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# Chlorpheniramine Maleate 1 mg/1 mL + Paracetamol 125 mg + Phenylephrine 2.5 mg ## SHORT DESCRIPTION **Chlorpheniramine Maleate 1 mg/1 mL + Paracetamol 125 mg + Phenylephrine 2.5 mg** is a combination medicine used for the temporary relief of common cold and upper respiratory symptoms. Chlorpheniramine helps relieve sneezing and runny nose, paracetamol helps reduce fever and mild pain, and phenylephrine helps relieve nasal congestion. This formulation is commonly provided as an **oral liquid/syrup**, making it suitable for patients who have difficulty swallowing tablets. It provides symptomatic relief but does not cure the underlying viral infection. ## KEY BENEFITS * Helps relieve runny nose * Helps reduce sneezing * Helps relieve blocked or stuffy nose * Helps reduce fever * Helps relieve mild headache and body aches * Provides multi-symptom cold relief in one formulation * Liquid dosage form can be easier to administer to children when appropriately prescribed ## USES / INDICATIONS This combination may be used for temporary relief of: * Common cold symptoms * Runny nose * Sneezing * Nasal congestion * Stuffy nose * Fever associated with cold symptoms * Mild headache * Mild body aches * Upper respiratory tract symptoms associated with a cold It is intended for **symptomatic relief** and does not eliminate the virus responsible for most common colds. ## HOW IT WORKS ### Chlorpheniramine Maleate Chlorpheniramine is an **antihistamine**. It blocks histamine activity and helps reduce sneezing, runny nose, and watery eyes. **Chlorpheniramine → Blocks histamine → Helps relieve sneezing and runny nose** ### Paracetamol Paracetamol helps reduce **fever and pain** by acting primarily within the central nervous system. **Paracetamol → Reduces fever and pain → Helps relieve headache and body aches** ### Phenylephrine Phenylephrine is a **nasal decongestant**. It causes constriction of blood vessels in the nasal passages, helping reduce swelling and congestion. **Phenylephrine → Reduces nasal swelling → Helps relieve nasal blockage** ## DOSAGE & ADMINISTRATION Use this medicine **only according to the recommended dose on the product label or as directed by a doctor or pharmacist**. Because the formulation contains **1 mg/mL chlorpheniramine**, accurate measurement is particularly important. * Shake the bottle well before use if instructed on the product label. * Measure the dose using the supplied measuring cup, oral syringe, or measuring spoon. * Do not use a household teaspoon for dosing. * Take orally at the recommended intervals. * Do not exceed the recommended daily dose. * Do not combine with another medicine containing paracetamol unless advised by a healthcare professional. * Do not use for longer than recommended without medical advice. ### For Children The correct dose depends on the child's **age, body weight, and the specific formulation**. Pediatric dosing should not be estimated from an adult dose. Always follow the product-specific pediatric dosing instructions or the dose prescribed by a healthcare professional. ### Missed Dose If being used on a regular schedule, take the missed dose when remembered unless it is almost time for the next dose. **Do not double the next dose.** ## SIDE EFFECTS Possible side effects include: * Drowsiness * Sleepiness * Dizziness * Dry mouth * Headache * Nausea * Stomach discomfort * Restlessness * Nervousness * Difficulty sleeping * Increased heart rate ### Serious Side Effects Seek medical attention if you experience: * Difficulty breathing * Swelling of the face, lips, tongue, or throat * Severe allergic reaction * Severe dizziness or fainting * Significant palpitations * Severe agitation or confusion * Yellowing of the skin or eyes * Severe or persistent abdominal symptoms ## PRECAUTIONS & WARNINGS ### Paracetamol Overdose This product contains **paracetamol**. Do not use it together with other paracetamol-containing medicines unless specifically advised. Taking excessive amounts of paracetamol can cause **severe and potentially life-threatening liver damage**. ### Drowsiness Chlorpheniramine may cause drowsiness and reduced alertness. Avoid driving or operating machinery if affected. ### Alcohol Avoid alcohol because it can increase drowsiness and may increase the risk of liver damage associated with excessive paracetamol exposure. ### High Blood Pressure Phenylephrine may increase blood pressure. Consult a healthcare professional before use if you have hypertension, particularly uncontrolled hypertension. ### Heart Disease Use with medical advice if you have coronary artery disease, abnormal heart rhythm, or other cardiovascular conditions. ### Glaucoma Chlorpheniramine may worsen certain types of glaucoma. Inform your doctor if you have glaucoma. ### Urinary Problems Chlorpheniramine may worsen difficulty urinating, particularly in people with prostate enlargement. ### Liver Disease Tell your doctor if you have liver disease or regularly consume large amounts of alcohol before using a paracetamol-containing medicine. ### Kidney Disease Consult your healthcare professional if you have kidney disease. ### Children Use only the age- and weight-appropriate dose. Some cough and cold combinations may not be appropriate for very young children. ### Pregnancy and Breastfeeding Consult your doctor or pharmacist before using this medicine during pregnancy or breastfeeding. ## DRUG INTERACTIONS Tell your doctor or pharmacist about all medicines, supplements, and herbal products you use. Potential interactions include: * Other paracetamol-containing medicines * Other antihistamines * Other decongestants * Sedatives and sleeping medicines * Opioid medicines * Certain antidepressants * Monoamine oxidase inhibitors (MAOIs) * Certain blood-pressure medicines * Medicines that affect liver function ### Other Paracetamol Products Do not take additional paracetamol-containing medicines without professional advice. Combining products may unintentionally result in excessive paracetamol intake. ### MAO Inhibitors Phenylephrine can interact with MAO inhibitors and may cause a potentially significant increase in blood pressure. Do not use this combination with an MAOI or soon after stopping one unless specifically advised by a healthcare professional. ### Sedatives Chlorpheniramine may increase drowsiness when taken with sleeping medicines, sedatives, opioids, or other medicines that depress the central nervous system. ### Other Cold Medicines Avoid taking multiple cold and flu preparations without checking their active ingredients, as they may contain overlapping ingredients. ## STORAGE INFORMATION * Store according to the manufacturer's instructions. * Keep at the recommended room temperature. * Protect from excessive heat, moisture, and direct sunlight. * Keep the bottle tightly closed when not in use. * Keep out of reach and sight of children. * Use the product only within the stated expiry period. * Do not use if the liquid has changed significantly in colour, smell, or appearance. * Do not freeze unless specifically instructed by the manufacturer. ## PRESCRIPTION STATUS **Chlorpheniramine Maleate + Paracetamol + Phenylephrine oral liquid may be available as an over-the-counter or pharmacy medicine depending on the country, age group, strength, and local regulations.** For children, particularly young children, use should be guided by the product label and/or a healthcare professional. ## GENUINE MEDICINE ASSURANCE To help ensure you receive genuine Chlorpheniramine Maleate 1 mg/mL + Paracetamol 125 mg + Phenylephrine 2.5 mg: * Purchase from a licensed and reputable pharmacy. * Check the medicine name and active ingredients. * Verify the manufacturer's information. * Check the batch number and expiry date. * Ensure the bottle and outer packaging are properly sealed. * Check for signs of tampering or damaged packaging. * Avoid products with suspicious labels or unusually altered packaging. * Purchase medicines from authorized sources. * Ask a pharmacist to verify the product if authenticity is uncertain. ## FAQ SECTION ### What is Chlorpheniramine Maleate 1 mg/mL + Paracetamol 125 mg + Phenylephrine 2.5 mg used for? It is used for temporary relief of **cold symptoms such as runny nose, sneezing, nasal congestion, fever, headache, and mild body aches**. ### Is this medicine a cough syrup? It is primarily a **cold and symptom-relief oral liquid**. Although it may be used alongside treatment for cold-related symptoms, it is not necessarily a dedicated cough suppressant or expectorant. ### What does chlorpheniramine do? Chlorpheniramine is an antihistamine that helps reduce sneezing, runny nose, and watery eyes. ### What does paracetamol do? Paracetamol helps reduce fever and relieve mild to moderate pain, including headache and body aches. ### What does phenylephrine do? Phenylephrine is a decongestant that helps temporarily relieve nasal blockage by reducing swelling inside the nasal passages. ### Does this medicine cure a cold? No. It provides **temporary relief of symptoms** but does not cure the viral infection that commonly causes a cold. ### Can this medicine make me sleepy? Yes. Chlorpheniramine may cause drowsiness or reduced alertness. Avoid driving if you feel sleepy or dizzy. ### Can children take this medicine? The suitability depends on the child's age, weight, and the exact product formulation. **Do not estimate a child's dose from an adult dose.** Follow the manufacturer's pediatric dosing instructions or consult a healthcare professional. ### How should I measure this syrup? Use the supplied measuring device or an oral syringe. Avoid using an ordinary household teaspoon because it may not provide an accurate dose. ### Can I give another paracetamol medicine with this syrup? Generally, you should not do so without professional advice because this product already contains **paracetamol**. Combining products can result in accidental overdose. ### Can I take this medicine for fever? Yes, the paracetamol component can help reduce fever. Persistent, very high, or unexplained fever should be evaluated by a healthcare professional. ### Can I take this medicine for a blocked nose? Yes. Phenylephrine is included to provide temporary relief from nasal congestion. ### Can I use this medicine for allergies? Chlorpheniramine can relieve some allergy symptoms, but the combination also contains paracetamol and phenylephrine. For persistent allergies, a healthcare professional can recommend a more appropriate treatment. ### Can I take this medicine if I have high blood pressure? Consult your healthcare professional first. Phenylephrine can increase blood pressure and may not be suitable for everyone with hypertension. ### Can I drink alcohol while taking this medicine? It is best to avoid alcohol because chlorpheniramine may increase drowsiness and excessive paracetamol exposure can increase the risk of liver injury. ### Can I drive after taking this medicine? Avoid driving or operating machinery if you experience drowsiness, dizziness, blurred vision, or reduced alertness. ### Can I take this medicine during pregnancy? Consult your doctor before using it during pregnancy. The combination should be used only when considered appropriate by a healthcare professional. ### Can I take this medicine while breastfeeding? Consult your doctor or pharmacist before use during breastfeeding. ### Can I take other cold and flu medicines with this product? Do not combine multiple cold and flu products without checking their ingredients. They may contain the same active ingredients and increase the risk of side effects or overdose. ### What happens if I take too much? An overdose can be dangerous. Excessive paracetamol can cause severe liver damage, while excessive phenylephrine or chlorpheniramine can cause serious cardiovascular or neurological effects. Seek urgent medical attention if an overdose is suspected. ### What should I do if I miss a dose? Take the missed dose when remembered unless it is nearly time for the next dose. Do not take an extra dose to compensate. ### How long can I use this medicine? Use it only for the duration recommended on the label or by your healthcare professional. If symptoms persist, worsen, or become severe, seek medical advice. ### Is Chlorpheniramine + Paracetamol + Phenylephrine an antibiotic? **No.** It does not contain an antibiotic. It is a combination used to provide symptomatic relief from cold and upper respiratory symptoms. ### When should I seek medical attention for cold symptoms? Seek medical advice for difficulty breathing, chest pain, severe or persistent fever, dehydration, confusion, severe weakness, worsening symptoms, or symptoms that do not improve as expected. ## MEDICAL DISCLAIMER This information about **Chlorpheniramine Maleate 1 mg/1 mL + Paracetamol 125 mg + Phenylephrine 2.5 mg** is provided for educational and informational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always check the exact product label for the approved age range, concentration, dosage, and directions. **Do not combine this medicine with other paracetamol-containing products without professional advice**, as excessive paracetamol can cause serious liver damage. Children require particular care with cold medicines. Use only the dose appropriate for the child's age, weight, and specific formulation. Consult a doctor or pharmacist before use during pregnancy or breastfeeding, or if the patient has hypertension, heart disease, liver disease, kidney disease, glaucoma, thyroid disease, or urinary problems. If symptoms are severe, persistent, or worsening, discontinue self-treatment and seek appropriate medical evaluation.