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New! Complete List of Syrup Medicines that Can and Can’t be Used from the Ministry of Health

Jakarta

The Republic of Indonesia’s Ministry of Health renewed recommendations for the use of syrup drugs amid concerns about cases of acute kidney failure in Indonesia due to ethylene glycol (EG) and diethylene glycol (DEG) contamination. In circular No. HK.02.02/III/3713/2022, the list of safe drugs previously released by BPOM RI may be used unless they come from PT Afi Farma, PT Yarindo Farmatama, to PT Universal Pharmaceutical Industries.

The Republic of Indonesia Ministry of Health’s circular released on November 11 is the latest reference to the use of syrup drugs outside the list of 73 prohibited syrup drugs whose distribution permits have been revoked by BPOM RI. As is well known, BPOM RI has released 198 lists of safe syrup medicines free of EG and DEG contamination on 27 October 2022.

Of the 198 syrup drugs, nine were found to be produced by PT Afi Farma, namely:

  • Aficitrin anthelmintic syrup 60 ml (Afifarma)
  • Domino drops 10 ml (Afifarma)
  • Domperidone drops 10 ml (Afifarma)
  • OBH AFI Box 1 plastic bottle 125 ml (Afifarma)
  • OBH AFI (Lemon Flavor) box 1 100 ml plastic bottle (Afifarma)
  • Zinc Sulfate Monohydrate syrup 1 box 60 ml plastic (Afifarma)
  • Zinc Go Forte syrup box 1 plastic bottle 60 ml (Afifarma)
  • Domino suspension 60 ml (AFIFARMA)
  • Dompreridone suspension 60 ml (AFIFARMA)

Meanwhile, four Universal Pharmaceutical Industries products are also included in the list of 198 syrup drugs:

  • New Mentasin (Universal Phamraceutical Industries)
  • Uni OBH cough syrup 100 ml (Universal Pharmaceutical Industries)
  • Uni OBH cough syrup 300 ml (Universal Pharmaceutical Industries)
  • Univxon anthelmintic syrup 15 ml (Universal Pharmaceutical Industries)

BPOM RI also withdrew syrup drug products from PT Samco Farma and Ciubros Farma after it was identified that EG and DEG contamination exceeded the threshold with product details such as Citomol and Citoprim, Samcodryl and Samconal. BPOM RI temporarily banned all syrup drugs from the two pharmaceutical industries. There is one product out of the 198 drug lists, namely Citocetin, a 60 ml cold medicine suspension (Ciubros Farma).

Of the 198, the remaining 185 of them are allowed to be used. Details include:

  • Alerfed cold syrup 60 ml (Guardian Pharmatama)
  • Allergon allergy medicine syrup 60 ml (Konimex)
  • Amoxicillin Trihydrate drops antibiotik 20 ml (Meprofarm)
  • Amoxsan drops antibiotic 15 ml (Caprifarmindo Laboratories)
  • Asterol Asthma syrup 60 ml (Meprofarm)
  • Avamys Allergy drug suspension 120 sprays (Glaxo Wellcome Indonesia)
  • Avamys Allergy drug suspension 120 sprays (Glaxo Wellcome Indonesia)
  • B-Dex allergy medicine syrup 60 ml (Nulab Pharmaceutical Indonesia)
  • BDM allergy medicine syrup 60 ml (Nulab Pharmaceutical Indonesia)
  • Bufagan Expectorant cough syrup 60 ml (Bufa Various)
  • Bufagan Expectorant cough syrup 60 ml (Bufa Various)
  • Cazetin drops anti jamur 15 ml (Ifars Pharmaceutical Laboratories)
  • Cefadroxil Monohydrate drops (dry powder) antibiotic 15ml (Lapi Laboratories)
  • Cetirizine Hydrochloride allergy medicine syrup 60 ml (Novapharin)
  • Cetirizin allergy medicine syrup 60 ml (Nufarindo)
  • Cohistan Expectorant cough syrup 60 ml (Darya-Varia Laboratoria TBK)
  • Cohistan Expectorant cough syrup 100 ml (Darya-Varia Laboratoria TBK)
  • Colfin cough syrup 60 ml (Nufarindo)
  • Colsancetine antibiotic drug suspension 60 ml (Sanbe Farma)
  • Combicitrine anthelmintic syrup 10 ml (Berlico Mulia Farma)
  • Constipen laxative syrup 120 ml (Pharma Health Care)
  • Constuloz laxative syrup 100 ml (Novell Pharmaceutical Laboratories)
  • Coredryl Expectorant cough syrup 100 ml (Global Multi Pharmalab)
  • Cotrimoxazole antimicrobial suspension 60 ml (Errita Pharma)
  • Cotrimoxazole antibiotic suspension 60 ml (Harsen)
  • Daryazinc syrup for diarrhea 60 ml (Darya-Varia Laboratoria TBK)
  • Daryazinc drops for diarrhea 15 ml (Darya-Varia Laboratoria TBK)
  • Decatrim Antimicrobial Suspension 60 ml (Harsen)
  • Deferiprone oral chelating liquid 250 ml (Pratapa Nirmala)
  • Diakids syrup 60 ml (Bernofarm)
  • Durafer liquid oral chelating 250 ml (Pratapa Nirmala)
  • Erlamycetin antibiotic suspension 60 ml (Elangga Edi Laboratories (ERELA))
  • Etamoxul antimicrobial suspension 60 ml (Errita Pharma)
  • Extropect cough syrup 60 ml (Guardian Pharmatama)
  • Garkene epilepsy medicine syrup 129 ml (Guardian Pharmatama)
  • Glisend Expectorant cough syrup 60 ml (Konimex)
  • Rafazol antimicrobial suspension 60 ml (Graha Farma)
  • Guanistrep suspension for diarrhea 60 ml (Itrasal)
  • Hislorex allergy medicine syrup 60 ml (Konimex)
  • Interzinc syrup for diarrhea medicine 60 ml (Interbat)
  • Itrabat cough syrup 100 ml (Itrasal)
  • Komix Expectorant Ginger cough syrup 7 ml (Bintang Toedjoe)
  • Komix Expectorant Lime Cough Syrup 7 ml (Bintang Toedjoe)
  • Komix Expectorant peppermint cough syrup 7 ml (Bintang Toedjoe)
  • Komix OBH cough syrup 7 ml (Bintang Toedjoe)
  • Komix OBH cough syrup 7 ml (Bintang Toedjoe)
  • Komix OBH cough syrup 7 ml (Bintang Toedjoe)
  • Komix OBH Kid (honey flavour) cough syrup 5 ml (Bintang Toedjoe)
  • Komix Ginger Flavor cough syrup 7 ml (Bintang Toedjoe)
  • Komix Lime Flavor cough syrup 7 ml (Bintang Toedjoe)
  • Komix Peppermint Flavor cough syrup 7 ml (Bintang Toedjoe)
  • Konidin OBH cough syrup 7 ml (Konimex)
  • Lactulax laxative syrup 60 ml (Ikapharmindo Putramas)
  • Lactulax laxative syrup 120 ml (Ikapharmindo Putramas)
  • Lactulax syrup (chocolate flavour) laxative 200 ml (Ikapharmindo Putramas)
  • Lactulose syrup laxative 60 ml (Ikapharmindo Putramas)
  • Lactulose syrup laxative 120 ml (Ikapharmindo Putramas)
  • Lapicef drops antibiotic 15 ml (Lapi Laboratories)
  • Laxalosan 60 ml laxative syrup (Sanbe Farma)
  • Levopront cough syrup 120 ml (Combiphar)
  • Maltofer drops iron deficiency medicine without anemia 30ml (Combiphar)
  • Mefamesis syrup for nausea 50 ml (Intijaya Meta Ratna Pharmindo)
  • Metagan Expectorant obat batuk 50 ml (Intijaya Meta Ratna Pharmindo)
  • Methadone Hydrochloride pain reliever syrup 1,000 ml (Kimia Farma TBK)
  • Metronidazole Benzoate Antimicrobial Suspension 100 ml (Harsen)
  • Metronidazole Benzoate Antimicrobial Suspension 60 ml (Graha Farma)

Watch Video “PT Yarindo Punished by BPOM, Here’s a List of Violations
[Gambas:Video 20detik]

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