coldfresh plus tablet - Caffeine (30mg) + Cetirizine (5mg) medicine

coldfresh plus tablet - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Smart Laboratories Pvt Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 23, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 23, 2026

What is coldfresh plus tablet used for?

Azicold Plus Tablet (Caffeine + Cetirizine) is used to treat RESPIRATORY. It contains Caffeine (30mg) + Cetirizine (5mg), which Cetirizine selectively inhibits peripheral H1 receptors; caffeine antagonizes ad. Always consult your doctor before use. Take as prescribed.

  • Generic Name: Caffeine + Cetirizine
  • Manufacturer: Smart Laboratories Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: A
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? Over 80% of the antiretroviral drugs used globally to combat AIDS are supplied by Indian pharmaceutical companies.

๐Ÿ’Š coldfresh plus tablet Uses & Benefits

Symptomatic relief of allergic rhinitis, urticaria, and common cold symptoms.

Off-label uses: Motion sickness (cetirizine), adjunct in weight loss (caffeine).

๐Ÿ“‹ Drug Information

Generic Name(s)Caffeine + Cetirizine
Brand NameAzicold Plus Tablet
ManufacturerSmart Laboratories Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassRESPIRATORY
Action ClassAntihistamine + CNS Stimulant
Route of AdministrationOral
StorageStore at room temperature (20-25ยฐC), protect from moisture.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionCetirizine is rapidly absorbed after oral administration; caffeine is well absorbed from the GI tract.
DistributionCetirizine is distributed throughout the body; caffeine crosses the blood-brain barrier and placenta.
Protein BindingCetirizine: ~93% bound to plasma proteins; Caffeine: ~35% bound.
MetabolismCetirizine undergoes minimal hepatic metabolism; caffeine is primarily metabolized by CYP1A2 in the liver.
Half-LifeCetirizine: ~8-11 hours; Caffeine: ~3-5 hours.
ExcretionCetirizine is primarily excreted unchanged in urine; caffeine metabolites are excreted in urine.
BioavailabilityCetirizine: ~70%; Caffeine: ~100%.
Onset of ActionCetirizine: 1 hour; Caffeine: 30-45 minutes.
Peak Plasma TimeCetirizine: 1 hour; Caffeine: 1-2 hours.
Duration of ActionCetirizine: 24 hours; Caffeine: 4-6 hours.

How It Works

Cetirizine selectively inhibits peripheral H1 receptors; caffeine antagonizes adenosine receptors and inhibits phosphodiesterase.

Mechanism Steps

1Cetirizine binds to H1 receptors on target cells, blocking histamine binding.
2Inhibition of histamine reduces vasodilation, vascular permeability, and pruritus.
3Caffeine antagonizes adenosine receptors, preventing adenosine-induced sedation and vasodilation.

๐Ÿ’ก How to Take coldfresh plus tablet

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of coldfresh plus tablet

โœ… Common Side Effects

  • Drowsiness
  • Dry mouth
  • Headache
  • Nervousness
  • Insomnia

๐Ÿšจ Serious Side Effects

  • Severe allergic reactions
  • Tachycardia
  • Seizures (caffeine overdose)

โš ๏ธ Rare Side Effects

  • Hepatotoxicity
  • Thrombocytopenia
  • Angioedema

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
MAOIs Major Increased risk of hypertensive crisis
CYP1A2 inhibitors Major Increased caffeine toxicity
Alcohol Moderate Enhanced CNS depression
Sedatives Moderate Additive sedation
Anticholinergics Moderate Increased anticholinergic effects
Theophylline Minor Additive CNS stimulation
Phenytoin Minor Decreased caffeine metabolism

๐Ÿšจ Major Interactions

  • Monoamine oxidase inhibitors (MAOIs)
  • CYP1A2 inhibitors (e.g., ciprofloxacin)

โšก Moderate Interactions

  • Alcohol
  • Sedatives
  • Anticholinergics

โ„น๏ธ Minor Interactions

  • Theophylline
  • Phenytoin

๐Ÿฝ๏ธ Food Interactions

Grapefruit juice may increase caffeine levels; food does not significantly affect absorption.

๐Ÿท Alcohol Interaction

Increased sedation and impaired coordination; avoid concurrent use.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to cetirizine or caffeine, severe hypertension, arrhythmias, peptic ulcer.

๐Ÿ“Š Monitoring Parameters

Monitor for sedation, CNS stimulation, and blood pressure in susceptible patients.

๐Ÿคฑ Lactation Safety

Cetirizine and caffeine are excreted in breast milk; use with caution.

๐Ÿ’Š Overdose Management

Supportive care; activated charcoal if recent ingestion; monitor for CNS stimulation and cardiac effects.

โฐ Missed Dose

Take as soon as remembered; skip if almost time for next dose; do not double dose.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 23, 2026

๐Ÿ”— View Profile

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