Colgin Tablet (10'S)

₹19.18

Strip of 10 Tablet

(Inclusive of all taxes)


Colgin Tablet may be prescribed alone or in combination with another medicine. You should take it regularly as advised by your doctor. It is usually best taken with food otherwise it may upset your stomach. Do not take more or use it for longer than recommended.

Side effects are rare if this medicine is used correctly but this medicine may cause stomach pain, nausea, and vomiting in some people. Consult your doctor if any of these side effects bother you or do not go away.


This medicine is widely prescribed and considered safe but is not suitable for everybody. Before taking it, let your doctor know if you have liver or kidney problems or are using blood-thinning medicines. It may affect the dose or suitability of this medicine. Let your doctor know about all the other medicines you are taking because they may affect, or be affected by, this medicine.


Basic Information

Mechanism Of Action

Chlorpheniramine helps control the symptoms of cold or allergies but will not treat the cause of the symptoms or speed recovery. Chlorpheniramine is in a class of medications called antihistamines. It works by blocking the action of histamine, a substance in the body that causes allergic symptoms.

Phenylephrine is an agonist of α1-adrenoceptors. Nasal decongestant action is mediated by activation of α1-adrenoceptors in the arterioles of the nasal mucosa. This causes vasoconstriction, which leads to decreased edema and increased drainage of the sinus cavities.

Paracetamol has a central analgesic effect that is mediated through activation of descending serotonergic pathways. Debate exists about its primary site of action, which may be inhibition of prostaglandin (PG) synthesis or through an active metabolite influencing cannabinoid receptors


Pharmacokinets

Phenylephrine is readily and completely absorbed from the gastro-intestinal tract after oral administration . It is subject to extensive presystemic metabolism in the gut wall and therefore has a systemic bioavailability of approximately 40% relative to intravenous dosing

Chlorpheniramine has a serum half-life of approximately 20 hours in adults, and elimination from the body is primarily by metabolism to monodesmethyl and didesmethyl compounds. The half-life is increased in the presence of renal dysfunction and decreased in children

It distributes rapidly and evenly throughout most tissues and fluids and has a volume of distribution of approximately 0.9L/kg. 10 to 20% of the drug is bound to red blood cells. Paracetamol is extensively metabolised (predominantly in the liver), the major metabolites being the sulphate and glucuronide conjugates.


Side Effects

Nausea

Vomiting

Headache

High blood pressure

Arrhythmia (irregular heartbeats)

Blurred vision

Breathlessness

Itching

Restlessness

Reflex bradycardia

Excitation

Epigastric pain

Neck pain

Tremors

Hypertensive crisis

Eye pain

Stinging in the eyes

Photophobia

Conjunctival sensitivity

Preterm and low birth weight infants

Fainting

Myocardial infarction

Subarachnoid hemorrhage


Contra Indications

MAO inhibitor use w/in 14 days, Urinary retention, CAD, Uncontrolled or severe HTN. Caution if HTN, arrhythmias, cardiovascular disease, diabetes mellitus, angle-closure glaucoma, hyperthyroidism, renal impairment, PKU (phenylalanine-containing forms),

overactive thyroid gland.

closed angle glaucoma.

high blood pressure.

stenosing peptic ulcer.

blockage of the stomach or intestine.

blockage of the urinary bladder.

enlarged prostate.

an inability to completely empty the bladder

caloric undernutrition.

acute liver failure.

liver problems.

a condition where the body is unable to maintain adequate blood flow called shock.

acetaminophen overdose.

acute inflammation of the liver due to hepatitis C virus.

Children Related Information

7 YEARS

Indications

This medication is an antihistamine, prescribed for allergic conditions such as itchy and watery eyes, sneezing, runny nose, hay fever and common cold. It may also be used to relieve the itching from insect bites and bee stings.

The FDA-approved indication for intravenous (IV) phenylephrine hydrochloride is for increasing blood pressure in adults with clinically significant hypotension resulting primarily from vasodilation in such settings as septic shock or anesthesia.

Paracetamol is a mild analgesic and antipyretic, and is recommended for the treatment of most painful and febrile conditions, for example, headache including migraine, toothache, neuralgia, colds and influenza, sore throat, backache, rheumatic pain and dysmenorrhoea


Interactions

iobenguane

isocarboxazid.

linezolid.

phenelzine.

procarbazine.

selegiline transdermal.

tranylcypromine.

eluxadoline.

idelalisib.

isocarboxazid.

ivacaftor.

sodium oxybate.

tranylcypromine.

Arguably, the most important pharmacodynamic drug interaction with paracetamol is that of N-acetylcysteine in attenuating the hepatotoxicity that results from supratherapeutic intake and overdose of paracetamol. The role of N-acetylcysteine in managing paracetamol overdose is well established.

Typical Dosage

 Do not chew, crush or break it. Colgin Tablet may be taken with or without food, but it is better to take it at a fixed time

Storage Requirements

Store below 30°C


Effects Of Missed Dosage

Do not panic. Unless your child’s doctor has advised a specific regime for your child, you can give the missed dose as soon as you remember it. Skip the missed dose if it’s almost the time for the next dose. Follow the prescribed dosing schedule and do not give a double dose to catch up with the missed dose.


Effects Of Overdose

Consult a doctor before taking any medicines

Expert Advice

Chlorpheniramine Maleate

Avoid driving or operating dangerous machinery as it may decrease alertness.

Avoid consuming alcohol when taking the Chlorpheniramine Maleate, as it may cause excessive sleepiness or drowsiness.

Paracetamol

Paracetamol should be taken with food or milk to prevent upset stomach.

Take it as per the dose and duration prescribed by your doctor. Long term use may lead to serious complications such as stomach bleeding and kidney problems.

Do not take indigestion remedies (antacids) within 2 hours of taking Paracetamol.

Avoid consuming alcohol while taking this medicine as it can increase your risk of stomach problems.

Inform your doctor if you have liver disease as your dose may need to be adjusted.

Your doctor may regularly monitor your kidney function, liver function and levels of blood components if you are taking this medicine for long-term treatment.

Phenylephrine

Oral phenylephrine should be taken with food

Phenylephrine can make you restless, so don't take it too close to bedtime

Do not use this medicine without doctor's advice if you are pregnant or breast feeding

Smoking may worsen the effect; therefore use of tobacco should be avoided.


How To Use

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Colgin Tablet may be taken with or without food, but it is better to take it at a fixed time

FAQs

Q. Does chlorpheniramine or chlorpheniramine maleate cause increase in blood pressure/ drowsy/non drowsy/sedating/get you high/keep you awake/sleepiness/make you tired/weight gain?

Chlorpheniramine causing these side effects is common or rare. Always consult your doctor, if you experience any of these side effects

Q. Is chlorpheniramine like Benadryl?

No, chlorpheniramine is different from Benadryl

Q. Is chlorpheniramine prescription?

Yes, it is available with doctor’s prescription only

Q. Can I take chlorpheniramine or chlorpheniramine maleate with Panadol/ cetirizine /Zyrtec/ Allegra/ warfarin/ diphenhydramine/ ibuprofen/Claritin/guaifenesin/Benadryl?

Yes, but taking other medicines may alter the effects of chlorpheniramine. Always consult your doctor for the change of dose regimen or an alternative drug of choice that may strictly be required

Q. What if I vomit after taking Paracetamol?

If you vomit in less than 30 minutes after having a dose of Paracetamol tablets or syrup, retake the same dose again. If you vomit after 30 minutes of a dose, you do not need to take another one until the next standard dose.

Q. When will I feel better after taking the Paracetamol?

Usually, you will start feeling better after about half an hour of taking a Paracetamol.

Q. How often can I take the Paracetamol?

You should only take four doses of Paracetamol in 24 hours. There should be a gap of at least 4 hours between two doses. Do not take Paracetamol for more than 3 days without consulting a doctor first.

Q. Does Paracetamol make babies sleepy?

No, Paracetamol does not make babies sleepy. It is a pain-relieving medicine that is also used to control high fever.