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India Prohibits Oral Nimesulide Above 100 mg With Immediate Effect

The Health Ministry moved after expert panel advice citing liver toxicity risks.

Overview

  • A Dec. 29 government notification bars the manufacture, sale and distribution of high‑dose immediate‑release nimesulide under Section 26A following DTAB consultation.
  • The order applies only to oral immediate‑release products above 100 mg, while lower‑dose nimesulide and other NSAIDs remain available.
  • Authorities cited hepatotoxicity as the key concern, with ICMR highlighting risks of severe liver injury and advising use only as a second‑line option.
  • Manufacturers including Dr Reddy’s, Cipla, Sun Pharma, Abbott India, Alkem, Torrent, Lupin and Intas face withdrawal of affected products.
  • Patients are advised not to stop medication abruptly and to consult physicians for alternatives, following earlier curbs for children under 12 and a separate veterinary ban.