loract d syrup - Chlorpheniramine Maleate (0.5mg/5ml) + Paracetamol (125mg/5ml) medicine

Addie Cold Oral Suspension: Complete Medicine Guide

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🏭 Organic Laboratories 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 21, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual components; combination product evidence is supportive.
Reviewed by
SaathiMed Expert Panel | Oct 21, 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 the face, lips, or throat
  • Yellowing of the skin or eyes (jaundice)
  • Severe abdominal pain or persistent vomiting
  • Blood in vomit or stool
  • Unusual bleeding or bruising
  • Decreased urine output
  • Severe drowsiness or confusion

If experiencing severe symptoms, call emergency services immediately.

What is loract d syrup used for?

This medicine is a combination of chlorpheniramine maleate (an antihistamine) and paracetamol (a pain reliever and fever reducer) used to treat symptoms of common cold and allergies such as runny nose, sneezing, and mild fever.

  • Generic Name: Chlorpheniramine Maleate (0.5mg/5ml) + Paracetamol (125mg/5ml)
  • Manufacturer: Organic Laboratories
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 loract d syrup के बारे में (Hindi Summary)

उपयोग: यह दवा सर्दी-जुकाम और एलर्जी के लक्षणों जैसे नाक बहना, छींक आना, आंखों में खुजली और हल्के बुखार के इलाज के लिए इस्तेमाल की जाती है। इसमें क्लोरफेनिरामाइन मेलिएट और पैरासिटामोल दो सक्रिय तत्व हैं। क्लोरफेनिरामाइन एलर्जी को कम करता है और पैरासिटामोल दर्द और बुखार को कम करता है। यह दवा 6 साल से बड़े बच्चों और वयस्कों के लिए है। इसे डॉक्टर की सलाह के अनुसार ही लें।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि, जी मिचलाना और कब्ज शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन यदि आपको त्वचा पर चकत्ते, सूजन, सांस लेने में कठिनाई, या पीलिया जैसे लक्षण दिखें तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा की अनुशंसित खुराक से अधिक न लें। इस दवा को लेते समय शराब का सेवन न करें क्योंकि इससे नींद और लीवर की समस्या बढ़ सकती है। बिना डॉक्टर की सलाह के 7 दिनों से अधिक इसका उपयोग न करें। यदि आपको लीवर या किडनी की बीमारी है तो डॉक्टर से परामर्श लें। बच्चों की पहुंच से दूर रखें।

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

💊 loract d syrup Uses & Benefits

[{"condition":"Common cold","description":"Relieves symptoms such as runny nose, sneezing, and mild fever associated with the common cold.","evidence":"Well-established"},{"condition":"Allergic rhinitis","description":"Reduces sneezing, rhinorrhea, and itching of the nose and throat due to allergies.","evidence":"Well-established"},{"condition":"Urticaria","description":"Helps relieve itching and hives associated with allergic skin reactions.","evidence":"Well-established"}]

Off-label uses: []

Primary treatment for: Common cold and allergic rhinitis

Also treats: Urticaria, Allergic conjunctivitis

📋 Drug Information

Generic Name(s)Chlorpheniramine Maleate (0.5mg/5ml) + Paracetamol (125mg/5ml)
Brand Nameloract d syrup
ManufacturerOrganic Laboratories
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 the bottle tightly closed.
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
Shake the bottle well before each use to ensure uniform mixing of the suspension.
2
Use the measuring cup or spoon provided to measure the correct dose; do not use a household spoon.
3
Avoid giving this medicine to children under 6 years without consulting a pediatrician.
4
Do not use this medicine for more than 7 days without consulting a doctor.
5
Be cautious about drowsiness; avoid driving or operating heavy machinery after taking this medicine.
6
Check other medications for paracetamol content to avoid accidental overdose.
7
Store the bottle in a cool, dry place and keep it out of reach of children.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Runny nose
This medicine is commonly used for this symptom.
Likely Use
✅
Sneezing
This medicine helps relieve sneezing due to allergies or cold.
Likely Use
✅
Fever
Paracetamol in this medicine helps reduce mild fever.
Likely Use
❌
Severe headache
This medicine is not intended for severe headaches; consult a doctor.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionChlorpheniramine maleate is well absorbed from the gastrointestinal tract after oral administration. Paracetamol is also rapidly and almost completely absorbed from the gastrointestinal tract. The oral suspension formulation allows for faster absorption compared to solid dosage forms.
DistributionChlorpheniramine maleate is widely distributed throughout the body, including the central nervous system. Paracetamol distributes rapidly into most body tissues, with a volume of distribution of approximately 0.9 L/kg.
Protein BindingChlorpheniramine maleate is approximately 70% bound to plasma proteins. Paracetamol is only minimally bound to plasma proteins (about 10-25%).
MetabolismChlorpheniramine maleate is metabolized in the liver, primarily by cytochrome P450 enzymes, including CYP2D6 and CYP3A4. Paracetamol is metabolized in the liver via conjugation with glucuronic acid and sulfate, and a small fraction is oxidized by CYP2E1 to a toxic metabolite, N-acetyl-p-benzoquinone imine (NAPQI), which is normally detoxified by glutathione.
Half-LifeThe elimination half-life of chlorpheniramine maleate is approximately 12-15 hours. The elimination half-life of paracetamol is about 2-3 hours in adults with normal liver function.
ExcretionChlorpheniramine maleate and its metabolites are excreted primarily in the urine. Paracetamol is excreted in the urine mainly as glucuronide and sulfate conjugates, with less than 5% excreted unchanged.
BioavailabilityThe oral bioavailability of chlorpheniramine maleate is approximately 25-50% due to first-pass metabolism. Paracetamol has a high oral bioavailability of about 80-100%.
Onset of ActionThe onset of action for chlorpheniramine is about 30-60 minutes after oral administration. Paracetamol begins to reduce fever and pain within 30-60 minutes.
Peak Plasma TimePeak plasma concentrations of chlorpheniramine are reached in about 2-6 hours. Paracetamol reaches peak plasma levels within 0.5-2 hours.
Duration of ActionThe effects of chlorpheniramine last about 4-6 hours, while paracetamol provides relief for about 4-6 hours.

How It Works

This medicine combines an antihistamine and an analgesic-antipyretic. Chlorpheniramine maleate competes with histamine for H1-receptor sites on effector cells in the gastrointestinal tract, blood vessels, and respiratory tract, thereby reducing allergic symptoms. Paracetamol acts primarily in the central nervous system to produce analgesia and antipyresis, likely through inhibition of prostaglandin synthesis in the brain.

Mechanism Steps

1
Histamine H1 receptor blockade: Chlorpheniramine maleate binds to H1 receptors on cells, preventing histamine from triggering allergic responses such as sneezing, itching, and vasodilation.
2
Central prostaglandin inhibition: Paracetamol inhibits prostaglandin synthesis in the central nervous system, which reduces fever and pain perception.
3
Symptom relief: The combined actions lead to relief of cold and allergy symptoms, including runny nose, sneezing, and mild fever.

💡 How to Take loract d syrup

Strength: Each 5 ml contains chlorpheniramine maleate 0.5 mg and paracetamol 125 mg.

1Shake the bottle well before each use.
2Use the measuring cup or spoon provided to measure the correct dose.
3Take the medicine orally, with or without food.
4Follow the dosage instructions provided by your doctor.
5Do not exceed the recommended dose.

Dosage Information

Adult DosageThe usual adult dose is 10 ml (2 teaspoons) every 4 to 6 hours as needed, not to exceed 6 doses in 24 hours. 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 effects of chlorpheniramine, especially drowsiness and anticholinergic effects. Use with caution and consider lower doses. Dose must be individualized by a qualified clinician.
Renal ImpairmentDose adjustment may be required in patients with renal impairment. Consult a doctor.
Hepatic ImpairmentDose adjustment may be required in patients with hepatic impairment. Consult a doctor.
Maximum Daily DoseFor adults: maximum 6 doses (60 ml) in 24 hours. Do not exceed the recommended dose.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Alcohol
Avoid
Increases drowsiness and risk of liver damage.

⏰ 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 loract d syrup

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water or chew sugarless gum. Consult doctor if persistent.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid alcohol.
Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek immediate medical attention if you experience rash, swelling of face, lips, or throat, or difficulty breathing.
Liver damage (Rare (<0.1%))
Seek immediate medical attention if you notice yellowing of skin or eyes, dark urine, or severe abdominal pain.
Blood disorders (e.g., thrombocytopenia, leukopenia) (Rare (<0.1%))
Consult a doctor if you experience unusual bleeding or bruising, or signs of infection.

⚠️ Rare Side Effects

Photosensitivity
Avoid excessive sun exposure and use sunscreen.
Confusion
Consult a doctor if confusion occurs, especially in elderly patients.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Moderate
Alcohol Major
MAOIs Major
CNS depressants Moderate
Anticholinergics Moderate
Antacids Minor
Cholestyramine Minor

🚨 Major Interactions

  • Other paracetamol-containing products
  • Alcohol
  • Monoamine oxidase inhibitors (MAOIs)

⚡ Moderate Interactions

  • CNS depressants (e.g., benzodiazepines, opioids)
  • Warfarin
  • Anticholinergic drugs (e.g., tricyclic antidepressants)

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can increase drowsiness and the risk of liver damage, especially due to the paracetamol component.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to chlorpheniramine, paracetamol, or any component of the formulation","Severe liver disease","Newborns and premature infants","Patients taking MAOIs"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery.","Do not exceed recommended dose due to risk of liver damage.","Avoid alcohol while taking this medicine.","Use with caution in patients with glaucoma, urinary retention, or asthma.","Consult a doctor if symptoms persist beyond 7 days."]

🤱 Lactation Safety

Chlorpheniramine and paracetamol are excreted in breast milk. Caution is advised. Consult a doctor before use.

💊 Overdose Management

Overdose can cause severe liver damage due to paracetamol. Symptoms may include nausea, vomiting, abdominal pain, and confusion. Seek immediate medical attention. Treatment may include administration of N-acetylcysteine as an 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.

Additional Safety Advice

General Safety

Do not exceed the recommended dose of this medicine. Avoid consuming alcohol or other central nervous system depressants while taking this medicine, as it can increase drowsiness. Do not use this medicine for more than 7 days without consulting a doctor. If you have liver or kidney disease, consult your doctor before use. Do not take other products containing paracetamol while on this medicine to avoid overdose. Keep out of reach of children. Pregnant and breastfeeding women should consult a doctor before use.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the anticholinergic and sedative effects of chlorpheniramine. They may also be at higher risk of liver or kidney problems from paracetamol. Use with caution and consider lower doses. Consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are pregnant, planning to become pregnant, or breastfeeding. The safety of this combination in 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. Paracetamol may be used for pain relief, but the antihistamine component may cause drowsiness.

🦷 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

🏃
Get plenty of rest to help your body recover from cold or allergies.
🥗
Stay hydrated by drinking fluids like water, soup, and herbal tea.
😴
Use a humidifier to ease nasal congestion.
💧
Avoid exposure to allergens such as dust, pollen, and pet dander.
🧘
Wash your hands frequently to prevent the spread of infections.
🌞
Avoid alcohol and sedatives while taking this medicine.

🏋️ Exercise Considerations

This medicine can cause drowsiness and dizziness. Avoid strenuous exercise or activities that require alertness until you know how the medicine affects you. Light activities like walking are generally safe.

🥗 Diet Recommendations

Drink warm fluids like soup and tea to soothe a sore throat.
Include vitamin C-rich foods like oranges and lemons.
Avoid heavy, oily, or spicy foods that may upset your stomach.
Stay hydrated with water and clear broths.

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive, operate machinery, or perform tasks requiring mental alertness. It is advisable to avoid such activities until you know how the medicine affects you. If your work requires alertness, discuss with your doctor about timing the dose or alternative options.

🛑 When to Stop This Medicine

Stop taking this medicine and consult a doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious side effects such as allergic reactions or signs of liver problems. Do not stop abruptly if you have been taking it regularly for a long time without consulting your doctor.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended without medical supervision. Prolonged use of paracetamol can increase the risk of liver and kidney damage. Chlorpheniramine may cause tolerance and anticholinergic effects. Regular monitoring of liver and kidney function may be required if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal spray

Helps relieve nasal congestion without medication.

Evidence: Well-established
Antihistamine eye drops

For allergic conjunctivitis, may provide targeted relief.

Evidence: Well-established
Steam inhalation

Can help loosen mucus and relieve congestion.

Evidence: Traditional

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. However, if you have 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 with the prescription label intact. Bring a copy of your prescription to avoid issues at customs. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue taking the medicine as prescribed, but adjust the timing gradually to the new local schedule. Do not leave it in a hot car or checked luggage.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old woman with seasonal allergies
She experienced sneezing, runny nose, and itchy eyes. Her doctor prescribed this medicine. She took 10 ml every 6 hours as needed. Within 30 minutes, her symptoms improved, but she felt drowsy, so she avoided driving. She was advised to take it at bedtime to manage drowsiness.
💡 Lesson: This medicine effectively relieves allergy symptoms but can cause drowsiness; timing the dose before bedtime can help manage this side effect.
👤 A 45-year-old man with common cold and mild fever
He had a runny nose, sneezing, and a temperature of 100.5°F. He took this medicine as directed. His fever subsided within an hour, and his cold symptoms improved. He was careful not to take additional paracetamol for fever to avoid overdose.
💡 Lesson: This medicine provides combined relief for cold symptoms and fever, but it is important not to exceed the recommended dose or combine with other paracetamol products.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine usually starts working within 30 to 60 minutes after taking a dose.

Q: Can I take this medicine with other cold medicines?

A: You should avoid taking other cold medicines that contain paracetamol or antihistamines to prevent overdose and increased side effects. Always consult your doctor or pharmacist before combining.

Q: Is it safe for children?

A: This medicine is not recommended for children under 6 years without consulting a pediatrician. For children 6 years and older, the dose should be determined by a doctor based on weight and condition.

Q: Does it cause drowsiness?

A: Yes, drowsiness is a common side effect due to the chlorpheniramine component. Avoid driving or operating machinery until you know how this medicine affects you.

🤔 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 loract d syrup

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 the common cold.
    Fact: This medicine only relieves symptoms; it does not cure the underlying viral infection.
  • Myth: It is safe to take extra doses for faster relief.
    Fact: Taking more than the recommended dose can lead to serious liver damage from paracetamol.

🔄 Alternative Options

Generic Alternatives

  • Chlorpheniramine + Paracetamol oral suspension

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","active_ingredients":"Chlorpheniramine + Paracetamol","onset":"30-60 min","duration":"4-6 hours","sedation":"High"},{"medicine":"Cetirizine + Paracetamol","active_ingredients":"Cetirizine + Paracetamol","onset":"30-60 min","duration":"12-24 hours","sedation":"Low"}]

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