intriz-plus tablet - Ambroxol (60mg) + Levocetirizine (2.5mg) medicine

Avekoud Tablet: Complete Medicine Guide

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🏭 Invision Medi Sciences Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 26, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Moderate for individual components; limited for the fixed-dose combination.
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 shortness of breath
  • Swelling of face, lips, tongue, or throat
  • Severe dizziness or fainting
  • Irregular or rapid heartbeat
  • Blood in sputum or severe chest pain
  • High fever with productive cough
  • Cough lasting more than 7 days without improvement

If experiencing severe symptoms, call emergency services immediately.

What is intriz-plus tablet used for?

This medicine is a combination of Ambroxol (a mucolytic) and Levocetirizine (an antihistamine) used to treat productive cough with allergic symptoms. It works by thinning mucus and blocking histamine. It is usually taken once daily at bedtime. Common side effects include drowsiness and dry mouth. Avoid alcohol and driving until you know how it affects you.

  • Generic Name: Ambroxol (60mg) + Levocetirizine (2.5mg)
  • Manufacturer: Invision Medi Sciences Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 intriz-plus tablet के बारे में (Hindi Summary)

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

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, मुंह सूखना, थकान और पेट में हल्की परेशानी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन एलर्जी, सांस लेने में कठिनाई या दिल की धड़कन अनियमित होने पर तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। खुद से मात्रा न बढ़ाएं। दवा लेने के बाद नींद आ सकती है, इसलिए वाहन चलाने या मशीन चलाने से बचें। शराब का सेवन न करें। गर्भावस्था या स्तनपान के दौरान डॉक्टर से सलाह लें।

💡 Did You Know? The Indian pharmaceutical market is expected to reach $130 billion by 2030.

💊 intriz-plus tablet Uses & Benefits

[{"condition":"Productive cough with thick mucus","description":"Helps loosen and thin mucus in the airways, making it easier to cough out.","evidence":"Well-established"},{"condition":"Allergic rhinitis with cough","description":"Reduces allergic symptoms such as runny nose, sneezing, and itching, which can help decrease postnasal drip and associated cough.","evidence":"Moderate"},{"condition":"Acute bronchitis","description":"Provides symptomatic relief from cough and mucus production in acute bronchitis.","evidence":"Moderate"},{"condition":"Chronic bronchitis","description":"May help in managing chronic bronchitis symptoms by improving mucus clearance.","evidence":"Limited"}]

Off-label uses: [{"condition":"Sinusitis","description":"Sometimes used to relieve nasal congestion and postnasal drip associated with sinusitis.","evidence":"Limited"},{"condition":"Otitis media with effusion","description":"Occasionally prescribed to help clear middle ear fluid, but evidence is weak.","evidence":"Limited"}]

Primary treatment for: Productive cough with allergic rhinitis

Also treats: Acute bronchitis, Chronic bronchitis, Allergic rhinitis

📋 Drug Information

Generic Name(s)Ambroxol (60mg) + Levocetirizine (2.5mg)
Brand Nameintriz-plus tablet
ManufacturerInvision Medi Sciences Pvt 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. 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 at bedtime to minimize daytime drowsiness.
2
Stay well hydrated to help loosen mucus.
3
Avoid alcohol and other sedatives while taking this medicine.
4
Do not use for dry cough or for cough lasting more than 7 days without consulting a doctor.
5
If you have kidney problems, inform your doctor before taking this medicine.
6
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
✅
Runny nose and sneezing
This medicine helps with 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 after oral intake. Food does not significantly affect the extent of absorption of either component.
DistributionAmbroxol distributes widely into body tissues, including lung tissue. Levocetirizine distributes into body tissues, with about 90% bound to plasma proteins.
Protein BindingLevocetirizine is approximately 90% bound to plasma proteins. Ambroxol's protein binding is not well established but is considered moderate.
MetabolismAmbroxol is metabolized in the liver primarily by conjugation. Levocetirizine undergoes minimal metabolism; it is mainly excreted unchanged.
Half-LifeThe elimination half-life of Ambroxol is approximately 7 to 12 hours. Levocetirizine has a half-life of about 6 to 8 hours in adults with normal kidney function.
ExcretionAmbroxol and its metabolites are excreted mainly in the urine. Levocetirizine is excreted primarily unchanged in the urine.
BioavailabilityThe oral bioavailability of Ambroxol is approximately 70-80% due to first-pass metabolism. Levocetirizine has a high oral bioavailability of about 100%.
Onset of ActionAmbroxol's mucolytic effect may begin within 30 minutes to 1 hour after oral intake. Levocetirizine starts reducing allergic symptoms within 1 hour.
Peak Plasma TimeAmbroxol reaches peak plasma concentrations about 1-3 hours after oral administration. Levocetirizine peaks at about 0.9 hours.
Duration of ActionThe effects of Ambroxol last for about 6-8 hours, while Levocetirizine provides relief for up to 24 hours, allowing for once-daily dosing of the combination.

How It Works

This medicine combines two active ingredients with complementary actions. Ambroxol is a mucolytic agent that increases serous bronchial secretion, reduces mucus viscosity, and promotes ciliary clearance, making it easier to expel mucus. Levocetirizine is a selective peripheral H1-receptor antagonist that blocks histamine, reducing allergic symptoms such as sneezing, rhinorrhea, and itching. Together, they address both the mucus component and the allergic component of respiratory conditions.

Mechanism Steps

1
Ambroxol acts on mucus: Ambroxol stimulates serous cells in the respiratory tract to produce more fluid, less viscous mucus, and enhances ciliary beat frequency, facilitating mucus transport.
2
Levocetirizine blocks histamine: Levocetirizine selectively binds to peripheral H1 receptors, preventing histamine from triggering allergic symptoms such as sneezing, itching, and rhinorrhea.
3
Combined effect: The combination provides symptomatic relief by addressing both mucus congestion and allergic inflammation in the respiratory tract.

💡 How to Take intriz-plus tablet

Strength: Tablet containing Ambroxol 60 mg and Levocetirizine 2.5 mg.

1Take one tablet orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take it at the same time each day, preferably at bedtime.
4You can take it with or without food, but taking it with food may reduce stomach upset.
5Do not exceed the prescribed dose.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally once daily, preferably at bedtime, or as directed by your doctor. The dose may be adjusted based on your condition and kidney function. 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, especially drowsiness. Dose adjustment may be necessary based on kidney function. Consult your doctor.
Renal ImpairmentDose adjustment is required in patients with kidney impairment. In severe renal impairment (creatinine clearance <10 mL/min), this medicine is contraindicated. Consult your doctor for appropriate dosing.
Hepatic ImpairmentNo specific dose adjustment is established for hepatic impairment. Use with caution and consult your doctor.
Maximum Daily DoseOne tablet per day. Do not exceed the recommended dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
No known interaction
No significant interaction expected.

⏰ What to Do If You Miss a Dose

📌 Less than 12 hours have passed since the missed dose
→ Take the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than 12 hours have passed since the missed dose
→ Skip the missed dose.
💡 Do not double dose to catch up.

⚠️ Side Effects of intriz-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. If it bothers you, talk to your doctor.
Fatigue (Common (5-10%))
Get adequate rest. If fatigue is severe or persistent, consult your doctor.
Mild stomach discomfort (Uncommon (1-5%))
Take with food to minimize stomach upset. If it continues, consult your doctor.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, itching, swelling of face/lips/tongue, difficulty breathing, or dizziness.
Irregular heartbeat (Rare (<0.1%))
Contact your doctor immediately if you notice palpitations or irregular pulse.
Severe skin reactions (Very rare (<0.01%))
Stop the medicine and seek immediate medical help if you develop a severe rash with blisters or peeling skin.

⚠️ Rare Side Effects

Agranulocytosis
Report any signs of infection such as fever, sore throat, or mouth ulcers to your doctor immediately.
Seizures
Seek emergency medical care if you experience convulsions or loss of consciousness.

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
Theophylline Minor
Erythromycin Minor
Cimetidine Minor
Ketoconazole 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 increase drowsiness and impair your ability to drive or operate machinery. It may also worsen dizziness and reduce alertness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to Ambroxol, Levocetirizine, or any component of the formulation.","Severe renal impairment (creatinine clearance

⚠️ 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.","Do not use for a dry cough or for cough lasting more than 7 days without medical advice.","Not recommended for children under 6 years.","Elderly patients may be more sensitive to side effects."]

🤱 Lactation Safety

Not established from the available information. It is not known whether Ambroxol or Levocetirizine pass into breast milk. Consult your doctor before breastfeeding.

💊 Overdose Management

If you suspect an overdose, seek emergency medical attention immediately. Symptoms of overdose may include severe drowsiness, agitation, confusion, rapid heartbeat, or difficulty breathing. 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 the 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 impair alertness. Inform your doctor if you are pregnant, planning to become pregnant, or breastfeeding. Do not use this medicine for a dry cough or for a cough that lasts more than 7 days without consulting a doctor. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the sedative effects of this medicine. Dose adjustment may be needed based on kidney function. Use with caution.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. The safety of this combination during pregnancy is not well established.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, as it may interact with other medications or affect recovery.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may cause dry mouth and affect oral health.

💚 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 plenty of rest to support recovery.
🧘
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

This medicine may cause drowsiness or dizziness. Avoid strenuous exercise or activities requiring alertness until you know how it affects you.

🥗 Diet Recommendations

Drink warm fluids like herbal tea or soup.
Include vitamin C-rich fruits and vegetables.
Avoid cold and sugary drinks that can thicken mucus.
Limit dairy if it seems to increase mucus.

💼 Impact on Daily Work & Life

This medicine can cause drowsiness, which may affect your ability to drive or operate machinery. It is best to take it at bedtime. 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, or if you experience severe side effects such as allergic reactions, irregular heartbeat, or extreme drowsiness.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use may lead to tolerance or increased side effects. Regular monitoring of kidney and liver function may be advised if used for extended periods.

🌿 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 allergy symptoms.

Evidence: Moderate
Allergen avoidance

Reducing exposure to allergens can decrease the need for medication.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No specific interaction with vaccines is established. However, if you are scheduled for vaccination, inform your doctor about 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

Carry this medicine in its original packaging with a copy of your prescription. Store it at room temperature and protect it from direct sunlight. If traveling across time zones, continue taking it at the same interval as prescribed. Check customs regulations for carrying prescription medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with acute bronchitis and allergic rhinitis
He was prescribed this medicine for a week. He noticed significant relief in cough and runny nose within 3 days. He experienced mild drowsiness initially, so he took it at bedtime and avoided driving at night.
💡 Lesson: Taking the medicine at bedtime helps manage drowsiness and improves adherence.
👤 A 50-year-old woman with chronic bronchitis and seasonal allergies
She used this medicine as needed during allergy season. It helped control her cough and sneezing, but she had to stop it because of dry mouth. Her doctor advised her to sip water frequently and use sugar-free gum.
💡 Lesson: Dry mouth is a common side effect that can be managed with simple measures.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start feeling relief from cough and allergy symptoms within 1-3 days, but full effect may take up to a week.

Q: Can I take this medicine with food?

A: Yes, you can take it with or without food. Taking it with food may reduce stomach upset.

Q: Is it safe to drive after taking this medicine?

A: This medicine may cause drowsiness. Avoid driving or operating machinery until you know how it affects you.

Q: Can I take this medicine if I am pregnant?

A: Consult your doctor before taking this medicine 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 intriz-plus 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 can cure any type of cough.
    Fact: This medicine is only for productive cough with mucus and allergic symptoms. It is not effective for dry cough or cough due to other causes.
  • Myth: It is safe to take this medicine with alcohol.
    Fact: Alcohol increases drowsiness and impairs alertness. Avoid alcohol while taking this medicine.
  • Myth: You can stop taking this medicine as soon as you feel better.
    Fact: Complete the course as prescribed by your doctor to prevent recurrence of symptoms.

🔄 Alternative Options

Generic Alternatives

  • Ambroxol + Levocetirizine combination generics available

Brand Alternatives

  • Avekoud Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Ambroxol + Levocetirizine","composition":"Ambroxol 60mg + Levocetirizine 2.5mg","uses":"Productive cough with allergic rhinitis","sedation":"Moderate","frequency":"Once daily"},{"medicine":"Ambroxol + Cetirizine","composition":"Ambroxol 60mg + Cetirizine 5mg","uses":"Productive cough with allergic rhinitis","sedation":"Moderate to high","frequency":"Twice daily"},{"medicine":"Levocetirizine alone","composition":"Levocetirizine 5mg","uses":"Allergic rhinitis","sedation":"Low to moderate","frequency":"Once daily"}]

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