Banned Drugs - Indian Scenerio

 

Kriti Sethi*, Nayyar Parvez

Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, India.

*Corresponding Author E-mail: kriti.pharmacy@gmail.com

 

ABSTRACT:

India is a major Hub of Banned drugs. A large number of banned drugs are available which are not used in foreign countries. The production of banned drug is increasing day by day. Only a few drugs are lifesaving and essential, rest of the drugs are substitutes of each other. Every drug has some side effects but Banned drugs have more side effects. Doctors should immediately stop prescribing banned drugs. Banned drugs are still available in developing countries like India due to lack of physician awareness, law enforcement and the laxity of drug control authorities. The most common drugs which are banned in foreign countries like nimesulide, furazolidone, phenyl-propanolamine and other over the counter preparation due to their side effect on kidney, liver and nerve are freely available in Indian market. Most of analgesic, anti-diarrheal and cough preparations which are banned in other countries are blindly used in India as over the counter drugs. This Review will throw light on the current scenario and process of banned drugs in India.

 

KEYWORDS: Banned Drugs, Market Sale, Illegal Drugs, FDA.

 

 


INTRODUCTION:

Food and Drug Administration (U.S) defines drug or medicine as a substance used in the diagnosis, treatment, prevention of diseases or as component of medication or a drug is any substance (other than food that provides nutritional support) which when inhaled, injected, smoked, consumed, absorbed in the skin, or dissolved under the tongue causes a physiological change in the body.1

 

“PILL FOR EVERY ILL” is a saying which is being gave all attention and went after. It may not be possible to have a disease free world but we can be minded to get for answers to rest being very unhappy or poor and make person getting care's living more comfortable to a greater amount. The main purpose is to make certain good quality of living to persons getting care.

 

 

This can only be achieved with quality Drugs with greatest point therapeutic help and least possible or recorded side effects, ready (to be used) to all at low price.2

 

Banned drugs are those drugs which are not allowed to intake because they could artificially improve their performance and shows various adverse effects more than therapeutic effects. Use or production of these drugs are strictly controlled or prohibited via prescription.3

 

Indian Pharmacopoeia Commission (IPC) was formed with accordance to Indian Drugs and Cosmetics Act of 1940 and established by Government of India in 1945 under executive orders. IPC is an autonomous institution of the Ministry of Health and Family Welfare which sets standards for all drugs that are manufactured, sold and consumed in India.4

 

India has become a depot for banned drugs, the business for production of banned drugs is roaring and many people don’t perceive about these banned drugs and consume and cause illness to one-self.  Side effects of drugs are not reported by physicians, Drug Controller General of India (DCGI) is the exclusive authority who endorses the manufacture, sale and ban of a drug. Process of drug development is the blooming process that composes and encourages a drug with minimum reaction to the human consuming the drugs, drugs go through rigorous testing before recommended to market safety and efficacy of drugs are tested, after process of quality control drugs are released into the market, sometimes side effects appears after the use of drugs in common population. Severe side effects of drugs of using the drug outweigh the benefits\drug is ineffective country can ban the drug or Drug Company may itself withdraw the drug. In some cases drug causes reaction when combine to a particular drugs, in that case fixed dose combination is ban but not the individual drug.5

 

WHAT DRUGS ARE BANNED?:

There are many types of Drugs that are stopped in physical act for amusement because of the damage they can do to an expert at physical acts for amusement's being healthy and to light play. Every year a new list of stopped Drugs is groomed by the World Anti-Doping office. These Drugs fall within the succeeding groups:

·       Stimulants can boost concentration and reduce tiredness, but they can also damage the heart.

·       Steroids may boost muscle and strength, but they damage the heart, liver and reproductive system and can also cause sudden death.

·       Hormones can have a variety of useful medical purposes, but can be harmful when you are young and still flourishing.

·       Diuretics can support with weight loss, but they cover up the use of other banned drugs and can cause dehydration and fatigue.

·       Narcotics can relieve pain, but this could be point leading to a lasting injury.

·       Cannabinoids (hashish, marijuana) act as relaxants, but may also lead to a loss of coordination and concentration.6

 

 

Fig: 1 Types of Drugs Ban

REASONS OF DRUGS BANNING:

Adverse drug reactions, or ADRs, are supposedly described as ‘A life to an abused substance which is disgusting and unintended, and which occurs at doses normally used for the sterilization, diagnosis or medicine of epidemic, or for the variation of physiological function’. Drug Controller General of India is the champion authority in India to arrive the attempt of the whole drug or to halt a drug. If the whole drug is hung in suspense to have harmful side-effects, the electioneering issues the proscribe order along with others manufacturers and wholesalers are asked not to stock the particular medicine.7-8

 

“If doctors avert prescribing drugs that are harmful to patients health”, chemists will automatically prohibit selling as there are no patient’s peeves, and from this point forward, manufacturers do not perform it. Certainly, most of the problem boot be solved relish that, ‘the manufacturers have every function to sell their products if there are buyers’.3

 

PROCESS OF BANNING:

When a genuine problem occurs in health service there is evermore a “knee-jerk” force by a manifold to ban and herewith provide an immediate and scholarly response to the issue. While a well-known responses take care of being emotionally satisfying they often delineate answers which are “smarter than we are” and might end up causing more harm than good.2

 

 

Fig: 2 Drug Banning Process2

 

 

Fig: 3 Awareness of Drug Banning

Why, ban drug are available?

As noteworthy presage job enterprises and small-time defaulters, pharmaceuticals have been promising in a throw direction. There is little bed and board for a proper examine and approach of untrue drugs in Indian markets. Worst than that is the compact knowledge and slapdash science of the mind of the buyers. Even at this time, a huge population takes medicines and drugs without prescribing physicians, which in fact is a wrong decision and can cause to be dangerous.

 

India has became a dumping reinforce for banned drugs. The services for production of banned drugs is blooming and for there are greater consumers here along with others illegalities are duly obeyed. The irony is that few peoples know about drugs with are banned and consume them unaware, and cause damage to oneself. The issue is arduous and we must not obstruct in spreading the awareness to the offenders and innocent people.9

 

Cost is a time signature put for consumers of medicines in developing countries. In many developing nations, medicines can explain up to 90% of household expenditure on health, making the change of attitude a key determinant in whether or not people have access. The latest reports represent that India is a well known of the few countries that move large rival of various banned drugs to diverse parts of the world. Many of the drugs that have been banned in developed countrieswhich are easily available in India.7

·       Regulatory bodies lack enforcement power,

·       Due to the poverty line in India these drugs are easily marketed at low costs.

·       Many private practitioners and physicians are unaware about the ban.

·       Non –compliance by the patient by self prescribing the drugs for common ailments and disorders. The patient has a mindset that he gets well fast with the drug he takes like Nimesulide, Rofecoxib, Phenylpropanolamine for common ailments such as cold, cough, head ache, etc and they don't know about the side effects, whether these drugs are banned or not.10-11

·       Because of self prescription, numbers of allergic and anaphylactic reactions are occurring frequently in India. This can be prevented by public awareness programmes regarding the status, use, and side effects of self prescription.

·       Non-availability of appropriate drugs and their high cost.

·       Prescribers lack of knowledge and experience.11-12

·       In some places such as Ludhiana, the department has no provision for notifying to hospital and doctors about the status of these banned drugs except through newspaper.

·       One of the reasons for the free availability of banned drugs in the market is this communication gap between the DCGI and state drug controllers. A recent case concern phenformin formulations. The product is still available in the market after its ban order issued on 1stOctober 2003. A serious problem confronting the medical profession today is the lack of updating of their knowledge about existing and new drugs.2

 

 

Fig: 4 Sale of Banned Drugs

 

List of Banned Drugs in Indiaby the Ministry of Health Family welfare13-14

Fixed dose combination of Aceclofenac + Paracetamol + Rabeprazole

Fixed dose combination of Nimesulide + Diclofenac

Fixed dose combination of Nimesulide + Cetirizine + Caffeine

Fixed dose combination of Nimesulide + Tizanidine

Fixed dose combination of Paracetamol + Cetirizine + Caffeine

Fixed dose combination of Diclofenac + Tramadol + Chlorzoxazone

Fixed dose combination of Dicyclomine + Paracetamol + Domperidone

Fixed dose combination of Nimesulide + Paracetamol dispersible tablets

Fixed dose combination of Paracetamol + Phenylephrine + Caffeine

Fixed dose combination of Diclofenac + Tramadol + Paracetamol

Fixed dose combination of Diclofenac + Paracetamol + Chlorzoxazone + Famotidine

Fixed dose combination of Naproxen + Paracetamol

Fixed dose combination of Nimesulide + Serratiopeptidase

Fixed dose combination of Paracetamol + Diclofenac + Famotidine

Fixed dose combination of Nimesulide + Pitofenone + Fenpiverinium + Benzyl Alcohol

Fixed dose combination of Omeprazole + Paracetamol + Diclofenac

Fixed dose combination of Nimesulide + Paracetamol injection

Fixed dose combination of Tamsulosin + Diclofenac

Fixed dose combination of Paracetamol + Phenylephrine + Chlorpheniramine + Dextromethorphan + Caffeine

Fixed dose combination of Diclofenac + Zinc Carnosine

Fixed dose combination of Diclofenac + Paracetamol + Chlorpheniramine Maleate + Magnesium Trisillicate

Fixed dose combination of Paracetamol + Pseudoephedrine + Cetrizine

Fixed dose combination of Phenylbutazone + Sodium Salicylate

Fixed dose combination of Lornoxicam + Paracetamol + Trypsin

Fixed dose combination of Paracetamol + Mefenamic Acid + Ranitidine + Dicyclomine

Fixed dose combination of Nimesulide + Dicyclomine

Fixed dose combination of Heparin + Diclofenac

Fixed dose combination of Glucosamine + Methyl Sulfonyl Methane + Vitamin D3 + Manganese + Boron + Copper + Zinc

Fixed dose combination of Paracetamol + Tapentadol

Fixed dose combination of Tranexamic Acid + Proanthocyanidin

Fixed dose combination of Benzoxonium Chloride + Lidocaine

Fixed dose combination of Lornoxicam + Paracetamol + Tramadol

Fixed dose combination of Lornoxicam + Paracetamol + Serratiopeptidase

Fixed dose combination of Diclofenac + Paracetamol + Magnesium Trisilicate

Fixed dose combination of Paracetamol + Domperidone + Caffeine

Fixed dose combination of Ammonium Chloride + Sodium Citrate + Chlorpheniramine Maleate + Menthol

Fixed dose combination of Paracetamol + Prochlorperazine Maleate Combikit of 3 tablets of Serratiopeptidase (enteric coated 20000 units) + Diclofenac Potassium and 2 tablets of Doxycycline

Fixed dose combination of Nimesulide + Paracetamol Suspension

Fixed dose combination of Aceclofenac + Paracetamol + Famotidine

Fixed dose combination of Aceclofenac + Zinc Carnosine

Fixed dose combination of Paracetamol + Disodium Hydrogen Citrate + Caffeine

Fixed dose combination of Paracetamol + DL Methionine

Fixed dose combination of Disodium Hydrogen Citrate + Paracetamol

Fixed dose combination of Paracetamol + Caffeine + Codeine

Fixed dose combination of Aceclofenac (SR) + Paracetamol

Fixed dose combination of Diclofenac + Paracetamol injection

Fixed dose combination of Azithromycin + Cefixime

Fixed dose combination of Amoxicillin + Dicloxacillin

Fixed dose combination of Amoxicillin 250 mg + Potassium Clavulanate Diluted 62.5 mg

Fixed dose combination of Azithromycin + Levofloxacin

Fixed dose combination of Cefixime + Linezolid

Fixed dose combination of Amoxicillin + Cefixime + Potassium Clavulanic Acid

Fixed dose combination of Ofloxacin + Nitazoxanide

Fixed dose combination of CefpodoximeProxetil + Levofloxacin Combikit of Azithromycin, Secnidazole and Fluconazole

Fixed dose combination of Levofloxacin + Ornidazole + Alpha Tocopherol Acetate

Fixed dose combination of Nimorazole + Ofloxacin

Fixed dose combination of Azithromycin + Ofloxacin

Fixed dose combination of Amoxycillin + Tinidazole

Fixed dose combination of Doxycycline + Serratiopeptidase

Fixed dose combination of Cefixime + Levofloxacin

Fixed dose combination of Ofloxacin + Metronidazole + Zinc Acetate

Fixed dose combination of Diphenoxylate + Atropine + Furazolidone Combikit of Fluconazole Tablet, Azithromycin Tablet and Ornidazole Tablets

Fixed dose combination of Ciprofloxacin + Phenazopyridine

Fixed dose combination of Amoxycillin + Dicloxacillin + Serratiopeptidase Combikit of Fluconazole Tablet, Azithromycin Tablet and Ornidazole Tablets

Fixed dose combination of Ciprofloxacin + Phenazopyridine

Fixed dose combination of Amoxycillin + Dicloxacillin + Serratiopeptidase

Fixed dose combination of Azithromycin + Cefpodoxime

Fixed dose combination of Lignocaine + Clotrimazole + Ofloxacin + Beclomethasone

Fixed dose combination of Cefuroxime + Linezolid

Fixed dose combination of Ofloxacin + Ornidazole + Zinc Bisglycinate

Fixed dose combination of Metronidazole + Norfloxacin

Fixed dose combination of Amoxicillin + Bromhexine

Fixed dose combination of Ciprofloxacin + Fluticasone + Clotrimazole + Neomycin

Fixed dose combination of Metronidazole + Tetracycline

Fixed dose combination of Cephalexin + Neomycin + Prednisolone

Fixed dose combination of Azithromycin + Ambroxol

Fixed dose combination of Cilnidipine + Metoprolol Succinate + Metoprolol Tartrate

Fixed dose combination of L-Arginine + Sildenafil

Fixed dose combination of Atorvastatin + Vitamin D3 + Folic Acid + Vitamin B12 + Pyridoxine

Fixed dose combination of Metformin + Atorvastatin

Fixed dose combination of Clindamycin + Telmisartan

Fixed dose combination of Olmesartan + Hydrochlorothiazide + Chlorthalidone

Fixed dose combination of L-5-Methyltetrahydrofolate Calcium + Escitalopram i

Fixed dose combination of Pholcodine + Promethazine

Fixed dose combination of Paracetamol + Promethazine

Fixed dose combination of Betahistine + Ginkgo Biloba Extract + Vinpocetine + Piracetam

Fixed dose combination of Cetirizine + Diethyl Carbamazine

Fixed dose combination of Doxylamine + Pyridoxine + Mefenamic Acid + Paracetamol

Fixed dose combination of Drotaverine + Clidinium + Chlordiazepoxide

Fixed dose combination of Imipramine + Diazepam

Fixed dose combination of Flupentixol + Escitalopram

Fixed dose combination of Paracetamol + Prochloperazine

Fixed dose combination of Gabapentin + Mecobalamin + Pyridoxine + Thiamine

Fixed dose combination of Imipramine + Chlordiazepoxide + Trifluoperazine + Trihexyphenidyl

Fixed dose combination of Chlorpromazine + Trihexyphenidyl

Fixed dose combination of Ursodeoxycholic Acid + Silymarin

Fixed dose combination of Metformin 1000/1000/500/500mg + Pioglitazone 7.5/7.5/7.5/7.5mg + Glimepiride1/2/1/2mg

Fixed dose combination of Gliclazide 80 mg + Metformin 325 mg

Fixed dose combination of Voglibose+ Metformin + Chromium Picolinate

Fixed dose combination of Pioglitazone 7.5/7.5mg + Metformin 500/1000mg

Fixed dose combination of Glimepiride 1mg/2mg/3mg + Pioglitazone 15mg/15mg/15mg + Metformin 1000mg

Fixed dose combination of Glimepiride 1mg/2mg+ Pioglitazone 15mg/15mg + Metformin 850mg/850mg

Fixed dose combination of Metformin 850mg + Pioglitazone 7.5 mg + Glimepiride 2mg

Fixed dose combination of Metformin 850mg + Pioglitazone 7.5 mg + Glimepiride 1mg

Fixed dose combination of Metformin 500mg/500mg+Gliclazide SR 30mg/60mg + Pioglitazone 7.5mg/7.5mg

Fixed dose combination of Voglibose + Pioglitazone + Metformin

Fixed dose combination of Metformin + Bromocriptine

Fixed dose combination of Metformin + Glimepiride + Methylcobalamin

Fixed dose combination of Pioglitazone 30 mg + Metformin 500 mg

Fixed dose combination of Glimepiride + Pioglitazone + Metformin

Fixed dose combination of Glipizide 2.5mg + Metformin 400 mg

Fixed dose combination of Pioglitazone 15mg + Metformin 850 mg

Fixed dose combination of Metformin ER + Gliclazide MR + Voglibose

Fixed dose combination of Chromium Polynicotinate + Metformin

Fixed dose combination of Metformin + Gliclazide + Piogllitazone + Chromium Polynicotinate

Fixed dose combination of Metformin + Gliclazide + Chromium Polynicotinate

Fixed dose combination of Glibenclamide + Metformin (SR)+ Pioglitazone

Fixed dose combination of Metformin (Sustainded Release) 500mg + Pioglitazone 15 mg + Glimepiride 3mg

Fixed dose combination of Metformin (SR) 500mg + Pioglitazone 5mg

Fixed dose combination of Chloramphenicol + Beclomethasone + Clomitrimazole + Lignocaine

Fixed dose combination of Clotrimazole + Ofloxaxin + Lignocaine + Glycerine and Propylene Glycol

Fixed dose combination of Chloramphennicol + Lignocaine + Betamethasone + Clotrimazole + Ofloxacin + Antipyrine

Fixed dose combination of Ofloxacin + Clotrimazole + Betamethasone + Lignocaine

Fixed dose combination of Gentamicin Sulphate + Clotrimazole + Betamethasone + Lignocaine

Fixed dose combination of Clotrimazole + Beclomethasone + Ofloxacin + Lignocaine

Fixed dose combination of Becloemthasone + Clotrimazole + Chloramphenicol + Gentamycin + Lignocaine Ear drops

Fixed dose combination of Flunarizine + Paracetamole + Domperidone

Fixed dose combination of Rabeprazole + Zinc Carnosine

Fixed dose combination of Magaldrate + Famotidine + Simethicone

Fixed dose combination of Cyproheptadine + Thiamine

Fixed dose combination of Magaldrate + Ranitidine + Pancreatin + Domperidone

Fixed dose combination of Ranitidine + Magaldrate + Simethicone

Fixed dose combination of Magaldrate + Papain + Fungul Diastase + Simethicone

Fixed dose combination of Rabeprazole + Zinc + Domperidone

Fixed dose combination of Famotidine + Oxytacaine + Magaldrate

Fixed dose combination of Ranitidine + Domperidone + Simethicone

Fixed dose combination of Alginic Acid + Sodium Bicarbonate + Dried Aluminium Hydroxide + Magnesium Hydroxide

Fixed dose combination of Clidinium + Paracetamol + Dicyclomine + Activated Dimethicone

Fixed dose combination of Furazolidone + Metronidazole + Loperamide

Fixed dose combination of Rabeprazole + Diclofenac + Paracetamol

Fixed dose combination of Ranitidine + Magaldrate

Fixed dose combination of Norfloxacin + Metronidazole + Zinc Acetate

Fixed dose combination of Zinc Carnosine + Oxetacaine

Fixed dose combination of Oxetacaine + Magaldrate + Famotidine

Fixed dose combination of Pantoprazole (as Enteric Coated Tablet) + Zinc Carnosine (as Film Coated Tablets)

Fixed dose combination of Zinc Carnosine + Magnesium Hydroxide + Dried Aluminium Hydroxide + Simethicone

Fixed dose combination of Zinc Carnosine + Sucralfate

Fixed dose combination of Mebeverine and Inner HPMC capsule (Streptococcus Faecalis + Clostridium butyricum + Bacillus mesentricus + Lactic Acid Bacillus)

Fixed dose combination of Clindamycin + Clotrimazole + Lactic Acid Bacillus

Fixed dose combination of Sildenafil + Estradiol Valerate

Fixed dose combination of Clomifene Citrate + Ubidecarenone + Zinc + Folic Acid + Methylcobalamin + Pyridoxine + Lycopene + Selenium + Levocarnitine Tartrate + Arginine

Fixed dose combination of Thyroxine + Pyridoxine + Folic Acid

Fixed dose combination of Gentamycin + Dexamethasone + Chloramphenicol + Tobramycin + Ofloxacin

Fixed dose combination of Dextromethorphan + Levocetirizine + Phenylephrine + Zinc

Fixed dose combination of Nimesulide + Loratadine + Phenylephrine + Ambroxol

Fixed dose combination of Bromhexine + Phenylephrine + Chlorepheniramine Maleate

Fixed dose combination of Dextromethorphan + Bromhexine + Guaiphenesin

Fixed dose combination of Paracetamol + Loratadine + Phenylephrine + Dextromethorphan + Caffeine

Fixed dose combination of Nimesulide + Phenylephrine + Caffeine + Levocetirizine

Fixed dose combination of Azithromycin + Acebrophylline

Fixed dose combination of Diphenhydramine + Terpine + Ammonium Chloride + Sodium Chloride + Menthol

Fixed dose combination of Nimesulide + Paracetamol + Cetirizine + Phenylephrine

Fixed dose combination of Paracetamol + Loratadine + Dextromethophan + Pseudoepheridine + Caffeine

Fixed dose combination of Chlorpheniramine Maleate + Dextromethorphan + Dextromethophan + Guaiphenesin +Ammonium Chloride + Menthol

Fixed dose combination of Chlorpheniramine Maleate + Ammonium Chloride + Sodium Citrate

Fixed dose combination of Cetirizine + Phenylephrine + Paracetamol + Zinc Gluconate

Fixed dose combination of Ambroxol + Guaiphenesin + Ammonium Chloride + Phenylephrine + Chlorpheniramine Maleate + Menthol

Fixed dose combination of Dextromethorphen + Bromhexine + Chlorpheniramine Maleate + Guaiphenesin

Fixed dose combination of Levocetirizine + Ambroxol + Phenylephrine + Guaiphenesin

Fixed dose combination of Dextromethorphan + Chlorpheniramine + Chlorpheniramine Maleate

Fixed dose combination of Cetirizine + Ambroxol + Guaiphenesin + Ammonium Chloride + Phenylephrine + Menthol

Fixed dose combination of Chlorpheniramine + Phenylephrine + Caffeine

Fixed dose combination of Dextromethorphan + Triprolidine + Phenylephrine

Fixed dose combination of Terpinhydrate + Dextromethorphan + Menthol

Fixed dose combination of Dextromethorphan + Phenylephrine + Zinc Gluconate + Menthol

Fixed dose combination of Chlorpheniramine + Codeine + Sodium Citrate + Menthol Syrup

Fixed dose combination of Enrofloxacin + Bromhexin

Fixed dose combination of Bromhexine + Dextromethorphan + Phenylephrine + Menthol

Fixed dose combination of Levofloxacin + Bromhexine

Fixed dose combination of Levocetirizine + Ranitidine

Fixed dose combination of Levocetirizine + Phenylephrine + Ambroxol + Guaiphenesin + Paracetamol

Fixed dose combination of Cetirizine + Dextromethorphan + Phenylephrine + Zinc Gluconate + Paracetamol + Menthol

Fixed dose combination of Paracetamol + Pseudoephedrine + Dextromethorphan + Cetirizine

Fixed dose combination of Diphenhydramine + Guaiphenesin + Ammonium Chloride + Bromhexine

Fixed dose combination of Chlorpheniramine + Dextromethorphan + Phenylephrine + Paracetamol

Fixed dose combination of Dextromethorphen + Promethazine

Fixed dose combination of Diethylcabamazine Citrate + Cetirizine + Guaiphenesin

Fixed dose combination of Pseudoephedrine + Dextromethorphan + Cetirizine

Fixed dose combination of Chlorpheniramine + Phenylephrine + Dextromethophan + Menthol

Fixed dose combination of Ambroxol + Terbutaline + Dextromethorphan

Fixed dose combination of Dextromethorphan + Chlorpheniramine + Guaiphenesin

Fixed dose combination of Terbutaline + Bromhexine + Guaiphenesin + Dextromethorphan

Fixed dose combination of Dextromethorphan + Tripolidine + Phenylephirine

Fixed dose combination of Paracetamol + Dextromethorphan + Chlorpheniramine

Fixed dose combination of Pholcodine + Phenylephrine + Promethazine

Fixed dose combination of Codeine + Levocetirizine + Menthol

Fixed dose combination of Dextromethorphan + Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine

Fixed dose combination of Cetirizine + Phenylephrine + Dextromethorphan + Menthol

Fixed dose combination of Roxithromycin + Serratiopeptidase

Fixed dose combination of Paracetamol + Phenylephrine + Triprolidine

Fixed dose combination of Acetaminophen + Loratadine + Ambroxol + Phenylephrine

Fixed dose combination of Cetirizine + Acetaminophen + Dextromethorphan + Phenyephrine + Zinc Gluconate

Fixed dose combination of Diphenhydramine + Guaifenesin + Bromhexine + Ammonium Chloride + Menthol

Fixed dose combination of Chlopheniramine Maleate + Codeine Syrup

Fixed dose combination of Cetirizine + Dextromethorphan + Zinc Gluconate + Menthol

Fixed dose combination of Paracetamol + Phenylephrine + Desloratadine + Zinc Gluconate + Ambroxol

Fixed dose combination of Levocetirizine + Montelukast + Acebrophylline

Fixed dose combination of Dextromethorphan + Phenylephrine + Ammonium Chloride + Menthol

Fixed dose combination of Dextromethorphan + Bromhexine + Guaiphenesin + Menthol

Fixed dose combination of Acrivastine + Paracetamol + Caffeine + Phenylephrine

Fixed dose combination of Naphazoline + Carboxy Methyl Cellulose + Menthol + Camphor + Phenylephrine

Fixed dose combination of Dextromethorphan + Cetirizine

Fixed dose combination of Nimesulide + Paracetamol + Levocetirizine + Phenylephrine + Caffeine

Fixed dose combination of Terbutaline + Ambroxol + Guaiphenesin + Zinc + Menthol

Fixed dose combination of Codeine + Chlorpheniramine + Alcohol Syrup

Fixed dose combination of Dextromethorphan + Phenylephrine + Guaifenesin + Triprolidine

Fixed dose combination of Ammomium Chloride + Bromhexine + Dextromethorphan

Fixed dose combination of Diethylcarbamazine + Cetirizine + Ambroxol

Fixed dose combination of Ethylmorphine + Noscapine + Chlorpheniramine

Fixed dose combination of Cetirizine + Dextromethorphan + Ambroxol

Fixed dose combination of Bromhexine + Dextromethorphan + Ammonium Chloride + Menthol

Fixed dose combination of Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine

Fixed dose combination of Paracetamol + Phenylephrine + Chlorpheniramine + Zinc Gluconate

Fixed dose combination of Dextromethorphan + Phenylephrine + Cetirizine + Paracetamol + Caffeine

Fixed dose combination of Dextromethophan + Chlorpheniramine + Guaifenesin + Ammonium Chloride

Fixed dose combination of Levocetirizine + Dextromethorphan + Zinc

Fixed dose combination of Paracetamol + Phenylephrine + Levocetirizine + Caffeine

Fixed dose combination of Chlorphaniramine + Ammonium Chloride + Sodium Chloride

Fixed dose combination of Paracetamol + Dextromethorphan + Bromhexine + Phenylephrine + Diphenhydramine

Fixed dose combination of Salbutamol + Bromhexine + Guaiphenesin + Menthol

Fixed dose combination of Chlorpheniramine + Ammonium Chloride + Noscapine + Sodium Citrate

Fixed dose combination of Cetirizine + Dextromethorphan + Bromhexine + Guaifenesin

Fixed dose combination of Diethyl Carbamazine + Chlorpheniramine + Guaifenesin

Fixed dose combination of Ketotifen + Cetirizine

Fixed dose combination of Terbutaline + Bromhexine + Etofylline

Fixed dose combination of Ketotifen + Theophylline

Fixed dose combination of Ambroxol + Salbutamol + Theophylline

Fixed dose combination of Cetririzine + Nimesulide + Phenylephrine

Fixed dose combination of Chlorpheniramine + Phenylephrine + Paracetamol + Zink Gluconate

Fixed dose combination of Acetaminophen + Guaifenesin + Dextromethorphan + Chlorpheniramine

Fixed dose combination of Cetirizine + Dextromethorphan + Phenylephrine + Tulsi

Fixed dose combination of Cetirizine + Phenylephrine + Paracetamol + Ambroxol + Caffeine

Fixed dose combination of Guaifenesin + Dextromethorphan

Fixed dose combination of Levocetirizine + Paracetamol + Phenylephirine + Caffeine

Fixed dose combination of Caffeine + Paracetamol + Phenylephrine + Chlorpheniramine

Fixed dose combination of Ketotifen + Levocetrizine

Fixed dose combination of Paracetamol + Levocetirizine + Phenylephirine + Zink Gluconate

Fixed dose combination of Paracetamol + Phenylephrine + Triprolidine + Caffeine

Fixed dose combination of Caffeine + Paracetamol + Phenylephrine + Cetirizine

Fixed dose combination of Caffeine + Paracetamol + Chlorpheniramine

Fixed dose combination of Ammonium Chloride + Dextromethorphan + Cetirizine + Menthol

Fixed dose combination of Dextromethorphan + Paracetamol + Cetirizine + Phenylephrine

Fixed dose combination of Chlorpheniramine + Terpin + Antimony Potassium Tartrate + Ammonium Chloride + Sodium Citrate + Menthol

Fixed dose combination of Terbutaline + Etofylline + Ambroxol

Fixed dose combination of Paracetamol + Codeine + Chlorpheniramine

Fixed dose combination of Paracetamol+Pseudoephedrine+Certirizine+Caffeine

Fixed dose combination of Chlorpheniramine+Ammonium Chloride + Menthol

Fixed dose combination of N-Acetyl Cysteine + Ambroxol + Phenylephrine + Levocertirizine

Fixed dose combination of Dextromethorphan + Phenylephrine + Tripolidine + Menthol

Fixed dose combination of Salbutamol + Certirizine + Ambroxol

Fixed dose combination of Dextromethorphan + Phenylephrine + Bromhexine + Guaifenesin + Chlorpheniramine

Fixed dose combination of Nimesulide + Certirizine + Phenylephrine

Fixed dose combination of Naphazoline + Chlorpheniramine + Zinc Sulphate + Boric Acid + Sodium Chloride + Chlorobutol

Fixed dose combination of Paracetamol + Bromhexine + Phenylephrine + Chlorpheniramine + Guaifenesin

Fixed dose combination of Salbutamol + Bromhexine

Fixed dose combination of Dextromethorphan + Phenylephrine + Guaifenesin + Certirizine + Acetaminophen

Fixed dose combination of Guaifenesin + Bromhexine + Chlorpheniramine + Paracetamol

Fixed dose combination of Chlorpheniramine + Ammonium Chloride + Chloroform + Menthol

Fixed dose combination of Salbutamol + Choline Theophylinate + Ambroxol

Fixed dose combination of Chlorpheniramine + Codeine Phosphate + Menthol Syrup

Fixed dose combination of Pseudoephedrine + Bromhexine

Fixed dose combination of Certirizine + Phenylephrine + Paracetamol + Caffeine + Nimesulide

Fixed dose combination of Dextromethorphan + Cetirizine + Guaifenesin + Ammonium Chloride

Fixed dose combination of Ambroxol + Salbutamol + Choline Theophyllinate + Menthol

Fixed dose combination of Paracetamol + Chlorpheniramine + Ambroxol + Guaifenesin + Phenylephrine

Fixed dose combination of Chlorpheniramine + Vasaka + Tolubalsm + Ammonium Chloride + Sodium Citrate + Menthol

Fixed dose combination of Bromhexine + Cetrizine + Phenylephrine IP+Guaifenesin + Menthol

Fixed dose combination of Dextromethorphan + Ambroxol + Ammonium Chloride + Chlorpheniramine + Menthol

Fixed dose combination of Dextromethorphan + Phenylephrine + Cetirizine + Zinc + Menthol

Fixed dose combination of Terbutaline + N-Acetyl L-Cysteine + Guaifenesin

Fixed dose combination of Calcium Gluconate + Levocetirizine

Fixed dose combination of Paracetamol + Levocetirizine + Pseudoephedrine

Fixed dose combination of Salbutamol + Choline Theophylinate + Carbocisteine

Fixed dose combination of Chlorpheniramine + Vitamin C

Fixed dose combination of Calcium Gluconate + Chlorpheniramine + Vitamin C

Fixed dose combination of Chlorpheniramine + Paracetamol + Pseudoephedrine + Caffeine

Fixed dose combination of Guaifenesin + Bromhexine + Chlorpheniramine + Phenylephrine + Paracetamol + Serratiopeptidase (as enteric coated granules) 10000 SP Units

Fixed dose combination of Paracetamol + Pheniramine

Fixed dose combination of Betamethasone + Fusidic Acid + Gentamycin + Tolnaftate + lodochlorhydroxyquinoline(ICHQ)

Fixed dose combination of Clobetasol + Ofloxacin + Miconazole + Zinc Sulphate

Fixed dose combination of Clobetasole + Gentamicin + Miconazole + Zinc Sulphate

Fixed dose combination of Levocetirizine + Ambroxol + Phenylephrine + Paracetamol

Fixed dose combination of Permethrin + Cetrimide + Menthol

Fixed dose combination of Beclomethasone + Clotimazole + Neomycin + iodo-chlorohydroxyquinone

Fixed dose combination of Neomycin + Doxycycline

Fixed dose combination of Ciprofloxacin + Fluocinolone + Clotrimazole + Neomycin + Chlorocresol

Fixed dose combination of Clobetasol + Ofloxacin + Ketoconazol + Zinc Sulphate

Fixed dose combination of Betamethasone + Gentamicin + Tolnaftate + lodo-chlorhydroxyquinoline

Fixed dose combination of Clobetasol + Gentamicin + Tolnaftate + lodochlorhydroxyquinone + Ketoconazole

Fixed dose combination of Allantoin + Dimethieone + Urea + Propylene + Glycerin + Liquid Paraffin

Fixed dose combination of Acriflavine + Thymol + Cetrimide

Fixed dose combination of Betamethasone + Neomycin + Tolnaftate + lodo-chlorohydroxyquinoline + Cholorocresol

Fixed dose combination of Clobetasol + Neomycin + Miconazole + Clotrimazole

Fixed dose combination of Ketoconazole + Tea Tree oil + Allantion + Zinc Oxide + Aloe Vera + Jojoba oil + Lavander oil + Soanoodels

Fixed dose combination of Clobetasol Propionate + Ofloxacin + Ornidazole + Terbinafine

Fixed dose combination of Clobetasol + Neomycin + Miconazole + Zinc Sulphate

Fixed dose combination of BeclomethasoneDiproprionate + Neomycin + Tolnaftate + lodochlorhydroxyquinoline + Chlorocresol

Fixed dose combination of Betamethasone + Gentamycin + Zinc Sulphate + Clotrimoazole + Chlorocresol

Fixed dose combination of Borax + Boric Acid + Naphazoline + Menthol + Camphor + Methyl Hydroxy Benzoate

Fixed dose combination of Bromhexine + Dextromethorphan

Fixed dose combination of Dextromethophan + Chlopheniramine + Bromhexine

Fixed dose combination of Menthol + Anesthetic Ether

Fixed dose combination of Dextrometharphan + Chlopheniramine + Ammonium + Sodium Citrate + Menthol

Fixed dose combination of Ergotamine Tartrate + Belladona Dry Extract+Caffeine + Paracetamol

Fixed dose combination of Phenytoin + Phenobarbitone

Fixed dose combination of Gliclazide 40mg + Metformin 400mg

Fixed dose combination of Paracetamol + Ambroxol + Phenylephrine + Chlorpheniramine

Fixed dose combination of Oflaxacin + Ornidazole Suspension

Fixed dose combination of Albuterol + Etofylline + Bromhexine + Menthol

Fixed dose combination of Albuterol + Bromhexine + Theophylline

Fixed dose combination of Salbutamol+Hydroxyethyltheophylline (Etofylline) + Bromhexine

Fixed dose combination of Paracetamol+Phenylephrine+Levocetirizine+Sodium Citrate

Fixed dose combination of Paracetamol + Propyphenazone + Caffeine

Fixed dose combination of Guaifenesin + Diphenhydramine + Bromhexine + Phenylephrine

Fixed dose combination of Dried AlumniumHydroxie Gel + Prophantheline + Diazepam

Fixed dose combination of Bromhenxine + Phenylephrine + Chlorpheniramine + Paracetamol

Fixed dose combination of Beclomethasone + Clotrimazole + Gentamicin + lodo-chlorhydroxyquinoline

Fixed dose combination of Telmisartan + Metformin

Fixed dose combination of Ammonium Citrate + Vitamin B 12 + Folic Acid + Zinc Sulphate

Fixed dose combination of Levothyroxine + Phyridoxine + Nicotinamide

Fixed dose combination of Benfotiamine + Metformin

Fixed dose combination of Thyroid + Thiamine + Riboflavin + Phyridoxine + Calcium Pantothenate + Tocopheryl Acetate + Nicotinamide

Fixed dose combination of Ascorbic Acid + Manadione Sodium Bisulphate + Rutin + Dibasic Calcium Phosphate + Adrenochrome mono Semicarbazone

Fixed dose combination of Phenylephrine + Chlorpheniramine + Paracetamol + Bromhexine + Caffeine

Fixed dose combination of Clotrimazole + Beclomethasone + Lignocaine + Ofloxacin + Acetic Aicd + Sodium Methyl Paraben + Propyl Paraben15

 

REGULATION AND GUIDELINES:

Process of banning DRUGS in India is done by DTAB (Drug technical Advisory board) which is the indisputable authority on studied a ban. Drug controller commanding officer of India notifies all state drug substance authorities and manufacturer about the ban on the drug. At IPA we comprehend the problems faced by pharmacy professionals in accessing essence information in order to execute with the supervisory requirements. At home and in the kept controlled out-of-country markets. We have attempted to make simpler things for you by getting together the important Indian and between nations guidelines and rules in this part.3

 

CONCLUSION:

Many of us do not know about the banned drugs and use them regularly which causes long-term side effects in our physical health. The official first needs to lay down stringent laws and direct drug manufactures not to produce those. Drug controller of India approves or ban of any drug in India. If a drug is found to be savior harmful effects then government may issue the ban order and all manufacturers and wholesalers are asked not to sell that particular drug and doctors are said not to prescribe such drugs so that the manufacturers will stop manufacturing of such dangerous drugs. Awareness should be creation among physicians, health professionals and general public about the ADR of these drugs.

 

REFERENCE:

1.      Wikipedia. Available from: URL: https://en.wikipedia.org/wiki/Drug.

2.      Shaji J, Lodha S. Regulatory status of banned drugs in India. Indian Journal of Pharmaceutical Education and Research. 2010 Jan 1;44(1):86-94.

3.      Soni R, Singh V, Sharma GK, Dashora N, Dashora A. Awareness About Banned Drugs: A Review. Advance research in pharmaceuticals and biological. 2015; 5:853-855.

4.      Linked In. Available from: URL: https://www.slideshare.net/dipika005/banned-drugs-22738840.

5.      Raga KD, Gorantla N, Ahad HA, Pavan AR. Individual Drugs and the Reasons for Banning in India. International Journal of Chemistry and Pharmaceutical Science. 2014; 2:1338-1340.

6.      United Nations Educational, Scientific and Cultural Organization. Available from: URL: http://www.unesco.org/new/en/social-and-human-sciences/themes/anti-doping/youth-space/what-drugs-are-banned/.

7.      Gupta M, Ghom A, Debta FM, Vyas S, Deoghare A, Gupta P, Gupta S. Banned Drugs: Still Available in India. Journal of Indian Academy of Oral Medecine and Radiology. 2011; 23: S380-S381.

8.      The importance of pharmacovigilance safety monitoring of medicinal products. World Health Organization, 2002.

9.      Diwedi P. Regulatory Control on Banned Drug: A Review Article. Pharma Tutor. 2017;1-4.

10.   Lakshmi PK. Is there medicine management by the pharmacist. Pharmabiz.2003;77.

11.   Tiwary P, Rajshre. Role of Medicine Information in Promoting Rational Drug Use. Pharma Times. 2006; 38:20-22.

12.   Drug and Cosmetics Act. Available from: URL: http://www.drugscontrol.org/ban_drugs.htm.

13.   List of Drugs Prohibited for Manufacture and Sale through Gazette Notifications under Section 26A of Drugs and Cosmetics Act 1940 by The Ministry of Health and Family Welfare. Available from: URL: http://cdsco.nic.in/writereaddata/nndrugs%20banned%20in%20thed%20country.pdf.

14.   List of Banned Drugs in India. Available from: URL: http://cdsco.nic.in/html/drugsbanned.html.

15.   Complete list of 344 drugs banned by the Ministry of Health Family welfare. Available from: URL: https://www.nhp.gov.in/Complete-list-of-344-drugs-banned-by-the-Ministry-of-Health-Family-welfare_pg.

 

 

 

Received on 14.11.2018         Modified on 01.12.2018

Accepted on 29.12.2018       ©A&V Publications All right reserved

Res.  J. Pharma. Dosage Forms and Tech.2019; 10(2): 95-104.

DOI: 10.5958/0975-4377.2019.00015.6