nam cold z syrup - Paracetamol (125mg) + Pseudoephedrine (15mg) medicine

Hatric 3 Suspension: Complete Medicine Guide

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🏭 Lincoln Pharmaceuticals Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 26, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for short-term symptomatic relief of cold and allergy symptoms.
Reviewed by
SaathiMed Expert Panel | Oct 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

  • Severe allergic reaction with swelling of face, lips, or throat, or difficulty breathing.
  • Chest pain, palpitations, or severe headache.
  • Yellowing of skin or eyes, or severe abdominal pain.
  • Blood in vomit or black, tarry stools.
  • Confusion, hallucinations, or severe agitation.
  • Inability to pass urine.
  • High fever that does not improve within 3 days.

If experiencing severe symptoms, call emergency services immediately.

What is nam cold z syrup used for?

This medicine is a combination of paracetamol and pseudoephedrine used for short-term relief of nasal congestion, mild pain, and fever associated with colds or allergies. It works by reducing swelling in the nose and lowering fever. It should not be used for more than a few days without medical advice.

  • Generic Name: Paracetamol (125mg) + Pseudoephedrine (15mg)
  • Manufacturer: Lincoln Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 nam cold z syrup के बारे में (Hindi Summary)

उपयोग: यह दवा पैरासिटामोल और स्यूडोएफेड्रिन का संयोजन है, जिसका उपयोग सर्दी-जुकाम, एलर्जी या साइनस की समस्या में नाक बंद होने, हल्के दर्द और बुखार से राहत के लिए किया जाता है। यह केवल लक्षणों को कम करती है, बीमारी का इलाज नहीं करती। इसे डॉक्टर की सलाह के अनुसार ही लें और लंबे समय तक बिना पूछे न लें।

साइड इफेक्ट्स: आम दुष्प्रभावों में मतली, मुँह सूखना, चक्कर आना, बेचैनी या नींद न आना शामिल हैं। कभी-कभी दिल की धड़कन तेज हो सकती है या रक्तचाप बढ़ सकता है। गंभीर एलर्जी प्रतिक्रिया जैसे चेहरे या गले में सूजन, सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर की सलाह के बिना लंबे समय तक न लें। पैरासिटामोल की अधिक मात्रा से लिवर को नुकसान हो सकता है, इसलिए निर्धारित मात्रा से अधिक न लें। अन्य पैरासिटामोल युक्त दवाओं के साथ न लें। अगर आपको उच्च रक्तचाप, हृदय रोग, मधुमेह या थायरॉइड की समस्या है तो डॉक्टर से पूछें। शराब न पिएं। गाड़ी चलाते समय सावधानी बरतें।

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

💊 nam cold z syrup Uses & Benefits

[{"condition":"Common cold with nasal congestion and mild pain or fever","description":"Provides temporary relief of nasal stuffiness along with reduction of mild aches and fever associated with the common cold.","evidence":"Well-established for short-term symptomatic relief"},{"condition":"Allergic rhinitis with nasal blockage","description":"Helps relieve nasal congestion and mild sinus pressure in allergic rhinitis, though it does not treat the allergy itself.","evidence":"Established for short-term decongestant use"},{"condition":"Sinusitis with congestion and pain","description":"May ease sinus pressure and mild pain while the underlying cause is managed by other treatments.","evidence":"Supportive use; not a substitute for antibiotics when bacterial infection is present"}]

Off-label uses: [{"condition":"Eustachian tube dysfunction","description":"Sometimes used short-term to reduce mucosal swelling and improve ear pressure symptoms.","evidence":"Limited"},{"condition":"Barotrauma prevention during air travel","description":"Occasionally used before flights to reduce nasal congestion and ear discomfort.","evidence":"Limited"}]

Primary treatment for: Common cold with nasal congestion

Also treats: Allergic rhinitis, Sinusitis

📋 Drug Information

Generic Name(s)Paracetamol (125mg) + Pseudoephedrine (15mg)
Brand Namenam cold z syrup
ManufacturerLincoln Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C. Protect from light and moisture. Keep the bottle tightly closed.
Shelf LifeRefer to the expiry date printed on the pack. Do not use after the expiry date.
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 exactly as prescribed and do not exceed the recommended dose.
2
Avoid taking other products containing paracetamol to prevent liver injury.
3
If you have high blood pressure or heart disease, consult your doctor before using this medicine.
4
Do not drive or operate machinery if you feel dizzy or drowsy after taking this medicine.
5
Limit the duration of use to a few days unless your doctor advises otherwise.
6
Stay well hydrated to help thin nasal secretions and soothe your throat.
7
Report any unusual symptoms such as palpitations, severe headache, or rash to your doctor immediately.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nasal congestion
This medicine is commonly used for this symptom.
Likely Use
✅
Mild body ache
Paracetamol helps relieve mild pain.
Likely Use
✅
Fever
Paracetamol reduces fever.
Likely Use
❌
Severe headache with vision changes
This medicine is not appropriate for severe or unusual headaches; seek medical care.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionParacetamol is rapidly and almost completely absorbed from the gastrointestinal tract after oral administration. Pseudoephedrine is also well absorbed from the gastrointestinal tract. Food may delay the absorption of paracetamol slightly but does not significantly reduce the total amount absorbed.
DistributionParacetamol distributes widely into most body tissues, with relatively low protein binding. Pseudoephedrine distributes into body tissues and crosses the blood-brain barrier to some extent, which contributes to its central stimulant effects.
Protein BindingParacetamol: approximately 10-25% bound to plasma proteins. Pseudoephedrine: not significantly protein bound.
MetabolismParacetamol is metabolized primarily in the liver by conjugation with glucuronic acid and sulfate. A small fraction is oxidized by cytochrome P450 enzymes to a reactive intermediate that is normally detoxified by glutathione. Pseudoephedrine undergoes limited hepatic metabolism, mainly by N-demethylation.
Half-LifeParacetamol: approximately 2-3 hours in adults with normal liver function. Pseudoephedrine: approximately 3-6 hours, depending on urine pH.
ExcretionParacetamol metabolites are excreted mainly in the urine. Pseudoephedrine is excreted largely unchanged in the urine, and its elimination is increased by acidic urine.
BioavailabilityParacetamol: approximately 80-100% after oral administration. Pseudoephedrine: approximately 90% after oral administration.
Onset of ActionParacetamol: within 30-60 minutes for fever and pain relief. Pseudoephedrine: within 15-30 minutes for nasal decongestion.
Peak Plasma TimeParacetamol: approximately 0.5-2 hours. Pseudoephedrine: approximately 1-2 hours.
Duration of ActionParacetamol: approximately 4-6 hours. Pseudoephedrine: approximately 4-6 hours.

How It Works

Paracetamol acts mainly in the central nervous system to reduce pain and fever by inhibiting prostaglandin synthesis, though its exact mechanism is not fully understood. Pseudoephedrine is a sympathomimetic amine that directly and indirectly stimulates alpha-adrenergic receptors on nasal blood vessels, causing vasoconstriction and reduced swelling of the nasal mucosa. The combination provides both analgesic-antipyretic and decongestant effects.

Mechanism Steps

1
Paracetamol central action: Paracetamol reduces prostaglandin synthesis in the brain, which lowers fever and decreases pain perception.
2
Pseudoephedrine alpha-adrenergic stimulation: Pseudoephedrine binds to alpha-adrenergic receptors on nasal blood vessels, causing them to narrow.
3
Reduced nasal swelling: Vasoconstriction decreases blood flow and fluid leakage in the nasal mucosa, which reduces congestion.
4
Combined symptom relief: The two ingredients work together to relieve nasal stuffiness and mild pain or fever.

💡 How to Take nam cold z syrup

Strength: Each 5 mL of suspension contains paracetamol 125 mg and pseudoephedrine 15 mg.

1Shake the bottle well before each use.
2Measure the dose using the measuring cup or syringe provided.
3Take the medicine orally, with or without food.
4If it upsets your stomach, take it with a small snack or meal.
5Do not exceed the recommended dose.
6Wash the measuring device after each use.

Dosage Information

Adult DosageThe usual adult dose is 10 mL to 20 mL of the suspension every 4 to 6 hours as needed for symptoms, not to exceed 4 doses in 24 hours. However, the exact dose depends on the indication, severity of symptoms, and individual factors. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate for more than a few days without consulting a doctor.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician for appropriate dosing based on the child's age and weight.
Elderly DosageElderly patients may be more sensitive to the effects of pseudoephedrine, especially on blood pressure and heart rate. Use with caution and consult a doctor for appropriate dosing.
Renal ImpairmentDose adjustment may be needed in patients with kidney disease, especially for pseudoephedrine. Consult a doctor for guidance.
Hepatic ImpairmentUse with caution in patients with liver disease. Paracetamol dose may need to be reduced or avoided. Consult a doctor for guidance.
Maximum Daily DoseThe maximum daily dose should not exceed 4 doses of the recommended adult dose in 24 hours. Do not exceed the dose prescribed by your doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals if stomach upset occurs
Reduces the chance of nausea or stomach discomfort.
Alcohol
Avoid
Increases the risk of liver damage from paracetamol.
Caffeine
Limit
May increase stimulant side effects like restlessness.

⏰ 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 nam cold z syrup

✅ Common Side Effects

Nausea (Common (up to 10%))
Take with food or milk to reduce stomach upset. If it persists, consult your doctor.
Dry mouth (Common (up to 10%))
Sip water frequently or chew sugar-free gum. This usually resolves on its own.
Dizziness (Uncommon (1-5%))
Avoid driving or operating machinery until you know how this medicine affects you.
Insomnia or restlessness (Uncommon (1-5%))
Avoid taking close to bedtime if it keeps you awake. Consult your doctor if it continues.
Headache (Uncommon (1-5%))
Rest and stay hydrated. If headache is severe or persistent, seek medical advice.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Liver injury from paracetamol overdose (Rare with recommended doses; higher with overdose)
Go to the nearest emergency department immediately if you suspect an overdose, even if you feel well.
Severe hypertension or arrhythmia from pseudoephedrine (Rare (<0.1%))
Seek immediate medical attention if you develop chest pain, severe headache, palpitations, or shortness of breath.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop the medicine and seek emergency care if you notice spreading rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Blood disorders such as thrombocytopenia or leukopenia
Report unusual bruising, bleeding, or signs of infection to your doctor promptly.
Hallucinations or severe nervousness
Stop the medicine and seek medical advice if you experience confusion, hallucinations, or severe agitation.
Urinary retention
Seek medical attention if you are unable to pass urine, especially if you have prostate enlargement.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Beta-blockers Major
Warfarin Moderate
Alcohol Moderate
Tricyclic antidepressants Moderate
Antihypertensives Moderate
Caffeine Minor
Antacids Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Other sympathomimetics (e.g., phenylephrine, ephedrine)
  • Beta-blockers (e.g., propranolol)

⚡ Moderate Interactions

  • Warfarin
  • Alcohol
  • Antihypertensives (e.g., methyldopa, reserpine)
  • Tricyclic antidepressants (e.g., amitriptyline)

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol increases the risk of liver injury from paracetamol and may worsen the cardiovascular effects of pseudoephedrine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to paracetamol or pseudoephedrine","Uncontrolled high blood pressure","Severe coronary artery disease or recent heart attack","Hyperthyroidism","Use within 14 days of monoamine oxidase inhibitors","Severe liver disease","Phaeochromocytoma"]

⚠️ Warnings & Precautions

["Do not exceed the recommended dose because of the risk of liver damage from paracetamol.","Avoid other paracetamol-containing products to prevent accidental overdose.","Use with caution in patients with high blood pressure, heart disease, diabetes, or thyroid disorders.","May cause dizziness; avoid driving or operating machinery until you know how it affects you.","Consult a doctor before use in pregnancy or breastfeeding.","Do not use for longer than recommended without medical advice."]

🤱 Lactation Safety

Paracetamol is considered compatible with breastfeeding. Pseudoephedrine passes into breast milk in small amounts and may cause irritability or sleep disturbance in the infant. It may also reduce milk supply. Consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose of this medicine can cause serious liver damage due to paracetamol and severe cardiovascular effects due to pseudoephedrine. Seek emergency medical attention immediately, even if you feel well. Treatment may include activated charcoal, N-acetylcysteine for paracetamol toxicity, and supportive care for pseudoephedrine effects. Do not wait for symptoms to appear.

⏰ 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 take a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Use this medicine only for short-term relief of cold or allergy symptoms unless a doctor advises otherwise. Do not exceed the recommended dose because the paracetamol component can harm the liver in excess. Avoid taking other products that also contain paracetamol to prevent accidental overdose. If you have high blood pressure, heart disease, diabetes, thyroid problems, or prostate enlargement, consult your doctor before use. Do not drive or operate heavy machinery if you feel dizzy or drowsy. Avoid alcohol while taking this medicine. Keep out of reach of children. If symptoms persist beyond a few days or worsen, seek medical attention.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the cardiovascular effects of pseudoephedrine and may have reduced liver or kidney function. Use with caution and consult a doctor for appropriate dosing.

🤰 Pregnancy Planning (TTC)

If you are planning pregnancy or are pregnant, consult your doctor before using this medicine. Paracetamol is generally preferred for short-term use, but pseudoephedrine should be avoided in the first trimester.

🏥 Post-Surgery Considerations

Consult your surgeon or doctor before using this medicine after surgery, as it may interact with other medications or affect blood pressure.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may interact with anesthetics or other medications used during dental work.

💚 Lifestyle Tips for Better Results

🏃
Stay well hydrated by drinking plenty of fluids.
🥗
Get adequate rest to help your body recover from the cold.
😴
Use a humidifier or steam inhalation to ease nasal congestion.
💧
Avoid exposure to allergens and irritants like smoke and dust.
🧘
Maintain a healthy diet rich in fruits and vegetables to support immunity.

🏋️ Exercise Considerations

Avoid strenuous exercise if you have a fever or feel unwell. If you experience dizziness or palpitations after taking this medicine, refrain from exercise until you feel better.

🥗 Diet Recommendations

Drink warm fluids like soups and herbal teas.
Include vitamin C-rich foods such as oranges and amla.
Avoid cold drinks and ice cream if they worsen your throat symptoms.
Limit caffeine intake to reduce stimulant side effects.

💼 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 is usually safe to continue desk work, but take breaks if you feel unwell.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 3-5 days, if they worsen, or if you experience any serious side effects. Do not stop prescribed medications without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended. Prolonged use of paracetamol can increase the risk of liver damage, especially with high doses or alcohol. Pseudoephedrine may cause persistent cardiovascular effects such as elevated blood pressure. Regular monitoring may be needed if used for extended periods under medical supervision.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Helps clear nasal passages and reduce congestion without medication.

Evidence: Well-established
Steam inhalation

Can temporarily relieve nasal stuffiness.

Evidence: Commonly used, limited evidence
Antihistamines

May be used for allergic rhinitis but do not decongest.

Evidence: Well-established for allergy symptoms

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interact with vaccines. 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

Carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription if traveling internationally. Store it in a cool, dry place away from direct sunlight. If crossing time zones, continue your regular dosing schedule as advised by your doctor. Check customs regulations for carrying medicines in your destination country.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old man with a common cold and nasal congestion.
He took this medicine as directed and noticed his nasal stuffiness improved within 30 minutes. He also had mild body ache which subsided. He made sure not to take any other paracetamol product and drank plenty of fluids. His symptoms resolved in 3 days.
💡 Lesson: Taking the medicine as prescribed and avoiding additional paracetamol helps ensure safety and effectiveness.
👤 A 50-year-old woman with allergic rhinitis and mild hypertension.
She consulted her doctor before using this medicine because of her blood pressure. The doctor advised a short course and monitored her blood pressure, which remained stable. She experienced mild dry mouth but no serious side effects.
💡 Lesson: Patients with high blood pressure should consult a doctor before using pseudoephedrine-containing products.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Paracetamol starts relieving pain and fever within 30-60 minutes, while pseudoephedrine begins to decongest the nose within 15-30 minutes.

Q: Can I take this medicine with food?

A: Yes, you can take it with or without food. If it upsets your stomach, take it with a small snack or meal.

Q: Is it safe to take with other cold medicines?

A: Do not take other medicines containing paracetamol or pseudoephedrine without consulting your doctor, as this can lead to overdose.

Q: Can I use this medicine for a long time?

A: No, this medicine is for short-term use only. Prolonged use should be under medical supervision.

🤔 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 nam cold z 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: More medicine means faster relief.
    Fact: Taking more than the recommended dose can cause serious harm, especially to the liver.
  • Myth: It is safe to take with other paracetamol products.
    Fact: Combining paracetamol products can lead to accidental overdose and liver damage.

🔄 Alternative Options

Generic Alternatives

  • Paracetamol + Pseudoephedrine suspension (generic)

Brand Alternatives

  • Hatric 3 Suspension

📊 Comparison with Similar Medicines

[{"medicine":"Paracetamol + Pseudoephedrine","key_difference":"Combines pain and fever relief with nasal decongestion."},{"medicine":"Paracetamol + Phenylephrine","key_difference":"Phenylephrine is a less potent decongestant than pseudoephedrine."},{"medicine":"Paracetamol + Chlorpheniramine","key_difference":"Chlorpheniramine is an antihistamine that causes drowsiness; no decongestant."}]

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