Tima Forte Syrup - Cetirizine (2mg/5ml) + Paracetamol (250mg/5ml) medicine

Tima Forte Syrup: Complete Guide To Uses, Dosage, And Safety

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🏭 Aden Healthcare 📦 bottle of 60 ml Syrup 💊 Allopathy 📅 Updated: Oct 28, 2026
⚠️ Hepatotoxicity Risk 📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for individual ingredients; combination product evidence is supportive.
Reviewed by
SaathiMed Expert Panel | Oct 28, 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

  • Yellowing of skin or eyes
  • Severe abdominal pain
  • Dark urine or pale stools
  • Swelling of face, lips, or throat
  • Difficulty breathing
  • Unusual bleeding or bruising
  • Severe drowsiness or confusion

If experiencing severe symptoms, call emergency services immediately.

What is Tima Forte Syrup used for?

This medicine is a combination syrup containing cetirizine (an antihistamine) and paracetamol (a pain and fever reducer). It is used to treat allergic symptoms like sneezing, runny nose, and itching, along with mild pain or fever. It should be taken as prescribed by a doctor.

  • Generic Name: Cetirizine (2mg/5ml) + Paracetamol (250mg/5ml)
  • Manufacturer: Aden Healthcare
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 Tima Forte Syrup के बारे में (Hindi Summary)

उपयोग: यह दवा एलर्जी के लक्षणों जैसे छींक आना, नाक बहना, आंखों में खुजली और पानी आना, और त्वचा पर खुजली या पित्ती को कम करने के लिए दी जाती है। इसमें सेटिरिज़िन नामक एंटीहिस्टामिन और पैरासिटामोल नामक दर्द निवारक और बुखार कम करने वाली दवा होती है। यह हल्के दर्द और बुखार में भी राहत देती है। यह दवा डॉक्टर के परामर्श से ही लेनी चाहिए।

साइड इफेक्ट्स: आम दुष्प्रभावों में नींद आना, मुंह सूखना, थकान और हल्का पेट दर्द शामिल हैं। ये आमतौर पर हल्के होते हैं और अपने आप ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आंखों या त्वचा का रंग पीला पड़ जाए, गहरे रंग का पेशाब आए, या चेहरे और गले में सूजन हो, तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा को डॉक्टर द्वारा बताई गई मात्रा में ही लें। पैरासिटामोल की अधिक मात्रा लेने से बचें। इस दवा के साथ शराब न लें क्योंकि इससे लिवर को नुकसान हो सकता है। अगर आपको नींद आती है तो वाहन न चलाएं। अगर आपको लिवर या किडनी की बीमारी है तो डॉक्टर को बताएं।

💡 Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

💊 Tima Forte Syrup Uses & Benefits

[{"condition":"Allergic rhinitis","description":"Relieves sneezing, runny nose, itchy eyes, and nasal congestion associated with seasonal or perennial allergies.","evidence":"Well-established"},{"condition":"Urticaria","description":"Reduces itching and hives caused by allergic reactions.","evidence":"Well-established"},{"condition":"Fever with allergic symptoms","description":"Lowers fever and provides relief from pain while controlling allergic symptoms.","evidence":"Well-established"},{"condition":"Common cold with allergic component","description":"Helps reduce runny nose, sneezing, and mild body ache.","evidence":"Commonly used"}]

Off-label uses: [{"condition":"Mild anxiety-related itching","description":"Sometimes used for itching associated with anxiety, but evidence is limited.","evidence":"Limited"}]

Primary treatment for: Allergic rhinitis

Also treats: Urticaria, Common cold with allergic symptoms, Fever with allergic conditions

📋 Drug Information

Generic Name(s)Cetirizine (2mg/5ml) + Paracetamol (250mg/5ml)
Brand NameTima Forte Syrup
ManufacturerAden Healthcare
Packaging / Formbottle of 60 ml Syrup (Allopathy)
Therapeutic Class
Action Class
Route of AdministrationOral
StorageStore at room temperature (15-30°C) in a dry place, away from direct sunlight. Do not freeze.
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
Always use the measuring cup provided to ensure accurate dosing.
2
Take this medicine with food if it causes stomach upset.
3
Avoid driving or operating machinery if you feel drowsy.
4
Do not take other paracetamol-containing products simultaneously.
5
Consult your doctor if symptoms do not improve within 7 days.
6
Keep a record of doses to avoid exceeding the daily limit.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Sneezing and runny nose
This medicine is commonly prescribed for allergic rhinitis.
Likely Use
✅
Itchy skin or hives
This medicine helps relieve urticaria.
Likely Use
✅
Mild fever
Paracetamol in this medicine reduces fever.
Likely Use
❌
Severe headache
This medicine is not a primary treatment for severe headache.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionCetirizine is rapidly absorbed from the gastrointestinal tract after oral administration. Paracetamol is also well absorbed orally. Food may slightly delay the absorption of cetirizine but does not significantly reduce the total amount absorbed.
DistributionCetirizine is widely distributed throughout the body, including the skin and mucous membranes. Paracetamol distributes rapidly into most body tissues. Both ingredients cross the placenta and are excreted in breast milk to some extent.
Protein BindingCetirizine is approximately 93% bound to plasma proteins. Paracetamol has low protein binding, about 10-25%.
MetabolismCetirizine undergoes limited metabolism in the liver, primarily by CYP3A4 and to a lesser extent by other enzymes. Paracetamol is metabolized mainly in the liver by glucuronidation and sulfation, with a small fraction metabolized by CYP2E1 to a toxic intermediate that is normally detoxified by glutathione.
Half-LifeThe elimination half-life of cetirizine is approximately 8-10 hours in adults with normal kidney function. Paracetamol has a half-life of about 2-3 hours.
ExcretionCetirizine is primarily excreted unchanged in the urine. Paracetamol is excreted in the urine as glucuronide and sulfate conjugates.
BioavailabilityCetirizine oral bioavailability is high, approximately 70% or more. Paracetamol oral bioavailability is about 80-100%.
Onset of ActionCetirizine begins to relieve allergic symptoms within 1 hour after oral administration. Paracetamol starts reducing fever and pain within 30-60 minutes.
Peak Plasma TimeCetirizine reaches peak plasma concentration in about 1 hour. Paracetamol peaks in about 30-60 minutes.
Duration of ActionCetirizine provides relief for about 24 hours. Paracetamol provides relief for about 4-6 hours.

How It Works

This medicine combines two active ingredients with complementary actions. Cetirizine is a selective peripheral H1-receptor antagonist that prevents histamine from binding to H1 receptors, thereby reducing allergic symptoms such as sneezing, itching, and vasodilation. Paracetamol acts primarily in the central nervous system by inhibiting prostaglandin synthesis, which elevates the pain threshold and lowers fever. Together, they provide symptomatic relief from allergic and painful conditions.

Mechanism Steps

1
Histamine H1 receptor blockade: Cetirizine binds to H1 receptors on cells in the skin, nose, and eyes, preventing histamine from triggering allergic responses.
2
Reduced allergic mediators: By blocking H1 receptors, cetirizine decreases the release of other inflammatory mediators, reducing itching and swelling.
3
Central prostaglandin inhibition: Paracetamol acts on the hypothalamus and spinal cord to inhibit prostaglandin synthesis, which lowers fever and reduces pain perception.
4
Symptom relief: The combined effects lead to fewer allergic symptoms and less discomfort from mild pain or fever.

💡 How to Take Tima Forte Syrup

Strength: Each 5 mL contains cetirizine 2 mg and paracetamol 250 mg.

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

Dosage Information

Adult DosageThe usual adult dose is 5-10 mL (one to two teaspoons) every 4-6 hours as needed, not to exceed 4 doses in 24 hours. However, the exact dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. Do not self-medicate.
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 sedative effects of cetirizine. Dose adjustment may be needed based on kidney function. Consult a doctor.
Renal ImpairmentIn patients with moderate to severe renal impairment, dose reduction of cetirizine may be necessary. Paracetamol should be used with caution. Consult a doctor for individualized dosing.
Hepatic ImpairmentIn patients with mild to moderate liver impairment, paracetamol dose should be reduced or avoided. Cetirizine does not require significant adjustment. Consult a doctor.
Maximum Daily DoseThe maximum daily dose of paracetamol should not exceed 4 grams (4000 mg) from all sources. For this syrup, the maximum daily volume should not exceed the equivalent of 4000 mg paracetamol. Cetirizine maximum daily dose is 10 mg.

Dosage Timeline

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

🍽️ Food Timing Guide

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

⏰ 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 Tima Forte Syrup

✅ Common Side Effects

Drowsiness (Common (5-10%))
Avoid driving or operating machinery until you know how this medicine affects you. Usually resolves with continued use.
Dry mouth (Common (5-10%))
Sip water frequently or chew sugar-free gum. Consult doctor if persistent.
Fatigue (Common (5-10%))
Get adequate rest. If fatigue interferes with daily activities, consult your doctor.
Mild stomach discomfort (Uncommon (1-5%))
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 swelling of the face, lips, tongue, or throat, difficulty breathing, or a severe rash.
Liver injury (Rare (<0.1%))
Stop the medicine and seek immediate medical help if you notice yellowing of the skin or eyes, dark urine, or severe abdominal pain.
Blood disorders (e.g., thrombocytopenia) (Very rare (<0.01%))
Report any unusual bleeding or bruising to your doctor immediately.

⚠️ Rare Side Effects

Agranulocytosis
Seek medical attention if you develop fever, sore throat, or mouth ulcers.
Hemolytic anemia
Report unusual tiredness, pale skin, or shortness of breath to your doctor.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Warfarin Major
Alcohol Major
Other paracetamol products Major
CNS depressants Moderate
Anticholinergics Moderate
Ritonavir Moderate
Theophylline Minor
Antacids Minor

🚨 Major Interactions

  • Warfarin
  • Alcohol
  • Other paracetamol-containing products

⚡ Moderate Interactions

  • CNS depressants (e.g., benzodiazepines, opioids)
  • Anticholinergic drugs
  • Ritonavir

🍷 Alcohol Interaction

Alcohol should be avoided while taking this medicine. It increases the risk of paracetamol-induced liver injury and may worsen cetirizine-related drowsiness.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Known hypersensitivity to cetirizine, paracetamol, or any component of the formulation","Severe liver disease or active liver failure","Severe kidney impairment (creatinine clearance

⚠️ Warnings & Precautions

["Do not exceed the recommended dose of paracetamol from all sources.","Avoid alcohol during treatment.","May cause drowsiness; avoid driving or operating machinery until you know how it affects you.","Use with caution in patients with liver or kidney disease.","Consult a doctor if symptoms persist beyond 7 days or worsen.","Keep out of reach of children."]

🤱 Lactation Safety

Cetirizine and paracetamol are excreted in breast milk. Limited data suggest occasional use may be acceptable, but consult your doctor before taking this medicine while breastfeeding.

💊 Overdose Management

Overdose can cause severe liver damage from paracetamol and increased sedation from cetirizine. Seek immediate medical attention. Treatment includes activated charcoal if within 1-2 hours, and acetylcysteine for paracetamol toxicity. Supportive care for cetirizine overdose.

⏰ 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

Always follow the dose prescribed by your doctor. Do not exceed the recommended daily amount of paracetamol from all sources. Avoid alcohol while taking this medicine because it increases the risk of liver damage. Do not drive or operate heavy machinery if you feel drowsy. Inform your doctor if you have liver or kidney problems, or if you are taking other medicines that contain paracetamol. Keep this medicine out of the reach of children.

👴 Special Considerations for Elderly

💡 For Patients Above 65

Elderly patients may be more sensitive to drowsiness and anticholinergic effects. Dose adjustment may be needed based on kidney function. Consult a doctor.

🤰 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 fully established.

🏥 Post-Surgery Considerations

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

🦷 Dental Procedures

Inform your dentist if you are taking this medicine, as it may cause dry mouth and increase the risk of dental issues. It may also interact with medications used during dental procedures.

💚 Lifestyle Tips for Better Results

🏃
Identify and avoid allergens that trigger your symptoms.
🥗
Use air purifiers or keep windows closed during high pollen seasons.
😴
Maintain good hydration to help thin mucus.
💧
Get adequate rest to support your immune system.
🧘
Practice good hand hygiene to prevent infections.

🏋️ Exercise Considerations

Avoid strenuous exercise if you feel drowsy or weak. Light activities are generally safe. Stay hydrated during exercise.

🥗 Diet Recommendations

Include vitamin C-rich fruits and vegetables.
Stay well hydrated with water and clear fluids.
Avoid alcohol and caffeine if they worsen symptoms.
Eat a balanced diet to support overall health.

💼 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 the medicine affects you. It may also reduce productivity if you feel sleepy.

🛑 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 prescribed medication without medical advice.

📅 Long-Term Use Effects

Long-term use of paracetamol at high doses can increase the risk of liver and kidney damage. Cetirizine may cause ongoing drowsiness. Regular monitoring of liver and kidney function is advised if used for extended periods. Consult your doctor for periodic reviews.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Allergen avoidance

Reducing exposure to allergens can decrease the need for medication.

Evidence: Well-established
Nasal saline irrigation

Helps clear nasal passages and reduce allergy symptoms.

Evidence: Well-established
Immunotherapy

Allergy shots or sublingual tablets can provide long-term relief for certain allergies.

Evidence: Well-established

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

This medicine does not interfere 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 it at room temperature and protect it from direct sunlight. If traveling across time zones, continue with your regular dosing schedule as advised by your doctor. Check customs regulations for carrying medicines.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 30-year-old woman with seasonal allergies and mild fever
She was prescribed this medicine for her sneezing, runny nose, and low-grade fever. She took it as directed and noticed relief within an hour. She avoided driving due to mild drowsiness and stayed hydrated.
💡 Lesson: Taking the medicine as prescribed and being aware of drowsiness helps manage symptoms safely.
👤 A 45-year-old man with urticaria and body ache
He used this medicine for itching and mild pain. He was advised not to exceed the dose and to avoid alcohol. His symptoms improved over two days, and he stopped the medicine after consulting his doctor.
💡 Lesson: Short-term use under medical guidance is effective and safe when precautions are followed.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: Cetirizine starts working within 1 hour, and paracetamol within 30-60 minutes.

Q: Can I take it on an empty stomach?

A: Yes, but if it causes stomach upset, take it with food.

Q: Is it safe for children?

A: Pediatric dosing must be determined by a pediatrician. Do not self-medicate.

Q: What should I do if I miss a dose?

A: Take it as soon as you remember, but skip if it's almost time for the next dose. Do not double dose.

🤔 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 Tima Forte 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 allergies permanently.
    Fact: This medicine provides symptomatic relief but does not cure the underlying allergy. Avoiding allergens and long-term management are important.
  • Myth: It is safe to take extra doses for faster relief.
    Fact: Taking more than the recommended dose can cause serious liver damage from paracetamol. Always follow the prescribed dose.
  • Myth: It can be taken with alcohol without any risk.
    Fact: Alcohol increases the risk of liver damage and drowsiness. Avoid alcohol while taking this medicine.

🔄 Alternative Options

Generic Alternatives

  • Cetirizine + Paracetamol oral suspension (generic)

Brand Alternatives

  • Tima Forte Syrup

📊 Comparison with Similar Medicines

[{"medicine":"Tima Forte Syrup","active_ingredients":"Cetirizine 2mg/5ml + Paracetamol 250mg/5ml","key_feature":"Non-sedating antihistamine with analgesic"},{"medicine":"Levocetirizine + Paracetamol syrup","active_ingredients":"Levocetirizine 2.5mg/5ml + Paracetamol 250mg/5ml","key_feature":"Similar but levocetirizine is the active enantiomer of cetirizine"},{"medicine":"Chlorpheniramine + Paracetamol syrup","active_ingredients":"Chlorpheniramine 2mg/5ml + Paracetamol 250mg/5ml","key_feature":"First-generation antihistamine, more sedating"}]

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