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Core Purpose

Restricts the manufacture, sale, and distribution of Chlorpheniramine Maleate + Phenylephrine Hydrochloride fixed dose combination for children under four years.

Detailed Summary

The Central Government, through the Ministry of Health and Family Welfare, has determined that the fixed dose combination (FDC) of Chlorpheniramine Maleate + Phenylephrine Hydrochloride poses a potential risk to children below four years of age, with safer alternatives available. Based on examinations and recommendations from the Subject Expert Committee and the Drugs Technical Advisory Board, the government has exercised its powers under section 26A of the Drugs and Cosmetics Act, 1940. This notification restricts the manufacture for sale, sale, and distribution for human use of all formulations of the said FDC. The restriction is subject to a mandatory condition: manufacturers must explicitly state the warning "fixed dose combination shall not be used in children below four years of age" on the product label, package insert, and promotional literature. The notification becomes effective upon its publication in the Official Gazette.

Full Text

REGD. No. D. L.-33004/99 The Gazette of India CG-DL-E-15042025-262456 EXTRAORDINARY PART II-Section 3-Sub-section (ii) PUBLISHED BY AUTHORITY No. 1686] NEW DELHI, TUESDAY, APRIL 15, 2025/CHAITRA 25, 1947 MINISTRY OF HEALTH AND FAMILY WELFARE (Department of Health and Family Welfare) NOTIFICATION New Delhi, the 15th April, 2025 S.O. 1717(E). — Whereas, the Central Government is satisfied that the use of the drug fixed dose combination of Chlorpheniramine Maleate + Phenylephrine Hydrochloride is likely to involve risk to children below four years of age and whereas safer alternatives to the said drug are available. And whereas, the matter was examined by Subject Expert Committee appointed by the Central Government and the said Committee recommended that all formulations of fixed dose combination of Chlorpheniramine Maleate IP + Phenylephrine Hydrochloride should not be used in children below four years of age and accordingly manufacturers should mention warning "fixed dose combination shall not be used in children below four years of age" on the label and package insert or promotional literature of the drug. And whereas, the Drugs Technical Advisory Board also examined the said fixed dose combination and recommended that all formulations of the fixed dose combination of Chlorpheniramine Maleate + Phenylephrine Hydrochloride should be prohibited for use in children below four years of age under section 26A of the Drugs and Cosmetics Act, 1940 (23 of 1940) and for manufacture, sale and distribution of the said fixed dose combination subject to the condition, that manufacturers shall mention a warning that "fixed dose combination shall not be used in children below four years of age" on the label and package insert or the promotional literature of the drug. And whereas, on the basis of the recommendations of the said Drugs Technical Advisory Board, the Central Government is satisfied that it is necessary and expedient in public interest to regulate by way of restriction, the manufacture for sale, sale and distribution for human use of the said drug in the country; Now, therefore, in exercise of the powers conferred by section 26A of the Drugs and Cosmetics Act, 1940 (23 of 1940), the Central Government hereby restricts the manufacture, sale or distribution of all formulations of fixed dose combination of Chlorpheniramine Maleate + Phenylephrine Hydrochloride subject to the following condition, that the manufacturers shall mention the warning "fixed dose combination shall not be used in children below four years of age" on the label and package insert or the promotional literature of the drug. 2. This notification shall come into force on the date of its publication in the Official Gazette. [F. No. X.11035/132/2024-DR] RAJIV WADHAWAN, Adviser (Cost) Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.

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