Indian physicians beware: 42 drugs declared sub-standard by CDSCO
M3 India Newsdesk Jan 07, 2022
The Central Drugs Standard Control Organization (CDSCO), the country's top drug regulator, has issued a new drug safety notice after discovering that 42 medication batches failed to pass a random drug sample test in September, while one medicinal sample was found to be misbranded.
'Not of Standard' medicines
These are some of the most commonly prescribed medicines that Indian doctors should take serious note of. These medication samples have been labelled as 'Not of Standard' because they don't meet FDA standards.
- Domperidone and Pantoprazole are included in PENTALOC-D, a medication that combines the two. GERD (Gastroesophageal Reöux Disease) is treated with this medication combination.
- In addition to Dexamethasone Sodium Phosphate Injection I.P, Paracetamol Tablets IP 650 mg, Rabeprazole Injection IP 20 mg, Gentamicin Injection IP – 2ml, and more.
- In addition, COVID-19 medication Favipiravir tablets 400 mg (FAVIMAX-400) is also on the 'Not of Standard' list.
The Central Drugs Standard Control Organization (CDSCO) is India's version of the Food and Drug Administration (FDA). Medical equipment and medications are regulated by the CDSCO in India. Clinical trials are also overseen by the CDSCO as is the provision of expert advice on health problems and enforcement of the Indian Drug and Cosmetics Act.
The Drug Controller General of India (DCGI) is a CDSCO agency of the Indian Ministry of Health and Family Welfare responsible for medical device and drug regulation. It is the department's responsibility to carry out inspections audits post-market monitoring and recalls.
List of drugs declared as Not of Standard quality/spurious/adulterated/misbranded, for the month of September- 2021.
S.No. | Name of Drugs/medical device/cosmetics | Reason for failure |
1 | Olmesartan medoxomil tablets IP Olmesartan medoxomil I.P. 40mg | Dissolution |
2 | Dexamethasone sodium phosphate injection I.P. | Assay |
3 | Paracetamol tablets IP 650 mg | Dissolution |
4 | Atenolol tablets IP 50 mg | Disintegration |
5 | Atenolol Tablets IP 50 mg | Disintegration & assay |
6 | Pantoprazole & domperidone tablets (PENTALOC-D) | Dissolution |
7 | Favipiravir tablets 400 mg. (FAVIMAX-400) | Identification & assay |
8 | Aqua fresh hand rub (Alcohol 75%, Glycerol 2%, Twin Chain Quats 0.2%) | Misbranded |
9 | Diclofenac sodium prolonged-release tablets I.P | Dissolution |
10 | Sterile hypodermic syringe (5ml) [Batch No. 19704] | Sterility test |
11 | Sterile Hypodermic Syringe (5ml) [Batch No. 19709] | Sterility test |
12 | Sterile Hypodermic Syringe (5ml) [Batch No. 19717] | Sterility test |
13 | Sterile Hypodermic Syringe (5ml) [Batch No. 19702] | Sterility test |
14 | I.V. Cannula with wings & injection Port | Sterility test |
15 | Loperamide hydrochloride tablets I.P. 2 mg. (LOMOCARE) | Dissolution |
16 | Pantoprazole gastro- resistant tablets I.P. | Dissolution |
17 | Doxylamine succinate & pyridoxine hydrochloride tablets | Disintegration & assay of doxylamine succinate |
18 | Folic acid & ferrous sulphate tablets I.P. (IFA Large) | Description |
19 | Progesterone Soft Gelatin Capsules 200 mg (ENDOGEST 200) | Disintegration |
20 | Rabeprazole Injection IP, 20 mg WFI | Description, clarity of solution, particulate matter, pH, related substances & assay |
21 | Ambilon 50 (Amphotericin B Liposome Injection 50 mg) | Assay |
22 | Combine Dressing Pad B.P. -1980 | Sterility |
23 | Alstasan Hand-Rub (Alcohol-based hand sanitizer) | Identification of Chlorhexidine Gluconate & Assay of ethyl alcohol |
24 | Gentamicin Injection IP – 2ml | Description, particulate matter & assay |
25 | Zolam 0.25 (Alprazolam Tablets I.P. 0.25 mg) | Dissolution |
26 | Ciprofloxacin Hydrochloride tablets I.P. 500 mg | Dissolution |
27 | Prednisolone Sodium Phosphate IP | Water |
28 | Pantojack-40 (Pantoprazole Gastro- Resistant tablets I.P. 40 mg) | Assay |
29 | Norfloxacin tablets I.P. 400 mg | Dissolution |
30 |
Cefixime dispersible tablets I.P. |
Disintegration test |
31 |
Hand cleanser hand rub instant protection fight germs soft hands pH balanced |
Identification (Negative for Isopropyl Alcohol) The peak of Methanol has been detected and found 61.01% v/v of Methanol |
32 |
Levofloxacin hemihydrate I.P. |
Related substances |
33 | Oxytoxin injection I.P. [OTC-233A] | Assay of Oxytocin activity |
34 | Oxytoxin injection I.P. [OTC-256A] | Assay of Oxytocin activity |
35 | Budesonide Nebuliser Suspension BP (0.5 mg/2 ml) | Assay of Budesonide |
36 | Budesonide Nebuliser Suspension BP (BUPICORT 0.5 MG/2 ML) | Assay |
37 |
Lorazepam injection I.P. |
Assay |
38 | Fluoxetine Capsules IP 20 mg | Uniformity of filled weight |
39 | Oxytoxin injection I.P. | Assay of Oxytocin activity |
40 | Sodium chloride and dextrose injection I.P. 0.9%W/V & 5% W/V | Description, particulate matter |
41 |
Bisacodyl gastro-resistant tablets I.P. 5 MG |
Dissolution |
42 | Paracetamol Tablets IP (CAREMOL TABLETS) | Dissolution |
43 |
Diviron- 50 Tablets (DICLOFENAC SODIUM TABLETS IP 50 mg) |
Disintegration |
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Disclaimer- The views and opinions expressed in this article are those of the author's and do not necessarily reflect the official policy or position of M3 India.
The author is a practising super specialist from New Delhi.
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