Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
Coldact Sinus
Instruction Coldact Sinus
The information in the FAQ section was created by the Liki24.nl team and is based on the official manufacturer's manual
Coldact Sinus is a combination medicine for the symptomatic treatment of mild to moderate respiratory conditions such as headache, sore throat, fever, congestion and excessive nasal secretions. Its formulation contains two active substances – paracetamol and pseudoephedrine – which act synergistically to relieve the common symptoms of respiratory viruses and sinusitis.
Forms of release
Coldact Sinus comes in the form of film-coated tablets, in a box of 20 units, a convenient pharmaceutical form that allows for rapid release of the active substances.
This facilitates absorption in the gastrointestinal tract, allowing for a prompt onset of therapeutic action.
Indications for use
Coldact Cold and Flu is indicated for the symptomatic treatment of:
- headache and other mild to moderate pain (e.g. sore throat, sinus pain);
- fever of viral origin;
- nasal congestion;
- rhinorrhoea (nasal hypersecretion) associated with respiratory viruses or sinusitis.
The analgesic and antipyretic action of paracetamol is complemented by pseudoephedrine, a nasal decongestant that acts on adrenergic receptors, reducing mucosal oedema and improving nasal airflow.
Dosage regimen
The recommended dose for adults is 2 film-coated tablets up to 3 times a day, as needed, without exceeding 3 doses in 24 hours. The minimum interval between doses is 4 hours.
In cases of prolonged use, liver function should be monitored, especially in patients with a history of liver or kidney problems.
Contraindications
Coldact Sinus is contraindicated in the following situations:
- Hypersensitivity to paracetamol, pseudoephedrine or other components of the medicine;
- Severe hepatic or renal impairment;
- Decompensated heart failure;
- Severe hypertension or major coronary artery disease;
- Concomitant use with monoamine oxidase inhibitors (MAOIs);
- Pregnancy and breastfeeding (except in cases where the therapeutic benefit justifies the potential risk).
Special precautions
Coldact Sinus should be used with caution in certain categories of patients:
- Patients with chronic liver disease (e.g. non-alcoholic cirrhosis) are at increased risk of hepatotoxicity;
- In severe renal impairment, dose adjustment and close monitoring are recommended;
- Elderly patients may experience neuropsychiatric side effects such as insomnia or hallucinations;
- Competitive athletes should be warned that pseudoephedrine may lead to positive results in anti-doping tests;
- People with hyperthyroidism, glaucoma, benign prostatic hypertrophy or diabetes mellitus should use Coldact Sinus with caution.
Side effects
Side effects may include:
- Liver disorders (increased liver enzymes, hepatotoxicity);
- Palpitations, tachycardia, increased blood pressure;
- Insomnia, irritability, dizziness;
- Hypersensitivity reactions (skin rash, pruritus, rarely anaphylactic reactions);
- Rarely, haematological disorders or renal impairment when used concomitantly with non-steroidal anti-inflammatory drugs (NSAIDs).
Interactions with other medicines and food
Coldact Sinus interacts with numerous active substances, which requires careful analysis of the patient's treatment:
- Hepatotoxic or enzyme-inducing medicines (rifampicin, phenobarbital, carbamazepine) increase the risk of liver damage in combination with paracetamol;
- Probenecid reduces the clearance of paracetamol, requiring dose adjustment;
- Cholestyramine decreases the absorption of paracetamol, while metoclopramide and domperidone accelerate it;
- Paracetamol increases the risk of bleeding when combined with oral anticoagulants in high doses and long-term treatment;
- Pseudoephedrine may intensify the effects of some sympathomimetic bronchodilators (e.g. salbutamol), antidepressants and other sympathomimetic drugs;
- The effect of antihypertensive drugs (beta-blockers, methyldopa, guanethidine) may be diminished;
Overdose
In case of overdose, paracetamol may cause severe liver damage with potentially fatal consequences, even if the patient is initially asymptomatic. Early signs include nausea, vomiting, abdominal pain and lethargy.
Assessment of liver function is essential, and specific treatment includes administration of N-acetylcysteine. Overdose with pseudoephedrine manifests as hypertension, tachycardia, agitation, insomnia and, in severe cases, convulsions. In all cases, emergency medical attention is required.
Storage conditions
Coldact Sinus should be stored at temperatures below 25°C, in the original packaging, away from moisture and light. Keep out of the reach of children. The product should not be used after the expiry date stated on the packaging.
Specialised literature used
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Features
| Category | Over-the-Counter medicines (OTC), Cold and Flu Medicines |
| Brand | Terapia SA |
| Product type | Tablets |
| ATC code 1 | N02BE51 |

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
I recommend the regular, plain paracetamol.

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
The effect is just right, great. You immediately feel more comfortable.

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
Works well, highly recommended

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
A good, low-cost medicine for the flu and colds! I highly recommend it!

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
Excellent product for my chronic sinusitis!

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
For my chronic sinusitis, it's helpful!

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
Very good product for colds ...

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
I USED CODACT SINUS FOR A HEADACHE AND IT REALLY HAD A GOOD EFFECT

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
This medicine is a very good medicine

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
I am very happy with this product

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
Good price and quality!!

Coldact Sinus 500 mg/30 mg, 20 film-coated tablets, Terapia
I have been using this product for colds and I.have had a great time. Highly recommended.
