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CAFFETIN COLD film-coated tablets – cold and flu symptoms: pain, fever, blocked nose and dry cough
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- Stock: Zabrana online prodaje
- Brand: ALKALOID products
- Model: BR-51210
Caffetin Cold film-coated tablets is a combination medicine for relieving the symptoms of colds and flu. Each tablet contains four active substances: paracetamol 500 mg (relieves pain and reduces fever), pseudoephedrine hydrochloride 30 mg (reduces swelling of the nasal lining and nasal congestion), dextromethorphan hydrobromide 15 mg (calms a dry, irritating cough) and ascorbic acid (vitamin C) 60 mg.
The tablets are blue, oblong, biconvex and film-coated, with a score line that only helps swallowing and is not for dividing into equal doses.
Important warning
- Supply status in Serbia: available without a prescription (according to the leaflet approved by ALIMS).
- Do not take other medicines containing paracetamol or other cough or cold medicines at the same time – there is a risk of overdose and liver damage.
- The medicine must not be used in severe hypertension, coronary artery disease, diabetes, glaucoma, enlarged prostate, overactive thyroid, during pregnancy and breastfeeding, or together with MAO inhibitors, SSRI antidepressants or beta-blockers.
- Do not use for longer than 5 days without medical advice; not intended for children under 12 years.
- Use the medicine only according to the official leaflet and the advice of your doctor or pharmacist.
- This page is for information only and is not an offer to buy the medicine online.
When is Caffetin Cold used for colds and flu and how is it dosed safely?
Key facts about the medicine
| Name of the medicine | Caffetin cold®, 500 mg/30 mg/15 mg/60 mg, film-coated tablets |
|---|---|
| Active substances | paracetamol, pseudoephedrine hydrochloride, dextromethorphan hydrobromide, ascorbic acid |
| Strength | 500 mg paracetamol, 30 mg pseudoephedrine hydrochloride, 15 mg dextromethorphan hydrobromide and 60 mg ascorbic acid per tablet |
| Pharmaceutical form | film-coated tablet |
| Therapeutic group | analgesics, anilides in combination (ATC N02BE51) |
| Pack | PVC/PVdC/Al blister with 10 film-coated tablets, carton (1 × 10) |
| Marketing authorisation holder | Alkaloid d.o.o. Belgrade |
| Supply status (Serbia) | available without a prescription |
What is Caffetin Cold used for?
According to the patient leaflet and the Summary of Product Characteristics, Caffetin Cold is used for the symptomatic treatment of colds and flu:
- headache
- muscle pain and sore throat
- nasal congestion
- fever
- dry (non-productive) cough
How is it used and dosed?
Adults and children over 12 years: 1 tablet up to four times a day; 2 tablets may be taken at once. There must be at least 4 hours between doses.
| Age | Maximum single dose | Maximum daily dose |
|---|---|---|
| Adults | 2 tablets | 8 tablets (2 tablets up to 4 times in 24 hours) |
| Adolescents 12–18 years | 2 tablets | 6 tablets (2 tablets up to 3 times in 24 hours) |
| Children under 12 years | not recommended | — |
- Duration: without medical advice the medicine should not be used for longer than 5 days.
- Relation to meals: the medicine can be taken with or without food.
- Swallow the tablet; the score line is not intended for dividing into equal doses.
Special patient groups
- Children under 12 years: use is not recommended.
- Elderly (over 65 years) and exhausted patients: advice from a doctor or pharmacist is needed before use.
- Kidney or liver impairment: caution is required; in severe impairment the medicine must not be used.
Contraindications – when the medicine must not be used
- hypersensitivity to any active substance or excipient
- pregnancy and breastfeeding
- severe hypertension or coronary artery disease
- severe liver or kidney impairment
- diabetes mellitus
- phaeochromocytoma, hyperthyroidism, angle-closure glaucoma, enlarged prostate
- respiratory insufficiency or risk of it
- chronic or persistent cough (e.g. in asthma) or cough with excessive phlegm
- use of MAO inhibitors or within two weeks after stopping them
- concomitant use of SSRI antidepressants, beta-blockers or other cold medicines and decongestants
Precautions and warnings
- Talk to a doctor or pharmacist if you have mildly to moderately raised blood pressure, heart disease, liver or kidney disease, epilepsy, if you are over 65 or if you know you are a slow metaboliser via the CYP2D6 enzyme.
- Dextromethorphan combined with certain antidepressants and antipsychotics may cause serotonin syndrome: agitation, hallucinations, fever above 38 °C, rapid heartbeat, unstable blood pressure, muscle stiffness, poor coordination and digestive symptoms.
- Abuse of dextromethorphan has been reported; special caution is needed in adolescents, young adults and people with a history of substance abuse. Treatment should be short.
- Pseudoephedrine may cause ischaemic colitis and ischaemic optic neuropathy – stop treatment immediately in case of sudden abdominal pain, rectal bleeding or sudden loss of vision.
- If widespread redness with fever and small pus-filled spots (AGEP) appears, usually in the first two days, stop treatment.
- Do not use other paracetamol-containing medicines or other cough medicines; avoid alcohol and coffee.
Interactions with other medicines, alcohol and food
- Contraindicated with MAO inhibitors (and for two weeks after them), SSRI antidepressants, beta-blockers and other sympathomimetic decongestants.
- Strong CYP2D6 inhibitors (e.g. fluoxetine, paroxetine, quinidine, terbinafine) may markedly increase dextromethorphan levels.
- Warfarin and other coumarin anticoagulants: prolonged use of paracetamol may increase the risk of bleeding.
- Metoclopramide and domperidone speed up, and cholestyramine slows down, the absorption of paracetamol; enzyme inducers (antiepileptics, oral contraceptives, rifampicin) may increase paracetamol toxicity.
- Pseudoephedrine with tricyclic antidepressants, other sympathomimetics, cardiac glycosides, ergot alkaloids, oxytocin and blood pressure medicines may increase the risk of blood pressure rises and rhythm disorders.
- Alcohol, antihistamines, psychoactive medicines and other CNS depressants increase drowsiness; alcohol with the medicine can damage the liver – do not drink alcohol during treatment.
- Avoid coffee, tea and caffeine products (nervousness, rapid heartbeat). The medicine can be taken with or without food.
Pregnancy and breastfeeding
The medicine must not be used during pregnancy and breastfeeding.
Driving and using machines
The medicine may cause drowsiness and dizziness, especially at the start of treatment, and these effects are increased by alcohol and sedatives. Do not drive or use machines until you know how the medicine affects you.
Possible side effects
The leaflet lists side effects by body system, mostly without frequencies:
- heart and blood vessels: palpitations, rapid heartbeat, rhythm disorders, raised blood pressure
- nervous system and mental health: headache, tremor, restlessness, agitation, irritability, dizziness, insomnia, drowsiness, confusion, hallucinations (especially in children), rarely convulsions
- digestive system: nausea, vomiting, diarrhoea; ischaemic colitis (frequency not known)
- urinary system: difficulty passing urine, urinary retention
- blood: low platelet count
- breathing: bronchospasm in people sensitive to acetylsalicylic acid or NSAIDs, respiratory depression
- skin: allergic reactions, very rarely severe skin reactions (Stevens-Johnson syndrome), AGEP
- eyes: ischaemic optic neuropathy (frequency not known)
- liver: liver damage, especially after overdose
Suspected side effects can be reported to a doctor, pharmacist or the Medicines and Medical Devices Agency of Serbia (ALIMS).
Overdose, missed dose and stopping treatment
- Overdose: contact a doctor or hospital immediately, even if you feel well – liver damage from paracetamol can appear later. Possible symptoms include nausea, vomiting, dizziness, slurred speech, involuntary eye movements, drowsiness, confusion, agitation, hallucinations, palpitations, high blood pressure, pallor and abdominal pain.
- Missed dose: the medicine is taken as needed; never take a double dose to make up for a missed one.
- Stopping treatment: the medicine is used while symptoms last, for no more than 5 days without medical advice.
When to seek medical help immediately?
- difficulty breathing, swelling of the lips, tongue, throat or face, marked rash
- sudden abdominal pain or rectal bleeding
- sudden loss of vision or gaps in the visual field
- widespread skin redness with fever and small pus-filled spots, blisters or peeling skin
- agitation, hallucinations, high fever, rapid heartbeat and muscle stiffness (possible serotonin syndrome)
- taking more of the medicine than recommended, even without symptoms
Pharmacist’s advice
Before taking it, read the ingredients of all medicines you are already using: paracetamol is found in many pain, fever and cold medicines, and taking it twice can seriously damage the liver.
During treatment avoid coffee, tea and energy drinks – together with pseudoephedrine they can cause nervousness and palpitations. If you notice insomnia, do not take the last dose just before bedtime.
If you have high blood pressure, diabetes, glaucoma or prostate problems, or take antidepressants, be sure to consult a pharmacist before use.
Availability and price
The medicine is available without a prescription, but under the regulations of the Republic of Serbia it cannot be ordered online. This page is for information only.
To check availability and supply conditions, please contact a pharmacy.
Related information
- How to bring down a fever quickly?
For additional care and support with colds and flu, see also the Colds and flu category – products in this category do not replace the medicine you have been prescribed.
Composition, pack and manufacturer
- Each film-coated tablet contains 500 mg paracetamol, 30 mg pseudoephedrine hydrochloride, 15 mg dextromethorphan hydrobromide and 60 mg ascorbic acid.
- Tablet core: pregelatinised starch, microcrystalline cellulose, povidone, hypromellose (2910), colloidal anhydrous silica, croscarmellose sodium, talc, magnesium stearate.
- Film coating (Opadry II white 85F18422 or Opadry II Blue 85F20400): partially hydrolysed polyvinyl alcohol, titanium dioxide (E171), talc, macrogol 3350; the blue coating also contains FD&C Blue 2/indigo carmine aluminium lake (E132).
- Pack: PVC/PVdC/Al blister with 10 film-coated tablets in a carton with a leaflet.
- Marketing authorisation holder: Alkaloid d.o.o. Belgrade, Prahovska 3, Belgrade.
- Manufacturer: Alkaloid AD Skopje, North Macedonia.
Storage
- Store at temperatures up to 25 °C.
- Shelf life is 2 years; do not use after the expiry date stated on the pack.
- Keep out of the sight and reach of children.
- Do not dispose of unused medicine via wastewater or household waste; return it to a pharmacy that collects unused medicines.
Frequently asked questions
Can I take paracetamol or another fever medicine together with Caffetin Cold?
Not without the advice of a doctor or pharmacist. Caffetin Cold already contains 500 mg paracetamol per tablet, so additional paracetamol-containing medicines increase the risk of overdose and liver damage.
May I drink coffee while using Caffetin Cold?
The leaflet advises avoiding coffee, tea and caffeine products during treatment, because together with pseudoephedrine they can cause nervousness and rapid heartbeat.
Can people with high blood pressure use Caffetin Cold?
In severe hypertension and coronary artery disease the medicine must not be used. People with mildly to moderately raised blood pressure should consult a doctor or pharmacist before use.
Is Caffetin Cold suitable for a productive (chesty) cough?
No. Dextromethorphan is intended for a dry, irritating cough; the medicine must not be used for chronic or persistent cough or for cough with excessive phlegm.
Sources
- ALIMS – Patient leaflet Caffetin cold, 500 mg/30 mg/15 mg/60 mg, film-coated tablets (January 2023)
- ALIMS – Summary of Product Characteristics Caffetin cold, film-coated tablets (authorisation 515-01-04441-21-001, 16.01.2023)
- ALIMS – List of medicines available without a prescription
Date sources were checked: 23 October 2026.
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