Smace Tablet - Caffeine (15mg) + Chlorpheniramine Maleate (2mg) medicine

Anadecon Tablet: Complete Guide to Uses, Dosage, and Safety

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🏭 Smiles Healthcare 📦 strip of 10 tablets 💊 Allopathy 📅 Updated: Oct 21, 2026
🤰 Pregnancy Category Chlorpheniramine Maleate is classified as Pregnancy Category B by the FDA. Caffeine is classified as Category C. However, this combination should be used during pregnancy only if clearly needed and under medical supervision. Consult your doctor. 📋 Prescription Required 💊 Generic Available
Medically Reviewed
12 min read
Evidence: Well-established for individual components; combination evidence is limited.
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

  • 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
  • Fast or irregular heartbeat
  • Hallucinations or seizures

If experiencing severe symptoms, call emergency services immediately.

What is Smace Tablet used for?

This medicine is a combination of Caffeine (15 mg) and Chlorpheniramine Maleate (2 mg) used to treat allergic rhinitis and common cold symptoms. Chlorpheniramine is an antihistamine that relieves sneezing, runny nose, and itchy eyes, while Caffeine helps reduce drowsiness caused by the antihistamine. It is taken orally every 4-6 hours as needed, up to 6 tablets daily. Avoid alcohol and driving due to drowsiness.

  • Generic Name: Caffeine (15mg) + Chlorpheniramine Maleate (2mg)
  • Manufacturer: Smiles Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Smace Tablet के बारे में (Hindi Summary)

उपयोग: यह दवा कैफीन (15 मिलीग्राम) और क्लोरफेनिरामाइन मेलिएट (2 मिलीग्राम) का संयोजन है। इसका उपयोग एलर्जी राइनाइटिस, सर्दी-जुकाम और अन्य ऊपरी श्वसन एलर्जी के लक्षणों जैसे छींक, बहती नाक, खुजली वाली आंखों और नाक की भीड़ को कम करने के लिए किया जाता है। क्लोरफेनिरामाइन हिस्टामिन को ब्लॉक करता है जिससे एलर्जी के लक्षण कम होते हैं, जबकि कैफीन नींद को कम करने में मदद करता है। यह दवा मुंह से ली जाती है और डॉक्टर के निर्देशानुसार लेनी चाहिए।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में नींद आना, चक्कर आना, मुंह सूखना, धुंधली दृष्टि, मतली और बेचैनी शामिल हैं। ये आमतौर पर हल्के और अस्थायी होते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं लेकिन इनमें तेज दिल की धड़कन, दौरे, या गंभीर एलर्जी प्रतिक्रिया शामिल हो सकती है। यदि कोई असामान्य लक्षण दिखे तो तुरंत डॉक्टर से संपर्क करें।

सुरक्षा सलाह: इस दवा को लेने से पहले अपने डॉक्टर को बताएं यदि आपको ग्लूकोमा, प्रोस्टेट की समस्या, अस्थमा, हृदय रोग, उच्च रक्तचाप, या लीवर/किडनी की बीमारी है। यह दवा नींद का कारण बन सकती है, इसलिए वाहन चलाने या मशीनरी चलाने से बचें। शराब का सेवन न करें क्योंकि इससे नींद और चक्कर बढ़ सकते हैं। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों को डॉक्टर की सलाह के बिना न दें।

💡 Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

💊 Smace Tablet Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy and watery eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Common cold","description":"Provides symptomatic relief from runny nose, sneezing, and watery eyes due to colds, while caffeine helps reduce associated fatigue.","evidence":"Well-established"},{"condition":"Urticaria","description":"Helps reduce itching and hives due to allergic reactions, though caffeine may not directly affect urticaria.","evidence":"Moderate"},{"condition":"Vasomotor rhinitis","description":"May alleviate non-allergic rhinitis symptoms such as runny nose and sneezing.","evidence":"Limited"}]

Off-label uses: [{"condition":"Motion sickness","description":"Sometimes used off-label for motion sickness due to antihistamine effects, but not a primary indication.","evidence":"Limited"},{"condition":"Insomnia due to shift work","description":"Caffeine component may be used off-label to promote wakefulness, but chlorpheniramine counteracts this; not recommended.","evidence":"Insufficient"}]

Primary treatment for: Allergic rhinitis

Also treats: Common cold, Urticaria, Vasomotor rhinitis

📋 Drug Information

Generic Name(s)Caffeine (15mg) + Chlorpheniramine Maleate (2mg)
Brand NameSmace Tablet
ManufacturerSmiles Healthcare
Packaging / Formstrip of 10 tablets (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature between 15°C and 30°C (59°F to 86°F). Protect from light and moisture. Keep in the original container.
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 to reduce stomach upset.
2
Avoid driving or operating machinery until you know how this medicine affects you.
3
Do not drink alcohol while taking this medicine as it increases drowsiness.
4
Limit caffeine intake from other sources to avoid excessive stimulation.
5
Consult your doctor if symptoms persist beyond 7 days or worsen.
6
Inform your doctor if you have glaucoma, prostate issues, or heart disease before taking this medicine.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Sneezing
This medicine is commonly prescribed for this.
Likely Use
✅
Runny nose
This medicine helps reduce nasal secretions.
Likely Use
❌
Fever
This medicine is not a primary fever reducer.
Not Primary
✅
Itchy, watery eyes
Antihistamine effect relieves eye symptoms.
Likely Use

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionChlorpheniramine Maleate is well absorbed from the gastrointestinal tract after oral administration. Caffeine is also rapidly and completely absorbed from the gastrointestinal tract. Food may slightly delay absorption but does not significantly affect the extent of absorption.
DistributionChlorpheniramine Maleate is widely distributed throughout the body, including the central nervous system. It crosses the blood-brain barrier and placenta. Caffeine is also widely distributed, crossing the blood-brain barrier and placenta, and is distributed into breast milk.
Protein BindingChlorpheniramine Maleate is approximately 70% bound to plasma proteins. Caffeine is approximately 25% bound to plasma proteins.
MetabolismChlorpheniramine Maleate is metabolized in the liver, primarily by cytochrome P450 enzymes, including CYP2D6 and CYP3A4. Caffeine is metabolized in the liver by CYP1A2, CYP2E1, and CYP3A4, with CYP1A2 being the major enzyme.
Half-LifeThe elimination half-life of Chlorpheniramine Maleate is approximately 12 to 43 hours, with an average of about 20 hours. The elimination half-life of Caffeine is approximately 3 to 7 hours in healthy adults, but it can be prolonged in individuals with liver disease or those taking certain medications.
ExcretionChlorpheniramine Maleate and its metabolites are primarily excreted in the urine. Caffeine and its metabolites are also excreted in the urine, with about 1-2% excreted unchanged.
BioavailabilityThe oral bioavailability of Chlorpheniramine Maleate is approximately 25-50% due to first-pass metabolism. Caffeine has nearly 100% oral bioavailability.
Onset of ActionThe onset of action for Chlorpheniramine Maleate is typically within 30 to 60 minutes after oral administration. Caffeine's stimulant effects begin within 15 to 30 minutes.
Peak Plasma TimePeak plasma concentrations of Chlorpheniramine Maleate are reached in about 2 to 6 hours. Caffeine reaches peak plasma concentrations in about 30 to 60 minutes.
Duration of ActionThe duration of action of Chlorpheniramine Maleate is approximately 4 to 6 hours, but sedative effects may last longer. Caffeine's effects last about 3 to 5 hours.

How It Works

This medicine combines two active ingredients with distinct mechanisms. Chlorpheniramine Maleate is a first-generation antihistamine that competitively blocks histamine H1 receptors, thereby preventing histamine-mediated allergic responses such as vasodilation, increased vascular permeability, and sensory nerve stimulation. Caffeine is a central nervous system stimulant that acts as an adenosine receptor antagonist, which increases neuronal activity and releases neurotransmitters like dopamine and norepinephrine, leading to increased alertness and reduced fatigue. The combination aims to provide allergy relief while mitigating the sedative effects of the antihistamine.

Mechanism Steps

1
Histamine H1 receptor blockade: Chlorpheniramine Maleate binds to H1 receptors on effector cells, preventing histamine from triggering allergic responses such as sneezing, itching, and vasodilation.
2
Anticholinergic action: Chlorpheniramine also exhibits anticholinergic properties, which contribute to dry mouth, dry eyes, and reduced nasal secretions.
3
Adenosine receptor antagonism: Caffeine blocks adenosine A1 and A2A receptors in the brain, leading to increased release of excitatory neurotransmitters and enhanced alertness.
4
CNS stimulation: Caffeine stimulates the central nervous system, counteracting the sedative effects of chlorpheniramine and improving wakefulness.

💡 How to Take Smace Tablet

Strength: Each tablet contains Caffeine 15 mg and Chlorpheniramine Maleate 2 mg.

1Take this medicine orally with a glass of water.
2Swallow the tablet whole; do not crush or chew.
3You may take it with or without food.
4Take it at the same times each day if prescribed on a schedule.
5Do not take more than the recommended dose.
6If you miss a dose, follow the missed dose instructions.

Dosage Information

Adult DosageThe usual adult dose of this medicine is 1 tablet taken orally every 4 to 6 hours as needed for symptoms, not to exceed 6 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 response to treatment. Do not self-adjust the dose. Follow your doctor's instructions carefully.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageElderly patients (above 65 years) are more sensitive to the anticholinergic and sedative effects of chlorpheniramine and the stimulant effects of caffeine. Lower doses may be appropriate. Dose must be individualized by a qualified clinician based on renal and hepatic function and overall health status.
Renal ImpairmentIn patients with renal impairment, chlorpheniramine and caffeine clearance may be reduced. Dose adjustment may be necessary. Consult a clinician for individualized dosing.
Hepatic ImpairmentIn patients with hepatic impairment, metabolism of both chlorpheniramine and caffeine may be reduced, increasing the risk of side effects. Dose reduction may be required. Consult a clinician for individualized dosing.
Maximum Daily DoseThe maximum recommended daily dose for adults is 6 tablets in 24 hours. Do not exceed this dose unless directed by a doctor.

Dosage Timeline

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

🍽️ Food Timing Guide

With food
Take with meals
Reduces stomach upset.
Grapefruit
Avoid
May increase drug levels.
Caffeine-containing beverages
Limit
May increase stimulant side effects.

⏰ 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 Smace Tablet

✅ Common Side Effects

Drowsiness (Common (10-20%))
Avoid driving or operating machinery. If persistent, consult your doctor.
Dry mouth (Common (5-15%))
Sip water, chew sugarless gum, or use saliva substitutes. Consult doctor if severe.
Dizziness (Common (5-10%))
Rise slowly from sitting or lying position. Avoid alcohol.
Nervousness or restlessness (Common (5-10%))
Reduce caffeine intake from other sources. Consult doctor if bothersome.
Nausea (Uncommon (1-5%))
Take with food or milk to reduce stomach upset.

🚨 Serious Side Effects

Severe allergic reaction (anaphylaxis) (Rare (<0.1%))
Seek emergency medical help immediately if you experience rash, itching, swelling of face, lips, tongue, or throat, difficulty breathing.
Fast or irregular heartbeat (Rare (<0.1%))
Contact your doctor immediately if you notice palpitations or irregular pulse.
Hallucinations or seizures (Very rare (<0.01%))
Seek immediate medical attention.
Difficulty urinating (Rare (<0.1%))
Consult your doctor if you have trouble passing urine.

⚠️ Rare Side Effects

Blood dyscrasias (e.g., agranulocytosis, thrombocytopenia)
Report unusual bruising, bleeding, or signs of infection to your doctor.
Hepatotoxicity
Report yellowing of skin or eyes, dark urine, or abdominal pain.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
MAOIs Major
Alcohol Major
Benzodiazepines Major
Fluoxetine Moderate
Ciprofloxacin Moderate
Tricyclic antidepressants Moderate
Rifampin Minor
Antacids Minor

🚨 Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • Alcohol
  • Other CNS depressants (e.g., benzodiazepines, opioids, sleep aids)

⚡ Moderate Interactions

  • CYP2D6 inhibitors (e.g., fluoxetine, paroxetine, quinidine)
  • CYP1A2 inhibitors (e.g., ciprofloxacin, fluvoxamine)
  • Anticholinergic drugs (e.g., atropine, benztropine, tricyclic antidepressants)

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine because it can significantly increase drowsiness, dizziness, and impairment of motor skills. The combination can also increase the risk of respiratory depression. Do not drive or operate machinery if you have consumed alcohol.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to chlorpheniramine, caffeine, or any component of the formulation","Narrow-angle glaucoma","Urinary retention or prostatic hypertrophy","Severe liver disease","Concurrent use with monoamine oxidase inhibitors (MAOIs)","Children under 12 years of age (unless directed by a doctor)"]

⚠️ Warnings & Precautions

["May cause drowsiness; avoid driving or operating machinery.","Avoid alcohol and other CNS depressants.","Use with caution in patients with asthma, heart disease, hypertension, thyroid disorders, or diabetes.","May cause dry mouth, eyes, and nose; maintain hydration.","Do not exceed recommended dose; overdose can be dangerous.","Consult doctor if symptoms persist beyond 7 days or are accompanied by fever.","Elderly patients are more sensitive to anticholinergic and sedative effects.","Not recommended for children under 12 years without medical advice."]

🤱 Lactation Safety

Chlorpheniramine Maleate and Caffeine are excreted in breast milk. Chlorpheniramine may cause drowsiness in the nursing infant. Caffeine may cause irritability or poor sleep. Breastfeeding mothers should consult their doctor before using this medicine.

💊 Overdose Management

Overdose symptoms may include severe drowsiness, confusion, hallucinations, seizures, irregular heartbeat, and difficulty breathing. If overdose is suspected, seek emergency medical attention immediately. Treatment is supportive and symptomatic. 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 the dose to catch up.

Additional Safety Advice

General Safety

Before taking this medicine, inform your doctor if you have glaucoma, an enlarged prostate, difficulty urinating, asthma, heart disease, high blood pressure, thyroid problems, or liver or kidney disease. This medicine can cause drowsiness; avoid driving, operating heavy machinery, or performing activities requiring alertness until you know how it affects you. Do not drink alcohol while taking this medicine, as it can increase drowsiness and dizziness. Avoid taking other medications that cause drowsiness, such as sedatives, tranquilizers, or sleeping pills, without consulting your doctor. If you are pregnant, planning to become pregnant, or breastfeeding, consult your doctor before using this medicine. Do not use this medicine for longer than prescribed without medical advice. Keep out of reach of children. In case of overdose, seek emergency medical help immediately, even if you feel fine.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients are more sensitive to the anticholinergic and sedative effects of chlorpheniramine and the stimulant effects of caffeine. They may experience increased confusion, dizziness, or urinary retention. Lower doses may be appropriate. Consult a doctor for individualized dosing.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before taking this medicine. Chlorpheniramine is considered relatively safe in pregnancy (Category B), but caffeine should be limited. Use only if clearly needed and under medical supervision.

🏥 Post-Surgery Considerations

After surgery, use this medicine with caution as it may interact with anesthetics and other medications. Inform your surgeon and anesthesiologist about all medications you are taking. It may increase the risk of drowsiness and respiratory depression.

🦷 Dental Procedures

Inform your dentist if you are taking this medicine before any dental procedure. It may cause dry mouth, which can affect dental health. Also, it may interact with sedatives 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 sleep hygiene.
💧
Include anti-inflammatory foods in your diet.
🧘
Stay hydrated to combat dry mouth.
🌞
Avoid known allergens when possible.

🏋️ Exercise Considerations

This medicine may cause drowsiness and dizziness, which can affect your coordination. Avoid strenuous exercise or activities requiring alertness 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
Limit caffeine intake from other sources

💼 Impact on Daily Work & Life

This medicine can cause drowsiness, which may impair your ability to drive or operate machinery. It is advisable to avoid such activities until you know how it affects you. It may also affect your concentration and productivity. Plan your tasks accordingly.

🛑 When to Stop This Medicine

Stop taking this medicine and consult your doctor if your symptoms do not improve within 7 days, if they worsen, or if you experience any serious 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 may lead to tolerance to the stimulant effects of caffeine and increased sedation from chlorpheniramine. It may also cause dependence on the sedative effects. Regular monitoring of liver and kidney function may be advised if used for extended periods. Consult your doctor for periodic review.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Saline nasal rinse

Can help relieve nasal congestion without medication.

Evidence: Well-established
Allergen avoidance

Reducing exposure to allergens can decrease symptoms.

Evidence: Well-established
Second-generation antihistamines

Non-sedating antihistamines like loratadine or cetirizine may be alternatives.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. However, if you are scheduled for vaccination, inform your healthcare provider about 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

When traveling, carry this medicine in its original packaging with a copy of your prescription. Store it in a cool, dry place away from direct sunlight. If crossing time zones, adjust dosing according to your doctor&#039;s advice. Check customs regulations for carrying medications. Keep it in your carry-on luggage to avoid loss.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 35-year-old woman with seasonal allergies
She started taking this medicine for sneezing and runny nose. She noticed relief within an hour but felt drowsy. Her doctor advised her to take it at bedtime and avoid driving. She found the caffeine helped reduce morning grogginess.
💡 Lesson: Taking this medicine at bedtime can help manage drowsiness, and the caffeine component may reduce next-morning sedation.
👤 A 50-year-old man with common cold
He took this medicine every 6 hours for his cold symptoms. He experienced dry mouth and mild jitteriness. He reduced his coffee intake and used sugarless gum for dry mouth. Symptoms improved in 3 days.
💡 Lesson: Adjusting other caffeine sources and using simple remedies can manage side effects effectively.

💬 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 it.

Q: Can I take it at night?

A: Yes, but it may cause drowsiness. Many people take it at bedtime to help with sleep while relieving allergy symptoms.

Q: Is it safe for children?

A: This medicine is not recommended for children under 12 years without a doctor's advice.

Q: Can I take it with other allergy medicines?

A: Consult your doctor before combining with other antihistamines or cold medicines to avoid additive effects.

🤔 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 Smace 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 is a cure for 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 if symptoms are severe.
    Fact: Taking more than the recommended dose can lead to serious side effects and overdose. Always follow the prescribed dose.
  • Myth: This medicine is non-drowsy.
    Fact: Chlorpheniramine is a sedating antihistamine; although caffeine may counteract some drowsiness, it can still cause significant sedation.

🔄 Alternative Options

Generic Alternatives

  • Caffeine + Chlorpheniramine Maleate tablets from other manufacturers

Brand Alternatives

  • Anadecon Tablet

📊 Comparison with Similar Medicines

[{"medicine":"Anadecon Tablet","composition":"Caffeine 15 mg + Chlorpheniramine Maleate 2 mg","onset":"30-60 minutes","duration":"4-6 hours","sedation":"Moderate","notes":"Combination of antihistamine and stimulant."},{"medicine":"Cetirizine + Pseudoephedrine","composition":"Cetirizine 5 mg + Pseudoephedrine 120 mg","onset":"30-60 minutes","duration":"12-24 hours","sedation":"Low","notes":"Second-generation antihistamine with decongestant."}]

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