Nobel Cold Tab

NOBEL COLD TAB

Nobel Cold New Tablet, manufactured by Mankind Pharma Ltd., is a combination medication formulated to alleviate the symptoms associated with the common cold and allergies.

• Name: Nobel Cold New Tablet

• Composition: Each tablet contains a combination of active ingredients:

  • Caffeine (30mg)
  • Diphenhydramine (25mg)
  • Paracetamol (500mg)
  • Phenylephrine (5mg)

• Uses: This medicine is primarily used for temporary relief from symptoms of the common cold and allergies. It helps to treat:

  • Nasal congestion and stuffy nose
  • Runny nose and watery eyes
  • Sneezing
  • Fever
  • Headache and body ache
  • Sore throat
  • Extreme weakness Caffeine enhances the effects of paracetamol and reduces drowsiness caused by diphenhydramine. Paracetamol acts as a pain reliever and fever reducer. Diphenhydramine is an antihistamine that relieves allergic reactions. Phenylephrine works as a decongestant by narrowing blood vessels to reduce congestion and mucus production.

• Dosage and Administration: Nobel Cold New Tablet should be taken as per a doctor's instructions. It can be taken with or without food, though taking it with food may prevent stomach upset. The dosage is individualized based on the patient's condition and response to the medicine. It is important to complete the full duration of treatment as directed by the doctor.

• Side Effects: Common side effects may include:

  • Nausea, vomiting, stomach pain
  • Headache, insomnia, restlessness
  • Impaired coordination, dizziness, drowsiness
  • Dry mouth, blurred vision These effects are typically temporary and resolve over time. More serious side effects can include hypertension.

• Precautions:

  • Avoid driving or operating machinery until you know how the medication affects you, as it can cause dizziness and drowsiness.
  • Alcohol consumption should be avoided as it can worsen dizziness.
  • Inform your doctor about any existing kidney or liver conditions, heart problems, thyroid issues, or hypertension, as dosage adjustments may be necessary.
  • Pregnant individuals, those planning pregnancy, or breastfeeding mothers should inform their healthcare provider before taking this medicine, as diphenhydramine can pass into breast milk and potentially harm the baby.
  • This tablet is contraindicated in children under 12 years of age without proper medical consultation.
  • Avoid use if you have severe active liver disease, lower respiratory diseases, acute asthma, sleep apnea, or certain heart conditions.
  • Do not take with certain antidepressant drugs, such as monoamine oxidase inhibitors (MAOIs) or tricyclic antidepressants.
  • Inform your doctor if you are taking any other medications with similar active ingredients.

• Storage: Store below 30°C.

What is Nobel Cold Tab used for?

Nobel Cold Tab (also referred to as Nobel Cold New Tablet) is a combination medicine primarily used to relieve symptoms of the common cold and flu. These symptoms include headache, body ache, extreme weakness, watery eyes, fever, cough, sore throat, sneezing, and a runny or congested nose. It can also help with symptoms of allergic rhinitis and sinusitis.

How does Nobel Cold Tab work?

Nobel Cold Tab combines four active ingredients:

• Paracetamol (an analgesic and antipyretic) works by inhibiting the release of certain chemical messengers in the brain responsible for pain and fever.
• Diphenhydramine (an antihistamine) blocks the action of histamine, a substance that causes allergy symptoms like watery eyes, sneezing, and a runny nose.
• Phenylephrine (a nasal decongestant) narrows the small blood vessels in the nasal passages, helping to relieve congestion and a stuffy nose.
• Caffeine acts as a central nervous system stimulant, which enhances the pain-relieving effects of paracetamol and helps to counteract the drowsiness that diphenhydramine can cause.

What is the usual dosage for Nobel Cold Tab?

The dosage of Nobel Cold Tab should be taken as advised by your physician. It should be swallowed whole with a glass of water and not crushed or chewed. To avoid stomach upset, it is generally recommended to take it with or just after meals. It is crucial not to exceed the prescribed dose, as doing so can lead to severe liver damage. This medicine is not recommended for children and adolescents under 12 years of age.

What are the possible side effects of Nobel Cold Tab?

Common side effects may include nausea, vomiting, headache, dizziness, sleep problems (such as insomnia or drowsiness), restlessness, tiredness, reduced attention, unsteadiness, dry mouth, impaired coordination, irritability, tremors, fatigue, and blurred vision.

If you experience serious side effects such as allergic reactions (rash, breathlessness, swelling), a throbbing sensation, irregular heartbeat, muscle twitching, fits, or trouble passing urine, you should contact your doctor immediately.

Is Nobel Cold Tab safe during pregnancy or breastfeeding?

Nobel Cold Tab is generally not recommended for use during pregnancy as it may be unsafe and could potentially harm the developing baby.

For breastfeeding women, Nobel Cold Tab should be used with caution. Components of the medicine may pass into breast milk and could affect the infant. It is essential to consult your doctor before taking this medicine if you are breastfeeding.

Can Nobel Cold Tab be taken with other medications?

You should inform your doctor about all other medications, supplements, or herbal products you are currently taking, as Nobel Cold Tab can interact with several drugs. Notable interactions include:

• Cholestyramine (used to reduce blood fat levels)
• Medicines for nausea (e.g., metoclopramide, domperidone)
• Blood thinners (e.g., warfarin, psoralen)
• Medicines for high blood pressure and other heart conditions (e.g., atenolol, methyldopa)
• Certain antidepressant medications (e.g., amitriptyline, phenelzine, MAOIs like isocarboxazid, tricyclic antidepressants)
• Other nasal decongestants

What precautions should be taken while taking Nobel Cold Tab?

• Alcohol Consumption: Avoid consuming alcohol while taking Nobel Cold Tab, as it can increase the risk of liver damage and may enhance drowsiness or dizziness.
• Caffeine Intake: Limit additional caffeine intake from beverages like coffee or tea, as Nobel Cold Tab already contains caffeine. Excessive caffeine can lead to shaking, chest discomfort, or difficulty sleeping.
• Driving and Machinery: This medicine may cause drowsiness, dizziness, or blurred vision. Avoid driving or operating heavy machinery until you know how the medication affects you.
• Pre-existing Medical Conditions: Inform your doctor if you have any pre-existing conditions such as heart, kidney, liver, thyroid, prostate, or breathing problems (like asthma or sleep apnea), glaucoma, or high blood pressure.

What happens if a dose of Nobel Cold Tab is missed?

If you miss a dose of Nobel Cold Tab, take it as soon as you remember. However, if it is almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for the missed one.

How should Nobel Cold Tab be stored?

Nobel Cold Tab should be stored below 25°C or 30°C in a cool, dry place. Keep it away from direct light and moisture, and always out of the sight and reach of children and pets.