CHESTON COLD 5 mg/325 mg/10 mg 10 Tablet

Prescription status:

Prescription required

Manufacturer Name: Cipla Ltd

Drug classification: Antihistamine, Decongestant, Analgesic combination 

What is this used for:

• Allergic rhinitis
• Fever
• Common cold or flu

When to not take this medicine:

• Hypersensitivity/Known Allergy to cetirizine or Phenylephrine or paracetamol
• Liver damage 
• Lactose intolerance
• Hemodialysis
• Acute Asthma
• Mental or Neuropsychiatric disorders
• Urinary retention

How should I take the medicine?

Take this medicine with an adequate amount of water as directed by the physician. Do not take this medicine in small or larger amounts than recommended.

How this medicine works:

This medicine works by  decreasing the symptoms like runny nose, stuffy nose, sneezing, watery eyes and congestion or stuffiness, pain and fever.

Side effects 

• Somnolence (Less common)
• Nasopharyngitis(Less common)
• Fatigue(Less common)
• Headache(Less common)
• Abdominal pain(Less common)
• Dry Mouth (Less common)
• Pharyngitis(Less common)
• Diarrhea (Less common)
• Vomiting (Less common)
• Irregular heartbeat (Rare)
• Gastrointestinal bleeding (Less common)
• Anemia (Less common)
• Kidney damage (Less common)
• Liver damage (Less common)
• Allergy (Less common)
• Tremors (Unknown)

Pregnancy warning: Category not assigned.

This medicine is not recommended to use in pregnant women unless it is absolutely necessary. Before taking this medicine, it is necessary to discuss it with the doctor.

Lactation warning:

Use of this medicine is not recommended for lactating and breastfeeding mothers unless absolutely necessary. Inform your doctor about the use of this medicine. All the risks and benefits should be discussed with the doctor before taking this medicine.

Renal dose adjustments:

Care must be taken for individuals with kidney disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative on the basis of creatinine clearance values.

Hepatic dose adjustments:

Care must be taken for individuals with liver disease while taking this medicine. Please discuss appropriate dose adjustments with your doctor. Your doctor may also prescribe a suitable alternative. 

Drug interactions:

• Aspirin - Moderate

Inform your doctor about the use of either medicines. When these medicines are taken or used together may increase the occurrence of bleeding disorders.If you experience any signs and symptoms like red spots on the skin, easy bruising, then inform the doctor on priority. It is recommended to inform the doctor on priority. Appropriate dose adjustments may be done, or suitable alternate medicine may be considered based on the condition.

• Dapsone - Major

Inform your doctor about the use of either medicine. Co-administration of these medicines may cause liver damage, G6PD enzyme deficiency, methemoglobinemia, or anemia. A suitable alternative may be considered based on the condition of the patient. 

• Fosphenytoin- Moderate

Inform your doctor about the use of either medicine. Co-administration of these medicines may cause damage to the liver or kidneys. A suitable alternative may be considered based on the condition of the patient. 

• Isoniazid-Moderate

Inform your doctor about the use of either medicine. Co-administration of these medicines may cause damage to the liver or kidneys. A suitable alternative may be considered based on the condition of the patient.

Alcohol interactions:

Consumption of alcohol is not recommended while taking this medicine as it may cause interactions and lead to serious adverse effects and may worsen the health condition.

Food interactions:

N/A

Expert Advice:

1. The use of this medicine is not recommended for individuals diagnosed with chronic alcoholism or other diseases like gastrointestinal blockage, asthma, cardiovascular disease, diabetes, liver or kidney diseases.
2. This medicine can be taken after food. However, it is recommended to follow the advice of the doctor.
3. The use of this medicine is contraindicated for individuals using antidepressant medication.
4. Activities like driving, operating machinery, etc., should be avoided as this drug may affect your alertness.

Missed dose instructions:

Take this medicine as soon as you remember. However, if it is almost the for your next dose skip the dose and go back to your regular dosing schedule. Do not double dose to make up for the missed dose.

Overdose Instructions:

Seek emergency treatment or contact your physician in case if you experience any unusual signs and symptoms during the treatment with this medicine.

Storage Instructions:

Store the medicine in a cool and dry place. Keep the medicine away from the reach of the children

References:

1. Drugs H. Cetirizine: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2020 [cited 25 September 2020]. Available from: https://medlineplus.gov/druginfo/meds/a698026.html

2. Accessdata.fda.gov. 2020 [cited 10 August 2020]. Available from: https://www.accessdata.fda.gov/drugsatfda_docs/label/2019/019872Orig1s048lbl.pdf

3.Phenylephrine | DrugBank Online [Internet]. Go.drugbank.com. 2020 [cited 9 November 2020]. Available from: https://go.drugbank.com/drugs/DB00388

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Keep away from direct sunlight

Store in a dry place