sinarest fxp tablet - Fexofenadine (60mg) + Phenylephrine (10mg) medicine

Fexagon Plus 60mg/10mg/325mg Tablet: Complete Medicine Guide

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🏭 Centaur Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Sep 25, 2026
🤰 Pregnancy Category Not established from the available information. Use only if clearly needed and prescribed by a doctor. Fexofenadine is generally considered low risk, but phenylephrine may cause uterine vasoconstriction. Paracetamol is considered safe in pregnancy at recommended doses. 📋 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 | Sep 25, 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

  • 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
  • Rapid or irregular heartbeat

If experiencing severe symptoms, call emergency services immediately.

What is sinarest fxp tablet used for?

This medicine is a combination of fexofenadine (antihistamine), phenylephrine (decongestant), and paracetamol (analgesic/antipyretic) used for short-term relief of allergic rhinitis and common cold symptoms. It reduces sneezing, runny nose, nasal congestion, and mild pain or fever. It should not be used by people with severe hypertension or those taking MAOIs.

  • Generic Name: Fexofenadine (60mg) + Phenylephrine (10mg)
  • Manufacturer: Centaur Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 sinarest fxp tablet के बारे में (Hindi Summary)

उपयोग: यह दवा एलर्जी और सर्दी-जुकाम के लक्षणों जैसे नाक बंद होना, छींक आना, नाक बहना, आंखों में खुजली और हल्के दर्द या बुखार को कम करने के लिए इस्तेमाल की जाती है। इसमें फेक्सोफेनाडीन, फेनाइलएफ्रिन और पैरासिटामोल होते हैं। यह अल्पकालिक उपयोग के लिए है और डॉक्टर की सलाह के बिना 7 दिनों से अधिक नहीं लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, मुंह सूखना, सिरदर्द, जी मिचलाना और बेचैनी शामिल हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तेज धड़कन, रक्तचाप बढ़ना, गंभीर चक्कर आना और एलर्जी प्रतिक्रिया हो सकती है। किसी भी गंभीर लक्षण पर तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा की अनुशंसित खुराक से अधिक न लें। नींद आने पर वाहन चलाने या मशीनरी चलाने से बचें। पैरासिटामोल या फेनाइलएफ्रिन युक्त अन्य दवाओं के साथ न लें। शराब का सेवन न करें। यदि आपको उच्च रक्तचाप, हृदय रोग, मधुमेह, थायरॉइड या गुर्दे/यकृत की समस्या है तो डॉक्टर को बताएं। 7 दिनों से अधिक उपयोग न करें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 sinarest fxp tablet Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy watery eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief from nasal congestion, sneezing, and mild pain or fever associated with the common cold.","evidence":"Well-established"},{"condition":"Sinusitis","description":"Helps reduce nasal congestion and pressure in sinusitis, though it does not treat the underlying infection.","evidence":"Supportive"}]

Off-label uses: []

Primary treatment for: Allergic rhinitis and common cold

Also treats: Sinusitis, Nasal congestion, Sneezing, Mild pain and fever

📋 Drug Information

Generic Name(s)Fexofenadine (60mg) + Phenylephrine (10mg)
Brand Namesinarest fxp tablet
ManufacturerCentaur Pharmaceuticals 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 and moisture.
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 with food or milk to reduce stomach upset.
2
Avoid driving or operating machinery if you feel drowsy.
3
Do not take this medicine with other paracetamol-containing products.
4
Avoid alcohol while taking this medicine.
5
Do not use for more than 7 days without consulting a doctor.
6
Monitor your blood pressure if you have hypertension.
7
Stay well hydrated throughout the day.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Nasal congestion
This medicine is commonly prescribed for this.
Likely Use
✅
Sneezing
This medicine is commonly prescribed for this.
Likely Use
✅
Fever
Paracetamol in this medicine helps reduce fever.
Likely Use
❌
Chest pain
This medicine is not for chest pain; seek immediate medical attention.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFexofenadine is rapidly absorbed after oral administration, with peak plasma levels reached in about 2.5 hours. Phenylephrine is absorbed from the gastrointestinal tract but undergoes extensive first-pass metabolism, reducing oral bioavailability. Paracetamol is well absorbed orally, with peak levels in 0.5 to 2 hours.
DistributionFexofenadine is approximately 60-70% bound to plasma proteins and does not cross the blood-brain barrier significantly. Phenylephrine distribution is not well characterized. Paracetamol distributes widely into body fluids, with about 10-25% bound to plasma proteins.
Protein BindingFexofenadine: 60-70%; Phenylephrine: Not established from the available information; Paracetamol: 10-25%.
MetabolismFexofenadine undergoes minimal metabolism (about 5% by CYP3A4). Phenylephrine is extensively metabolized by monoamine oxidase in the gut and liver. Paracetamol is metabolized primarily by glucuronidation and sulfation, with a small fraction via CYP2E1 to a toxic metabolite (NAPQI).
Half-LifeFexofenadine: 14.4 hours; Phenylephrine: 2.5-3 hours; Paracetamol: 2-3 hours.
ExcretionFexofenadine is excreted mainly unchanged in feces (80%) and urine (11%). Phenylephrine is excreted in urine as metabolites. Paracetamol metabolites are excreted in urine.
BioavailabilityFexofenadine: 30-40% (oral); Phenylephrine: approximately 38% (oral, but variable due to first-pass metabolism); Paracetamol: 80-100% (oral).
Onset of ActionFexofenadine: within 1 hour; Phenylephrine: within 15-30 minutes; Paracetamol: within 30-60 minutes.
Peak Plasma TimeFexofenadine: 2.5 hours; Phenylephrine: 0.5-1 hour; Paracetamol: 0.5-2 hours.
Duration of ActionFexofenadine: 24 hours; Phenylephrine: 4-6 hours; Paracetamol: 4-6 hours.

How It Works

This medicine combines three active ingredients with complementary actions. Fexofenadine selectively blocks peripheral histamine H1 receptors, reducing allergic symptoms. Phenylephrine stimulates alpha-1 adrenergic receptors, causing vasoconstriction in nasal mucosa and reducing congestion. Paracetamol acts centrally to relieve pain and fever, though its exact mechanism is not fully understood.

Mechanism Steps

1
Histamine H1 receptor blockade: Fexofenadine binds to H1 receptors on blood vessels and nerve endings, preventing histamine from causing allergy symptoms.
2
Alpha-1 adrenergic receptor stimulation: Phenylephrine activates alpha-1 receptors on nasal blood vessels, causing them to constrict and reduce swelling.
3
Central analgesic and antipyretic action: Paracetamol acts on the hypothalamus to lower fever and on the central nervous system to reduce pain perception.

💡 How to Take sinarest fxp tablet

Strength: Each tablet contains fexofenadine 60 mg, phenylephrine 10 mg, and paracetamol 325 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3Take with food or milk to reduce stomach upset.
4Do not take with fruit juices as they may reduce absorption.
5Follow the prescribed dose and frequency exactly.

Dosage Information

Adult DosageThe usual adult dose is one tablet taken orally every 8 to 12 hours as needed for symptoms, not to exceed 3 tablets in 24 hours. However, the exact dose and frequency must be individualized by a qualified clinician based on the indication, age, weight, renal and hepatic function, and other medications being taken. Do not self-medicate; follow your doctor's prescription.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients may be more sensitive to the effects of phenylephrine and fexofenadine. Use with caution and lower doses may be appropriate. Consult a doctor for individualized dosing.
Renal ImpairmentDose adjustment may be needed in patients with renal impairment. Consult a doctor for individualized dosing.
Hepatic ImpairmentDose adjustment may be needed in patients with hepatic impairment. Paracetamol should be used with caution. Consult a doctor for individualized dosing.
Maximum Daily DoseThe maximum daily dose is 3 tablets in 24 hours. Do not exceed this limit.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit juice
Avoid
May reduce absorption of fexofenadine.
Alcohol
Avoid
Increases drowsiness and liver risk.

⏰ 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 sinarest fxp tablet

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how it affects you. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if persistent.
Headache (Common (5-10%))
Rest and stay hydrated. If headache persists or is severe, consult doctor.
Nausea (Common (5-10%))
Take with food or milk to reduce stomach upset. Consult doctor if vomiting occurs.
Nervousness (Uncommon (1-5%))
Try relaxation techniques. If it interferes with daily activities, consult 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.
Hypertensive crisis (Rare (<0.1%))
Seek immediate medical help if you have severe headache, blurred vision, chest pain, or shortness of breath.
Liver damage (paracetamol overdose) (Rare (<0.1%))
Seek emergency care if you experience yellowing of skin/eyes, dark urine, or severe abdominal pain.
Severe skin reactions (e.g., Stevens-Johnson syndrome) (Very rare (<0.01%))
Stop medicine and seek immediate medical attention if you develop rash, blisters, or peeling skin.

⚠️ Rare Side Effects

Palpitations
Consult doctor if you feel irregular or fast heartbeat.
Urinary retention
Consult doctor if you have difficulty urinating.
Hallucinations
Seek immediate medical attention.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Beta-blockers Major
Tricyclic antidepressants Major
Warfarin Moderate
Alcohol Moderate
Digoxin Moderate
Ergot alkaloids Moderate
Antacids Minor
Fruit juices Minor
Other sedatives Moderate

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Beta-blockers
  • Tricyclic antidepressants
  • Warfarin

⚡ Moderate Interactions

  • Other antihistamines, alcohol, sedatives
  • Digoxin
  • Ergot alkaloids

🍷 Alcohol Interaction

Avoid alcohol while taking this medicine. Alcohol can increase drowsiness caused by fexofenadine and increase the risk of liver damage from paracetamol. It may also worsen the cardiovascular effects of phenylephrine.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to any component","Severe hypertension or coronary artery disease","Use within 14 days of MAOI therapy","Severe liver disease","Pheochromocytoma","Hyperthyroidism"]

⚠️ Warnings & Precautions

["Do not exceed recommended dose.","Avoid alcohol.","May cause drowsiness; avoid driving.","Caution in patients with cardiovascular disease, diabetes, thyroid disorders, or glaucoma.","Do not use for more than 7 days without medical advice.","Keep out of reach of children."]

🤱 Lactation Safety

Not established from the available information. Fexofenadine may pass into breast milk in small amounts. Phenylephrine may reduce milk production. Consult your doctor before use while breastfeeding.

💊 Overdose Management

Overdose can cause severe liver damage from paracetamol, hypertensive crisis from phenylephrine, and severe drowsiness from fexofenadine. Seek immediate medical attention. Treatment includes gastric lavage, activated charcoal, and administration of N-acetylcysteine for paracetamol toxicity. Supportive care for cardiovascular and CNS effects.

⏰ 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 driving or operating heavy machinery if you feel drowsy. Do not take this medicine with other products containing paracetamol or phenylephrine to prevent overdose. Avoid alcohol while taking this medicine as it can increase drowsiness and liver risk. Inform your doctor if you have high blood pressure, heart disease, diabetes, thyroid disorders, or liver/kidney problems. Do not use for more than 7 days without medical advice. Keep out of reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to the effects of phenylephrine and fexofenadine. Use with caution and lower doses may be appropriate. Monitor blood pressure and heart rate regularly.

🤰 Pregnancy Planning (TTC)

Consult your doctor before taking this medicine if you are planning pregnancy. Fexofenadine is generally considered low risk, but phenylephrine may not be recommended. Paracetamol is considered safe at recommended doses.

🏥 Post-Surgery Considerations

Consult your doctor before taking this medicine after surgery, especially if you are taking other medications or have cardiovascular concerns.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Maintain a healthy weight to reduce overall health risks.
🥗
Regular low-impact exercise like walking or swimming.
😴
Practice good hand hygiene to prevent colds.
💧
Include anti-inflammatory foods in your diet.
🧘
Get adequate sleep to support immune function.
🌞
Avoid known allergens and irritants.

🏋️ Exercise Considerations

If you feel drowsy or dizzy after taking this medicine, avoid exercise until you know how it affects you. Stay hydrated during exercise.

🥗 Diet Recommendations

Include omega-3 rich foods
Reduce processed food intake
Stay well hydrated
Avoid alcohol
Limit caffeine if you feel nervous

💼 Impact on Daily Work & Life

This medicine may cause drowsiness, which can affect your ability to drive or operate machinery. Avoid these activities until you know how it affects you. It may also cause nervousness, which can impact concentration.

🛑 When to Stop This Medicine

Stop this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any severe side effects. Do not stop abruptly if you have been taking it regularly for a long time without medical advice.

📅 Long-Term Use Effects

Long-term use of this medicine is not recommended. Prolonged use of phenylephrine can cause rebound congestion. Paracetamol overuse can lead to liver damage. Regular monitoring of blood pressure and liver function may be needed if used for extended periods.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal irrigation

Can help relieve nasal congestion without medication.

Evidence: Well-established
Steam inhalation

Helps loosen mucus and relieve congestion.

Evidence: Supportive
Allergen avoidance

Reducing exposure to allergens can prevent symptoms.

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 direct sunlight. If traveling across time zones, adjust dosing times gradually. Check customs regulations for carrying medicines. Do not leave in a hot car.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with seasonal allergic rhinitis
She started this medicine as prescribed for her sneezing and runny nose. Within an hour, her symptoms improved significantly. She experienced mild drowsiness, so she avoided driving. She was advised to take it with food to prevent nausea.
💡 Lesson: This medicine provides rapid relief from allergy symptoms, but drowsiness can occur; avoid driving until you know how it affects you.
👤 A 50-year-old man with common cold and high blood pressure
He took this medicine for nasal congestion but experienced a rise in blood pressure. He consulted his doctor, who advised him to stop the medicine and prescribed an alternative decongestant. His blood pressure returned to normal.
💡 Lesson: Phenylephrine can raise blood pressure; patients with hypertension should use this medicine only under medical supervision.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: This medicine starts working within 30-60 minutes, with peak effects in 1-2 hours.

Q: Can I take it on an empty stomach?

A: It is best taken with food or milk to reduce stomach upset.

Q: Is it safe for children?

A: Pediatric dosing is not established. Consult a pediatrician.

Q: Can I take it with other cold medicines?

A: Do not take with other products containing paracetamol or phenylephrine to avoid overdose.

🤔 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 sinarest fxp 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 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 cause serious side effects, including liver damage and hypertensive crisis.
  • Myth: It is safe to take with other cold medicines.
    Fact: Many cold medicines contain paracetamol or phenylephrine; combining them can lead to overdose.

🔄 Alternative Options

Generic Alternatives

  • Fexofenadine + Phenylephrine + Paracetamol (generic)

📊 Comparison with Similar Medicines

[{"medicine":"This medicine","composition":"Fexofenadine 60mg + Phenylephrine 10mg + Paracetamol 325mg","sedation":"Low","duration":"24 hours"},{"medicine":"Cetirizine + Phenylephrine + Paracetamol","composition":"Cetirizine 5mg + Phenylephrine 10mg + Paracetamol 325mg","sedation":"Moderate","duration":"24 hours"},{"medicine":"Levocetirizine + Phenylephrine + Paracetamol","composition":"Levocetirizine 5mg + Phenylephrine 10mg + Paracetamol 325mg","sedation":"Moderate","duration":"24 hours"}]

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