{"id":396329,"date":"2026-09-16T13:00:19","date_gmt":"2026-09-16T07:30:19","guid":{"rendered":"https:\/\/www.scconline.com\/blog\/?p=396329"},"modified":"2026-09-16T12:38:22","modified_gmt":"2026-09-16T07:08:22","slug":"centre-mandates-chlorpheniramine-maleate-phenylephrine-warning","status":"publish","type":"post","link":"https:\/\/www.scconline.com\/blog\/post\/2026\/09\/16\/centre-mandates-chlorpheniramine-maleate-phenylephrine-warning\/","title":{"rendered":"Centre expands &#8216;Not for Children Below 4&#8217; warning to all Chlorpheniramine Maleate-Phenylephrine drug combinations"},"content":{"rendered":"<div style=\"text-align: justify; line-height: 150%;\">\n<p style=\"margin-bottom: 3%;\">On 18 August 2026, the Ministry of Health and Family Welfare notified expanded warning-label requirements for all fixed-dose combinations (FDCs) containing <span style=\"font-weight: bold;\">Chlorpheniramine Maleate and Phenylephrine Hydrochloride.<\/span><\/p>\n<p style=\"margin-bottom: 3%;\">The notification became operational on 19 August 2026, requiring compliance with the newly expanded warning-label requirements.<\/p>\n<p style=\"font-weight: bold;\">Key Highlights:<\/p>\n<ol style=\"list-style-type: decimal;\">\n<li>\n<p>Exercising powers under Section <a href=\"https:\/\/www.scconline.com\/DocumentLink.aspx?q=JTXT-0001541957\" target=\"_blank\">26A<\/a> of the <a href=\"https:\/\/www.scconline.com\/DocumentLink.aspx?q=JTXT-0002852199\" target=\"_blank\">Drugs and Cosmetics Act, 1940<\/a>, the Central Government has restricted the manufacture, sale and distribution of all fixed-dose combinations containing Chlorpheniramine Maleate and Phenylephrine Hydrochloride.<\/p>\n<\/li>\n<li>\n<p>Such formulations may be manufactured, sold or distributed only if manufacturers display the following warning:<\/p>\n<p style=\"margin-left: 18pt; font-weight: bold; font-style: italic;\">&#8220;fixed dose combination shall not be used in children below four years of age&#8221;<\/p>\n<\/li>\n<li>\n<p>The prescribed warning must be mentioned on:<\/p>\n<ul style=\"list-style-type: disc;\">\n<li>\n<p>the label of the drug;<\/p>\n<\/li>\n<li>\n<p>the package insert; and<\/p>\n<\/li>\n<li>\n<p>promotional literature relating to the drug.<\/p>\n<\/li>\n<\/ul>\n<\/li>\n<li>\n<p>Earlier, through a notification dated 15 April 2025, the Ministry required the warning only on medicines containing the <span style=\"font-weight: bold;\">specific fixed-dose combination of Chlorpheniramine Maleate and Phenylephrine Hydrochloride<\/span>. The present notification extends the same warning requirement to <span style=\"font-weight: bold;\">all fixed-dose combination medicines<\/span> that contain Chlorpheniramine Maleate and Phenylephrine Hydrochloride, even where they are combined with other drugs.<\/p>\n<\/li>\n<li>\n<p>The Government observed that other fixed-dose combinations containing these ingredients may also involve risks for children below four years of age.<\/p>\n<\/li>\n<li>\n<p>The Ministry&#8217;s Expert Committee examined such formulations and recommended extending the warning requirement to all fixed-dose combinations containing Chlorpheniramine Maleate and Phenylephrine Hydrochloride that are manufactured, imported or marketed in India.<\/p>\n<\/li>\n<li>\n<p>The <span style=\"font-weight: bold;\">Drugs Technical Advisory Board<\/span> (DTAB) considered the proposal in its meeting held on 16 February 2026 and agreed that such formulations should not be used in children below four years of age.<\/p>\n<\/li>\n<li>\n<p style=\"margin-bottom: 3%;\">The Government had earlier noted that other fixed-dose combinations containing these ingredients pose a risk to children below four years, and that safer alternatives are available. On the basis of the DTAB&#8217;s recommendations, the Government concluded that restricting these formulations is necessary and expedient in the public interest.<\/p>\n<\/li>\n<\/ol>\n<p style=\"margin-bottom: 3%;\"><span style=\"font-weight: bold;\">Also Read:<\/span> <a href=\"https:\/\/www.scconline.com\/blog\/post\/2026\/06\/17\/health-ministry-makes-prescription-mandatory-for-cough-syrups\/\" target=\"_blank\">Health Ministry Ends Over-the-Counter Sale of Cough Syrups; Prescription Now Mandatory<\/a><\/p>\n<\/ol>\n<p style=\"margin-bottom: 3%;\">[Ministry of Health and Family Welfare Notification, dated 18-8-2026]<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p style=\"font-style: italic;\">Health Ministry has broadened warning-label requirements for all fixed-dose combinations (FDCs) containing Chlorpheniramine Maleate and Phenylephrine Hydrochloride to protect children below four years of age.<\/p>\n","protected":false},"author":67525,"featured_media":396330,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,1193],"tags":[114837,114832,114829,114835,114831,40687,114834,114838,114830,106497,114836,114833],"class_list":["post-396329","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-legislationupdates","category-notifications","tag-child-health-protection","tag-children-below-four-years","tag-chlorpheniramine-maleate-phenylephrine-hydrochloride-combination","tag-drug-safety-regulations","tag-drug-warning-label","tag-drugs-and-cosmetics-act-1940","tag-dtab-recommendation","tag-fdc-warning-requirement","tag-fixed-dose-combination-drugs","tag-ministry-of-health-notification","tag-pharmaceutical-regulation-india","tag-section-26a"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.0 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Centre expands Chlorpheniramine Maleate-Phenylephrine Warning | SCC Times<\/title>\n<meta name=\"description\" content=\"All FDCs containing Chlorpheniramine Maleate and Phenylephrine Hydrochloride must now carry a warning against use in children below 4 years.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.scconline.com\/blog\/post\/2026\/09\/16\/centre-mandates-chlorpheniramine-maleate-phenylephrine-warning\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Centre expands \u2018Not for Children Below 4\u2019 warning to all Chlorpheniramine Maleate-Phenylephrine drug combinations\" \/>\n<meta property=\"og:description\" content=\"All FDCs containing Chlorpheniramine Maleate and Phenylephrine Hydrochloride must now carry a warning against use in children below 4 years.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.scconline.com\/blog\/post\/2026\/09\/16\/centre-mandates-chlorpheniramine-maleate-phenylephrine-warning\/\" \/>\n<meta property=\"og:site_name\" content=\"SCC Times\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/scc.online\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-09-16T07:30:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.scconline.com\/blog\/wp-content\/uploads\/2026\/09\/Chlorpheniramine-Maleate-and-Phenylephrine-warning.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"886\" \/>\n\t<meta property=\"og:image:height\" content=\"590\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Shubhi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Centre expands &#8216;Not for Children Below 4&#8217; 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