Nobel Cold Orange Flavour Suspension 60 ml belongs to the class of cough and cold medications primarily used to treat symptoms of the common cold and allergies (allergic rhinitis). The common cold is a respiratory illness affecting the nose and throat. It is mostly caused by viruses known as “rhinoviruses”. The virus enters the body through the nose, mouth, or eyes and spreads easily through droplets in the air when the person who is sick sneezes, coughs, or talks. Allergies are caused due to the 'allergens' that release 'histamine' to release in the blood, thereby causing a stuffy nose, watery eyes, itching nose/throat, etc. 

Nobel Cold Orange Flavour Suspension 60 ml is a combination of five drugs, namely: Paracetamol (mild analgesic and antipyretic), Phenylephrine (decongestant), Chlorpheniramine (antihistamine), Sodium citrate (mucolytic agent), and menthol (cooling agent). Paracetamol is an analgesic (relieves pain) and antipyretic (reduces fever) that works by inhibiting the production of certain chemical messengers in the brain known as prostaglandins that are responsible for pain and fever. Phenylephrine is a decongestant that works by contracting and narrowing the blood vessels. Chlorpheniramine belongs to the class of antihistamines (anti-allergic drugs) that works by blocking the action of histamine, a substance responsible for causing allergic reactions. Sodium citrate is a mucolytic agent (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in the lungs, windpipe, and nose. Menthol is a cooling agent that relieves minor irritation in the throat and provides a cooling sensation.

Take Nobel Cold Orange Flavour Suspension 60 ml with or without food as advised by your doctor. Some people may experience drowsiness, nervousness, mild headache, dizziness, insomnia (difficulty in falling or staying asleep), blurred vision, nausea, vomiting, constipation, and dry mouth. Most of these side effects of Nobel Cold Orange Flavour Suspension 60 ml do not require medical attention and gradually resolve over time. However, if the side effects persist or worsen, please consult your doctor.

If you are allergic to Nobel Cold Orange Flavour Suspension 60 ml or any other medicines, please tell your doctor. If you are pregnant, it is advised to inform your doctor before taking Nobel Cold Orange Flavour Suspension 60 ml. Do not use Nobel Cold Orange Flavour Suspension 60 ml in breastfeeding mothers without a doctor’s advice as it may be excreted in breast milk and cause harm to the baby. Nobel Cold Orange Flavour Suspension 60 ml is not recommended for children below 2 years of age. Please do not take more than the prescribed dose of Nobel Cold Orange Flavour Suspension 60 ml as it may cause liver damage and severe adverse effects. If you have high blood pressure, diabetes, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, chronic obstructive pulmonary disease (COPD), blockage in the stomach or intestines, enlarged prostate gland, pheochromocytoma (tumor in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Nobel Cold Orange Flavour Suspension 60 ml.

Nobel Cold Orange Flavour Suspension 60 ml is a combination of five drugs, namely: Paracetamol, Phenylephrine, Chlorpheniramine, Sodium citrate and menthol. Paracetamol is an analgesic (relieves pain) and antipyretic (reduces fever) that works by inhibiting the production of certain chemical messengers in the brain known as prostaglandins that are responsible for pain and fever. Phenylephrine is a decongestant that works by contracting and narrowing the blood vessels. Thereby, provides relief from congestion and decreases the mucus production. Chlorpheniramine is an antihistamine (anti-allergic drug) that works by blocking the action of histamine, a substance responsible for causing allergic reactions. It helps to provide relief from symptoms of allergy such as sneezing, running nose, watery eyes, itching, swelling, and congestion or stiffness. Sodium citrate is a mucolytic agent (cough/sputum thinner) that works by thinning and loosening phlegm (mucus) in lungs, windpipe and nose. Thereby, helps to cough out easily. Menthol is a cooling agent that relieves minor irritation in the throat and provides a cooling sensation. Together helps relieve symptoms of a common cold like headache, fever and allergies like stuffy nose, watery eyes, itching nose/throat etc. 

• Drowsiness
• Nervousness
• Mild headache
• Dizziness
• Insomnia (difficulty in falling or staying asleep)
• Blurred vision
• Nausea
• Vomiting
• Constipation
• Dry mouth

If you are allergic to Nobel Cold Orange Flavour Suspension 60 ml or any other medicines, please tell your doctor. If you are pregnant, it is advised to inform your doctor before taking Nobel Cold Orange Flavour Suspension 60 ml. Do not use Nobel Cold Orange Flavour Suspension 60 ml in breastfeeding mothers without doctor’s advice as it may be excreted in breast milk and cause harm to the baby. Nobel Cold Orange Flavour Suspension 60 ml is not recommended for children below 2 years of age. Please do not take more than the prescribed dose of Nobel Cold Orange Flavour Suspension 60 ml as it may cause liver damage and severe adverse effects.  Avoid using Nobel Cold Orange Flavour Suspension 60 ml if you have taken medicines such as linezolid, phenelzine, selegiline, rasagiline, isocarboxazid, tranylcypromine and methylene blue injection in the past 14 days. If you have high blood pressure, diabetes, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, chronic obstructive pulmonary disease (COPD), blockage in stomach or intestines, enlarged prostate gland, pheochromocytoma (tumour in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Nobel Cold Orange Flavour Suspension 60 ml.

Drug-Drug Interaction: Nobel Cold Orange Flavour Suspension 60 ml may interact with anti-allergic drugs (diphenhydramine, cetirizine), antidepressants (duloxetine, escitalopram), anticonvulsants (clonazepam), antianxiety drug (alprazolam), muscle relaxants (cyclobenzaprine), cough suppressants (dextromethorphan), bronchodilator (albuterol), sleeping agent (ramelteon), pain and fever medicines (paracetamol), pain killers (ibuprofen).

Drug-Food Interaction: Avoid foods rich in carbohydrates, pectin including jellies, cabbage, Brussels sprouts, and broccoli as Nobel Cold Orange Flavour Suspension 60 ml may interact with these foods. Also, avoid intake of Nobel Cold Orange Flavour Suspension 60 ml with chocolate and caffeine-containing foods such as cocoa beans and tea leaves as they may increase the risk of severity of side effects. Avoid consumption of alcohol with Nobel Cold Orange Flavour Suspension 60 ml as it may cause increased drowsiness, dizziness, and difficulty in concentrating.

Drug-Disease Interaction: If you have high blood pressure, diabetes, glaucoma, hyperthyroidism (overactive thyroid), chronic bronchitis, asthma, chronic obstructive pulmonary disease (COPD), blockage in the stomach or intestines, enlarged prostate gland, pheochromocytoma (tumor in the adrenal glands), kidney, liver, heart or urinary problems, inform your doctor before taking Nobel Cold Orange Flavour Suspension 60 ml.

• DIPHENHYDRAMINE
• CETIRIZINE
• DULOXETINE
• ESCITALOPRAM
• CLONAZEPAM
• ALPRAZOLAM
• CYCLOBENZAPRINE
• DEXTROMETHORPHAN
• ALBUTEROL
• RAMELTEON
• PARACETAMOL
• IBUPROFEN

• Wash your hands with soap and water regularly to prevent the spread of germs.
• Eat plenty of foods rich in good bacteria like yoghurt to improve overall health.
• Drink plenty of fluids to avoid dehydration.
• Gargle with salt water for relief from sore throat.
• Avoid consumption of alcohol with Nobel Cold Orange Flavour Suspension 60 ml as it may cause tiredness, drowsiness or lack of concentration.

• Do not give Nobel Cold Orange Flavour Suspension 60 ml to children below 2 years of age.
• Do not take Nobel Cold Orange Flavour Suspension 60 ml for longer than 7 days in a row (for adults) and 5 days (for children above 2 years).

Common cold: The common cold is an infection caused by the virus, mainly known as ‘rhinoviruses’ affecting the nose and throat (upper respiratory tract). Children younger than 6 years are at the most significant risk of colds, but healthy adults can also be affected to have 2-3 colds annually. In most cases, cold symptoms are recovered within a week or ten days. However, symptoms might last longer in people who smoke or are exposed to allergens like pollutants, dust, etc. The symptoms of the common cold include sneezing, sore throat, cough, congestion, mild body pains, low fever, mild headache, feeling unwell, and stuffy or runny nose. In some cases, the discharge from the nose may become thicker and yellow or green, which is not an indication of bacterial infection.

Allergic rhinitis: It is also known as hay fever, which is a type of inflammation in the nasal passage, which occurs due to provoked immune system caused due to allergens in the air. Runny/stuffy nose, sneezing, watery/itchy eyes, and swelling around the eyes and inside the nasal passage are the common signs and symptoms of allergic rhinitis.