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MEMBERS' REFERENCE SERVICE

LARRDIS
LOK SABHA SECRETARIAT, NEW DELHI

REFERENCE NOTE

No.14/RN/Ref./March/2017
1
For the use of Members of Parliament NOT FOR PUBLICATION

BAN ON FIXED DOSE COMBINATION (FDC)


DRUGS

Prepared by Smt. Sunanda Das Mohanty, Additional Director (23035036) and Shri Rajkumar Patton,
Junior Library Assistant of Lok Sabha Secretariat under the supervision of Smt. Kalpana Sharma, Joint
Secretary and Dr. P. J. Antony, Director.

The reference material is for personal use of the Members in the discharge of their Parliamentary duties, and is not
for publication. This Service is not to be quoted as the source of information as it is based on the sources indicated
at the end/in the text.
BAN ON FIXED DOSE COMBINATION (FDC) DRUGS

The Government of India banned 344 Fixed Dose Combination (FDC) drugs
on 10 March 20161 citing health reasons and lack of therapeutic justification. FDCs
are drugs with two or more active pharmaceutical ingredients combined in a fixed
dose to form a single drug2. For over 30 years pharmaceutical companies have
been selling these FDCs with scant regard for their efficacy, safety or rationality
for use.

Process for marketing a drug- Any new drug requires prior approval from the
Drugs Controller General (India) [DCGI] before these are licensed by the State
Licensing Authorities (SLAs) for manufacture and sale in the country. As FDCs
are combinations of certain drugs that are combined together for the first time,
these are treated as „New Drugs‟. Many SLAs granted licences to some new FDCs
without the approval of the DCG (I) on assessment of safety, efficacy and
rationality. This led to availability of a number of FDCs in the Indian market
without any knowledge about their safety and efficacy on Indian population.

Report of Parliamentary Committee on Health and Family Welfare


In their 59th Report, Department-related Parliamentary Standing Committee
on Health and Family Welfare observed that some SLAs had issued manufacturing
licences for a very large number of FDCs without prior clearance from Central
Drugs Standard Control Organization (CDSCO)3 and this had resulted in the

1
Vide Gazette Notifications S.O. Nos. 705(E) to 1048(E).
2
For instance, a combination of nimesulide and paracetamol that is prescribed as an anti-pyretic (used to prevent or reduce
fever). Cough syrups Phensedyl and Corex, the widely advertised Vicks Action 500, antibiotic combination Zimnic AZ are some
of the popular FDCs, which involve commonly used medications such as paracetamol, aceclofenac and nimesulide.
3
CDSCO-(Central Drugs Standard Control Organization )- is the Central Drug Authority for discharging functions
assigned to the Central Government under the Drugs and Cosmetics Act. CDSCO has six zonal offices, four
sub-zonal offices, 13 port offices and seven laboratories under its control.
2
availability of many FDCs in the market which had not been tested for efficacy
and safety. The Committee had also noted that this could put patients at risk. It
pointed out that 'Such irregular approvals spare drug producers the cost and
efforts but put Indian patients at risk. On an average DCGI is approving one drug
every month without trials. This cannot be in public interest by any stretch of
imagination.'
The Parliamentary Standing Committee expressed the view that those
unauthorized FDCs that pose risk to patients and communities, such as a
combination of two antibacterials, need to be withdrawn immediately due to the
danger of developing resistance that would affect the entire population.
(ANNEXURE II).
Government’s Action
The Government accepted many of the recommendations of the
Parliamentary Committee and the Ministry of Health and Family Welfare issued
statutory directions to the State Governments to instruct their respective drugs
licensing authorities to refrain from granting such licenses. However, the practice
was still not discontinued by some of the SLAs.
Further, in a letter dated 15 January 2013, the DCGI asked manufacturers to
produce safety and efficacy data of their FDC products from the central
government or stand the risk of their licences being cancelled. This direction was
given for all products approved after 29 September 1988 and before 1 October
2012. Most manufacturers complied only after a lot of hesitation and procedural
wrangling, and after several extensions of deadlines and reminders. An 18-month
window ending on 14 July 2014 was given for applications from manufacturers
justifying the safety, efficacy and rationality of their products.
3
CDSCO also set up 10 professional committees in February 2014 to analyze
the rationality as well as safety and efficacy of the FDCs. After careful
consideration of the recommendations of the Committee and of the entire matter,
the Government issued show cause notices to the manufacturers whose products
were found to be irrational. At the request of the manufacturers, additional time of
three months was also given to them to respond to the show cause notice.
Ultimately, after due consideration of the report and replies, the Government of
India banned 344 FDCs on10 March 2016.
Following the ban, the drug companies continue to insist on marketing
grossly irrational, unsafe and ineffective products. Pharmaceutical companies have
teamed up to mount an intense battle with claims that the future of the industry and
“Make in India” are threatened. They are doing everything in their power to
prevent the government from acting in the public‟s interest. In a major relief to
them, the Delhi High Court quashed the Government Ban in December 2016. The
Centre has now moved the Supreme Court on 30 January 2017 seeking to enforce
the ban once again. It is hoped that the Apex Court will see this as a matter
concerning life and death and will not allow any legal “wizardry” by
pharmaceutical company counsels. That will be the beginning of the long overdue
clean-up of the pharma industry in India.
Conclusion

As the matter is now before the Supreme Court, it is hoped that it will take
into account the serious public health implications of the sale of certain drugs and
allow regulatory intervention banning uncertified combination drugs.
4

SOURCES CONSULTED

1. Cleaning Up the Pharma Industry : A Landmark Ban on Irrational Drugs,


Economic & Political Weekly, dated: 02.04.2016; vol II no.14
2. Banning of FDC Drugs, PIB 26. 04.2016
3. Fifty-ninth report on the functioning of the central drugs standard control
organisation (CDSCO), Rajya Sabha, dated: 08.04.2012
4. 66th Report Action taken by the Government on the recommendations
contained in the 59th Report, 2013
5. Gazette notifications (10.03.2016, S.O 705(E) TO 1048(E) on Ban of FDC
Drugs,
6. Curb on illegal sale of banned drugs and medicines, Rajya Sabha, starred
Question no. 172, dated: 02.08.2016
7. CDSCO establishes 10 expert committies to examine safety of FDCs, Ethics
in Clinical Research, dated: 07.02.2014
8. Centre moves SC seeking to enforce ban on 344 fixed-dose-combination
drugs, livemint, dated: 30.01.2017
ANNEXURE I

LIST OF DRUGS PROHIBITED FOR MANUFACTURE AND SALE THROUGH


GAZETTE NOTIFICATIONS UNDER SECTION 26A OF DRUGS & COSMETICS
ACT 1940 BY THE MINISTRY OF HEALTH AND FAMILY WELFARE

Complete list of 344 drugs banned by the Ministry of Health Family welfare
A gazette notification by Ministry of Health and Family Welfare has banned 344
medicines of fixed drug combinations. The Health Ministry banned 344 fixed drug
combinations through a gazette notification. The ban, which comes into effect
immediately, follows recommendations of an expert committee formed to examine the
efficacy of these drug combinations.
Here is the complete list of all drug combinations banned by the ministry:

1. fixed dose combination of Aceclofenac + Paracetamol + Rabeprazole


2. fixed dose combination of Nimesulide + Diclofenac
3. fixed dose combination of Nimesulide + Cetirizine + Caffeine
4. fixed dose combination of Nimesulide + Tizanidine
5. fixed dose combination of Paracetamol + Cetirizine + Caffeine
6. fixed dose combination of Diclofenac + Tramadol + Chlorzoxazone
7. fixed dose combination of Dicyclomine + Paracetamol + Domperidone
8. fixed dose combination of Nimesulide + Paracetamol dispersible tablets
9. fixed dose combination of Paracetamol + Phenylephrine + Caffeine
10. fixed dose combination of Diclofenac + Tramadol + Paracetamol
11. fixed dose combination of Diclofenac + Paracetamol + Chlorzoxazone +
Famotidine
12. fixed dose combination of Naproxen + Paracetamol
13. fixed dose combination of Nimesulide + Serratiopeptidase
14. fixed dose combination of Paracetamol + Diclofenac + Famotidine
15. fixed dose combination of Nimesulide + Pitofenone + Fenpiverinium + Benzyl
Alcohol
16. fixed dose combination of Omeprazole + Paracetamol + Diclofenac
17. fixed dose combination of Nimesulide + Paracetamol injection
18. fixed dose combination of Tamsulosin + Diclofenac
19. fixed dose combination of Paracetamol + Phenylephrine + Chlorpheniramine +
Dextromethorphan + Caffeine
20. fixed dose combination of Diclofenac + Zinc Carnosine
21. fixed dose combination of Diclofenac + Paracetamol + Chlorpheniramine Maleate
+ Magnesium Trisillicate
22. fixed dose combination of Paracetamol + Pseudoephedrine + Cetrizine
23. fixed dose combination of Phenylbutazone + Sodium Salicylate
24. fixed dose combination of Lornoxicam + Paracetamol + Trypsin
25. fixed dose combination of Paracetamol + Mefenamic Acid + Ranitidine +
Dicyclomine
26. fixed dose combination of Nimesulide + Dicyclomine
27. fixed dose combination of Heparin + Diclofenac
28. fixed dose combination of Glucosamine + Methyl Sulfonyl Methane + Vitamin D3
+ Manganese + Boron + Copper + Zinc
29. fixed dose combination of Paracetamol + Tapentadol
30. fixed dose combination of Tranexamic Acid + Proanthocyanidin
31. fixed dose combination of Benzoxonium Chloride + Lidocaine
32. fixed dose combination of Lornoxicam + Paracetamol + Tramadol
33. fixed dose combination of Lornoxicam + Paracetamol + Serratiopeptidase
34. fixed dose combination of Diclofenac + Paracetamol + Magnesium Trisilicate
35. fixed dose combination of Paracetamol + Domperidone + Caffeine
36. fixed dose combination of Ammonium Chloride + Sodium Citrate +
Chlorpheniramine Maleate + Menthol
37. fixed dose combination of Paracetamol + Prochlorperazine Maleate
38. Combikit of 3 tablets of Serratiopeptidase (enteric coated 20000 units) +
Diclofenac Potassium & 2 tablets of Doxycycline
39. fixed dose combination of Nimesulide + Paracetamol Suspension
40. fixed dose combination of Aceclofenac + Paracetamol + Famotidine
41. fixed dose combination of Aceclofenac + Zinc Carnosine
42. fixed dose combination of Paracetamol + Disodium Hydrogen Citrate + Caffeine
43. fixed dose combination of Paracetamol + DL Methionine
44. fixed dose combination of Disodium Hydrogen Citrate + Paracetamol
45. fixed dose combination of Paracetamol + Caffeine + Codeine
46. fixed dose combination of Aceclofenac (SR) + Paracetamol
47. fixed dose combination of Diclofenac + Paracetamol injection
48. fixed dose combination of Azithromycin + Cefixime
49. fixed dose combination of Amoxicillin + Dicloxacillin
50. fixed dose combination of Amoxicillin 250 mg + Potassium Clavulanate Diluted
62.5 mg
51. fixed dose combination of Azithromycin + Levofloxacin
52. fixed dose combination of Cefixime + Linezolid
53. fixed dose combination of Amoxicillin + Cefixime + Potassium Clavulanic Acid
54. fixed dose combination of Ofloxacin + Nitazoxanide
55. fixed dose combination of Cefpodoxime Proxetil + Levofloxacin
56. Combikit of Azithromycin, Secnidazole and Fluconazole
57. fixed dose combination of Levofloxacin + Ornidazole + Alpha Tocopherol Acetate
58. fixed dose combination of Nimorazole + Ofloxacin
59. fixed dose combination of Azithromycin + Ofloxacin
60. fixed dose combination of Amoxycillin + Tinidazole
61. fixed dose combination of Doxycycline + Serratiopeptidase
62. fixed dose combination of Cefixime + Levofloxacin
63. fixed dose combination of Ofloxacin + Metronidazole + Zinc Acetate
64. fixed dose combination of Diphenoxylate + Atropine + Furazolidone
65. Combikit of Fluconazole Tablet, Azithromycin Tablet and Ornidazole Tablets
66. fixed dose combination of Ciprofloxacin + Phenazopyridine
67. fixed dose combination of Amoxycillin + Dicloxacillin + Serratiopeptidase
68. Combikit of Fluconazole Tablet, Azithromycin Tablet and Ornidazole Tablets
69. fixed dose combination of Ciprofloxacin + Phenazopyridine
70. fixed dose combination of Amoxycillin + Dicloxacillin + Serratiopeptidase
71. fixed dose combination of Azithromycin + Cefpodoxime
72. fixed dose combination of Lignocaine + Clotrimazole + Ofloxacin +
Beclomethasone
73. fixed dose combination of Cefuroxime + Linezolid
74. fixed dose combination of Ofloxacin + Ornidazole + Zinc Bisglycinate
75. fixed dose combination of Metronidazole + Norfloxacin
76. fixed dose combination of Amoxicillin + Bromhexine
77. fixed dose combination of Ciprofloxacin + Fluticasone + Clotrimazole +
Neomycin
78. fixed dose combination of Metronidazole + Tetracycline
79. fixed dose combination of Cephalexin + Neomycin + Prednisolone
80. fixed dose combination of Azithromycin + Ambroxol
81. fixed dose combination of Cilnidipine + Metoprolol Succinate + Metoprolol
Tartrate
82. fixed dose combination of L-Arginine + Sildenafil
83. fixed dose combination of Atorvastatin + Vitamin D3 + Folic Acid + Vitamin B12
+ Pyridoxine
84. fixed dose combination of Metformin + Atorvastatin
85. fixed dose combination of Clindamycin + Telmisartan
86. fixed dose combination of Olmesartan + Hydrochlorothiazide + Chlorthalidone
87. fixed dose combination of L-5-Methyltetrahydrofolate Calcium + Escitalopram i
88. fixed dose combination of Pholcodine + Promethazine
89. fixed dose combination of Paracetamol + Promethazine
90. fixed dose combination of Betahistine + Ginkgo Biloba Extract + Vinpocetine +
Piracetam
91. fixed dose combination of Cetirizine + Diethyl Carbamazine
92. fixed dose combination of Doxylamine + Pyridoxine + Mefenamic Acid +
Paracetamol
93. fixed dose combination of Drotaverine + Clidinium + Chlordiazepoxide
94. fixed dose combination of Imipramine + Diazepam
95. fixed dose combination of Flupentixol + Escitalopram
96. fixed dose combination of Paracetamol + Prochloperazine
97. fixed dose combination of Gabapentin + Mecobalamin + Pyridoxine + Thiamine
98. fixed dose combination of Imipramine + Chlordiazepoxide + Trifluoperazine +
Trihexyphenidyl
99. fixed dose combination of Chlorpromazine + Trihexyphenidyl
100. fixed dose combination of Ursodeoxycholic Acid + Silymarin
101. fixed dose combination of Metformin 1000/1000/500/500mg + Pioglitazone
7.5/7.5/7.5/7.5mg + Glimepiride1/2/1/2mg
102. fixed dose combination of Gliclazide 80 mg + Metformin 325 mg
103. fixed dose combination of Voglibose+ Metformin + Chromium Picolinate
104. fixed dose combination of Pioglitazone 7.5/7.5mg + Metformin 500/1000mg
105. fixed dose combination of Glimepiride 1mg/2mg/3mg + Pioglitazone
15mg/15mg/15mg + Metformin 1000mg/
106. 1000mg/1000mg
107. fixed dose combination of Glimepiride 1mg/2mg+ Pioglitazone 15mg/15mg
+ Metformin 850mg/850mg
108. fixed dose combination of Metformin 850mg + Pioglitazone 7.5 mg +
Glimepiride 2mg
109. fixed dose combination of Metformin 850mg + Pioglitazone 7.5 mg +
Glimepiride 1mg
110. fixed dose combination of Metformin 500mg/500mg+Gliclazide SR
30mg/60mg + Pioglitazone 7.5mg/7.5mg
111. fixed dose combination of Voglibose + Pioglitazone + Metformin
112. fixed dose combination of Metformin + Bromocriptine
113. fixed dose combination of Metformin + Glimepiride + Methylcobalamin
114. fixed dose combination of Pioglitazone 30 mg + Metformin 500 mg
115. fixed dose combination of Glimepiride + Pioglitazone + Metformin
116. fixed dose combination of Glipizide 2.5mg + Metformin 400 mg
117. fixed dose combination of Pioglitazone 15mg + Metformin 850 mg
118. fixed dose combination of Metformin ER + Gliclazide MR + Voglibose
119. fixed dose combination of Chromium Polynicotinate + Metformin
120. fixed dose combination of Metformin + Gliclazide + Piogllitazone +
Chromium Polynicotinate
121. fixed dose combination of Metformin + Gliclazide + Chromium
Polynicotinate
122. fixed dose combination of Glibenclamide + Metformin (SR)+ Pioglitazone
123. fixed dose combination of Metformin (Sustainded Release) 500mg +
Pioglitazone 15 mg + Glimepiride 3mg
124. fixed dose combination of Metformin (SR) 500mg + Pioglitazone 5mg
125. fixed dose combination of Chloramphenicol + Beclomethasone +
Clomitrimazole + Lignocaine
126. fixed dose combination of Clotrimazole + Ofloxaxin + Lignocaine +
Glycerine and Propylene Glycol
127. fixed dose combination of Chloramphennicol + Lignocaine +
Betamethasone + Clotrimazole + Ofloxacin + Antipyrine
128. fixed dose combination of Ofloxacin + Clotrimazole + Betamethasone +
Lignocaine
129. fixed dose combination of Gentamicin Sulphate + Clotrimazole +
Betamethasone + Lignocaine
130. fixed dose combination of Clotrimazole + Beclomethasone + Ofloxacin +
Lignocaine
131. fixed dose combination of Becloemthasone + Clotrimazole +
Chloramphenicol + Gentamycin + Lignocaine Ear drops
132. fixed dose combination of Flunarizine + Paracetamole + Domperidone
133. fixed dose combination of Rabeprazole + Zinc Carnosine
134. fixed dose combination of Magaldrate + Famotidine + Simethicone
135. fixed dose combination of Cyproheptadine + Thiamine
136. fixed dose combination of Magaldrate + Ranitidine + Pancreatin +
Domperidone
137. fixed dose combination of Ranitidine + Magaldrate + Simethicone
138. fixed dose combination of Magaldrate + Papain + Fungul Diastase +
Simethicone
139. fixed dose combination of Rabeprazole + Zinc + Domperidone
140. fixed dose combination of Famotidine + Oxytacaine + Magaldrate
141. fixed dose combination of Ranitidine + Domperidone + Simethicone
142. fixed dose combination of Alginic Acid + Sodium Bicarbonate + Dried
Aluminium Hydroxide + Magnesium Hydroxide
143. fixed dose combination of Clidinium + Paracetamol + Dicyclomine +
Activated Dimethicone
144. fixed dose combination of Furazolidone + Metronidazole + Loperamide
145. fixed dose combination of Rabeprazole + Diclofenac + Paracetamol
146. fixed dose combination of Ranitidine + Magaldrate
147. fixed dose combination of Norfloxacin + Metronidazole + Zinc Acetate
148. fixed dose combination of Zinc Carnosine + Oxetacaine
149. fixed dose combination of Oxetacaine + Magaldrate + Famotidine
150. fixed dose combination of Pantoprazole (as Enteric Coated Tablet) + Zinc
Carnosine (as Film Coated Tablets)
151. fixed dose combination of Zinc Carnosine + Magnesium Hydroxide + Dried
Aluminium Hydroxide + Simethicone
152. fixed dose combination of Zinc Carnosine + Sucralfate
153. fixed dose combination of Mebeverine & Inner HPMC capsule
(Streptococcus Faecalis + Clostridium butyricum + Bacillus mesentricus + Lactic
Acid Bacillus)
154. fixed dose combination of Clindamycin + Clotrimazole + Lactic Acid
Bacillus
155. fixed dose combination of Sildenafil + Estradiol Valerate
156. fixed dose combination of Clomifene Citrate + Ubidecarenone + Zinc +
Folic Acid + Methylcobalamin + Pyridoxine + Lycopene + Selenium +
Levocarnitine Tartrate + L-Arginine
157. fixed dose combination of Thyroxine + Pyridoxine + Folic Acid
158. fixed dose combination of Gentamycin + Dexamethasone +
Chloramphenicol + Tobramycin + Ofloxacin
159. fixed dose combination of Dextromethorphan + Levocetirizine +
Phenylephrine + Zinc
160. fixed dose combination of Nimesulide + Loratadine + Phenylephrine +
Ambroxol
161. fixed dose combination of Bromhexine + Phenylephrine +
Chlorepheniramine Maleate
162. fixed dose combination of Dextromethorphan + Bromhexine +
Guaiphenesin
163. fixed dose combination of Paracetamol + Loratadine + Phenylephrine +
Dextromethorphan + Caffeine
164. fixed dose combination of Nimesulide + Phenylephrine + Caffeine +
Levocetirizine
165. fixed dose combination of Azithromycin + Acebrophylline
166. fixed dose combination of Diphenhydramine + Terpine + Ammonium
Chloride + Sodium Chloride + Menthol
167. fixed dose combination of Nimesulide + Paracetamol + Cetirizine +
Phenylephrine
168. fixed dose combination of Paracetamol + Loratadine + Dextromethophan +
Pseudoepheridine + Caffeine
169. fixed dose combination of Chlorpheniramine Maleate + Dextromethorphan
+ Dextromethophan + Guaiphenesin +Ammonium Chloride + Menthol
170. fixed dose combination of Chlorpheniramine Maleate + Ammonium
Chloride + Sodium Citrate
171. fixed dose combination of Cetirizine + Phenylephrine + Paracetamol + Zinc
Gluconate
172. fixed dose combination of Ambroxol + Guaiphenesin + Ammonium
Chloride + Phenylephrine + Chlorpheniramine Maleate + Menthol
173. fixed dose combination of Dextromethorphen + Bromhexine +
Chlorpheniramine Maleate + Guaiphenesin
174. fixed dose combination of Levocetirizine + Ambroxol + Phenylephrine +
Guaiphenesin
175. fixed dose combination of Dextromethorphan + Chlorpheniramine +
Chlorpheniramine Maleate
176. fixed dose combination of Cetirizine + Ambroxol + Guaiphenesin +
Ammonium Chloride + Phenylephrine + Menthol
177. fixed dose combination of Chlorpheniramine + Phenylephrine + Caffeine
178. fixed dose combination of Dextromethorphan + Triprolidine +
Phenylephrine
179. fixed dose combination of Terpinhydrate + Dextromethorphan + Menthol
180. fixed dose combination of Dextromethorphan + Phenylephrine + Zinc
Gluconate + Menthol
181. fixed dose combination of Chlorpheniramine + Codeine + Sodium Citrate +
Menthol Syrup
182. fixed dose combination of Enrofloxacin + Bromhexin
183. fixed dose combination of Bromhexine + Dextromethorphan +
Phenylephrine + Menthol
184. fixed dose combination of Levofloxacin + Bromhexine
185. fixed dose combination of Levocetirizine + Ranitidine
186. fixed dose combination of Levocetirizine + Phenylephrine + Ambroxol +
Guaiphenesin + Paracetamol
187. fixed dose combination of Cetirizine + Dextromethorphan + Phenylephrine
+ Zinc Gluconate + Paracetamol + Menthol
188. fixed dose combination of Paracetamol + Pseudoephedrine +
Dextromethorphan + Cetirizine
189. fixed dose combination of Diphenhydramine + Guaiphenesin + Ammonium
Chloride + Bromhexine
190. fixed dose combination of Chlorpheniramine + Dextromethorphan +
Phenylephrine + Paracetamol
191. fixed dose combination of Dextromethorphen + Promethazine
192. fixed dose combination of Diethylcabamazine Citrate + Cetirizine +
Guaiphenesin
193. fixed dose combination of Pseudoephedrine + Dextromethorphan +
Cetirizine
194. fixed dose combination of Chlorpheniramine + Phenylephrine +
Dextromethophan + Menthol
195. fixed dose combination of Ambroxol + Terbutaline + Dextromethorphan
196. fixed dose combination of Dextromethorphan + Chlorpheniramine +
Guaiphenesin
197. fixed dose combination of Terbutaline + Bromhexine + Guaiphenesin +
Dextromethorphan
198. fixed dose combination of Dextromethorphan + Tripolidine +
Phenylephirine
199. fixed dose combination of Paracetamol + Dextromethorphan +
Chlorpheniramine
200. fixed dose combination of Pholcodine + Phenylephrine + Promethazine
201. fixed dose combination of Codeine + Levocetirizine + Menthol
202. fixed dose combination of Dextromethorphan + Ambroxol + Guaifenesin +
Phenylephrine + Chlorpheniramine
203. fixed dose combination of Cetirizine + Phenylephrine + Dextromethorphan
+ Menthol
204. fixed dose combination of Roxithromycin + Serratiopeptidase
205. fixed dose combination of Paracetamol + Phenylephrine + Triprolidine
206. fixed dose combination of Acetaminophen + Loratadine + Ambroxol +
Phenylephrine
207. fixed dose combination of Cetirizine + Acetaminophen + Dextromethorphan
+ Phenyephrine + Zinc Gluconate
208. fixed dose combination of Diphenhydramine + Guaifenesin + Bromhexine +
Ammonium Chloride + Menthol
209. fixed dose combination of Chlopheniramine Maleate + Codeine Syrup
210. fixed dose combination of Cetirizine + Dextromethorphan + Zinc Gluconate
+ Menthol
211. fixed dose combination of Paracetamol + Phenylephrine + Desloratadine +
Zinc Gluconate + Ambroxol
212. fixed dose combination of Levocetirizine + Montelukast + Acebrophylline
213. fixed dose combination of Dextromethorphan + Phenylephrine +
Ammonium Chloride + Menthol
214. fixed dose combination of Dextromethorphan + Bromhexine +
Guaiphenesin + Menthol
215. fixed dose combination of Acrivastine + Paracetamol + Caffeine +
Phenylephrine
216. fixed dose combination of Naphazoline + Carboxy Methyl Cellulose +
Menthol + Camphor + Phenylephrine
217. fixed dose combination of Dextromethorphan + Cetirizine
218. fixed dose combination of Nimesulide + Paracetamol + Levocetirizine +
Phenylephrine + Caffeine
219. fixed dose combination of Terbutaline + Ambroxol + Guaiphenesin + Zinc +
Menthol
220. fixed dose combination of Codeine + Chlorpheniramine + Alcohol Syrup
221. fixed dose combination of Dextromethorphan + Phenylephrine +
Guaifenesin + Triprolidine
222. fixed dose combination of Ammomium Chloride + Bromhexine +
Dextromethorphan
223. fixed dose combination of Diethylcarbamazine + Cetirizine + Ambroxol
224. fixed dose combination of Ethylmorphine + Noscapine + Chlorpheniramine
225. fixed dose combination of Cetirizine + Dextromethorphan + Ambroxol
226. fixed dose combination of Bromhexine + Dextromethorphan + Ammonium
Chloride + Menthol
227. fixed dose combination of Ambroxol + Guaifenesin + Phenylephrine +
Chlorpheniramine
228. fixed dose combination of Paracetamol + Phenylephrine +
Chlorpheniramine + Zinc Gluconate
229. fixed dose combination of Dextromethorphan + Phenylephrine + Cetirizine
+ Paracetamol + Caffeine
230. fixed dose combination of Dextromethophan + Chlorpheniramine +
Guaifenesin + Ammonium Chloride
231. fixed dose combination of Levocetirizine + Dextromethorphan + Zinc
232. fixed dose combination of Paracetamol + Phenylephrine + Levocetirizine +
Caffeine
233. fixed dose combination of Chlorphaniramine + Ammonium Chloride +
Sodium Chloride
234. fixed dose combination of Paracetamol + Dextromethorphan + Bromhexine
+ Phenylephrine + Diphenhydramine
235. fixed dose combination of Salbutamol + Bromhexine + Guaiphenesin +
Menthol
236. fixed dose combination of Chlorpheniramine + Ammonium Chloride +
Noscapine + Sodium Citrate
237. fixed dose combination of Cetirizine + Dextromethorphan + Bromhexine +
Guaifenesin
238. fixed dose combination of Diethyl Carbamazine + Chlorpheniramine +
Guaifenesin
239. fixed dose combination of Ketotifen + Cetirizine
240. fixed dose combination of Terbutaline + Bromhexine + Etofylline
241. fixed dose combination of Ketotifen + Theophylline
242. fixed dose combination of Ambroxol + Salbutamol + Theophylline
243. fixed dose combination of Cetririzine + Nimesulide + Phenylephrine
244. fixed dose combination of Chlorpheniramine + Phenylephrine +
Paracetamol + Zink Gluconate
245. fixed dose combination of Acetaminophen + Guaifenesin +
Dextromethorphan + Chlorpheniramine
246. fixed dose combination of Cetirizine + Dextromethorphan + Phenylephrine
+ Tulsi
247. fixed dose combination of Cetirizine + Phenylephrine + Paracetamol +
Ambroxol + Caffeine
248. fixed dose combination of Guaifenesin + Dextromethorphan
249. fixed dose combination of Levocetirizine + Paracetamol + Phenylephirine +
Caffeine
250. fixed dose combination of Caffeine + Paracetamol + Phenylephrine +
Chlorpheniramine
251. fixed dose combination of Ketotifen + Levocetrizine
252. fixed dose combination of Paracetamol + Levocetirizine + Phenylephirine +
Zink Gluconate
253. fixed dose combination of Paracetamol + Phenylephrine + Triprolidine +
Caffeine
254. fixed dose combination of Caffeine + Paracetamol + Phenylephrine +
Cetirizine
255. fixed dose combination of Caffeine + Paracetamol + Chlorpheniramine
256. fixed dose combination of Ammonium Chloride + Dextromethorphan +
Cetirizine + Menthol
257. fixed dose combination of Dextromethorphan + Paracetamol + Cetirizine +
Phenylephrine
258. fixed dose combination of Chlorpheniramine + Terpin + Antimony
Potassium Tartrate + Ammonium Chloride + Sodium Citrate + Menthol
259. fixed dose combination of Terbutaline + Etofylline + Ambroxol
260. fixed dose combination of Paracetamol + Codeine + Chlorpheniramine
261. fixed dose combination of
Paracetamol+Pseudoephedrine+Certirizine+Caffeine
262. fixed dose combination of Chlorpheniramine+Ammonium Chloride +
Menthol
263. fixed dose combination of N-Acetyl Cysteine + Ambroxol + Phenylephrine
+ Levocertirizine
264. fixed dose combination of Dextromethorphan + Phenylephrine + Tripolidine
+ Menthol
265. fixed dose combination of Salbutamol + Certirizine + Ambroxol
266. fixed dose combination of Dextromethorphan + Phenylephrine +
Bromhexine + Guaifenesin + Chlorpheniramine
267. fixed dose combination of Nimesulide + Certirizine + Phenylephrine
268. fixed dose combination of Naphazoline + Chlorpheniramine + Zinc Sulphate
+ Boric Acid + Sodium Chloride + Chlorobutol
269. fixed dose combination of Paracetamol + Bromhexine + Phenylephrine +
Chlorpheniramine + Guaifenesin
270. fixed dose combination of Salbutamol + Bromhexine
271. fixed dose combination of Dextromethorphan + Phenylephrine +
Guaifenesin + Certirizine + Acetaminophen
272. fixed dose combination of Guaifenesin + Bromhexine + Chlorpheniramine +
Paracetamol
273. fixed dose combination of Chlorpheniramine + Ammonium Chloride +
Chloroform + Menthol
274. fixed dose combination of Salbutamol + Choline Theophylinate + Ambroxol
275. fixed dose combination of Chlorpheniramine + Codeine Phosphate +
Menthol Syrup
276. fixed dose combination of Pseudoephedrine + Bromhexine
277. fixed dose combination of Certirizine + Phenylephrine + Paracetamol +
Caffeine + Nimesulide
278. fixed dose combination of Dextromethorphan + Cetirizine + Guaifenesin +
Ammonium Chloride
279. fixed dose combination of Ambroxol + Salbutamol + Choline
Theophyllinate + Menthol
280. fixed dose combination of Paracetamol + Chlorpheniramine + Ambroxol +
Guaifenesin + Phenylephrine
281. fixed dose combination of Chlorpheniramine + Vasaka + Tolubalsm +
Ammonium Chloride + Sodium Citrate + Menthol
282. fixed dose combination of Bromhexine + Cetrizine + Phenylephrine
IP+Guaifenesin + Menthol
283. fixed dose combination of Dextromethorphan + Ambroxol + Ammonium
Chloride + Chlorpheniramine + Menthol
284. fixed dose combination of Dextromethorphan + Phenylephrine + Cetirizine
+ Zinc + Menthol
285. fixed dose combination of Terbutaline + N-Acetyl L-Cysteine + Guaifenesin
286. fixed dose combination of Calcium Gluconate + Levocetirizine
287. fixed dose combination of Paracetamol + Levocetirizine + Pseudoephedrine
288. fixed dose combination of Salbutamol + Choline Theophylinate +
Carbocisteine
289. fixed dose combination of Chlorpheniramine + Vitamin C
290. fixed dose combination of Calcium Gluconate + Chlorpheniramine +
Vitamin C
291. fixed dose combination of Chlorpheniramine + Paracetamol +
Pseudoephedrine + Caffeine
292. fixed dose combination of Guaifenesin + Bromhexine + Chlorpheniramine +
Phenylephrine + Paracetamol + Serratiopeptidase (as enteric coated granules)
10000 SP Units
293. fixed dose combination of Paracetamol + Pheniramine
294. fixed dose combination of Betamethasone + Fusidic Acid + Gentamycin +
Tolnaftate + lodochlorhydroxyquinoline(ICHQ)
295. fixed dose combination of Clobetasol + Ofloxacin + Miconazole + Zinc
Sulphate
296. fixed dose combination of Clobetasole + Gentamicin + Miconazole + Zinc
Sulphate
297. fixed dose combination of Levocetirizine + Ambroxol + Phenylephrine +
Paracetamol
298. fixed dose combination of Permethrin + Cetrimide + Menthol
299. fixed dose combination of Beclomethasone + Clotimazole + Neomycin +
iodochlorohydroxyquinone
300. fixed dose combination of Neomycin + Doxycycline
301. fixed dose combination of Ciprofloxacin + Fluocinolone + Clotrimazole +
Neomycin + Chlorocresol
302. fixed dose combination of Clobetasol + Ofloxacin + Ketoconazol + Zinc
Sulphate
303. fixed dose combination of Betamethasone + Gentamicin + Tolnaftate +
lodochlorhydroxyquinoline
304. fixed dose combination of Clobetasol + Gentamicin + Tolnaftate +
lodochlorhydroxyquinone + Ketoconazole
305. fixed dose combination of Allantoin + Dimethieone + Urea + Propylene +
Glycerin + Liquid Paraffin
306. fixed dose combination of Acriflavine + Thymol + Cetrimide
307. fixed dose combination of Betamethasone + Neomycin + Tolnaftate +
lodochlorohydroxyquinoline + Cholorocresol
308. fixed dose combination of Clobetasol + Neomycin + Miconazole +
Clotrimazole
309. fixed dose combination of Ketoconazole + Tea Tree oil + Allantion + Zinc
Oxide + Aloe Vera + Jojoba oil + Lavander oil + Soa noodels
310. fixed dose combination of Clobetasol Propionate + Ofloxacin + Ornidazole
+ Terbinafine
311. fixed dose combination of Clobetasol + Neomycin + Miconazole + Zinc
Sulphate
312. fixed dose combination of Beclomethasone Diproprionate + Neomycin +
Tolnaftate + lodochlorhydroxyquinoline + Chlorocresol
313. fixed dose combination of Betamethasone + Gentamycin + Zinc Sulphate +
Clotrimoazole + Chlorocresol
314. fixed dose combination of Borax + Boric Acid + Naphazoline + Menthol +
Camphor + Methyl Hydroxy Benzoate
315. fixed dose combination of Bromhexine + Dextromethorphan
316. fixed dose combination of Dextromethophan + Chlopheniramine +
Bromhexine
317. fixed dose combination of Menthol + Anesthetic Ether
318. fixed dose combination of Dextrometharphan + Chlopheniramine +
Ammonium + Sodium Citrate + Menthol
319. fixed dose combination of Ergotamine Tartrate + Belladona Dry
Extract+Caffeine + Paracetamol
320. fixed dose combination of Phenytoin + Phenobarbitone
321. fixed dose combination of Gliclazide 40mg + Metformin 400mg
322. fixed dose combination of Paracetamol + Ambroxol + Phenylephrine +
Chlorpheniramine
323. fixed dose combination of Oflaxacin + Ornidazole Suspension
324. fixed dose combination of Albuterol + Etofylline + Bromhexine + Menthol
325. fixed dose combination of Albuterol + Bromhexine + Theophylline
326. fixed dose combination of Salbutamol+Hydroxyethyltheophylline
(Etofylline) + Bromhexine
327. fixed dose combination of
Paracetamol+Phenylephrine+Levocetirizine+Sodium Citrate
328. fixed dose combination of Paracetamol + Propyphenazone + Caffeine
329. fixed dose combination of Guaifenesin + Diphenhydramine + Bromhexine +
Phenylephrine
330. fixed dose combination of Dried Alumnium Hydroxie Gel + Prophantheline
+ Diazepam
331. fixed dose combination of Bromhenxine + Phenylephrine +
Chlorpheniramine + Paracetamol
332. fixed dose combination of Beclomethasone + Clotrimazole + Gentamicin +
lodochlorhydroxyquinoline
333. fixed dose combination of Telmisartan + Metformin
334. fixed dose combination of Ammonium Citrate + Vitamin B 12 + Folic Acid
+ Zinc Sulphate
335. fixed dose combination of Levothyroxine + Phyridoxine + Nicotinamide
336. fixed dose combination of Benfotiamine + Metformin
337. fixed dose combination of Thyroid + Thiamine + Riboflavin + Phyridoxine
+ Calcium Pantothenate + Tocopheryl Acetate + Nicotinamide
338. fixed dose combination of Ascorbic Acid + Manadione Sodium Bisulphate
+ Rutin + Dibasic Calcium Phosphate + Adrenochrome mono Semicarbazone
339. fixed dose combination of Phenylephrine + Chlorpheniramine +
Paracetamol + Bromhexine + Caffeine
340. fixed dose combination of Clotrimazole + Beclomethasone + Lignocaine +
Ofloxacin + Acetic Aicd + Sodium Methyl Paraben + Propyl Paraben

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