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Best Price* ₹ 9.60 MRP ₹ 12.00
(Inclusive of all taxes) *10 Tablet(s) in a Strip * Mkt: Alpha Pharmaceuticals * Country of Origin: India * Delivery charges if applicable will be applied at checkout



INTRODUCTION

COSIL FORTE TABLET is a combination of Caffeine, Chlorpheniramine, Paracetamol and Phenylephrine, which belongs to the group of medicines called Central nervous system stimulants, Antihistamines, Analgesics and nasal decongestants respectively. It is used in the treatment of the common cold and flu to provide relief from fever, nasal congestion, headache, pain and symptoms of the nose or throat due to upper respiratory tract allergies. It is also used in bacterial infections such as sinusitis, tonsillitis and otitis media, along with other medicines.

While taking COSIL FORTE TABLET, avoid alcohol, coffee, strong tea and other tonic drinks. COSIL FORTE TABLET is not recommended for use in patients with asthma, severely impaired liver or kidney function, severe hypertension, heart diseases, closed-angle glaucoma, an adrenal gland tumour (Pheochromocytoma), hyperthyroidism, diabetes, porphyria, peptic ulcer or hyperplasia of the prostate gland.

COSIL FORTE TABLET is also not recommended for use in pregnant women, breastfeeding women or children below 12 years of age. In elderly patients, COSIL FORTE TABLET should be used with caution. The common side effects of COSIL FORTE TABLET are nausea and vomiting, drowsiness, insomnia, dizziness, headache and nervousness. If any of these become worse, contact your doctor.

USES OF COSIL FORTE TABLET

Treats the following conditions in adults and children (6 to12 years of age):

  • Common cold and flu to provide relief from fever, nasal congestion, headache and pain
  • Allergic symptoms of the nose or throat due to upper respiratory tract allergies
  • Bacterial infections such as sinusitis, tonsillitis and otitis media along with other medicines

HOW COSIL FORTE TABLET WORKS

[GBNKWEYORD] is a combination of medicines, where Paracetamol works by elevating the pain threshold and acting on the heat-regulating centre in the brain to reduce pain and fever; Phenylephrine works by reducing swelling of the blood vessels in the nasal passages; Chlorpheniramine reduces the effects of the natural chemical histamine in the body and Caffeine enhances the activity of Paracetamol and reduces drowsiness due to Chlorpheniramine. This collective collection provides relief from fever, nasal congestion, runny nose, sneezing, headache and pain.

DIRECTIONS FOR USE

Take COSIL FORTE TABLET as advised by your physician. Swallow the medicine with a glass of water. Do not crush or chew the medicine. The correct dose and duration for you will be decided by your doctor, depending on your age, body weight and disease condition. Do not stop taking COSIL FORTE TABLET unless your doctor advises you to stop.

SIDE EFFECTS OF COSIL FORTE TABLET

COMMON

  • nausea and vomiting
  • drowsiness and excessive sleepiness
  • dizziness
  • headache
  • nervousness
  • difficulty in falling asleep
  • increased blood pressure

UNCOMMON

  • restlessness
  • anxiety, irritability
  • feeling that heart is racing or skipping a beat

RARE

  • easy or excessive bruising along with tiredness and blood in urine or stools (signs of thrombocytopenia)
  • fever, chills, weakness, sudden low blood pressure, bleeding gums and breathing problems (signs of agranulocytosis)

Stop taking COSIL FORTE TABLET and contact your doctor immediately if you experience any of the following side effects:

  • allergic reaction signs (skin rash, itching, swelling of the face, lips or tongue which may cause difficulty in swallowing or breathing, wheezing or shortness of breath)

HOW TO MANAGE SIDE EFFECTS

Nausea or vomiting:

Take COSIL FORTE TABLET with or just after meals, along with your medication. Stick to simple meals and avoid eating oily or spicy foods. If there is no improvement, contact your doctor for advice.

Headache:

Try to relax and rest yourself. Apply pain balm to the head to ease the pain. Sip on some hot water or ginger tea. If there is no improvement, contact your doctor for advice.

Dizziness:

Sit down or lie down slowly when you are feeling dizzy. Take some time to rest and drink plenty of water. Avoid coffee and other carbonated drinks. If there is no improvement, contact your doctor for advice.

WARNING & PRECAUTIONS

PREGNANCY

COSIL FORTE TABLET is generally not recommended for use in pregnant women. Consult your doctor for advice.

BREASTFEEDING

COSIL FORTE TABLET is generally not recommended for use in breastfeeding women as it may pass through the breast milk. Consult your doctor for advice.

DRIVING AND USING MACHINES

Do not drive or operate any machines if you feel dizzy, drowsy or blurred vision after taking COSIL FORTE TABLET.

ALCOHOL

Avoid consumption of alcohol while taking COSIL FORTE TABLET because it might make you drowsier and impairs your concentration.

KIDNEY

COSIL FORTE TABLET is not recommended for use in patients with severely impaired kidney function. Consult your doctor for advice.

LIVER

COSIL FORTE TABLET is not recommended for use in patients with severely impaired liver function. Consult your doctor for advice.

ALLERGY

Do not take COSIL FORTE TABLET if you are allergic to Caffeine, Chlorpheniramine, Paracetamol and Phenylephrine.

LUNGS

COSIL FORTE TABLET is not recommended for use in patients with asthma. Consult your doctor for advice.

HEART DISEASE

COSIL FORTE TABLET is not recommended for use in patients with severe hypertension, coronary heart disease and cardiovascular disorders. Consult your doctor for advice.

OTHERS

COSIL FORTE TABLET is not recommended for use if you:

  • have closed-angle glaucoma
  • have adrenal gland tumour (Pheochromocytoma)
  • have hyperthyroidism
  • have diabetes
  • have porphyria
  • have peptic ulcer
  • have hyperplasia of the prostate gland, bladder neck obstruction and pyloroduodenal obstruction

Before taking COSIL FORTE TABLET, inform your doctor if you:

  • are an athlete going for doping tests
  • have Raynaud’s phenomenon
  • have epilepsy

Use in Pediatrics:

COSIL FORTE TABLET is generally not recommended for use in children under 12 years of age. Consult your doctor for advice.

Use in Geriatrics:

COSIL FORTE TABLET should be used with caution in elderly patients. Consult your doctor for advice.

INTERACTIONS

A. Drug-Drug interactions:  

Before taking COSIL FORTE TABLET, inform your doctor if you are taking any of the following medicine:

  • medicines used in depression treatment [ex. isocarboxazid, phenelzine, amitriptyline]
  • brompheniramine, benzphetamine, ephedrine (other medicines used for nasal congestion, allergic shock and heart failure)
  • digoxin (a medicine used in the treatment of heart diseases)
  • phenytoin (a medicine used in epilepsy treatment)
  • zolpidem, flurazepam, suvorexant, butabarbital and triazolam (medicines used for sleep disorders)
  • ergotamine and methysergide (medicines used to treat severe, throbbing headaches, such as migraine and cluster headaches)
  • medicines used to control blood pressure (ex. reserpine, methyldopa, debrisoquine, atenolol and propranolol)
  • warfarin and dicumarol sodium (medicines used to prevent blood clotting)

B. Drug - Food interaction:

Avoid taking coffee, strong tea and other tonic drinks while taking COSIL FORTE TABLET.

Overdosage:

If you or anyone else accidentally take too much of COSIL FORTE TABLET, consult your doctor immediately or visit the nearby hospital. Symptoms of overdose are pallor, nausea, vomiting, anorexia, abdominal pain, vomiting, excessive urination, tachycardia, insomnia, restlessness, excitement, agitation, jitteriness, tremors and convulsions.

SYNOPSIS

Drug :   Caffeine, Chlorpheniramine, Paracetamol, Phenylephrine
Pharmacological Category :   Methylxanthines, Antihistamines, Analgesics, Adrenergic agonists 
Therapeutic Indication :   Common cold, flu, sinus headache, throat and ear infections
Dosage Forms :   Tablet

MORE INFORMATION

  • Keep COSIL FORTE TABLET out of reach from children
  • Store at room temperature

FAQs ABOUT COSIL FORTE TABLET

Q: What is COSIL FORTE TABLET used for?

A: COSIL FORTE TABLET temporarily treats symptoms caused by the common cold, flu, allergies or other breathing illnesses (such as sinusitis and bronchitis). It also helps relieve stuffy nose, sinus and ear congestion symptoms.

Q: Is COSIL FORTE TABLET suitable for cold weather?

A: COSIL FORTE TABLET contains medicines that treat headache, fever, body aches, a runny or stuffy nose, sneezing, itching, watery eyes and sinus congestion caused by allergies, the common cold or the flu. Always take the medicine after consulting a doctor.

Q: Can COSIL FORTE TABLET cause high BP?

A: COSIL FORTE TABLET can cause severe hypertensive episodes leading to intracranial haemorrhage in the case of overdosage. Always inform patients about the dangers of exceeding the recommended dose and the increased risk of serious adverse effects such as hypertensive crises.

Q: Does COSIL FORTE TABLET affect the kidney?

A: COSIL FORTE TABLET can cause irreversible kidney damage if used for a prolonged period. Thus, it is not recommended for use in patients with severely impaired kidney function. You should always consult a doctor before taking the medicine.

Q: Can we take COSIL FORTE TABLET and cetirizine together?

A: Using COSIL FORTE TABLET together with Cetirizine may increase side effects such as dizziness, drowsiness and difficulty concentrating. Some people, especially the elderly, may also experience impaired thinking, confusion and problems in motor coordination.

REFERENCES

1. KD Tripathi. Drugs acting on the Autonomic nervous system, Autacoids and related drugs, Essentials of medical pharmacology. Eighth edition. 2019. Page – 245, 179, 153, 223.

2. Abdulbari, M. M. and M. S. Ihsan. Simultaneous determination and validation of chlorpheniramine maleate, acetaminophen, phenylpropanolamine hydrochloride and caffeine in tablet dosage form by using reverse-phase high-performance liquid chromatography. [Revised in July 2013] [Accessed on 20th June 2022] https://asset-pdf.scinapse.io/prod/2186195757/2186195757.pdf

3. Saga Laboratories. COL-COL. https://www.nafdac.gov.ng/wp-content/uploads/Files/SMPC/Jan_2022/COL-COL-Tablet-SmPC.pdf

4. Centaurpharma.Sinarest Tablet. https://www.centaurpharma.com/downloads/Sinarest%20Tab.pdf

USEFUL DIAGNOSTIC TESTS

  • Liver function tests
  • Fasting blood sugar level
  • Random blood sugar level

PRODUCT DETAILS

    Net Qty
    1 N
    Item Weight
    17.5 g
    Ingredient
    CAFFEINE 50 mg+Chlorpheniramine Maleate 2 mg+PARACETAMOL(ACETAMINOPHEN) 500 mg+PHENYLEPHRINE 5 mg
    Hsn Code
    30049093
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