Class: Antihistamine + analgesic/antipyretic + vitamin supplement (cold and flu combination medicine)

Manufacturer: Ajanta Pharma Limited

Dosage Form: Oral syrup (brown to light brown, mango-flavoured)

Similar Brands:

Uses:

• Symptomatic relief of common cold and flu

• Fever and body aches

• Headache and toothache (Also indicated for the reduction of toothache)

• Runny or blocked nose

• Sneezing, itching, watery eyes (allergy symptoms)

• Sinus congestion

Dosage:

• 1–2 years: 5 mL four times daily

• 2–8 years: 10 mL four times daily

• 8–10 years: 15 mL four times daily

• 10–12 years: 20 mL four times daily
  Do not exceed recommended dose.

Side Effects:

Chlorphenamine-related

• Drowsiness, dizziness, sedation

• Blurred vision

• Dry mouth, nausea

• Confusion, irritability (especially in children/elderly)

• Urinary retention, palpitations (rare)

Paracetamol-related

• Skin rash or allergic reactions (rare)

• Liver toxicity in overdose

Vitamin C-related

• Nausea, stomach cramps

• Diarrhoea with high doses

• Headache, flushing

Warnings & Precautions:

• May cause drowsiness; avoid driving or operating machinery.

• Avoid alcohol and other sedative medicines.

• Do not use with other paracetamol-containing products.

• Use cautiously in liver or kidney impairment.

• Caution in glaucoma, asthma, epilepsy, prostatic enlargement, cardiovascular disease.

• May interfere with certain laboratory tests (glucose, uric acid, creatinine).

• Children and elderly may experience stronger anticholinergic effects.

Pregnancy & Lactation:

• Use during pregnancy only if clearly necessary and prescribed.

• Not recommended during breastfeeding unless advised by a doctor (may reduce milk production and pass into breast milk).

Drug Interactions:

• Sedatives, anxiolytics, alcohol (increased sedation)

• MAO inhibitors (contraindicated within 14 days)

• Warfarin and other anticoagulants (bleeding risk with prolonged use)

• Liver enzyme-inducing drugs (increase paracetamol toxicity risk)

• Metoclopramide, domperidone, colestyramine (affect paracetamol absorption)

• Phenytoin (toxicity risk)

• Iron (vitamin C increases absorption)

• Aluminium-containing antacids (interaction with vitamin C)

Contraindications:

• Hypersensitivity to chlorphenamine, paracetamol, vitamin C, or excipients

• Severe hepatic impairment

• Use with MAO inhibitors (or within previous 14 days)

• Hyperoxaluria (vitamin C component)

Price: Ksh 243/-

Notes:

Available in 100 ml Amber Glass bottle in a carton along with pack insert.