Why did India ban 344 fixed dose combination drugs?

By Refadoc, Posted on : Tuesday, 22 March 2016 - 6:11 pm IST

Why did India ban 344 fixed dose combination drugs?

344 fixed dose combination drugs banned in India

In a giant move on March 11 2016, the Union Health Ministry of India banned the manufacturing and sale of 344 drugs within the country. All of these are fixed dose combination (FDC) drugs. Fixed dose combination drugs are basically composed of 2 or more drugs present in a single pill in a fixed dose.

Why did the ban ensue?

The entire list of which fixed dose combination drugs should be banned was drawn up on the basis of the recommendations of an expert committee of scientists set up to examine the unnecessary or harmful drugs on the market.

The rationale behind banning these drugs is basically that many of these FDCs have an unscientific basis and may give rise to unwanted side-effects in the person consuming them.

Rampant drug abuse of FDC drugs

Most of the banned combinations include the contents of cough syrups, combination antibiotics, anti-diabetic drugs and pain-killers. Many of these products were sold over the counter at pharmacies without a prescription. So it is quite fair to say that a lot of people ended up abusing these drugs without a thought as to whether their illness really demands their intake.

However minor one’s symptoms may seem, it is imperative to consult your physician rather than putting yourself at risk through self-medication.

Safety concerns regarding FDC drugs

Even though the efficacy and safety of the individual components of the banned fixed dose combination drugs has been tested, the combinations themselves have not been tested. There is concern regarding the therapeutic efficacy of these FDCs as well as their possible side effects. Even when a patient does develop an extreme side effect from an FDC, it often becomes impossible to pin-point the specific drug that caused it.

Legislation for fixed dose combination drugs

A policy drawn up in 1961 had made it mandatory for all FDCs to seek approval from the Central Drugs Standard Control Organisation (CDSCO) before entering market circulation. In spite of this ruling, most FDCs are being freely circulated in the market without approval from the CDSCO. Many drugs are being manufactured only with the state’s approval and not the Centre’s. This ban has also included all of these drugs.

The most popular banned drugs

Even though the number of drugs and combinations banned is close to 350, a few of them deserve special mention due to the sheer volume of their usage.

Nimesulide, which is banned in almost all developed countries of the world, was still used rampantly in India. The Union Health Ministry of India has finally banned several combinations of nimesulide owing to its possible side-effects.

Many fixed dose combination drugs containing antibiotics have been banned too. This has been done owing to the rising concern of antibiotic resistance amongst the population at large. A primary factor for developing antibiotic resistance is the irrational use of antibiotics. Many patients self-medicate antibiotics; and even doctors are known to prescribe antibiotics for illnesses where they have absolutely no role. Banning some of these drugs will go a long way in curtailing the injudicious use of antibiotics in our country.

A special mention goes to a combination of azithromycin and cefixime manufactured by Abbott pharmaceuticals. This combination was never sent to the central government for approval, but was yet being freely circulated in India. This combination has, in fact, been banned in most developed countries.

Another widely misused over the counter product is Corex cough syrup manufactured by pharmaceutical giant Pfizer. Corex comprises of a combination of Chlorpheniramine maleate and Codeine. This product has also been banned by the Union health ministry in its recent move.

Another banned fixed dose combination includes that of paracetamol, caffeine and phenylephrine. This is the exact content of Vicks Action 500 Extra manufactured by Procter & Gamble; resulting in the discontinuation of the said product.

The other side of the coin

Even though this blanket ban has found a lot of support from the physician clan, there are some who have opposed this move. Fixed dose combination drugs do have a host of benefits.

If the patient is suffering from 2 medical problems or is required to take 2 or more drugs for his symptoms, taking a single pill containing the required medications in the required dosage makes much more sense as opposed to taking a pill for every ill. FDCs thus help to achieve better patient compliance. A person is much more likely to remember taking 1 pill each day, as compared to 3.

Fixed dose combination drugs substantially bring down the cost of medication too. When you consume 2 or 3 different pills, you need to pay for the manufacturing, packaging and marketing of each of them as opposed to a single pill wherein you only pay for 1. Thus FDCs are cheaper for the patient as compared to buying several different pills. Especially in case of chronic problems, fixed dose combination drugs can result in a substantially lower drain on the patient’s finances.

The verdict is not out yet

Even though the ban is effective immediately, not everyone is happy with the decision. There are still takers for the efficacy of these fixed dose combination drugs. There is a strong possibility of the decision to ban these drugs being challenged.

Many pharmaceutical companies have approached the High Court in order to review the ban posed by the Central government. The Delhi HC has provided interim relief to the manufacturers until the next hearing. As of now, whether the ban is here to stay or not is still a question that hasn’t been answered.

List of the banned fixed dose combination drugs:

Here is a complete list of the fixed dose combination drugs banned the Union Health Ministry of India on the 11th of March, 2016.

  • Aceclenac + Paracetamol + Rabeprazole
  • Nimesulide + Diclenac
  • Nimesulide + Cetirizine + Caffeine
  • Nimesulide + Tizanidine
  • Paracetamol + Cetirizine + Caffeine
  • Diclenac + Tramadol + Chlorzoxazone
  • Dicyclomine + Paracetamol + Domperidone
  • Nimesulide + Paracetamol dispersible tablets
  • Paracetamol + Phenylephrine + Caffeine
  • Diclenac + Tramadol + Paracetamol
  • Diclenac + Paracetamol + Chlorzoxazone + Famotidine
  • Naproxen + Paracetamol
  • Nimesulide + Serratiopeptidase
  • Paracetamol + Diclenac + Famotidine
  • Nimesulide + Pitenone + Fenpiverinium + Benzyl Alcohol
  • Omeprazole + Paracetamol + Diclenac
  • Nimesulide + Paracetamol injection
  • Tamsulosin + Diclenac
  • Paracetamol + Phenylephrine + Chlorpheniramine + Dextromethorphan + Caffeine
  • Diclenac + Zinc Carnosine
  • Diclenac + Paracetamol + Chlorpheniramine Maleate + Magnesium Trisillicate
  • Paracetamol + Pseudoephedrine + Cetrizine
  • Phenylbutazone + Sodium Salicylate
  • Lornoxicam + Paracetamol + Trypsin
  • Paracetamol + Mefenamic Acid + Ranitidine + Dicyclomine
  • Nimesulide + Dicyclomine
  • Heparin + Diclenac
  • Glucosamine + Methyl Sulfonyl Methane + Vitamin D3 + Manganese + Boron + Copper + Zinc
  • Paracetamol + Tapentadol
  • Tranexamic Acid + Proanthocyanidin
  • Benzoxonium Chloride + Lidocaine
  • Lornoxicam + Paracetamol + Tramadol
  • Lornoxicam + Paracetamol + Serratiopeptidase
  • Diclenac + Paracetamol + Magnesium Trisilicate
  • Paracetamol + Domperidone + Caffeine
  • Ammonium Chloride + Sodium Citrate + Chlorpheniramine Maleate + Menthol
  • Paracetamol + Prochlorperazine Maleate
  • Serratiopeptidase + Diclenac Potassium & 2 tablets Doxycycline
  • Nimesulide + Paracetamol Suspension
  • Aceclenac + Paracetamol + Famotidine
  • Aceclenac + Zinc Carnosine
  • Paracetamol + Disodium Hydrogen Citrate + Caffeine
  • Paracetamol + DL Methionine
  • Disodium Hydrogen Citrate + Paracetamol
  • Paracetamol + Caffeine + Codeine
  • Aceclenac (SR) + Paracetamol
  • Diclenac + Paracetamol injection
  • Azithromycin + Cefixime
  • Amoxicillin + Dicloxacillin
  • Amoxicillin + Potassium Clavulanate
  • Azithromycin + Levloxacin
  • Cefixime + Linezolid
  • Amoxicillin + Cefixime + Potassium Clavulanic Acid
  • loxacin + Nitazoxanide
  • Cefpodoxime Proxetil + Levloxacin
  • Azithromycin, Secnidazole and Fluconazole
  • Levloxacin + Ornidazole + Alpha Tocopherol Acetate
  • Nimorazole + loxacin
  • Azithromycin + loxacin
  • Amoxycillin + Tinidazole
  • Doxycycline + Serratiopeptidase
  • Cefixime + Levloxacin
  • loxacin + Metronidazole + Zinc Acetate
  • Diphenoxylate + Atropine + Furazolidone
  • Fluconazole + Azithromycin + Ornidazole
  • Ciprloxacin + Phenazopyridine
  • Amoxycillin + Dicloxacillin + Serratiopeptidase
  • Azithromycin + Cefpodoxime
  • Lignocaine + Clotrimazole + loxacin + Beclomethasone
  • Cefuroxime + Linezolid
  • Loxacin + Ornidazole + Zinc Bisglycinate
  • Metronidazole + Norfloxacin
  • Amoxicillin + Bromhexine
  • Ciprloxacin + Fluticasone + Clotrimazole + Neomycin
  • Metronidazole + Tetracycline
  • Cephalexin + Neomycin + Prednisolone
  • Azithromycin + Ambroxol
  • Cilnidipine + Metoprolol Succinate + Metoprolol Tartrate
  • L-Arginine + Sildenafil
  • Atorvastatin + Vitamin D3 + Folic Acid + Vitamin B12 + Pyridoxine
  • Metformin + Atorvastatin
  • Clindamycin + Telmisartan
  • Olmesartan + Hydrochlorothiazide + Chlorthalidone
  • L-5-Methyltetrahydrolate Calcium + Escitalopram i
  • Pholcodine + Promethazine
  • Paracetamol + Promethazine
  • Betahistine + Ginkgo Biloba Extract + Vinpocetine + Piracetam
  • Cetirizine + Diethyl Carbamazine
  • Doxylamine + Pyridoxine + Mefenamic Acid + Paracetamol
  • Drotaverine + Clidinium + Chlordiazepoxide
  • Imipramine + Diazepam
  • Flupentixol + Escitalopram
  • Paracetamol + Prochloperazine
  • Gabapentin + Mecobalamin + Pyridoxine + Thiamine
  • Imipramine + Chlordiazepoxide + Trifluoperazine + Trihexyphenidyl
  • Chlorpromazine + Trihexyphenidyl
  • Ursodeoxycholic Acid + Silymarin
  • Metformin + Pioglitazone + Glimepiride
  • Gliclazide + Metformin
  • Voglibose+ Metformin + Chromium Picolinate
  • Pioglitazone + Metformin
  • Glimepiride + Pioglitazone + Metformin
  • Glimepiride + Pioglitazone + Metformin
  • Metformin + Pioglitazone + Glimepiride
  • Metformin + Pioglitazone + Glimepiride
  • Metformin +Gliclazide SR + Pioglitazone
  • Voglibose + Pioglitazone + Metformin
  • Metformin + Bromocriptine
  • Metformin + Glimepiride + Methylcobalamin
  • Pioglitazone + Metformin
  • Glimepiride + Pioglitazone + Metformin
  • Glipizide + Metformin
  • Pioglitazone + Metformin
  • Metformin ER + Gliclazide MR + Voglibose
  • Chromium Polynicotinate + Metformin
  • Metformin + Gliclazide + Piogllitazone + Chromium Polynicotinate
  • Metformin + Gliclazide + Chromium Polynicotinate
  • Glibenclamide + Metformin + Pioglitazone
  • Metformin + Pioglitazone + Glimepiride
  • Metformin + Pioglitazone
  • Chloramphenicol + Beclomethasone + Clomitrimazole + Lignocaine
  • Clotrimazole + Loxaxin + Lignocaine + Glycerine and Propylene Glycol
  • Chloramphennicol + Lignocaine + Betamethasone + Clotrimazole + loxacin + Antipyrine
  • Loxacin + Clotrimazole + Betamethasone + Lignocaine
  • Gentamicin Sulphate + Clotrimazole + Betamethasone + Lignocaine
  • Clotrimazole + Beclomethasone + loxacin + Lignocaine
  • Becloemthasone + Clotrimazole + Chloramphenicol + Gentamycin + Lignocaine Ear drops
  • Flunarizine + Paracetamole + Domperidone
  • Rabeprazole + Zinc Carnosine
  • Magaldrate + Famotidine + Simethicone
  • Cyproheptadine + Thiamine
  • Magaldrate + Ranitidine + Pancreatin + Domperidone
  • Ranitidine + Magaldrate + Simethicone
  • Magaldrate + Papain + Fungul Diastase + Simethicone
  • Rabeprazole + Zinc + Domperidone
  • Famotidine + Oxytacaine + Magaldrate
  • Ranitidine + Domperidone + Simethicone
  • Alginic Acid + Sodium Bicarbonate + Dried Aluminium Hydroxide + Magnesium Hydroxide
  • Clidinium + Paracetamol + Dicyclomine + Activated Dimethicone
  • Furazolidone + Metronidazole + Loperamide
  • Rabeprazole + Diclenac + Paracetamol
  • Ranitidine + Magaldrate
  • Norfloxacin + Metronidazole + Zinc Acetate
  • Zinc Carnosine + Oxetacaine
  • Oxetacaine + Magaldrate + Famotidine
  • Pantoprazole + Zinc Carnosine
  • Zinc Carnosine + Magnesium Hydroxide + Dried Aluminium Hydroxide + Simethicone
  • Zinc Carnosine + Sucralfate
  • Mebeverine & Inner HPMC capsule (Streptococcus Faecalis + Clostridium butyricum + Bacillus mesentricus + Lactic Acid Bacillus)
  • Clindamycin + Clotrimazole + Lactic Acid Bacillus
  • Sildenafil + Estradiol Valerate
  • Clomifene Citrate + Ubidecarenone + Zinc + Folic Acid + Methylcobalamin + Pyridoxine + Lycopene + Selenium + Levocarnitine Tartrate + L-Arginine
  • Thyroxine + Pyridoxine + Folic Acid
  • Gentamycin + Dexamethasone + Chloramphenicol + Tobramycin + loxacin
  • Dextromethorphan + Levocetirizine + Phenylephrine + Zinc
  • Nimesulide + Loratadine + Phenylephrine + Ambroxol
  • Bromhexine + Phenylephrine + Chlorepheniramine Maleate
  • Dextromethorphan + Bromhexine + Guaiphenesin
  • Paracetamol + Loratadine + Phenylephrine + Dextromethorphan + Caffeine
  • Nimesulide + Phenylephrine + Caffeine + Levocetirizine
  • Azithromycin + Acebrophylline
  • Diphenhydramine + Terpine + Ammonium Chloride + Sodium Chloride + Menthol
  • Nimesulide + Paracetamol + Cetirizine + Phenylephrine
  • Paracetamol + Loratadine + Dextromethophan + Pseudoepheridine + Caffeine
  • Chlorpheniramine Maleate + Dextromethorphan + Dextromethophan + Guaiphenesin + Ammonium Chloride + Menthol
  • Chlorpheniramine Maleate + Ammonium Chloride + Sodium Citrate
  • Cetirizine + Phenylephrine + Paracetamol + Zinc Gluconate
  • Ambroxol + Guaiphenesin + Ammonium Chloride + Phenylephrine + Chlorpheniramine Maleate + Menthol
  • Dextromethorphen + Bromhexine + Chlorpheniramine Maleate + Guaiphenesin
  • Levocetirizine + Ambroxol + Phenylephrine + Guaiphenesin
  • Dextromethorphan + Chlorpheniramine + Chlorpheniramine Maleate
  • Cetirizine + Ambroxol + Guaiphenesin + Ammonium Chloride + Phenylephrine + Menthol
  • Chlorpheniramine + Phenylephrine + Caffeine
  • Dextromethorphan + Triprolidine + Phenylephrine
  • Terpinhydrate + Dextromethorphan + Menthol
  • Dextromethorphan + Phenylephrine + Zinc Gluconate + Menthol
  • Chlorpheniramine + Codeine + Sodium Citrate + Menthol Syrup
  • Enrloxacin + Bromhexin
  • Bromhexine + Dextromethorphan + Phenylephrine + Menthol
  • Levloxacin + Bromhexine
  • Levocetirizine + Ranitidine
  • Levocetirizine + Phenylephrine + Ambroxol + Guaiphenesin + Paracetamol
  • Cetirizine + Dextromethorphan + Phenylephrine + Zinc Gluconate + Paracetamol + Menthol
  • Paracetamol + Pseudoephedrine + Dextromethorphan + Cetirizine
  • Diphenhydramine + Guaiphenesin + Ammonium Chloride + Bromhexine
  • Chlorpheniramine + Dextromethorphan + Phenylephrine + Paracetamol
  • Dextromethorphen + Promethazine
  • Diethylcabamazine Citrate + Cetirizine + Guaiphenesin
  • Pseudoephedrine + Dextromethorphan + Cetirizine
  • Chlorpheniramine + Phenylephrine + Dextromethophan + Menthol
  • Ambroxol + Terbutaline + Dextromethorphan
  • Dextromethorphan + Chlorpheniramine + Guaiphenesin
  • Terbutaline + Bromhexine + Guaiphenesin + Dextromethorphan
  • Dextromethorphan + Tripolidine + Phenylephirine
  • Paracetamol + Dextromethorphan + Chlorpheniramine
  • Pholcodine + Phenylephrine + Promethazine
  • Codeine + Levocetirizine + Menthol
  • Dextromethorphan + Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine
  • Cetirizine + Phenylephrine + Dextromethorphan + Menthol
  • Roxithromycin + Serratiopeptidase
  • Paracetamol + Phenylephrine + Triprolidine
  • Acetaminophen + Loratadine + Ambroxol + Phenylephrine
  • Cetirizine + Acetaminophen + Dextromethorphan + Phenyephrine + Zinc Gluconate
  • Diphenhydramine + Guaifenesin + Bromhexine + Ammonium Chloride + Menthol
  • Chlopheniramine Maleate + Codeine Syrup
  • Cetirizine + Dextromethorphan + Zinc Gluconate + Menthol
  • Paracetamol + Phenylephrine + Desloratadine + Zinc Gluconate + Ambroxol
  • Levocetirizine + Montelukast + Acebrophylline
  • Dextromethorphan + Phenylephrine + Ammonium Chloride + Menthol
  • Dextromethorphan + Bromhexine + Guaiphenesin + Menthol
  • Acrivastine + Paracetamol + Caffeine + Phenylephrine
  • Naphazoline + Carboxy Methyl Cellulose + Menthol + Camphor + Phenylephrine
  • Dextromethorphan + Cetirizine
  • Nimesulide + Paracetamol + Levocetirizine + Phenylephrine + Caffeine
  • Terbutaline + Ambroxol + Guaiphenesin + Zinc + Menthol
  • Codeine + Chlorpheniramine + Alcohol Syrup
  • Dextromethorphan + Phenylephrine + Guaifenesin + Triprolidine
  • Ammomium Chloride + Bromhexine + Dextromethorphan
  • Diethylcarbamazine + Cetirizine + Ambroxol
  • Ethylmorphine + Noscapine + Chlorpheniramine
  • Cetirizine + Dextromethorphan + Ambroxol
  • Bromhexine + Dextromethorphan + Ammonium Chloride + Menthol
  • Ambroxol + Guaifenesin + Phenylephrine + Chlorpheniramine
  • Paracetamol + Phenylephrine + Chlorpheniramine + Zinc Gluconate
  • Dextromethorphan + Phenylephrine + Cetirizine + Paracetamol + Caffeine
  • Dextromethophan + Chlorpheniramine + Guaifenesin + Ammonium Chloride
  • Levocetirizine + Dextromethorphan + Zinc
  • Paracetamol + Phenylephrine + Levocetirizine + Caffeine
  • Chlorphaniramine + Ammonium Chloride + Sodium Chloride
  • Paracetamol + Dextromethorphan + Bromhexine + Phenylephrine + Diphenhydramine
  • Salbutamol + Bromhexine + Guaiphenesin + Menthol
  • Chlorpheniramine + Ammonium Chloride + Noscapine + Sodium Citrate
  • Cetirizine + Dextromethorphan + Bromhexine + Guaifenesin
  • Diethyl Carbamazine + Chlorpheniramine + Guaifenesin
  • Ketotifen + Cetirizine
  • Terbutaline + Bromhexine + Etylline
  • Ketotifen + Theophylline
  • Ambroxol + Salbutamol + Theophylline
  • Cetririzine + Nimesulide + Phenylephrine
  • Chlorpheniramine + Phenylephrine + Paracetamol + Zink Gluconate
  • Acetaminophen + Guaifenesin + Dextromethorphan + Chlorpheniramine
  • Cetirizine + Dextromethorphan + Phenylephrine + Tulsi
  • Cetirizine + Phenylephrine + Paracetamol + Ambroxol + Caffeine
  • Guaifenesin + Dextromethorphan
  • Levocetirizine + Paracetamol + Phenylephirine + Caffeine
  • Caffeine + Paracetamol + Phenylephrine + Chlorpheniramine
  • Ketotifen + Levocetrizine
  • Paracetamol + Levocetirizine + Phenylephirine + Zink Gluconate
  • Paracetamol + Phenylephrine + Triprolidine + Caffeine
  • Caffeine + Paracetamol + Phenylephrine + Cetirizine
  • Caffeine + Paracetamol + Chlorpheniramine
  • Ammonium Chloride + Dextromethorphan + Cetirizine + Menthol
  • Dextromethorphan + Paracetamol + Cetirizine + Phenylephrine
  • Chlorpheniramine + Terpin + Antimony Potassium Tartrate + Ammonium Chloride + Sodium Citrate + Menthol
  • Terbutaline + Etylline + Ambroxol
  • Paracetamol + Codeine + Chlorpheniramine
  • Paracetamol+Pseudoephedrine+Certirizine+Caffeine
  • Chlorpheniramine+Ammonium Chloride + Menthol
  • N-Acetyl Cysteine + Ambroxol + Phenylephrine + Levocertirizine
  • Dextromethorphan + Phenylephrine + Tripolidine + Menthol
  • Salbutamol + Certirizine + Ambroxol
  • Dextromethorphan + Phenylephrine + Bromhexine + Guaifenesin + Chlorpheniramine
  • Nimesulide + Certirizine + Phenylephrine
  • Naphazoline + Chlorpheniramine + Zinc Sulphate + Boric Acid + Sodium Chloride + Chlorobutol
  • Paracetamol + Bromhexine + Phenylephrine + Chlorpheniramine + Guaifenesin
  • Salbutamol + Bromhexine
  • Dextromethorphan + Phenylephrine + Guaifenesin + Certirizine + Acetaminophen
  • Guaifenesin + Bromhexine + Chlorpheniramine + Paracetamol
  • Chlorpheniramine + Ammonium Chloride + Chlororm + Menthol
  • Salbutamol + Choline Theophylinate + Ambroxol
  • Chlorpheniramine + Codeine Phosphate + Menthol Syrup
  • Pseudoephedrine + Bromhexine
  • Certirizine + Phenylephrine + Paracetamol + Caffeine + Nimesulide
  • Dextromethorphan + Cetirizine + Guaifenesin + Ammonium Chloride
  • Ambroxol + Salbutamol + Choline Theophyllinate + Menthol
  • Paracetamol + Chlorpheniramine + Ambroxol + Guaifenesin + Phenylephrine
  • Chlorpheniramine + Vasaka + Tolubalsm + Ammonium Chloride + Sodium Citrate + Menthol
  • Bromhexine + Cetrizine + Phenylephrine IP+Guaifenesin + Menthol
  • Dextromethorphan + Ambroxol + Ammonium Chloride + Chlorpheniramine + Menthol
  • Dextromethorphan + Phenylephrine + Cetirizine + Zinc + Menthol
  • Terbutaline + N-Acetyl L-Cysteine + Guaifenesin
  • Calcium Gluconate + Levocetirizine
  • Paracetamol + Levocetirizine + Pseudoephedrine
  • Salbutamol + Choline Theophylinate + Carbocisteine
  • Chlorpheniramine + Vitamin C
  • Calcium Gluconate + Chlorpheniramine + Vitamin C
  • Chlorpheniramine + Paracetamol + Pseudoephedrine + Caffeine
  • Guaifenesin + Bromhexine + Chlorpheniramine + Phenylephrine + Paracetamol + Serratiopeptidase
  • Paracetamol + Pheniramine
  • Betamethasone + Fusidic Acid + Gentamycin + Tolnaftate + lodochlorhydroxyquinoline
  • Clobetasol + loxacin + Miconazole + Zinc Sulphate
  • Clobetasole + Gentamicin + Miconazole + Zinc Sulphate
  • Levocetirizine + Ambroxol + Phenylephrine + Paracetamol
  • Permethrin + Cetrimide + Menthol
  • Beclomethasone + Clotimazole + Neomycin + lodochlorohydroxyquinone
  • Neomycin + Doxycycline
  • Ciprloxacin + Fluocinolone + Clotrimazole + Neomycin + Chlorocresol
  • Clobetasol + loxacin + Ketoconazol + Zinc Sulphate
  • Betamethasone + Gentamicin + Tolnaftate + lodochlorhydroxyquinoline
  • Clobetasol + Gentamicin + Tolnaftate + lodochlorhydroxyquinone + Ketoconazole
  • Allantoin + Dimethieone + Urea + Propylene + Glycerin + Liquid Paraffin
  • Acriflavine + Thymol + Cetrimide
  • Betamethasone + Neomycin + Tolnaftate + lodochlorohydroxyquinoline + Cholorocresol Clobetasol + Neomycin + Miconazole + Clotrimazole
  • Ketoconazole + Tea Tree oil + Allantion + Zinc Oxide + Aloe Vera + Jojoba oil + Lavander oil + Soa noodels
  • Clobetasol Propionate + loxacin + Ornidazole + Terbinafine
  • Clobetasol + Neomycin + Miconazole + Zinc Sulphate
  • Beclomethasone Diproprionate + Neomycin + Tolnaftate + lodochlorhydroxyquinoline + Chlorocresol
  • Betamethasone + Gentamycin + Zinc Sulphate + Clotrimoazole + Chlorocresol
  • Borax + Boric Acid + Naphazoline + Menthol + Camphor + Methyl Hydroxy Benzoate
  • Bromhexine + Dextromethorphan
  • Dextromethophan + Chlopheniramine + Bromhexine
  • Menthol + Anesthetic Ether
  • Dextrometharphan + Chlopheniramine + Ammonium + Sodium Citrate + Menthol
  • Ergotamine Tartrate + Belladona Dry Extract + Caffeine + Paracetamol
  • Phenytoin + Phenobarbitone
  • Gliclazide + Metformin
  • Paracetamol + Ambroxol + Phenylephrine + Chlorpheniramine
  • Laxacin + Ornidazole Suspension
  • Albuterol + Etylline + Bromhexine + Menthol
  • Albuterol + Bromhexine + Theophylline
  • Salbutamol + Hydroxyethyltheophylline + Bromhexine
  • Paracetamol+ Phenylephrine+ Levocetirizine+ Sodium Citrate
  • Paracetamol + Propyphenazone + Caffeine
  • Guaifenesin + Diphenhydramine + Bromhexine + Phenylephrine
  • Dried Alumnium Hydroxie Gel + Prophantheline + Diazepam
  • Bromhenxine + Phenylephrine + Chlorpheniramine + Paracetamol
  • Beclomethasone + Clotrimazole + Gentamicin + lodochlorhydroxyquinoline
  • Telmisartan + Metformin
  • Ammonium Citrate + Vitamin B 12 + Folic Acid + Zinc Sulphate
  • Levothyroxine + Phyridoxine + Nicotinamide
  • Benfotiamine + Metformin
  • Thyroid + Thiamine + Riblavin + Phyridoxine + Calcium Pantothenate + Tocopheryl Acetate + Nicotinamide
  • Ascorbic Acid + Manadione Sodium Bisulphate + Rutin + Dibasic Calcium Phosphate + Adrenochrome mono Semicarbazone
  • Phenylephrine + Chlorpheniramine + Paracetamol + Bromhexine + Caffeine
  • Clotrimazole + Beclomethasone + Lignocaine + loxacin + Acetic Acid + Sodium Methyl Paraben + Propyl Paraben 

This article has been written verified by a registered medical practioner.

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