feel dizzy or weak, stop exercising and rest. Consult your doctor before starting any new exercise regimen.

🥗 Diet Recommendations

Include omega-3 rich foods like flaxseeds, walnuts, and fatty fish.
Reduce intake of processed foods and added sugars.
Stay well hydrated by drinking plenty of water.
Consume warm fluids like soups and herbal teas to help soothe the throat and thin mucus.
Avoid known food allergens if you have food allergies.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness, which may affect your ability to drive, operate machinery, or perform tasks requiring mental alertness. It is advisable to avoid such activities until you know how the medicine affects you. If your work involves operating heavy equipment, inform your employer and doctor. The sedative effect may diminish after a few days of use.

🛑 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 such as severe rash, swelling, or difficulty breathing. 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 under medical supervision. Prolonged use of levocetirizine may lead to tolerance or increased sedation in some patients. Ambroxol is generally well-tolerated, but rare liver enzyme elevations have been reported. Regular monitoring of kidney and liver function may be advised, especially in patients with pre-existing conditions. Do not use for extended periods without a doctor's review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Can help relieve nasal congestion and allergic symptoms without medication.

Evidence: Well-established
Steam inhalation

Helps loosen mucus and ease cough.

Evidence: Commonly used, limited evidence
Allergen avoidance

Reducing exposure to allergens can decrease the need for medication.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled for vaccination, inform your doctor about all medicines you are taking. There is no need to stop this medicine before vaccination unless advised by your doctor.

📦 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 you are crossing time zones, adjust your dosing schedule gradually to avoid missing doses. Keep it in your carry-on luggage if flying. Check customs regulations for carrying prescription medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with seasonal allergic rhinitis and post-nasal drip cough
She was prescribed this medicine for her sneezing, runny nose, and cough with thick mucus. After taking it as directed for 5 days, her allergic symptoms improved significantly and her cough became more productive and easier to clear. She experienced mild drowsiness initially, which subsided after a few days.
💡 Lesson: Taking the medicine consistently and staying hydrated helped her recover faster. She avoided driving until she knew how the medicine affected her.
👤 A 60-year-old man with chronic bronchitis and allergic symptoms
He was given this medicine along with his regular inhalers. He noticed that his cough became less bothersome and mucus was easier to expel. However, he experienced dry mouth, which was managed by sipping water frequently. His doctor monitored his kidney function because he had mild renal impairment.
💡 Lesson: Elderly patients with kidney issues need dose adjustment and monitoring. Reporting side effects helps in timely management.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Levocetirizine starts relieving allergic symptoms within 1 hour, while ambroxol's mucolytic effect may take a few hours to become noticeable.

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.

Q: Is it safe to take during pregnancy?

A: Consult your doctor. Levocetirizine is generally considered safe when needed, but ambroxol is often avoided in the first trimester.

🤔 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?

🛑 Myths vs. Facts

  • Myth: This medicine is an antibiotic.
    Fact: This medicine is not an antibiotic. It contains an antihistamine and a mucolytic, which treat allergic symptoms and mucus, not bacterial infections.
  • Myth: It can be taken for any type of cough.
    Fact: It is specifically for cough associated with allergies and thick mucus. It is not effective for dry cough or cough due to other causes.
  • Myth: It is safe to take long-term without supervision.
    Fact: Long-term use should be monitored by a doctor, especially in patients with kidney or liver problems.

🔄 Alternative Options

Generic Alternatives

  • Levocetirizine + Ambroxol combination generics available

Brand Alternatives

  • Eltriz Plus Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Levocetirizine alone","difference":"Only treats allergic symptoms, no mucolytic action."},{"medicine":"Ambroxol alone","difference":"Only thins mucus, no antihistamine effect."},{"medicine":"This medicine","difference":"Combines both actions for allergic cough with mucus."}]

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