India Tightens Cough Syrup Sales: New Rules Aim to Curb Misuse and Protect Children

The Indian government has proposed a key amendment to the Drugs Rules, 1945, seeking to remove the word 'syrup' from Schedule K, which would effectively make cough syrups prescription-only rather than over-the-counter. This draft notification, open for public feedback for 30 days, follows international safety alerts and domestic incidents linking certain syrups to child fatalities. Health experts support the move, citing the high risk of misuse and dosing errors with liquid medications, especially in children. The step aims to strengthen regulation, curb self-medication, and enhance patient safety.

Key Points: India Proposes Stricter Rules for Cough Syrup Sales

  • Draft amendment to Drugs Rules
  • Aims to make syrups prescription-only
  • Follows WHO alert on contaminated syrup
  • Seeks to curb self-medication in children
3 min read

Centre takes major steps on sale of Cough Syrups after safety issues

India's Health Ministry proposes removing 'syrup' from OTC list to curb misuse after safety alerts. Public feedback invited on draft amendment.

"Removing syrups from the OTC exemption list is a timely and much-needed step. - Dr. Vivek Jain, Fortis Hospital"

By Shalini Bhardwaj, New Delhi, January 1

In a major step to ensure the safety of people, the government of India on has Proposed amendments for strict criteria on the sale of cough syrups over the counter.

The Union government has issued a draft of an important amendment to the Drugs Rules-1945. The Health Ministry has proposed removing the word 'syrup' from Schedule K. This step has been taken to make the drug-related rules clear and effective, so that public interest is protected. Suggestions and objections have been invited from the public within 30 days.

"These rules may be called the Drugs (Amendment) Rules, 2025. They shall come into force on the date of their publication in the Official Gazette. In the Drugs Rules, 1945, in Schedule K, in the Serial No. 13, under the column "'Class of Drugs`, in the Entry No. 7, the word "Syrup,'' shall be omitted. " Reads notification issued by the Union Health Ministry

The Ministry of Health and Family Welfare has issued a draft notification to amend certain rules, seeking objections and suggestions from the public. The government has issued this draft under the Drugs and Cosmetics Act of 1940. These proposed changes have been made public after consulting the Drugs Technical Advisory Board.

"The following draft of certain rules further to amend the Drugs Rules, 1945, which the Central Government proposes to make, in exercise of the powers conferred by sub-section (1) of section 12 and sub- section (1) of section 33 of the Drugs and Cosmetics Act, 1940 (23 of 1940), after consultation with the Drugs Technical Advisory Board is hereby published for information of all persons likely to be affected thereby, and notice is hereby given that the said draft rules shall be taken into consideration on or after the expiry of a period of thirty days from the date on which the copies of the Gazette of India containing these draft rules are made available to the public.

Objections and suggestions which may be received from any person within the period specified above will be considered by the Central Government."

Recently, the World Health Organisation in October 2025 also issued an alert after several deaths of children and serious side effects linked to Coldrif cough syrup manufactured by Tamil Nadu based Sresan Pharmaceuticals.

According to Dr. Atul Kakar, Chairperson, Medicine, Sir Gangaram Hospital, "Recently, the word syrup which contains many of these syrups which are cough syrup have been banned by the government and in the month of October we did see lots of deaths happening in children in Rajasthan and Madhya Pradesh because of the cough syrup because they contained some substance which were poisonous. Also, I feel that the medicine should not be prescribed by the chemist and there should not be much excess of the drugs given by the chemist, so let's not limit ourselves to the syrups only, other medicines also should not be prescribed, and the government should be very strict in cutting down the medicines which are given by the chemist themselves."

"Removing syrups from the OTC exemption list is a timely and much-needed step. Liquid formulations are widely used in children, but they are also the most commonly misused--often given without correct dosing, age-appropriate indication, or medical supervision. Making syrups prescription-only will help curb self-medication, prevent dosing errors, and reduce unnecessary exposure to antibiotics, cough suppressants, and steroids. Ultimately, this move strengthens patient safety, especially for children, who are far more vulnerable to medication misuse." Said Dr Vivek Jain, Senior Director & Unit Head, Paediatrics, Fortis Hospital, Shalimar Bagh, Delhi.

- ANI

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Reader Comments

R
Rohit P
Finally! I hope this is enforced strictly. Every other chemist shop acts like a doctor. You ask for a cough syrup and they give you something strong without asking any questions. Public safety has to come first.
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David E
While the intent is good, I'm concerned about access in rural areas. Not everyone can easily visit a doctor for a common cold. The government must also ensure healthcare access improves alongside such regulations.
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Aman W
The real issue is the quality control and spurious drugs. Just making it prescription-based won't stop bad manufacturing. The focus should be on punishing the companies making poisonous syrups, not just controlling sale. 🏭
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Shreya B
As a mother, I fully support this. We must protect our children. But awareness is also key. Many parents don't know the right dosage for kids. Hopefully, this leads to more responsible medication use.
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Vikram M
Good move, but implementation is everything. Will chemists actually follow the rule? The government needs a strong monitoring system. Also, what about all the other OTC medicines? The doctor quoted is right, the problem is bigger.

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