Arexol Syrup: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe abdominal pain
- Chest pain or difficulty breathing
- Severe headache with visual changes
- Sudden swelling of face, lips, or throat
- Yellowing of skin or eyes
- Decreased urine output
- Fast or irregular heartbeat
- Severe dizziness or fainting
If experiencing severe symptoms, call emergency services immediately.
What is intazin ld tablet used for?
This medicine is a combination of cetirizine (an antihistamine) and pseudoephedrine (a decongestant) used to treat symptoms of allergic rhinitis and the common cold, such as sneezing, runny nose, and nasal congestion. It works by blocking histamine and shrinking nasal blood vessels. It is available as a syrup and is taken orally, usually every 4 to 6 hours as needed, but not more than 4 doses in 24 hours. It may cause drowsiness, so avoid driving. Do not use without a doctor's advice if you have high blood pressure, heart disease, or are pregnant.
- Generic Name: Cetirizine (NA) + Pseudoephedrine (NA)
- Manufacturer: Intas Pharmaceuticals Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 intazin ld tablet के बारे में (Hindi Summary)
उपयोग: यह दवा एलर्जी राइनाइटिस और सामान्य सर्दी-जुकाम के लक्षणों जैसे छींक आना, नाक बहना, नाक बंद होना और आंखों में खुजली को कम करने के लिए इस्तेमाल की जाती है। इसमें सेटिरिज़िन और स्यूडोएफेड्रिन दो सक्रिय तत्व होते हैं। सेटिरिज़िन एलर्जी के कारण होने वाले लक्षणों को कम करता है, जबकि स्यूडोएफेड्रिन नाक की रक्त वाहिकाओं को सिकोड़कर नाक बंद होने को कम करता है। यह दवा 6 साल से बड़े बच्चों और वयस्कों के लिए है, लेकिन डॉक्टर की सलाह के बिना न लें।
साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, मुंह सूखना, सिरदर्द और जी मिचलाना शामिल हैं। कुछ लोगों को बेचैनी या अनिद्रा भी हो सकती है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन यदि आपको दिल की धड़कन तेज होना, सांस लेने में कठिनाई, या चेहरे पर सूजन हो तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को डॉक्टर की सलाह के अनुसार ही लें। इससे नींद आ सकती है, इसलिए वाहन चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड, ग्लूकोमा या प्रोस्टेट की समस्या है तो डॉक्टर को बताएं। 7 दिनों से अधिक इसका उपयोग न करें।
💊 intazin ld tablet Uses & Benefits
[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief of nasal congestion, sneezing, and runny nose due to viral upper respiratory infections.","evidence":"Well-established"},{"condition":"Vasomotor rhinitis","description":"May help reduce nasal stuffiness and sneezing in non-allergic rhinitis.","evidence":"Limited"}]
Off-label uses: [{"condition":"Eustachian tube dysfunction","description":"Sometimes used to relieve congestion and improve ear pressure equalization.","evidence":"Limited"},{"condition":"Sinusitis","description":"May be used adjunctively to reduce nasal swelling and improve drainage.","evidence":"Limited"}]
Primary treatment for: Allergic rhinitis
Also treats: Common cold, Vasomotor rhinitis, Sinusitis
📋 Drug Information
| Generic Name(s) | Cetirizine (NA) + Pseudoephedrine (NA) |
| Brand Name | intazin ld tablet |
| Manufacturer | Intas Pharmaceuticals Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep the bottle tightly closed. Do not refrigerate. Keep out of reach of children. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine combines two active ingredients with complementary actions. Cetirizine is a selective peripheral H1-receptor antagonist that prevents histamine from binding to H1 receptors on blood vessels and nerve endings, thereby reducing allergy symptoms such as sneezing, itching, and runny nose. Pseudoephedrine is a sympathomimetic amine that directly and indirectly stimulates alpha-adrenergic receptors, causing vasoconstriction in the nasal mucosa, which reduces swelling and congestion. The combination provides both antihistaminic and decongestant effects.
Mechanism Steps
💡 How to Take intazin ld tablet
Strength: Each 5 mL of syrup typically contains cetirizine 5 mg and pseudoephedrine 30 mg, but the exact strength may vary. Refer to the product label.
Dosage Information
| Adult Dosage | The usual adult dose is 5 to 10 mL of the syrup taken orally every 4 to 6 hours as needed, not to exceed 4 doses in 24 hours. However, the exact dose depends on the strength of the formulation and the patient's condition. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of cetirizine and pseudoephedrine. Start with a lower dose and monitor for side effects such as drowsiness, confusion, and cardiovascular effects. Dose must be individualized by a qualified clinician. |
| Renal Impairment | In patients with renal impairment, the dose of cetirizine may need to be reduced. Pseudoephedrine should be used with caution. Consult a doctor for dose adjustment. |
| Hepatic Impairment | No specific dose adjustment is provided for hepatic impairment, but caution is advised in severe liver disease. Consult a doctor. |
| Maximum Daily Dose | The maximum daily dose should not exceed the equivalent of 40 mg of pseudoephedrine and 40 mg of cetirizine, but the exact limit depends on the formulation. Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of intazin ld tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| MAOIs | Major | |
| Beta-blockers | Major | |
| Tricyclic antidepressants | Major | |
| CNS depressants | Moderate | |
| Anticholinergics | Moderate | |
| Digoxin | Moderate | |
| Antacids | Minor | |
| Ketoconazole | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Beta-blockers
- Tricyclic antidepressants
⚡ Moderate Interactions
- CNS depressants (e.g., alcohol, sedatives)
- Anticholinergics
- Digoxin
🍷 Alcohol Interaction
Avoid alcohol while taking this medicine because it can increase drowsiness and impair your ability to drive or operate machinery. Alcohol may also worsen certain side effects such as dizziness and difficulty concentrating.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to cetirizine, pseudoephedrine, or any component of the formulation","Severe hypertension or uncontrolled high blood pressure","Coronary artery disease","Hyperthyroidism","Narrow-angle glaucoma","Urinary retention or prostatic hypertrophy","Use within 14 days of MAOI therapy","Children under 6 years of age (unless directed 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 cardiovascular disease, diabetes, thyroid disorders, or glaucoma.","Do not exceed the recommended dose.","Do not use for more than 7 days without consulting a doctor.","May cause insomnia; avoid taking close to bedtime.","Consult a doctor before use if you are pregnant or breastfeeding."]
🤱 Lactation Safety
Cetirizine and pseudoephedrine are excreted in breast milk. Cetirizine may cause drowsiness in the infant, and pseudoephedrine may reduce milk supply. Consult your doctor before using this medicine while breastfeeding.
💊 Overdose Management
Overdose may cause severe drowsiness, agitation, hallucinations, seizures, palpitations, and hypertension. 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.
Additional Safety Advice
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 alcohol and other central nervous system depressants while taking this medicine. Inform your doctor if you have high blood pressure, heart disease, diabetes, thyroid problems, glaucoma, or prostate enlargement. Do not use this medicine for more than 7 days without consulting a doctor. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the side effects of cetirizine and pseudoephedrine, such as drowsiness, confusion, and cardiovascular effects. Use with caution and monitor closely.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, consult your doctor before taking this medicine. Pseudoephedrine may be associated with a small risk of birth defects if used in the first trimester.
🏥 Post-Surgery Considerations
Consult your doctor before taking this medicine after surgery, as it may interact with other medications or affect blood pressure and heart rate.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may cause dry mouth and interact with other medications used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
This medicine may cause drowsiness or dizziness, so avoid strenuous exercise or activities requiring alertness until you know how it affects you. Stay hydrated during exercise.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. Avoid such activities until you know how it affects you. It may also cause insomnia if taken late in the day, potentially impacting work performance.
🛑 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 palpitations, severe headache, or difficulty urinating.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended without medical supervision. Prolonged use of pseudoephedrine can lead to rebound congestion, and cetirizine may cause tolerance or increased drowsiness. Regular monitoring of blood pressure and renal function is advised if used for extended periods.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can help relieve nasal congestion without medication.
Evidence: Well-establishedReducing exposure to allergens can decrease symptoms.
Evidence: Well-establishedEffective for allergic rhinitis but require prescription.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
This medicine does not interact with vaccines. However, if you are ill with a fever, consult your doctor before vaccination.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate unless specified
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
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 cold. If you are crossing time zones, adjust your dosing schedule accordingly, but do not exceed the maximum daily dose. Check local customs regulations regarding carrying medications.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine usually starts working within 1 hour after taking it.
A: Yes, but it may cause drowsiness, so it is often taken at bedtime if it makes you sleepy.
A: It is not recommended for children under 6 years without a doctor's advice.
A: Do not take with other medicines containing similar ingredients without consulting a doctor.
🤔 Common Patient Concerns
🔄 Substitutes for intazin ld tablet
View AllAlternative brands with exact same active ingredient:
-
citimed cd tabletZydus Cadila ₹6.93 47.8% COSTLIER
-
sinoclear syrupZydus Cadila ₹25.46 442.9% COSTLIER
-
arexol syrupLibra Drugs India ₹39.84 749.5% COSTLIER
-
sinoclear tabletZydus Cadila ₹65.45 1295.5% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Arexol syrup can cure the common cold.
Fact: This medicine only relieves symptoms; it does not cure the underlying viral infection. - Myth: It is safe to take arexol syrup for weeks.
Fact: It should not be used for more than 7 days without medical advice due to potential side effects. - Myth: Arexol syrup is safe for everyone.
Fact: It is not safe for people with certain conditions like high blood pressure, heart disease, or glaucoma.
🔄 Alternative Options
Generic Alternatives
- Cetirizine + Pseudoephedrine syrup (various manufacturers)
Brand Alternatives
- Arexol Syrup (Libra Drugs India)