Ban on 156 Fixed-Dose Combination Drugs in India Check Now


The Indian government has taken a significant step to protect public health by prohibiting the manufacture, sale, and distribution of 156 fixed-dose combination (FDC) drugs. These drugs, often referred to as “cocktail drugs,” contain a combination of two or more active pharmaceutical ingredients in a fixed ratio.


Reasons for the Ban

Lack of Therapeutic Justification: An expert committee appointed by the central government and the Drug Technical Advisory Board (DTAB) found that many of these FDCs lacked sufficient therapeutic justification for the combination of ingredients they contained.

Potential Harm to Human Health: The government concluded that these drugs could pose risks to human health, likely due to adverse interactions between the combined ingredients or excessive dosages.


Impact on Pharmaceutical Industry


The ban is expected to have a significant impact on the Indian pharmaceutical industry. Several popular FDC drugs, such as mefenamic acid and paracetamol injections for pain relief and fever, and omeprazole magnesium with dicyclomine HCl for abdominal pain, have been included in the list of prohibited drugs.


Major pharmaceutical companies, including Sun Pharmaceuticals, Cipla, Dr. Reddy’s Laboratories, Torrent Pharmaceuticals, and Alkem Laboratories, are likely to be affected by the ban. These companies may need to adjust their product portfolios, discontinue production of the banned FDCs, or find alternative formulations.


Implications for Public Health


The government’s decision to ban these FDCs is a crucial step towards ensuring the safety and efficacy of medicines available to Indian consumers. By removing potentially harmful drugs from the market, the government aims to protect public health and prevent adverse health outcomes.


It’s important to note that the ban does not affect individual components of the FDCs. If a particular ingredient is deemed safe and effective on its own, it may still be available as a separate drug.

However, the combination of ingredients in the FDC format has been deemed inappropriate.


Consumers are advised to consult with their healthcare providers regarding any concerns or questions about their medications, especially if they are currently taking any of the banned FDCs.

FAQs on the Ban of 156 Fixed-Dose Combination Drugs in India


What is a fixed-dose combination (FDC) drug?
A fixed-dose combination (FDC) drug is a medicine that contains a combination of two or more active pharmaceutical ingredients in a fixed ratio. These are often referred to as “cocktail drugs.”


Why has the government banned 156 FDC drugs?
The government has banned these FDCs because an expert committee found that many of them lacked sufficient therapeutic justification for the combination of ingredients they contained. Additionally, there were concerns about potential risks to human health due to adverse interactions between the combined ingredients or excessive dosages.


Which FDC drugs have been banned?
Some of the banned FDCs include popular combinations such as mefenamic acid and paracetamol injections (used for pain relief and fever) and omeprazole magnesium with dicyclomine HCl (used to treat abdominal pain).


How will the ban impact the pharmaceutical industry?
The ban is expected to have a significant impact on the Indian pharmaceutical industry. Major pharmaceutical companies that produce these banned FDCs will need to adjust their product portfolios, discontinue production, or find alternative formulations.


Will consumers still have access to the individual components of the banned FDCs?
Yes, if a particular ingredient is deemed safe and effective on its own, it may still be available as a separate drug. However, the combination of ingredients in the FDC format has been deemed inappropriate.


What should consumers do if they are currently taking a banned FDC?
Consumers should consult with their healthcare providers regarding any concerns or questions about their medications. They may need to switch to a different medication or adjust their dosage.


Is the government taking any steps to ensure the safety and efficacy of other medications on the market?
The government is likely to continue its efforts to monitor and regulate the pharmaceutical market to ensure the safety and efficacy of all medications available to consumers. This may involve additional reviews of FDCs or other drug categories.

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