Content Details
Written By
PhD (Pharmacology), PGDPRA
Reviewed By
MD (Pharmacology), MBBS
Last updated on:
07 Dec 2018 | 03:02 PM (IST)
Want to know more?
Read Our Editorial Policy
Have issue with the content?
Report Problem

Overview

Uses of Punch Plus Tablet

Punch Plus Tablet side effects

Common
  • Nausea
  • Diarrhea
  • Vomiting
  • Dryness in mouth
  • Insomnia (difficulty in sleeping)
  • Allergic reaction
  • Restlessness
  • Fatigue
  • Dizziness
  • Sleepiness
  • Increased liver enzymes
  • Headache

How to use Punch Plus Tablet

Take this medicine in the dose and duration as advised by your doctor. Swallow it as a whole. Do not chew, crush or break it. Punch Plus Tablet is to be taken with food.
This will help to avoid stomach upset.

How Punch Plus Tablet works

Punch Plus Tablet is a combination of five medicines: Caffeine, Cetirizine, Nimesulide, Paracetamol and Phenylephrine, which relieves aches and fever associated with cold. Caffeine is a stimulant which decreases sleepiness caused by Cetirizine. Cetirizine is an antiallergic which relieves allergy symptoms like runny nose, watery eyes and sneezing. Nimesulide is a non-steroidal anti-inflammatory drug (NSAID). It works by blocking the release of certain chemical messengers that cause pain and inflammation (redness and swelling). Paracetamol is an analgesic (pain reliever) and an antipyretic (fever reducer) which also blocks the release of certain chemical messengers in the brain that cause pain and fever. Phenylephrine is a decongestant which narrows the small blood vessels providing relief from congestion or stuffiness in the nose.

Punch Plus Tablet related warnings

Alcohol
CAUTION
It is unsafe to consume alcohol with Punch Plus Tablet. Taking Caffeine+Cetirizine+Nimesulide+Paracetamol/Acetaminophen+Phenylephrine with alcohol can cause liver damage.
Pregnancy
WEIGH RISKS VS BENEFITS
Punch Plus Tablet is unsafe to use during pregnancy.
There is positive evidence of human fetal risk, but the benefits from use in pregnant women may be acceptable despite the risk, for example in life-threatening situations. Please consult your doctor.
Lactation
No information is available on the use of Punch Plus Tablet during lactation. Please consult your doctor.
Driving
Punch Plus Tablet may make you feel dizzy, sleepy, tired, or decrease alertness. If this happens, do not drive.
Kidney
CAUTION
Punch Plus Tablet should be used with caution in patients with kidney disease. Dose adjustment of Punch Plus Tablet may be needed. Please consult your doctor.
Use of Punch Plus Tablet is not recommended in patients with severe kidney disease.
Liver
UNSAFE
Punch Plus Tablet is probably unsafe to use in patients with liver disease and should be avoided. Please consult your doctor.

Alternate Brands

For informational purposes only. Consult a doctor before taking any medicines.
Punch Plus Tablet
₹3.99/Tablet
Diecold Tablet
Leeford Healthcare Ltd
₹4.5/Tablet
13% costlier
Skyryl Plus Tablet
Skymax Laboratories Pvt Ltd
₹5.4/Tablet
35% costlier
₹6/Tablet
50% costlier

Patient Concerns

Questions Related to Punch Plus

arrow
suffering from cold symptoms like itchy, watery eyes, and/or a runny nose. took no cold tab of cipla 4 times keeping 5 hours interval but no effect on these symptoms. .kindly advice
Dr. Pushkar Mani
Diabetes Specialist
ctz plus twice daily for 3 days
Light fever, body pain, and cold symptoms
Dr. Pushkar Mani
Diabetes Specialist
dolokind plus twice daily for 3 days
arrow
Do you have any questions related to Punch Plus Tablet?

FAQs

Q. Are there any contraindications associated with the use of Punch Plus?

It is not recommended to use Punch Plus if you have high blood pressure (hypertension), any underlying serious heart condition or cardiovascular disorder, any history of stomach ulcers, overactive thyroid (hyperthyroidism). However, it can be taken if advised by the doctor. This medicine should not be used during pregnancy. The use of Punch Plus should also be avoided if you are taking antidepressant drugs. These drugs, called monoamine oxidase inhibitors (MAOIs), may include phenelzine and isocarboxazid or tricyclic antidepressants like imipramine and amitriptyline.

Q. Can I breastfeed while taking Punch Plus?

No, it is not advisable to breastfeed while using Punch Plus. This medicine contains cetirizine, an antihistamine, which can pass into the breast milk and may harm the baby. Inform your doctor that you are breastfeeding if you are advised to take this medicine.

Q. Can the use of Punch Plus cause damage to liver?

Punch Plus contains Paracetamol and Nimesulide. These medicines are known to cause harm to the liver especially in the doses above the recommended level. Also, avoid drinking alcohol while taking this medicine, as it may further increase your risk of liver damage. Use of this medicine should preferably be avoided in patients with the underlying liver disease. Contact your doctor immediately if you notice any early signs and symptoms of liver damage. These symptoms may include fever, rash, loss of appetite, nausea, vomiting, fatigue, stomach pain, dark urine, yellow skin or eyes and abnormal liver enzymes.

Q. What is Punch Plus?

Punch Plus is a combination of five medicines: Caffeine, Cetirizine, Nimesulide, Paracetamol and Phenylephrine. This combination is helpful in relieving the symptoms of cold. These symptoms include body ache, headache, fatigue, fever, watery eyes, sneezing, cough, sore throat, runny and stuffy nose.

Q. Are there any foods which I should avoid while taking Punch Plus?

Punch Plus contains caffeine. So, it is preferable to avoid medicines or food that also contain caffeine. Foods like coffee, tea, cola drinks and chocolate should be avoided as they may add to your total caffeine intake. Increased caffeine intake can cause difficulty in sleeping, you may experience tremors and/or may have chest discomfort. Also, avoid drinking alcohol (beer, wine, etc) while taking this medicine.

Q. Can the use of Punch Plus cause sleepiness or drowsiness?

Yes, Punch Plus may make you feel drowsy or may cause you to fall asleep during your daily activities. Avoid driving a car, operating machinery, working at heights or participating in potentially dangerous activities until you know how the medicine affects you. Inform your doctor if you experience such episodes while taking this medicine.

Q. What are the instructions for the storage and disposal of Punch Plus?

Keep this medicine in the packet or the container it came in, tightly closed. Store it according to the instructions mentioned on the pack or label. Dispose of the unused medicine. Make sure it is not consumed by pets, children and other people.

Q. Are there any serious side effects associated with the use of Punch Plus?

Serious side effects with Punch Plus are uncommon and rare. Tell your doctor as soon as possible if you notice allergic reactions, skin rash or peeling, mouth ulcers, breathing problems, unexplained bleeding, recurrent fevers or infections, vision disturbances, fast or irregular heartbeat. These side effects are uncommon but may be serious and may need urgent medical attention.

Q. Will a higher than the recommended dose of Punch Plus be more effective?

No, taking a higher than the recommended dose may not be more effective, rather it may increase the chances of having some serious side effects and toxicity. If you experience increased severity of your symptoms, that are not relieved by the recommended doses, please consult your doctor for re-evaluation.

Related Products

Related Ayurvedic Ingredients

Disclaimer: 1mg's sole intention is to ensure that its consumers get information that is expert-reviewed, accurate and trustworthy. However, the information contained herein should NOT be used as a substitute for the advice of a qualified physician. The information provided here is for informational purposes only. This may not cover all possible side effects, drug interactions or warnings or alerts. Please consult your doctor and discuss all your queries related to any disease or medicine. We intend to support, not replace, the doctor-patient relationship.
References
  1. Drugs.com. Caffeine. [Accessed 17 Apr. 2019] (online) Available from:External Link
  2. Drugs.com. Cetrizine. [Accessed 17 Apr. 2019] (online) Available from:External Link
  3. European Medicne Agency. Nimesulide; 2004. [Accessed 02 Apr. 2019] (online) Available from:External Link
  4. Paracetamol. Whiddon Valley: Actavis UK Limited; 1980 [revised 23 Dec. 2016]. [Accessed 17 Apr. 2019] (online) Available from:External Link
  5. Phenylephrine hydrochloride. Maidenhead, Berks: McNeil Products Ltd.; 2004 [revised 20 Mar. 2014]. [Accessed 17 Apr. 2019] (online) Available from:External Link
Manufacturer/Marketer Address
504 Sears Tower, Off C G Road, Gulbai Tekra, Opp. IIPM Tower, Ahmedabad - 380 006.
BANNED FOR SALE
As per the Drugs and Cosmetics Act, Ministry of Health and Family Welfare

INDIA’S LARGEST HEALTHCARE PLATFORM

150M+
Visitors
25M+
Orders Delivered
1000+
Cities
Get the link to download App
+91
Reliable

All products displayed on 1mg are 100% genuine and all labs listed on the platform are accredited

Secure

1mg uses Secure Sockets Layer (SSL) 128-bit encryption and is Payment Card Industry Data Security Standard (PCI DSS) compliant

Affordable

Enjoy 20% off on allopathy medicines, up to 50% off on health products, up to 80% off on lab tests and free doctor consultations

India's only LegitScript and ISO/IEC 27001 certified online healthcare platform
Know More About 1mg
Access medical and health information

1mg provides you with medical information which is curated, written and verified by experts, accurate and trustworthy. Our experts create high-quality content about medicines, diseases, lab investigations, Over-The-Counter (OTC) health products, Ayurvedic herbs/ingredients, and alternative remedies.

Order medicines online

Get free medicine home delivery in over 1000 cities across India. You can also order Ayurvedic, Homeopathic and other Over-The-Counter (OTC) health products. Your safety is our top priority. All products displayed on 1mg are 100% genuine.

Book lab tests

Book any lab tests and preventive health packages from certified labs and get tested from the comfort of your home. Enjoy free home sample collection, view reports online and consult a doctor online for free.

Consult a doctor online

Got a health query? Consult doctors online from the comfort of your home for free. Chat privately with our registered medical specialists to connect directly with verified doctors. Your privacy is guaranteed.