Fludecon Plus Suspension - Paracetamol (250mg) + Phenylpropanolamine (12.5mg) medicine

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🏭 Esquire Drug House 📦 bottle of 60 ml Suspension 💊 Allopathy 📅 Updated: Oct 27, 2026
⚠️ Hepatotoxicity Risk ⚠️ Nephrotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Limited; use is restricted in many countries due to safety concerns.
Reviewed by
SaathiMed Expert Panel | Oct 27, 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

  • Sudden severe headache, confusion, or weakness on one side of the body
  • Chest pain, shortness of breath, or irregular heartbeat
  • Severe allergic reaction: rash, itching, swelling of face, lips, or throat, difficulty breathing
  • Yellowing of skin or eyes, dark urine, or severe abdominal pain
  • Blood in vomit or stool, or unusual bruising or bleeding
  • Decreased urine output or swelling in legs or feet
  • High fever that does not improve within 3 days

If experiencing severe symptoms, call emergency services immediately.

What is Fludecon Plus Suspension used for?

This medicine is a combination of paracetamol and phenylpropanolamine used for short-term relief of nasal congestion, fever, and pain associated with colds or allergies. However, due to safety concerns, it is not recommended for routine use and may be unavailable in many countries.

  • Generic Name: Paracetamol (250mg) + Phenylpropanolamine (12.5mg)
  • Manufacturer: Esquire Drug House
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Fludecon Plus Suspension के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और फेनिलप्रोपेनॉलामाइन का संयोजन है, जिसका उपयोग सर्दी, एलर्जी या साइनस के कारण होने वाली नाक की भीड़, बुखार और दर्द से राहत के लिए किया जाता है। यह नाक की भीड़ को कम करने और शरीर के तापमान को नियंत्रित करने में मदद करती है। हालांकि, उच्च रक्तचाप, हृदय रोग या मोनोएमीन ऑक्सीडेज इनहिबिटर लेने वाले लोगों को इसका सेवन नहीं करना चाहिए। इस दवा का उपयोग केवल डॉक्टर की सलाह पर ही करें और लंबे समय तक न लें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, पेट में परेशानी, मुंह सूखना, बेचैनी, चक्कर आना और हृदय गति में वृद्धि शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें गंभीर एलर्जी प्रतिक्रिया, रक्तस्रावी स्ट्रोक, यकृत की क्षति और उच्च रक्तचाप का खतरा शामिल है। यदि आपको सीने में दर्द, सांस लेने में कठिनाई, गंभीर सिरदर्द या त्वचा का पीला पड़ना जैसे लक्षण दिखाई दें, तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा का सेवन करते समय सावधानी बरतें। निर्धारित खुराक से अधिक न लें। उच्च रक्तचाप, हृदय रोग या मोनोएमीन ऑक्सीडेज इनहिबिटर लेने वाले लोगों को इसका सेवन नहीं करना चाहिए। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें। शराब का सेवन न करें। अन्य दवाओं के साथ लेने से पहले डॉक्टर या फार्मासिस्ट से परामर्श करें। बच्चों की पहुंच से दूर रखें। दवा को कमरे के तापमान पर सूखी जगह पर रखें।

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

💊 Fludecon Plus Suspension Uses & Benefits

[{"condition":"Common cold with nasal congestion and fever","description":"Provides temporary relief of nasal stuffiness and reduces fever and mild pain associated with the common cold.","evidence":"Well-established for short-term symptomatic relief"},{"condition":"Allergic rhinitis with congestion","description":"Helps relieve nasal congestion and associated headache or sinus pain in allergic rhinitis.","evidence":"Limited to short-term use"},{"condition":"Sinusitis with pain and congestion","description":"May alleviate sinus pressure and pain while reducing mucosal inflammation" class="semantic-link" title="Medicines for swelling">swelling.","evidence":"Supportive care, not a cure"}]

Off-label uses: []

Primary treatment for: Common cold and allergic rhinitis with nasal congestion and fever

Also treats: Sinusitis, Upper respiratory tract infections

📋 Drug Information

Generic Name(s)Paracetamol (250mg) + Phenylpropanolamine (12.5mg)
Brand NameFludecon Plus Suspension
ManufacturerEsquire Drug House
Packaging / Formbottle of 60 ml Suspension (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Do not freeze. Keep the bottle tightly closed.
Shelf Life24 months from the date of manufacture, unless otherwise 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 shake the suspension well before measuring the dose to ensure uniform drug distribution.
2
Use a proper measuring device; household spoons are not accurate and can lead to under- or over-dosing.
3
Do not use this medicine for more than 5-7 days without consulting a doctor.
4
Check other medications for paracetamol content to avoid accidental overdose.
5
Avoid driving or operating heavy machinery until you know how this medicine affects you.
6
Monitor your blood pressure if you have hypertension, as phenylpropanolamine can raise it.
7
Keep a record of when you take the medicine to avoid missing or doubling doses.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nasal congestion
This medicine is commonly used for short-term relief of nasal congestion.
Likely Use
✅
Fever
Paracetamol in this medicine helps reduce fever.
Likely Use
✅
Headache
Paracetamol provides mild pain relief.
Likely Use
❌
Sore throat
This medicine is not primarily indicated for sore throat.
Not Primary
❌
Cough
This medicine does not contain a cough suppressant or expectorant.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. Phenylpropanolamine is also absorbed from the gastrointestinal tract, but its bioavailability may be affected by food. The suspension formulation may provide a faster onset of action compared to solid dosage forms due to quicker dissolution.
DistributionParacetamol distributes widely into most body tissues, with a volume of distribution of approximately 0.9 L/kg. It crosses the placenta and is excreted in breast milk. Phenylpropanolamine also distributes into body tissues, but specific distribution data are limited.
Protein BindingParacetamol is minimally bound to plasma proteins (about 10-25%). Phenylpropanolamine binding to plasma proteins is not well established.
MetabolismParacetamol is primarily metabolized in the liver via glucuronidation and sulfation, with a small fraction metabolized by cytochrome P450 2E1 to a toxic intermediate, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified by glutathione. Phenylpropanolamine undergoes limited metabolism, mainly by monoamine oxidase and catechol-O-methyltransferase, but a significant portion is excreted unchanged.
Half-LifeParacetamol: 2-3 hours in adults with normal liver function. Phenylpropanolamine: approximately 3-4 hours.
ExcretionParacetamol is excreted in the urine mainly as glucuronide and sulfate conjugates. Phenylpropanolamine is excreted primarily unchanged in the urine, with about 80-90% of a dose recovered in urine within 24 hours.
BioavailabilityParacetamol: approximately 80-100% after oral administration. Phenylpropanolamine: approximately 40-60% due to first-pass metabolism.
Onset of ActionParacetamol: 30-60 minutes for fever and pain relief. Phenylpropanolamine: 15-30 minutes for nasal decongestion.
Peak Plasma TimeParacetamol: 0.5-2 hours. Phenylpropanolamine: 1-2 hours.
Duration of ActionParacetamol: 4-6 hours. Phenylpropanolamine: 4-6 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Paracetamol acts primarily in the central nervous system to reduce fever and pain by inhibiting prostaglandin synthesis, although its exact mechanism is not fully understood. Phenylpropanolamine is a sympathomimetic amine that directly and indirectly stimulates alpha-adrenergic receptors, causing vasoconstriction in the nasal mucosa, which reduces swelling and congestion. It also has some beta-adrenergic activity that can increase heart rate and blood pressure.

Mechanism Steps

1
Paracetamol central action: Paracetamol is thought to inhibit prostaglandin synthesis in the central nervous system, which reduces fever and pain perception.
2
Phenylpropanolamine alpha-adrenergic stimulation: Phenylpropanolamine binds to alpha-adrenergic receptors on nasal blood vessels, causing them to constrict.
3
Reduced nasal congestion: Vasoconstriction decreases blood flow and fluid leakage into the nasal mucosa, relieving stuffiness.
4
Additional sympathomimetic effects: Phenylpropanolamine can also stimulate beta-adrenergic receptors, leading to increased heart rate and blood pressure, and may cause central nervous system stimulation.

💡 How to Take Fludecon Plus Suspension

Strength: Each 5 mL of suspension contains Paracetamol 250 mg and Phenylpropanolamine 12.5 mg.

1Shake the bottle well before each use to ensure the medicine is evenly mixed.
2Use a calibrated measuring cup or oral syringe to measure the prescribed dose accurately.
3Take the medicine orally, with or without food. If it upsets your stomach, take it with a meal or snack.
4Swallow the suspension directly; do not chew or crush.
5Follow the dosage schedule prescribed by your doctor. Do not take more or less than recommended.
6After use, close the bottle tightly and store as directed.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 10-20 mL (providing 250-500 mg paracetamol and 12.5-25 mg phenylpropanolamine) every 4-6 hours as needed, not to exceed 4 doses in 24 hours. However, the exact dose must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and other medications being taken. Do not self-medicate; follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing in children.
Elderly DosageElderly patients may be more sensitive to the cardiovascular and central nervous system effects of phenylpropanolamine. Use with caution and lower doses may be appropriate. Consult a doctor for individualized dosing.
Renal ImpairmentIn patients with renal impairment, the dose may need to be reduced or the dosing interval extended. Consult a doctor for guidance.
Hepatic ImpairmentIn patients with hepatic impairment, paracetamol should be used with caution and at reduced doses. Consult a doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose should not exceed 4 doses of the recommended adult dose in 24 hours. For paracetamol, the maximum daily dose is generally 4000 mg from all sources. For phenylpropanolamine, the maximum daily dose is typically 150 mg. Always follow your doctor's prescription.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals or snacks
Reduces stomach upset and nausea.
Caffeine
Limit
May increase nervousness and insomnia.
Alcohol
Avoid
Increases risk of liver damage and drowsiness.

⏰ 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 Fludecon Plus Suspension

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food or milk to reduce stomach upset. If nausea persists, consult your doctor.
Dry mouth (Common (up to 10%))
Sip water frequently or chew sugarless gum. This usually resolves on its own.
Nervousness or restlessness (Common (5-10%))
Avoid caffeine and get adequate rest. If symptoms are bothersome, consult your doctor.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how this medicine affects you. Rise slowly from sitting or lying positions.
Increased heart rate (Uncommon (1-5%))
Monitor your pulse. If you have heart disease or notice persistent palpitations, contact your doctor.

🚨 Serious Side Effects

Hemorrhagic stroke (Rare (<0.1%))
Seek immediate medical attention if you experience sudden severe headache, confusion, weakness on one side, or difficulty speaking.
Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Call emergency services if you develop rash, itching, swelling of face, lips, or throat, or difficulty breathing.
Liver damage (paracetamol overdose) (Rare with recommended doses)
Seek immediate medical help if you accidentally take too much or experience yellowing of skin or eyes, dark urine, or severe abdominal pain.
Severe hypertension (Rare)
If you have high blood pressure, monitor it regularly. Seek medical attention if you experience severe headache, chest pain, or shortness of breath.

⚠️ Rare Side Effects

Blood disorders (e.g., thrombocytopenia, leukopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor.
Kidney damage
Maintain adequate hydration and report decreased urine output or swelling.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Warfarin Major
Other sympathomimetics Major
Beta-blockers Moderate
Tricyclic antidepressants Moderate
Digoxin Moderate
Caffeine Minor
Antacids Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Other sympathomimetics (e.g., pseudoephedrine, phenylephrine)
  • Warfarin

⚡ Moderate Interactions

  • Beta-blockers
  • Tricyclic antidepressants
  • Digoxin

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase the risk of liver damage from paracetamol and may worsen drowsiness or dizziness caused by phenylpropanolamine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to paracetamol, phenylpropanolamine, or any component of the formulation","Concurrent use or recent use (within 14 days) of monoamine oxidase inhibitors","Uncontrolled hypertension","Severe coronary artery disease","Hyperthyroidism","Closed-angle glaucoma","Urinary retention","Pregnancy (especially first trimester) and breastfeeding"]

⚠️ Warnings & Precautions

["Use with caution in patients with cardiovascular disease, hypertension, or diabetes.","Avoid in patients with a history of stroke or transient ischemic attack.","Do not exceed recommended dose of paracetamol; risk of liver damage.","May cause drowsiness or dizziness; avoid driving or operating machinery until effects are known.","Do not use for more than 5-7 days without consulting a doctor.","Check other medications for paracetamol content to avoid overdose.","Use with caution in elderly patients and those with renal or hepatic impairment."]

🤱 Lactation Safety

Paracetamol is excreted in breast milk in small amounts and is generally considered safe. Phenylpropanolamine may also pass into breast milk and could cause stimulation or other effects in the nursing infant. It is best to avoid this medicine while breastfeeding unless specifically advised by your doctor.

💊 Overdose Management

Overdose of this medicine can cause severe liver damage due to paracetamol and hypertensive crisis due to phenylpropanolamine. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, N-acetylcysteine for paracetamol toxicity, and supportive care for cardiovascular effects. Monitor liver function, blood pressure, and heart rhythm.

⏰ 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

General Safety

Always follow the dosage instructions provided by your doctor or pharmacist. Do not exceed the recommended dose or duration of treatment. Avoid using this medicine if you have uncontrolled high blood pressure, heart disease, or are taking monoamine oxidase inhibitors. Do not consume alcohol while taking this medicine, as it can increase the risk of liver damage and drowsiness. Check the labels of other medications you are taking to ensure they do not contain paracetamol or phenylpropanolamine to avoid accidental overdose. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children. Store at room temperature away from direct sunlight and moisture. Do not use if the suspension appears discolored or has particles. If symptoms persist for more than a few days or worsen, stop the medicine and consult a healthcare professional.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the cardiovascular and central nervous system effects of phenylpropanolamine. They may experience increased blood pressure, dizziness, and confusion. Lower doses may be appropriate, and blood pressure should be monitored regularly. Paracetamol should be used with caution due to potential liver and kidney impairment with age.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. Phenylpropanolamine is not recommended during pregnancy due to potential risks to the fetus. Paracetamol is generally considered safe but should be used at the lowest effective dose for the shortest duration. Discuss alternative treatments for cold symptoms with your healthcare provider.

🏥 Post-Surgery Considerations

After surgery, consult your doctor before using this medicine. Phenylpropanolamine can increase blood pressure and heart rate, which may be undesirable during recovery. Paracetamol may be used for pain relief if approved by your surgeon, but always follow their instructions.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. Phenylpropanolamine can interact with local anesthetics containing epinephrine, potentially causing increased heart rate and blood pressure. Your dentist may recommend adjusting your medication or using an alternative anesthetic.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated by drinking plenty of fluids.
🥗
Get adequate rest to help your body recover from illness.
😴
Use a humidifier or steam inhalation to ease nasal congestion.
💧
Avoid exposure to allergens and irritants like smoke and dust.
🧘
Maintain a healthy diet rich in fruits and vegetables to support immune function.
🌞
Practice good hand hygiene to prevent the spread of infections.

🏋️ Exercise Considerations

This medicine may cause dizziness or drowsiness. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. If you experience palpitations or shortness of breath during exercise, stop and consult your doctor.

🥗 Diet Recommendations

Drink warm fluids like soups and herbal teas to soothe the throat and loosen mucus.
Include vitamin C-rich foods such as oranges, lemons, and bell peppers.
Avoid caffeine and alcohol, which can worsen side effects.
Eat light, easily digestible meals if you have a reduced appetite.
Limit sugary and processed foods that can suppress immune function.

💼 Impact on Daily Work & Life

This medicine can cause dizziness, drowsiness, or nervousness, which may affect your ability to drive or operate machinery. It is advisable to avoid these activities until you know how the medicine affects you. If your job requires mental alertness, discuss with your doctor about timing doses or alternative treatments.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 5-7 days, if they worsen, or if you experience any serious side effects such as severe headache, chest pain, difficulty breathing, or signs of an allergic reaction. Do not stop abruptly if you have been taking it for a prolonged period without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended. Prolonged use of paracetamol can increase the risk of liver damage, especially with high doses or alcohol consumption. Phenylpropanolamine may cause persistent elevation in blood pressure and increased risk of cardiovascular events, including stroke. Regular monitoring of liver and kidney function, as well as blood pressure, is advised if extended use is unavoidable. Consult your doctor for alternative treatments if symptoms persist.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Using saline sprays or rinses can help relieve nasal congestion without medication.

Evidence: Well-established for mild congestion
Steam inhalation

Inhaling steam from a bowl of hot water can temporarily ease nasal stuffiness.

Evidence: Commonly used, limited clinical evidence
Rest and hydration

Adequate rest and fluids support the body's natural recovery from colds.

Evidence: Well-established supportive care

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you are scheduled to receive a vaccine, inform your healthcare provider about all medications you are taking. There is no need to delay vaccination due to this medicine unless you have a fever, in which case vaccination may be postponed until you recover.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container with cap tightly closed

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight and moisture

❌ DON'T

Do not store in bathroom cabinet

✅ DO

Keep out of reach of children

❌ DON'T

Do not use after expiry date

✈️ Traveling with This Medicine

When traveling with this medicine, carry it in its original packaging with the prescription label intact. Bring a copy of your prescription in case you need to show it at customs or security. Store it in your carry-on luggage to avoid extreme temperatures in checked baggage. If crossing time zones, adjust dosing times gradually to maintain consistent intervals. Check local regulations, as phenylpropanolamine may be restricted or banned in some countries. Keep the bottle tightly closed and away from direct sunlight.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with common cold and nasal congestion
She took this medicine as prescribed for 3 days. Her congestion and fever improved, but she experienced mild dizziness and dry mouth. She stopped driving until the symptoms resolved and felt better after completing the course.
💡 Lesson: This medicine can cause dizziness; avoid driving until you know its effects. Short-term use is recommended.
👤 A 50-year-old man with a history of hypertension
He took this medicine for a cold without consulting his doctor. His blood pressure spiked, and he experienced a severe headache. He was taken to the emergency room and advised to avoid phenylpropanolamine-containing products.
💡 Lesson: People with high blood pressure should avoid this medicine unless specifically approved by their doctor.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Paracetamol starts relieving fever and pain within 30-60 minutes, while phenylpropanolamine begins to decongest the nose within 15-30 minutes.

Q: How long can I take this medicine?

A: This medicine is intended for short-term use only, typically not more than 5-7 days. Prolonged use should be avoided unless directed by a doctor.

Q: Is this medicine safe for children?

A: Pediatric dosing is not established from available information. Consult a pediatrician for appropriate use in children.

Q: Can I take this medicine if I have high blood pressure?

A: No, you should avoid this medicine if you have uncontrolled high blood pressure, as phenylpropanolamine can raise blood pressure further.

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 the dose.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I take this medicine long-term?
  • Will it affect my blood pressure?
  • 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?
  • Is it safe for children?
  • Can I take it with other cold medicines?

🔄 Substitutes for Fludecon Plus Suspension

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 safe for everyone.
    Fact: It is not safe for people with high blood pressure, heart disease, or those taking MAOIs. It also carries a risk of stroke.
  • Myth: More is better for faster relief.
    Fact: Taking more than the recommended dose can cause serious harm, including liver damage and hypertensive crisis.

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Paracetamol + Phenylpropanolamine","primary_use":"Cold symptoms with congestion and fever","notes":"Phenylpropanolamine restricted in many countries."},{"medicine":"Paracetamol + Pseudoephedrine","active_ingredients":"Paracetamol + Pseudoephedrine","primary_use":"Cold symptoms with congestion and fever","notes":"Pseudoephedrine may cause less risk of stroke but can cause insomnia."},{"medicine":"Paracetamol + Phenylephrine","active_ingredients":"Paracetamol + Phenylephrine","primary_use":"Cold symptoms with congestion and fever","notes":"Phenylephrine is considered safe but may be less effective."}]

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