KNOWLEDGE BASE

COLD MEDICINES FOR CHILDREN UNDER 4

Centre restricts FDC cold medicines containing chlorpheniramine + phenylephrine for children below 4 years due to dosing errors and adverse-effect risks.

News: Centre expands restrictions on FDC cold medicines containing chlorpheniramine maleate + phenylephrine hydrochloride for children below 4 years.

About FDCs:

  • FDCs → 2 or more active ingredients combined in fixed proportions in one dosage form.
  • Restriction based on recommendations of Expert Committee + DTAB.

Why Restricted?

  • Young children → higher risk of dosing errors + adverse effects.
  • Multi-ingredient medicines → difficult to assess individual doses/effects.
  • Mandatory warning: Not for use in children below 4 years.

Key Ingredients

  • Chlorpheniramine → antihistamine → relieves runny nose & sneezing → may cause drowsiness/excitability.
  • Phenylephrine → decongestant → relieves nasal congestion → may increase heart rate & blood pressure.
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