Elfast N Tablet: Comprehensive Guide To Uses, Side Effects, And Safety
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
- Unusual bleeding or bruising
If experiencing severe symptoms, call emergency services immediately.
What is kunim cold tablet used for?
This medicine is a combination of Nimesulide (100 mg) and Phenylephrine (10 mg) used for short-term relief of acute pain, inflammation, and nasal congestion. It works by reducing prostaglandins and constricting nasal blood vessels. It is not recommended for children under 12, pregnant women, or those with severe liver, kidney, or heart disease.
- Generic Name: Nimesulide (100mg) + Phenylephrine (10mg)
- Manufacturer: Stenkem Molecules Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 kunim cold tablet के बारे में (Hindi Summary)
उपयोग: यह दवा नाइमेसुलाइड और फेनाइलेफ्रिन का संयोजन है, जिसका उपयोग तीव्र दर्द, सूजन और नाक की भीड़ के अल्पकालिक उपचार के लिए किया जाता है। यह मांसपेशियों के दर्द, दांत दर्द, और सर्दी-जुकाम से जुड़ी नाक की भीड़ में राहत देती है। यह दवा केवल डॉक्टर की सलाह पर ही लेनी चाहिए और लंबे समय तक नहीं लेनी चाहिए।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में मतली, उल्टी, पेट में असुविधा, सिरदर्द, चक्कर आना और रक्तचाप में वृद्धि शामिल हैं। गंभीर दुष्प्रभावों में पेट में रक्तस्राव, यकृत विषाक्तता, गुर्दे की क्षति, और त्वचा पर गंभीर प्रतिक्रियाएं हो सकती हैं। यदि आपको काला मल, उल्टी में खून, या पेट में तेज दर्द हो तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के निर्देशानुसार ही लें। खुराक से अधिक न लें। इसे भोजन के साथ लें ताकि पेट में जलन न हो। इस दवा के साथ शराब न लें। यदि आप गर्भवती हैं या स्तनपान करा रही हैं तो डॉक्टर से सलाह लें। यकृत, गुर्दे, या हृदय रोग वाले मरीज सावधानी बरतें। कोई भी असामान्य लक्षण दिखने पर तुरंत डॉक्टर से मिलें।
💊 kunim cold tablet Uses & Benefits
[{"condition":"Acute musculoskeletal pain","description":"Relieves pain and inflammation in conditions such as sprains, strains, and back pain.","evidence":"Well-established"},{"condition":"Dental pain","description":"Provides short-term relief from pain following dental procedures or due to dental infections.","evidence":"Well-established"},{"condition":"Upper respiratory tract infections with nasal congestion","description":"Reduces pain, fever, and nasal congestion associated with common cold and sinusitis.","evidence":"Moderate"},{"condition":"Post-operative pain","description":"Used for short-term management of mild to moderate post-operative pain.","evidence":"Moderate"}]
Off-label uses: [{"condition":"Migraine","description":"Sometimes used off-label for acute migraine attacks due to its anti-inflammatory and analgesic properties.","evidence":"Limited"},{"condition":"Dysmenorrhea","description":"May be used off-label for menstrual pain relief.","evidence":"Limited"}]
Primary treatment for: Acute musculoskeletal pain with nasal congestion
Also treats: Dental pain, Upper respiratory tract infections, Post-operative pain
📋 Drug Information
| Generic Name(s) | Nimesulide (100mg) + Phenylephrine (10mg) |
| Brand Name | kunim cold tablet |
| Manufacturer | Stenkem Molecules Pvt Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | RESPIRATORY |
| Action Class | |
| Route of Administration | Oral |
| Storage | Store at room temperature (15-30°C) in a dry place, away from direct sunlight and moisture. 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 distinct mechanisms. Nimesulide is a non-steroidal anti-inflammatory drug that selectively inhibits the cyclooxygenase-2 (COX-2) enzyme, reducing the synthesis of prostaglandins, which are mediators of pain, inflammation, and fever. Phenylephrine is a sympathomimetic amine that acts primarily on alpha-1 adrenergic receptors, causing vasoconstriction of blood vessels in the nasal mucosa, thereby reducing swelling and congestion. The combination provides both analgesic/anti-inflammatory and decongestant effects.
Mechanism Steps
💡 How to Take kunim cold tablet
Strength: Tablet containing Nimesulide 100 mg and Phenylephrine 10 mg.
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is one tablet taken orally once or twice daily, as prescribed by your doctor. The dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. The maximum duration of treatment is typically 5-7 days. Take with food to reduce stomach upset. |
| Pediatric Dosage | Pediatric dosing is not established from available information. This medicine is not recommended for children below 12 years of age. Consult a pediatrician for alternative treatments. |
| Elderly Dosage | Elderly patients (above 65 years) may be more sensitive to the effects of this medicine. Use with caution and at the lowest effective dose for the shortest duration. Monitor renal and hepatic function closely. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor for individualized dosing. Avoid in severe renal impairment. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Dose adjustment may be necessary. Avoid in severe hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is 200 mg of nimesulide and 20 mg of phenylephrine (two tablets). Do not exceed this dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of kunim cold tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Warfarin | Major | |
| Other NSAIDs | Major | |
| ACE inhibitors | Major | |
| MAOIs | Major | |
| Diuretics | Moderate | |
| Beta-blockers | Moderate | |
| Tricyclic antidepressants | Moderate | |
| Antacids | Minor | |
| Corticosteroids | Minor | |
| Grapefruit juice | Moderate |
🚨 Major Interactions
- Warfarin
- Other NSAIDs
- ACE inhibitors
- Monoamine oxidase inhibitors (MAOIs)
⚡ Moderate Interactions
- Diuretics
- Beta-blockers
- Tricyclic antidepressants
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding and liver toxicity when taken with this medicine. Avoid alcohol consumption while taking this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Hypersensitivity to nimesulide, phenylephrine, or any component of the formulation","Active peptic ulcer disease or history of recurrent ulcers","Severe liver impairment","Severe kidney impairment","Uncontrolled hypertension","Severe cardiovascular disease","Children below 12 years of age","Pregnancy (especially third trimester)","Breastfeeding","Concurrent use with MAOIs"]
⚠️ Warnings & Precautions
["Use with caution in elderly patients due to increased risk of adverse effects.","Avoid in patients with dehydration or hypovolemia.","Monitor blood pressure closely in patients with hypertension.","Do not use for prolonged periods without medical supervision.","May impair ability to drive or operate machinery.","Avoid alcohol consumption.","Consult doctor before use in patients with asthma, especially if aspirin-sensitive.","Use with caution in patients with diabetes, thyroid disorders, or prostatic hypertrophy."]
🤱 Lactation Safety
Not established from the available information. This medicine may pass into breast milk and could affect the nursing infant. Consult your doctor before use if breastfeeding.
💊 Overdose Management
Overdose may cause severe nausea, vomiting, abdominal pain, drowsiness, and increased blood pressure. Seek immediate medical attention. Treatment is symptomatic and supportive. There is no specific antidote. Gastric lavage may be considered if within 1-2 hours of ingestion. 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 dose to catch up.
Additional Safety Advice
Take this medicine exactly as prescribed by your doctor. Do not exceed the recommended dose or duration of treatment. Take it with food or milk to reduce stomach upset. Avoid alcohol while taking this medicine as it may increase the risk of gastrointestinal bleeding. Do not use this medicine if you are pregnant, especially in the third trimester, or if you are breastfeeding without consulting your doctor. Inform your doctor if you have a history of stomach ulcers, kidney or liver disease, high blood pressure, or heart disease. Do not take other NSAIDs or blood thinners concurrently without medical advice. If you experience symptoms like black stools, vomiting blood, severe abdominal pain, yellowing of eyes or skin, or decreased urine output, seek immediate medical attention. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are at higher risk of gastrointestinal bleeding, kidney impairment, and cardiovascular events. Use the lowest effective dose for the shortest duration and monitor closely.
🤰 Pregnancy Planning (TTC)
This medicine is not recommended during pregnancy or when planning pregnancy. Consult your doctor for safe alternatives for pain relief.
🏥 Post-Surgery Considerations
Use with caution after surgery due to increased risk of bleeding and kidney impairment. Consult your surgeon before taking this medicine.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine before any dental procedure, as it may increase the risk of bleeding.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that may increase the risk of bleeding or injury while taking this medicine. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or drowsiness in some people. Avoid driving or operating heavy machinery until you know how it affects you. It may also increase blood pressure, so monitor if you have hypertension.
🛑 When to Stop This Medicine
Stop taking this medicine and consult your doctor if you experience severe side effects such as black stools, vomiting blood, severe abdominal pain, yellowing of eyes or skin, decreased urine output, or signs of an allergic reaction. Do not stop abruptly if you are on a prescribed regimen without consulting your doctor.
📅 Long-Term Use Effects
Long-term use of this medicine can increase the risk of gastrointestinal bleeding, liver toxicity, kidney impairment, and cardiovascular events. Regular monitoring of liver and kidney function, blood pressure, and complete blood count is recommended. It should not be used for more than 7 days without medical supervision.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Can complement medicine for chronic pain.
Evidence: Well-establishedMay help relieve localized pain and inflammation.
Evidence: ModerateMay provide pain relief for some individuals.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
Not established from the available information. Consult your doctor regarding vaccination timing if you are on 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 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.
💬 Questions Patients Often Ask
A: This medicine typically starts relieving pain within 30 minutes to 1 hour, and nasal congestion within 15-30 minutes.
A: It is best taken with food or milk to reduce the risk of stomach upset.
A: Do not take with other NSAIDs or blood thinners without consulting your doctor, as it may increase the risk of bleeding.
A: Take it as soon as you remember, but if it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double dose.
🤔 Common Patient Concerns
🔄 Substitutes for kunim cold tablet
View AllAlternative brands with exact same active ingredient:
-
nymtyp cold tabletSpencure Biotech Pvt. Ltd. ₹30.94 31.2% CHEAPER
-
Nimron Flu TabletAplonis Healthcare ₹33.75 25% CHEAPER
-
nymtoss cold tabletScotwin Healthcare ₹35.16 21.9% CHEAPER
-
nimcott cold tabletAconwell Pharma Pvt Ltd ₹35.63 20.8% CHEAPER
-
kronim cold tabletKenrox Healthcare Pvt. Ltd ₹45.00 SAME PRICE
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be taken for any type of pain.
Fact: This medicine is specifically for acute pain with inflammation and nasal congestion. It is not suitable for all types of pain and should be used only as prescribed. - Myth: It is safe to take this medicine for long periods.
Fact: Prolonged use can increase the risk of liver, kidney, and gastrointestinal problems. It should be used for the shortest duration possible. - Myth: This medicine is safe for children.
Fact: This medicine is not recommended for children below 12 years of age due to safety concerns.
🔄 Alternative Options
Generic Alternatives
- Nimesulide + Phenylephrine combination generics may be available.
Brand Alternatives
- Elfast N Tablet