Ensuring Health: A Comprehensive Guide to Banned Medicines in India 2023

In a recent alert issued by the Indian Pharmacopoeia Commission (IPC), concerns have been raised about the painkiller Meftal, containing mefenamic acid. This widely prescribed medication for conditions like rheumatoid arthritis and dental pain has come under scrutiny due to adverse reactions.

The IPC's preliminary analysis from the Pharmacovigilance Programme of India (PvPI) database has uncovered instances of Drug Reactions with Eosinophilia and Systemic Symptoms (DRESS) syndrome associated with Meftal.

For many, medication is an integral part of life, but not all medicines are created equal. In India, the Central Drugs Standard Control Organization (CDSCO) plays a crucial role in ensuring the safety and efficacy of medicines. It actively maintains a list of banned medicines, prohibiting their manufacture, sale, or use within the country.

Understanding why certain medications are banned is crucial:

Safety Concerns: Medicines linked to severe side effects, such as liver damage, kidney failure, or even fatalities, may face a ban.
Ineffectiveness: Medications not proven effective in treating the intended condition may be banned.
Quality Issues: Impurity or contamination issues may lead to the prohibition of a particular medicine.
Manufacturing Violations: Medicines manufactured in ways that do not adhere to safety standards may face a ban.
The banned medicines in India fall into two main categories:

1. Single Drugs:**

Amidopyrine
Phenacetin
Nialamide
Chloramphenicol (Except for ophthalmic and topical preparations)
Phenylpropanolamine
Furazolidone
Oxyphenbutazone
Metronidazole (topical application for acne)

2. Fixed-Dose Combinations (FDCs):

Nimesulide + Paracetamol Dispersible Tablet
Amoxicillin + Bromhexine
Pholcodine + Promethazine
Chlopheniramine Maleate + Phenylephrine Hydrochloride + Caffeine
Dextromethorphan Hydrobromide + Chlorpheniramine Maleate + Phenylephrine Hydrochloride
Ambroxol Hydrochloride + Guaiphenesin + Levosalbutamol + Menthol
Dextromethorphan Hydrobromide + Ambroxol Hydrochloride + Guaiphenesin
Diphenhydramine Hydrochloride + Phenylephrine Hydrochloride + Ammonium Chloride
Dextromethorphan Hydrobromide + Phenylephrine Hydrochloride + Chlorpheniramine Maleate
Dextromethorphan Hydrobromide + Doxylamine Succinate + Phenylephrine Hydrochloride
Pholcodine + Dextromethorphan Hydrobromide + Chlorpheniramine Maleate
Ambroxol Hydrochloride + Dextromethorphan Hydrobromide + Guaiphenesin
Dextromethorphan Hydrobromide + Doxylamine Succinate + Guaifenesin
Dextromethorphan Hydrobromide + Chlorpheniramine Maleate + Guaifenesin

It's essential to stay informed about banned medicines to safeguard health and well-being. Always consult healthcare professionals for alternatives and guidance. Your health matters, and staying informed ensures a safer medical journey. (source: indiatoday)