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India Bans High-Dose Nimesulide as It Moves to Tighten Cough Syrup Sales

The order, based on ICMR–DTAB advice over hepatotoxicity risks, takes immediate effect.

Overview

  • The Health Ministry prohibited all oral immediate‑release nimesulide formulations above 100 mg under Section 26A after DTAB consultation, effective immediately.
  • Regulators instructed companies to halt production and recall affected batches, citing the availability of safer alternatives.
  • The restriction is limited to high‑dose oral immediate‑release products, with lower strengths, modified‑release forms, and non‑oral formulations remaining available.
  • ICMR’s review flagged liver toxicity and advised nimesulide be used only as a second‑line option with specific contraindications.
  • A draft rule proposes deleting the word “syrup” from Schedule K to curb OTC cough syrup sales, with a 30‑day comment window following child deaths and a WHO alert.