Adcold T Tablet: 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 vomit or stool
- Severe abdominal pain
- Yellowing of skin or eyes
- Difficulty breathing or swelling of face, lips, or throat
- Severe drowsiness or confusion
- Irregular heartbeat or palpitations
- Decreased urine output
If experiencing severe symptoms, call emergency services immediately.
What is scold 4 mg/500 mg/30 mg tablet used for?
This medicine is a combination of Chlorpheniramine Maleate (an antihistamine) and Paracetamol (a pain reliever and fever reducer). It is used to treat symptoms of common cold and allergies such as runny nose, sneezing, and mild fever. It is usually taken every 6-8 hours as needed, but do not exceed 6 tablets in 24 hours. It may cause drowsiness, so avoid driving.
- Generic Name: Chlorpheniramine Maleate (4mg) + Paracetamol (500mg)
- Manufacturer: Stallion Laboratories Pvt Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 scold 4 mg/500 mg/30 mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा क्लोरफेनिरामाइन मेलिएट और पैरासिटामोल का संयोजन है। इसका उपयोग सर्दी-जुकाम, एलर्जी, नाक बहना, छींक आना, आंखों में पानी आना और हल्के बुखार या शरीर दर्द में राहत के लिए किया जाता है। यह दवा एलर्जी के लक्षणों को कम करने में मदद करती है और बुखार व दर्द को भी कम करती है। इसका सेवन डॉक्टर के निर्देशानुसार ही करें।
साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि और पेट में गड़बड़ी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन एलर्जी, सांस लेने में कठिनाई, या यकृत की क्षति हो सकती है। यदि कोई गंभीर लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: इस दवा को डॉक्टर के बताए अनुसार ही लें। निर्धारित मात्रा से अधिक न लें। शराब का सेवन न करें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। वाहन चलाने या मशीनरी चलाने से बचें। यदि आपको यकृत या गुर्दे की बीमारी, ग्लूकोमा, या प्रोस्टेट की समस्या है तो डॉक्टर को बताएं। 7 दिनों से अधिक इसका उपयोग न करें।
💊 scold 4 mg/500 mg/30 mg tablet Uses & Benefits
[{"condition":"Common cold","description":"Relieves 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 eyes due to allergies.","evidence":"Well-established"},{"condition":"Urticaria","description":"Provides symptomatic relief from itching and skin rash in allergic conditions.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Insomnia","description":"Sometimes used off-label for its sedative effects to promote sleep, but not recommended due to side effect profile.","evidence":"Limited"}]
Primary treatment for: Common cold and allergic rhinitis
Also treats: Urticaria, Allergic conjunctivitis
📋 Drug Information
| Generic Name(s) | Chlorpheniramine Maleate (4mg) + Paracetamol (500mg) |
| Brand Name | scold 4 mg/500 mg/30 mg tablet |
| Manufacturer | Stallion Laboratories 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. Chlorpheniramine Maleate is a first-generation antihistamine that competitively blocks histamine H1 receptors, reducing allergic responses such as sneezing, runny nose, and itching. Paracetamol (acetaminophen) acts primarily in the central nervous system to inhibit prostaglandin synthesis, thereby reducing fever and pain. The combination provides symptomatic relief from cold and allergy symptoms.
Mechanism Steps
💡 How to Take scold 4 mg/500 mg/30 mg tablet
Strength: Tablet: Chlorpheniramine Maleate 4 mg + Paracetamol 500 mg
Dosage Information
| Adult Dosage | The usual adult dose is 1 tablet orally every 6 to 8 hours as needed, not to exceed 6 tablets in 24 hours. However, the dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not exceed the recommended dose. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the side effects of Chlorpheniramine, especially drowsiness, dizziness, and anticholinergic effects. Use with caution and consider dose reduction. Consult a doctor. |
| Renal Impairment | Use with caution in patients with renal impairment. Dose adjustment may be necessary. Consult a doctor. |
| Hepatic Impairment | Use with caution in patients with hepatic impairment. Paracetamol dose should be reduced or avoided in severe liver disease. Consult a doctor. |
| Maximum Daily Dose | For adults: Maximum 6 tablets in 24 hours (Paracetamol 3000 mg, Chlorpheniramine 24 mg). Do not exceed the recommended dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of scold 4 mg/500 mg/30 mg 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 | |
| Alcohol | Major | |
| Warfarin | Moderate | |
| Anticholinergics | Moderate | |
| CYP2D6 inhibitors | Moderate | |
| CYP3A4 inducers | Moderate | |
| Antihypertensives | Minor | |
| Diuretics | Minor |
🚨 Major Interactions
- Monoamine oxidase inhibitors (MAOIs)
- Alcohol and other CNS depressants
- Warfarin
⚡ Moderate Interactions
- Anticholinergic drugs (e.g., atropine, tricyclic antidepressants)
- CYP2D6 inhibitors (e.g., fluoxetine, quinidine)
- CYP3A4 inducers (e.g., rifampin, carbamazepine)
🍷 Alcohol Interaction
Alcohol should be avoided while taking this medicine because it can increase drowsiness, dizziness, and the risk of liver damage from Paracetamol. Concurrent use may also impair judgment and coordination.
🔎 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","Newborns and premature infants","Nursing mothers","Severe liver disease","Severe kidney disease","Patients taking MAOIs"]
⚠️ Warnings & Precautions
["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Do not exceed recommended dose due to risk of liver damage.","Use with caution in patients with glaucoma, enlarged prostate, or urinary retention.","Use with caution in patients with asthma or COPD.","Consult doctor before use in pregnancy or breastfeeding.","Do not use for longer than 7 days without medical advice."]
🤱 Lactation Safety
Chlorpheniramine is excreted in breast milk and may cause drowsiness in nursing infants. Paracetamol is also excreted in breast milk but in small amounts. This medicine is not recommended during breastfeeding unless the potential benefit outweighs the risk. Consult your doctor.
💊 Overdose Management
Overdose of this medicine can cause severe liver damage from Paracetamol and anticholinergic toxicity from Chlorpheniramine. Symptoms include nausea, vomiting, abdominal pain, drowsiness, confusion, tachycardia, and seizures. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, N-acetylcysteine for Paracetamol toxicity, and supportive care. Hemodialysis may be considered in severe cases.
⏰ 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. Avoid alcohol and other central nervous system depressants while taking this medicine, as they can increase drowsiness. Do not drive or operate heavy machinery until you know how this medicine affects you. Inform your doctor if you have liver or kidney disease, glaucoma, enlarged prostate, or breathing problems such as asthma or COPD. Do not use this medicine for longer than 7 days without consulting a doctor. Keep out of reach of children. Store at room temperature away from moisture and heat.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients are more sensitive to the sedative and anticholinergic effects of Chlorpheniramine. Use with caution and consider a lower dose. Monitor for confusion, urinary retention, and falls.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy or are pregnant, consult your doctor before taking this medicine. Paracetamol is generally considered safe, but Chlorpheniramine should be used with caution, especially in the first trimester.
🏥 Post-Surgery Considerations
Consult your doctor before taking this medicine after surgery, as it may interact with anesthetics and other medications. It may also increase the risk of bleeding or drowsiness.
🦷 Dental Procedures
Inform your dentist if you are taking this medicine, as it may cause dry mouth and increase the risk of dental problems. It may also interact with sedatives used during dental procedures.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise while taking this medicine, especially if you feel drowsy or dizzy. Light activity is fine if you feel up to it.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine can cause drowsiness, which may affect your ability to drive or operate machinery. Avoid these activities until you know how the medicine affects you. It may also reduce your concentration, so take care with tasks requiring alertness.
🛑 When to Stop This Medicine
Stop taking this medicine if your symptoms resolve or if you experience any serious side effects. Do not use for more than 7 days without consulting a doctor. If you need to stop suddenly, consult your doctor for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine is not recommended. Prolonged use of Chlorpheniramine may lead to tolerance, dependence, and anticholinergic side effects. Prolonged high-dose Paracetamol can cause liver damage. Use only for short-term relief of symptoms.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Helps relieve nasal congestion without medication.
Evidence: Well-establishedCan help loosen mucus and relieve congestion.
Evidence: TraditionalFor allergic conjunctivitis, may provide targeted relief.
Evidence: Well-established💉 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
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 accordingly, but do not exceed the maximum daily dose. Check customs regulations for 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 30-60 minutes after oral administration.
A: It is best taken with food or milk to reduce stomach upset.
A: Consult your doctor before combining with other cold medicines, as they may contain Paracetamol or antihistamines, leading to overdose.
🤔 Common Patient Concerns
🔄 Substitutes for scold 4 mg/500 mg/30 mg tablet
View AllAlternative brands with exact same active ingredient:
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care flu 4mg/500mg tabletTOSC International Pvt Ltd ₹7.97 50.9% CHEAPER
-
cap tabletSymet Drugs Ltd ₹11.25 30.7% CHEAPER
-
sudohist p tabletHamax Pharmaceuticals ₹11.25 30.7% CHEAPER
-
cemol plus 500mg/4mg/60mg tabletCasca Remedies Pvt Ltd ₹13.60 16.2% CHEAPER
-
anamol plus tabletAngel Laboratories Pvt Ltd ₹14.00 13.7% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Adcold T Tablet 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 more than the recommended dose for faster relief.
Fact: Exceeding the dose can cause serious liver damage from Paracetamol. Always follow the recommended dose. - Myth: It is non-drowsy.
Fact: Chlorpheniramine is a first-generation antihistamine that commonly causes drowsiness.
🔄 Alternative Options
Generic Alternatives
- Chlorpheniramine Maleate + Paracetamol tablet
Brand Alternatives
- Adcold T Tablet