instazin am 5mg/60mg tablet - Cetirizine (5mg) + Ambroxol (60mg) medicine

Relent Tablet: Complete Guide to Uses, Side Effects, and Safety

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🏭 Intas Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
🤰 Pregnancy Category Not established from the available information. Consult your doctor before use. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for combination use in cough and allergic rhinitis.
Reviewed by
SaathiMed Expert Panel | Sep 26, 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

  • Difficulty breathing or swelling of face, lips, or throat
  • Irregular heartbeat or palpitations
  • Severe drowsiness or confusion
  • Blood in sputum or vomit
  • Chest pain
  • Yellowing of skin or eyes
  • Decreased urine output

If experiencing severe symptoms, call emergency services immediately.

What is instazin am 5mg/60mg tablet used for?

This medicine is a combination of cetirizine (an antihistamine) and ambroxol (a mucolytic) used to treat productive cough with allergic symptoms. It works by reducing allergic reactions and thinning mucus, making it easier to cough out. It is usually taken once or twice daily as prescribed by a doctor.

  • Generic Name: Cetirizine (5mg) + Ambroxol (60mg)
  • Manufacturer: Intas Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 instazin am 5mg/60mg tablet के बारे में (Hindi Summary)

उपयोग: यह दवा सेटिरिज़िन और एम्ब्रोक्सोल का संयोजन है। इसका उपयोग खांसी के साथ-साथ एलर्जी के लक्षणों जैसे छींक, नाक बहना और खुजली के इलाज में किया जाता है। यह बलगम को पतला करके खांसी को आसान बनाती है। यह दवा डॉक्टर के पर्चे के बिना नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, थकान, जी मिचलाना और पेट में असहजता शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यदि सांस लेने में कठिनाई, चेहरे या गले में सूजन, या दिल की धड़कन अनियमित हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुद से मात्रा न बढ़ाएं। इस दवा को लेने के बाद नींद आ सकती है, इसलिए वाहन चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। बच्चों को डॉक्टर की सलाह के बिना न दें।

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

💊 instazin am 5mg/60mg tablet Uses & Benefits

[{"condition":"Productive cough with allergic rhinitis","description":"Helps relieve cough by thinning mucus and reducing allergic symptoms such as sneezing and runny nose.","evidence":"Well-established"},{"condition":"Acute bronchitis with thick mucus","description":"Ambroxol helps in liquefying mucus, while cetirizine may reduce associated allergic components.","evidence":"Moderate"},{"condition":"Allergic cough","description":"Cetirizine controls allergic response, and ambroxol provides symptomatic relief from mucus.","evidence":"Limited"}]

Off-label uses: [{"condition":"Chronic sinusitis with postnasal drip","description":"Sometimes prescribed to reduce mucus viscosity and allergic symptoms.","evidence":"Limited"}]

Primary treatment for: Productive cough with allergic rhinitis

Also treats: Acute bronchitis, Allergic cough, Chronic sinusitis with postnasal drip

📋 Drug Information

Generic Name(s)Cetirizine (5mg) + Ambroxol (60mg)
Brand Nameinstazin am 5mg/60mg tablet
ManufacturerIntas Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight 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 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 cough lasting more than 7 days without consulting a doctor.
6
Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding.
7
Report any unusual symptoms like palpitations or severe drowsiness immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Productive cough
This medicine is commonly prescribed for this.
Likely Use
✅
Allergic rhinitis
This medicine helps relieve allergic symptoms.
Likely Use
❌
Dry cough
This medicine is not for dry cough.
Not Primary
❌
Fever
This medicine is not a primary fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCetirizine is rapidly absorbed from the gastrointestinal tract after oral administration. Ambroxol is also well absorbed orally. Food does not significantly affect the absorption of cetirizine, but may slightly delay ambroxol absorption.
DistributionCetirizine is widely distributed throughout the body, including the skin and respiratory tract. Ambroxol distributes into lung tissue, bronchial secretions, and plasma. Both cross the blood-brain barrier to a limited extent.
Protein BindingCetirizine is approximately 93% bound to plasma proteins. Ambroxol is about 90% bound to plasma proteins.
MetabolismCetirizine undergoes minimal hepatic metabolism. Ambroxol is metabolized in the liver by cytochrome P450 enzymes, primarily CYP3A4.
Half-LifeCetirizine has a plasma half-life of approximately 8-10 hours. Ambroxol has a half-life of about 7-12 hours.
ExcretionCetirizine is primarily excreted unchanged in the urine. Ambroxol is excreted in urine as metabolites and unchanged drug.
BioavailabilityCetirizine oral bioavailability is high, approximately 70-85%. Ambroxol bioavailability is about 70-80%.
Onset of ActionCetirizine starts working within 1 hour. Ambroxol's mucolytic effect begins within 30-60 minutes.
Peak Plasma TimeCetirizine reaches peak plasma concentration in about 1 hour. Ambroxol peaks in 1-3 hours.
Duration of ActionCetirizine's antihistaminic effect lasts for 24 hours. Ambroxol's mucolytic effect lasts for 6-8 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Cetirizine is a selective peripheral H1-receptor antagonist. It blocks histamine released from mast cells, thereby reducing allergic symptoms like sneezing, itching, and runny nose. Ambroxol is a mucolytic agent that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance. Together, they address both allergic and mucus-related components of respiratory conditions.

Mechanism Steps

1
Histamine H1 receptor blockade: Cetirizine binds to H1 receptors on effector cells, preventing histamine from triggering allergic responses such as vasodilation, itching, and sneezing.
2
Mucus viscosity reduction: Ambroxol stimulates serous secretion and breaks down acidic mucopolysaccharides in mucus, making it thinner and easier to expel.
3
Ciliary clearance enhancement: Ambroxol improves the movement of cilia in the respiratory tract, aiding in the removal of mucus and irritants.

💡 How to Take instazin am 5mg/60mg tablet

Strength: Tablet containing Cetirizine 5 mg and Ambroxol 60 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.

Dosage Information

Adult DosageThe usual adult dose of this medicine is one tablet taken orally once or twice daily, or as prescribed by your doctor. The dose may vary depending on the condition being treated and your response to therapy. Do not exceed the recommended dose. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
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 dizziness. Use with caution. Dose adjustment may be needed based on renal and hepatic function. Consult a doctor.
Renal ImpairmentDose adjustment may be required in patients with kidney impairment. Consult your doctor for appropriate dosing.
Hepatic ImpairmentDose adjustment may be required in patients with liver impairment. Consult your doctor for appropriate dosing.
Maximum Daily DoseThe maximum recommended daily dose is not established from available information. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases drowsiness and dizziness.
Grapefruit juice
Avoid
May increase drug levels.

⏰ 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 instazin am 5mg/60mg tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum.
Fatigue (Common (5-10%))
Get adequate rest. Consult doctor if persistent.
Nausea (Common (5-10%))
Take with food to reduce stomach upset.
Stomach discomfort (Common (5-10%))
Take with meals. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling of face/throat, or difficulty breathing.
Irregular heartbeat (Rare (<0.1%))
Consult a doctor immediately if you feel palpitations or dizziness.
Severe skin reactions (Rare (<0.1%))
Stop the medicine and seek medical help if you notice blistering or peeling skin.

⚠️ Rare Side Effects

Mouth numbness
Usually temporary. Consult doctor if persists.
Taste changes
Report to doctor if bothersome.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Alcohol Major
Benzodiazepines Major
MAOIs Major
Ketoconazole Moderate
Erythromycin Moderate
Atropine Moderate
Tricyclic antidepressants Moderate
Antihypertensives Minor

🚨 Major Interactions

  • CNS depressants (e.g., alcohol, benzodiazepines, opioids)
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)
  • CYP3A4 inhibitors (e.g., ketoconazole, erythromycin)

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine as it can enhance the sedative effects of cetirizine, leading to increased drowsiness, dizziness, and impaired motor skills. This can affect your ability to drive or operate machinery.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to cetirizine, ambroxol, or any component of the formulation","Severe liver disease","Severe kidney disease","Children under 12 years (unless prescribed by a doctor)","Pregnancy (unless advised by a doctor)","Breastfeeding (unless advised by a doctor)"]

⚠️ 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 liver or kidney impairment.","Do not use for dry cough or for cough lasting more than 7 days without medical advice.","Consult a doctor before use in pregnancy or breastfeeding.","Keep out of reach of children.","Do not exceed the recommended dose."]

🤱 Lactation Safety

Cetirizine and ambroxol may pass into breast milk. Consult your doctor before using this medicine while breastfeeding.

💊 Overdose Management

Overdose may cause severe drowsiness, dizziness, nausea, or irregular heartbeat. Seek immediate medical attention. Treatment is supportive and symptomatic. There is no specific antidote.

⏰ 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 dose to catch up.

Additional Safety Advice

General Safety

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 drowsiness and dizziness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine for a dry cough or for cough lasting more than 7 days without consulting a doctor. Keep out of reach of children. Store at room temperature away from direct sunlight and moisture.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to drowsiness and dizziness. Use with caution. Dose adjustment may be needed based on kidney and liver function. Regular monitoring is advised.

🤰 Pregnancy Planning (TTC)

Consult your doctor before planning pregnancy if you are taking this medicine. The safety of this combination during pregnancy is not well established. Your doctor may recommend alternative treatments.

🏥 Post-Surgery Considerations

Consult your doctor before using this medicine after surgery, as it may interact with anesthetics and other medications. Drowsiness may 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. Maintain good oral hygiene.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated to help thin mucus.
🥗
Use a humidifier to keep airways moist.
😴
Avoid allergens like dust, pollen, and smoke.
💧
Get adequate rest to support recovery.
🧘
Practice good hand hygiene to prevent infections.
🌞
Avoid sudden temperature changes.

🏋️ Exercise Considerations

Avoid strenuous exercise until your cough and allergic symptoms improve. Drowsiness may affect coordination. Consult your doctor before resuming intense workouts.

🥗 Diet Recommendations

Include warm fluids like soups and herbal teas.
Avoid cold and sugary drinks.
Eat fruits rich in vitamin C.
Reduce intake of processed foods.
Stay well hydrated.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. Avoid driving until you know how it affects you. It may also reduce concentration, so take precautions at work.

🛑 When to Stop This Medicine

Stop this medicine and consult your doctor if your symptoms worsen, if you experience severe side effects, or if you have taken it for more than 7 days without improvement. 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 may lead to tolerance, increased drowsiness, or rare effects like taste changes. Regular monitoring of liver and kidney function may be advised if used for extended periods. Consult your doctor for periodic review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Steam inhalation

Helps loosen mucus and relieve cough.

Evidence: Well-established
Saline nasal irrigation

Can reduce allergic symptoms and postnasal drip.

Evidence: Moderate

💉 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.

📦 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 moisture. If traveling across time zones, adjust dosing schedule as advised by your doctor. Check customs regulations for carrying prescription medicines. Do not leave in hot cars or checked luggage.

💰 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 cough and sneezing. After taking it for 3 days, her cough became more productive and her sneezing reduced. She experienced mild drowsiness initially, which subsided after a few days. She was advised to take it with food to avoid stomach upset.
💡 Lesson: Taking the medicine with food and avoiding driving until you know its effects can improve tolerability.
👤 A 50-year-old man with acute bronchitis
He started this medicine along with antibiotics. His cough and mucus improved significantly within 5 days. He was cautioned about drowsiness and avoided driving. He completed the course as prescribed.
💡 Lesson: Combining this medicine with antibiotics for bacterial bronchitis can provide symptomatic relief, but it should not replace antibiotics.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 1 hour, but noticeable improvement in cough and allergic symptoms may take 1-2 days.

Q: Can I take it with other medicines?

A: Inform your doctor about all medicines you are taking, especially sedatives, antidepressants, and antifungals, as interactions may occur.

Q: Is it safe during pregnancy?

A: Consult your doctor before use. The safety of this combination during pregnancy is not well established.

🤔 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 instazin am 5mg/60mg tablet

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Relent Tablet is an antibiotic.
    Fact: No, it is a combination of an antihistamine and a mucolytic. It does not treat bacterial infections.
  • Myth: It can be taken for any type of cough.
    Fact: It is specifically for productive cough with allergic symptoms. It is not for dry cough.
  • Myth: It is safe to take without a prescription.
    Fact: It is a prescription medicine. Always consult a doctor before use.

🔄 Alternative Options

Generic Alternatives

  • Cetirizine + Ambroxol combination tablets from other manufacturers

Brand Alternatives

  • Relent Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Relent Tablet","composition":"Cetirizine 5 mg + Ambroxol 60 mg","onset":"1 hour","duration":"24 hours","sedation":"Moderate"},{"medicine":"Levocetirizine + Ambroxol","composition":"Levocetirizine 5 mg + Ambroxol 60 mg","onset":"1 hour","duration":"24 hours","sedation":"Low"}]

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