Nocold Plus Syrup

Paracetamol + Caffeine + Chlorpheniramine
125mg + 60mg + 1mg
Cipla Ltd.
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Indications

Nocold Plus Syrup is used for: Relief of Cold & Flu Symptoms

Adult Dose

Relief of Cold & Flu Symptoms 2 tablets PO q4hr

Child Dose

Relief of Cold & Flu Symptoms >12 years: 2 tablets PO q4hr

Renal Dose

Administration

May be taken with food.

Contra Indications

Hypersensitivity Hepatitis or severe hepatic/renal impairment

Precautions

Hepatic impairment or consumption of 3 or more alcoholic beverages/day may increase risk for liver damage (associated with acetaminophen) Do not take with other products that contain acetaminophen due to risk of additive toxicity/overdose Caution in G6PD deficiency Acetaminophen: Risk for rare, but serious skin reactions that can be fatal; these reactions include Stevens-Johnson Syndrome (SJS), toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis (AGEP); symptoms may include skin redness, blisters and rash

Pregnancy-Lactation

Interactions

Adverse Effects

Side effects of Paracetamol + Caffeine + Chlorpheniramine : Hypotension Palpitations Tachycardia Anxiety Confusion Depression Dizziness Drowsiness Euphoria Fatigue Headache Insomnia Irritability Nervousness Tremors Anorexia Constipation Diarrhea Nausea Vomiting Agranulocytosis Anemia Blood dyscrasias (neutropenia, pancytopenia, leukopenia, thrombocytopenia) Hemolytic anemia Bilirubin and alkaline phosphatase may increase Thickening of bronchial secretions Wheezing Dry mouth, nose, throat

Mechanism of Action

Acetaminophen: Acetaminophen: Inhibitis prostaglandin sythesis in CNS and may block peripheral pain impulse generation; acts on hypothalamus to antipyresis Caffeine: Vasoconstrictive properties may be helpful when treating vascular headaches Chlorpheniramine blocks muscle responses in histamine and acts as an antagonism of the constrictor effects of histamine on respiratory smooth muscle.

Note

Nocold Plus 125mg + 60mg + 1mg Syrup manufactured by Cipla Ltd.. Its generic name is Paracetamol + Caffeine + Chlorpheniramine. Nocold Plus is availble in Nepal. Farmaco Nepal drug index information on Nocold Plus Syrup is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.

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