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Fixed-Dose Combination (FDC) Drugs

Health under Schedule 7 of the Constitution
• State List: 6. Public health and sanitation; hospitals and dispensaries.
• Concurrent List: 19. Drugs and poisons, subject to the provisions of entry 59 of List I with respect to opium
• Concurrent List: 25. Medical education and universities

  • The Union Health Ministry has banned 156 Fixed Dose Combination (FDC) medicines, including antibiotics, painkillers, and multivitamins, citing health risks.
  • FDCs combine two or more active ingredients in a single dosage form.
  • Many of these drugs were approved by state authorities without sufficient research or clinical trials to ensure their safety.
  • The 2019 clinical trial rules classify FDCs as new drugs, requiring central drug regulator approval.
  • The ban aims to prevent the development of drug resistance due to irrational use and curb the misuse of medications.
  • An expert committee appointed by the Central Government found no therapeutic justification for the banned FDCs, noting that safer alternatives are available.
  • Examples of Banned FDCs: Mefenamic acid + Paracetamol injection, Cetirizine HCl + Paracetamol + Phenylephrine HCl, Levocetirizine + Phenylephrine HCl + Paracetamol.

Dig Deeper: Read about The Drugs & Cosmetics Act, of 1940 and New Drugs and Clinical Trial Rules 2019 in contexts of drugs and cosmetics regulation.

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