Centre Bans 156 Fixed-Dose Combination Medicines Due to Health Risks – See Full List Here
This is the biggest crackdown on FDCs since the government banned 344 drugs in 2016, which was then challenged by drug makers.
The Health Ministry on Thursday, August 22, banned 156 fixed-dose combination (FDC) medicines, including antibiotics used for fever and colds, painkillers, and multivitamins, saying that they are ‘likely to involve risk to human beings’.
Issuing a gazette notification prohibiting the manufacture, sale and distribution of these medicines under section 26 A of the Drugs and Cosmetics Act 1940, the Union health ministry said, “The matter was examined by an expert committee appointed by the central government and the DTAB, with both bodies recommending that there is no therapeutic justification for the ingredients contained in the said FDCs.”
This is the biggest crackdown on FDCs since the government banned 344 drugs in 2016, which was then challenged by drug makers.
The list also includes certain products that many drug makers have already discontinued. In June 2023, 14 FDCs, which were part of those 344 drug combinations, were banned.
Nearly 324 FDCs were examined by an Expert Committee appointed by the Centre, which considered them as “irrational”.
According to the notification, the list includes antibiotics, anti-allergic drugs, analgesics, multivitamins, and combination dosages for fever and hypertension are among the prohibited FDCs.
The government also banned the combination of Paracetamol, Tramadol, Taurine and Caffeine. Tramadol is an opioid-based painkiller. It will affect major pharmaceutical companies, including Sun Pharmaceuticals, Cipla, Dr. Reddy’s Laboratories, Torrent Pharmaceuticals, and Alkem Laboratories.
Here’s list of all 156 banned medicines:
1 | Amylase + Protease + Glucoamylase + Pectinase + Alpha Galactosidase + Lactase + Beta-Gluconase + Cellulase + Lipase + Bromelain + Xylanase + Hemicellulase + Malt diastase + Invertase + Papain |
2 | Antimony Potassium Tartrate + Dried Ferrous Sulphate |
3 | Benfotiamine + Silymarin + L-Ornithine L-aspartate + Sodium Selenite + Folic acid + Pyridoxine hydrochloride |
4 | Bismuth Ammonium Citrate + Papain |
5 | Cyproheptadine HCl + Thiamine HCl + Riboflavine + Pyridoxine HCl + Niacinamide |
6 | Cyproheptadine Hydrochloride + Tricholine Citrate + Thiamine Hydrochloride + Riboflavine + Pyridoxine Hydrochloride |
7 | Rabeprazole Sodium (As enteric coated tablet) + Clidinium Bromide + Dicyclomine HCl + Chlordiazepoxide |
8 | Fungal Diastase + Papain + Nux vomica Tincture + Cardamom Tincture + Casein Hydrolysed + Alcohol |
9 | Mefenamic Acid + Paracetamol Injection |
10 | Omeprazole Magnesium + Dicyclomine HCl |
11 | S-adenosyl methionine + Metadoxine + Ursodeoxycholicacid BP + L-Methylfolate Calcium eq. to L- Methylfolate + Choline bitartratee + Silymarin + L-ornithine Laspartate + Inositol + Taurine |
12 | Silymarin + Thiamine Mononitrate + Riboflavin + Pyridoxine HCl + Niacinamide + Calcium pantothenate + Vitamin B12 |
13 | Silymarin + Pyridoxine HCl + Cyanocobalamin + Niacinamide + Folic Acid |
14 | Silymarin + Vitamin B6 + Vitamin B12 + Niacinamide + Folic acid + Tricholine Citrate |
15 | Sodium Citrate + Citric Acid Monohydrate Flavored with Cardamom Oil, Caraway Oil, Cinnamon Oil, Clove Oil, Ginger Oil + Alcohol |
16 | Sucralfate + Acelofenac |
17 | Sucralfate + Domperidone + Dimethicone |
18 | Sucralfate + Domperidone |
19 | Tincture Ipecacuanha + Tincture Urgenia + Camphorated Opium Tincture + Aromatic Spirit of Ammonia + Chloroform + Alcohol |
20 | Ursodeoxycholic Acid + Metformin HCl |
21 | Weak Ginger tincture + Aromatic Spirit of Ammonia + Peppermint Spirit + Chloroform + Sodium Bicarbonate + Compound Cardamom + Alcohol |
22 | Sucralfate + Pantoprazole Sodium + Zinc Gluconate + Light Magnesium Carbonate |
23 | Aloe + Vitamin E Soap |
24 | Povidone Iodine+ Metronidazole + Aloe |
25 | Azelaic acid + Tea Tree Oil + Salicylic acid + Allantoin + Zinc oxide + Aloe vera + Jojoba oil + Vitamin E + Soap noodles |
26 | Azithromycin + Adapalene |
27 | Calamine + Aloes + Allantoin |
28 | Calamine + Diphenhydramine Hydrochloride + Aloe + Glycerine + Camphor |
29 | Chlorphenesin + Zinc oxide + Starch |
30 | Clindamycin Phosphate + Zinc acetate |
31 | Gamma Benzene Hexachloride + Benzocaine |
32 | Glucosamine hydrochloride + Diacerein + Menthol + Camphor + Capsaicin |
33 | Hydroxyquinone 2.0%w/w + Octyl Methoxycinnamate 5.0% w/w + Oxybenzone 30 % w/w |
34 | Ketoconazole +Zinc Pyrithione +D-Panthenol +Tea Tree Oil +Aloes |
35 | Ketoconazole +Aloe vera+ Vitamin A Acetate |
36 | Ketoconazole +Aloes + ZPTO |
37 | Kojic Acid +Arbutin +Octinoxate +Vitamin E + Mulberry |
38 | Lornoxicam +capsaicin +menthol+ camphor |
39 | Lornoxicam + Thiocolchicoside +Oleum Lini +Menthol + Methyl salicylate |
40 | Menthol + Aloe vera Topical Spray |
41 | Menthol +Lignocaine HCl +Aloe vera gel +Clotrimazole +Diphenhydramine |
42 | Miconazole nitrate + Gentamicin + Fluocinolone Acetonide +Zinc Sulphate |
43 | Miconazole +Tinidazole |
44 | Minoxidil +Aminexil+ Alcohol |
45 | Minoxidil +Azelaic acid + saw palmetto |
46 | Minoxidil +Aminexil |
47 | Pine Bark extract+ Kojic acid +Sodium Ascorbyl Phosphate |
48 | Povidone Iodine +Tinidazole +Zinc sulphate |
49 | Povidone Iodine + Ornidazole + Dexpanthenol |
50 | Salicyclic acid +Aloe vera+ Allantoin +D-Panthenol |
51 | Silver sulphadiazine +Chlorhexidine Gluconate solution +Allantoin + Aloe vera gel +Vitamin E acetate |
52 | Sodium salicylate + Zinc gluconate + Pyridoxine HCl |
53 | Tetracycline + Colistin Sulphate |
54 | Clomiphene +Ubidecarenone |
55 | Combikit of Clomiphene Citrate + Estradiol Valerate |
56 | Flavoxate HCl +Ofloxacin |
57 | Clomiphene Citrate +N-Acetylcysteine |
58 | Primerose Oil +Cod liver oil |
59 | Sildenafil Citrate +Papaverine +L-Arginine |
60 | Tranexamic acid +Mefenamic acid + Vitamin K1 |
61 | Divalproex Sodium +Oxcarbazepine |
62 | Divalproex Sodium + Levetiracitam |
63 | Ergotamine tartrate +Caffeine + Paracetamol +Prochlorperazine maleate |
64 | Piracetam + Ginkgo biloba extracts + Vinpocetin |
65 | Ginkgo biloba + methylcobalamin |
66 | Ginkgo biloba + methylcobalamin + Alpha lipoic acid +Pyridoxine HCl |
67 | Ginseng Extract +Dried extract of Ginkgo Biloba |
68 | Meclizine HCl+ Paracetamol + Caffeine |
69 | Nicergoline + Vinpocetine |
70 | Gamma Linolenic Acid + Methylcobalamin |
71 | Beclomethasone Dipropionate + Neomycin Sulphate + Clotrimazole + Lignocaine HCl |
72 | Boric acid+ Phenylephrine HCl + Naphazoline Nitrate + Menthol + Camphor |
73 | Naphazoline HCl + Chlorpheniramine Maleate + Zinc Sulphate + Hydroxy Propyl Methyl Cellulose |
74 | Chlorpheniramine Maleate + Naphazoline HCl + Zinc Sulphate + Sodium Chloride + Hydroxy Propyl Methyl Cellulose |
75 | Chlorpheniramine Maleate + Naphazoline HCl + Hydroxy Propyl Methyl Cellulose |
76 | Chlorpheniramine Maleate + Sodium Chloride + Boric Acid + Tetrahydrozoline HCl |
77 | Chlorpheniramine Maleate + Phenylephrine HCl + Antipyrine |
78 | Ketorolac Tromethamine + Chlorpheniramine Maleate + Phenylephrine HCl + Hydroxy Propyl Methyl Cellulose |
79 | Ketorolac Tromethamine + Flurometholone |
80 | Naphazoline HCl + Zinc Sulphate + Boric Acid + Sodium Chloride+ Chlorpheniramine Maleate |
81 | Naphazoline HCl + Hydroxy Propyl Methyl Cellulose + Boric Acid + Borax + Menthol + Camphor |
82 | Naphazoline HCl + Hydroxy Propyl Methyl Cellulose + Chlorpheniramine Maleate |
83 | Diphenhydramine Hydrochloride + Phenylephrine Hydrochloride + Menthol + Camphor |
84 | Diphenhydramine Hydrochloride + Phenylephrine Hydrochloride + Sodium Chloride + Hydroxy Propyl Methyl Cellulose |
85 | Diphenhydramine Hydrochloride + Phenylephrine Hydrochloride + Sodium Chloride + Methylparaben |
86 | Methenamine + Sodium Benzoate + Benzyl Alcohol |
87 | Paracetamol + Phenylephrine Hydrochloride + Chlorpheniramine Maleate |
88 | Paracetamol + Phenylephrine Hydrochloride + Chlorpheniramine Maleate + Caffeine |
89 | Propoxyphene + Chlorpheniramine Maleate |
90 | Propoxyphene + Phenylephrine Hydrochloride + Chlorpheniramine Maleate |
91 | Propoxyphene + Diphenhydramine Hydrochloride + Phenylephrine Hydrochloride |
92 | Sodium Benzoate + Sodium Citrate + Citric Acid |
93 | Vitamin A Palmitate + Vitamin C + Vitamin E + Vitamin B6 + Vitamin B12 |
94 | Vitamin A Palmitate + Vitamin C + Vitamin E + Niacinamide |
95 | Vitamin B6 + Vitamin B12 + Vitamin C |
96 | Vitamin B6 + Vitamin B12 + Niacinamide |
97 | Vitamin B12 + Vitamin B6 + Vitamin C + Folic Acid |
98 | Vitamin B12 + Vitamin B6 + Niacinamide + Folic Acid |
99 | Vitamin C + Vitamin E + Vitamin A + Niacinamide |
100 | Vitamin D + Calcium + Magnesium |
101 | Vitamin D + Calcium + Magnesium + Zinc |
102 | Calcium + Vitamin D + Vitamin K |
103 | Calcium + Vitamin D + Magnesium + Zinc |
104 | Calcium + Vitamin D + Vitamin K + Magnesium |
105 | Calcium + Vitamin D + Vitamin K + Magnesium + Zinc |
106 | Vitamin E + Vitamin A + Vitamin C + Niacinamide |
107 | Vitamin E + Vitamin A + Vitamin C + Folic Acid |
108 | Vitamin E + Vitamin A + Vitamin C + Biotin |
109 | Vitamin E + Vitamin A + Vitamin C + Vitamin B12 |
110 | Vitamin E + Vitamin C + Folic Acid |
111 | Vitamin E + Vitamin C + Biotin |
112 | Vitamin E + Vitamin C + Vitamin B12 |
113 | Vitamin E + Vitamin C + Zinc |
114 | Calcium + Vitamin D + Omega-3 Fatty Acids |
115 | Calcium + Vitamin D + Omega-3 Fatty Acids + Vitamin K |
116 | Calcium + Vitamin D + Omega-3 Fatty Acids + Vitamin K + Magnesium |
117 | Calcium + Vitamin D + Omega-3 Fatty Acids + Vitamin K + Zinc |
118 | Vitamin A + Vitamin C + Vitamin E + Beta-Carotene |
119 | Vitamin A + Vitamin C + Vitamin E + Beta-Carotene + Zinc |
120 | Vitamin C + Vitamin E + Beta-Carotene |
121 | Vitamin C + Vitamin E + Beta-Carotene + Zinc |
122 | Vitamin C + Vitamin E + Selenium |
123 | Vitamin D + Calcium + Vitamin K + Omega-3 Fatty Acids |
124 | Vitamin D + Calcium + Vitamin K + Omega-3 Fatty Acids + Magnesium |
125 | Vitamin D + Calcium + Vitamin K + Omega-3 Fatty Acids + Zinc |
126 | Vitamin D + Calcium + Vitamin K + Omega-3 Fatty Acids + Biotin |
127 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Selenium |
128 | Vitamin E + Vitamin A + Vitamin C + Zinc |
129 | Vitamin E + Vitamin A + Vitamin C + Selenium |
130 | Vitamin E + Vitamin A + Vitamin C + Biotin |
131 | Vitamin E + Vitamin A + Vitamin C + Folic Acid + Niacinamide |
132 | Vitamin E + Vitamin C + Beta-Carotene + Zinc |
133 | Vitamin C + Vitamin E + Biotin + Folic Acid |
134 | Vitamin C + Vitamin E + Beta-Carotene + Folic Acid |
135 | Vitamin C + Vitamin E + Beta-Carotene + Selenium |
136 | Vitamin E + Vitamin C + Beta-Carotene + Biotin |
137 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Biotin |
138 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Selenium |
139 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Vitamin B12 |
140 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Vitamin B6 |
141 | Vitamin D + Calcium + Omega-3 Fatty Acids + Vitamin K + Folate |
142 | Calcium + Vitamin D + Magnesium + Vitamin K + Omega-3 Fatty Acids |
143 | Calcium + Vitamin D + Magnesium + Vitamin K + Biotin |
144 | Calcium + Vitamin D + Magnesium + Vitamin K + Selenium |
145 | Calcium + Vitamin D + Magnesium + Vitamin K + Vitamin B12 |
146 | Calcium + Vitamin D + Magnesium + Vitamin K + Folate |
147 | Calcium + Vitamin D + Vitamin K + Omega-3 Fatty Acids + Vitamin B6 |
148 | Calcium + Vitamin D + Vitamin K + Omega-3 Fatty Acids + Vitamin B12 |
149 | Calcium + Vitamin D + Vitamin K + Omega-3 Fatty Acids + Folic Acid |
150 | Calcium + Vitamin D + Vitamin K + Omega-3 Fatty Acids + Biotin |
151 | Calcium + Vitamin D + Vitamin K + Omega-3 Fatty Acids + Selenium |
152 | Vitamin A + Vitamin C + Vitamin E + Omega-3 Fatty Acids |
153 | Vitamin A + Vitamin C + Vitamin E + Omega-3 Fatty Acids + Zinc |
154 | Vitamin A + Vitamin C + Vitamin E + Omega-3 Fatty Acids + Biotin |
155 | Vitamin A + Vitamin C + Vitamin E + Omega-3 Fatty Acids + Selenium |
156 | Vitamin A + Vitamin C + Vitamin E + Omega-3 Fatty Acids + Vitamin B12 |