CCF(ALL-IN-ONE) TAB

CCF (All-In-One) Tablets 

CCF (All-In-One) is a combination tablet containing five active ingredients:

Paracetamol + Guaiphenesin + Phenylephrine Hydrochloride + Cetirizine Dihydrochloride + Ambroxol Hydrochloride

The pack states that it is intended for relief of multiple cold, cough and fever symptoms. The five ingredients have different pharmacological roles.

1. Paracetamol

Drug class: Analgesic and antipyretic

Main action

Paracetamol reduces fever and relieves mild-to-moderate pain.

It is therefore responsible for relief of symptoms such as:

• Fever

• Headache

• Body ache

• General aches associated with a cold

Important point

Paracetamol is metabolized primarily by the liver. Excessive dosing, particularly when combined with other paracetamol-containing products, can cause serious liver injury. Combination cold medicines should therefore be checked carefully before taking additional paracetamol. (Apollo Pharmacy)

2. Guaiphenesin

Drug class: Expectorant

Guaiphenesin is used for productive/chesty cough.

Mechanism

It helps increase and loosen respiratory secretions, making mucus easier to cough up and clear from the airways.

Therefore:

Thick mucus → becomes easier to clear → more effective productive cough

It is particularly relevant when the cold is accompanied by phlegm/chest congestion.

3. Phenylephrine Hydrochloride

Drug class: Nasal decongestant
Pharmacological class: Sympathomimetic/α-adrenergic agonist

Mechanism

During a cold, blood vessels in the nasal mucosa become dilated and swollen.

Phenylephrine causes vasoconstriction of nasal blood vessels.

Therefore:

Vasoconstriction → reduced nasal mucosal swelling → improved nasal airflow

Helps relieve

• Blocked nose

• Nasal congestion

• Stuffy nose

• Congestion associated with cold

Because phenylephrine can affect blood pressure and cardiovascular function, people with hypertension or certain heart conditions should use such combinations only with appropriate medical advice. (Apollo Pharmacy)

It can also interact significantly with certain MAO-inhibiting medicines and other drugs that increase sympathetic activity. (Apollo Pharmacy)

4. Cetirizine Dihydrochloride

Drug class: Antihistamine
Generation: Second-generation H1-antihistamine

Mechanism

During an allergic response, histamine contributes to:

• Sneezing

• Runny nose

• Watery eyes

• Nasal/ocular itching

Cetirizine blocks H1 histamine receptors, reducing these symptoms.

Helps relieve

• Sneezing

• Runny nose

• Watery eyes

• Allergy-related nasal symptoms

Although cetirizine is generally less sedating than older antihistamines, drowsiness can still occur in some people. (Apollo Pharmacy)

5. Ambroxol Hydrochloride

Drug class: Mucolytic

Ambroxol is included to help with thick respiratory mucus/phlegm.

Main action

It helps make thick mucus less viscous and easier to clear from the respiratory tract.

Thus:

Thick/sticky mucus → mucus becomes easier to mobilize → easier expectoration

This complements guaiphenesin, which is an expectorant.

Why are all five ingredients combined?

The formulation is designed to cover several symptoms simultaneously:

IngredientMain purposeSymptoms targetedParacetamolAnalgesic + antipyreticFever, headache, body acheGuaiphenesinExpectorantProductive cough/phlegmPhenylephrine HClDecongestantBlocked/stuffy noseCetirizine dihydrochlorideAntihistamineSneezing, runny nose, watery eyesAmbroxol HClMucolyticThick mucus/phlegm

Overall therapeutic concept

Paracetamol
→ controls fever + pain

Phenylephrine
→ reduces nasal congestion

Cetirizine
→ controls sneezing + rhinorrhea/watery eyes

Ambroxol + Guaiphenesin
→ help with mucus and productive cough

So the product is designed as an all-in-one symptomatic cold/cough preparation rather than as a treatment that eliminates the underlying viral infection.

About the exact strengths

The uploaded photograph does not show the “each tablet contains” quantitative composition clearly. It only clearly identifies the five active ingredients.

Therefore, I would not invent the mg strength for each ingredient. Different manufacturers and formulations can use different quantities. For example, a separate CCF product found online has a different three-drug composition and strengths, demonstrating why the strength should be taken from the specific product's package rather than assumed. (Apollo Pharmacy)

For your specific Accott CCF (All-In-One), the exact composition should be written from the strip/side panel in the format:

Each tablet contains:
Paracetamol — ___ mg
Guaiphenesin — ___ mg
Phenylephrine Hydrochloride — ___ mg
Cetirizine Dihydrochloride — ___ mg
Ambroxol Hydrochloride — ___ mg
Excipients — q.s.

If you upload a clear photograph of the back of the CCF tablet strip, I can read the exact mg/tablet and give you the complete composition without guessing.

Important safety point

Because this is a multi-ingredient cold preparation, do not automatically combine it with another cold/flu medicine or additional paracetamol without checking the ingredients. Duplicate ingredients can result in excessive dosing. (Apollo Pharmacy)