Recently, the National Medical Products Administration announced an important decision to stop the production, sale, and use of Hyoscine Butylbromide Tablets, and to revoke its drug registration certificate. According to the announcement issued by the National Medical Products Administration on January 3, titled “Announcement on the Revocation of the Drug Registration Certificate for Hyoscine Butylbromide Tablets (2025 No. 2)”, Hyoscine Butylbromide Tablets, an antibacterial drug also known as Loperamide, will no longer circulate in the market of our country. This decision is effective immediately, and the products already on the market will be recalled by the marketing authorization holder and supervised by provincial drug regulatory authorities for destruction or other harmless disposal measures.
A total of 80 batches of Hyoscine Butylbromide Tablets are involved. In addition, in another announcement issued by the National Medical Products Administration on December 2, 2024, it was also announced that 58 drug registration certificates, including 11 batches of Hyoscine Butylbromide Tablets, have been revoked. Based on Article 83 of the Drug Administration Law of the People's Republic of China and other relevant regulations, these drugs have been required to stop production and sale due to unclear efficacy, serious adverse reactions, or other hazards to human health.
Hyoscine Butylbromide Tablets are a compound preparation, with the main active ingredients including Hyoscine Tincture, Sulfamethoxazole, and Trimethoprim, primarily used to treat dysentery caused by Shigella and other sensitive pathogenic bacteria causing enteritis. However, with the withdrawal of this drug from the market, other drugs such as Montmorillonite Powder will take on the responsibility for treating diarrhea.
According to data from Miiine, the incidence of gastrointestinal diseases is on the rise and is becoming more prevalent among younger populations. In the first three quarters of 2022, the sales of anti-diarrheal drugs and intestinal anti-inflammatory/infection drugs in public hospitals in key provinces and cities in China exceeded 1.2 billion yuan, a year-on-year increase of 6.30%. The sales scale of Montmorillonite Powder in the three major terminal markets in China has exceeded 1 billion yuan, with the outpatient market being the main sales channel, rising by 60%, making it the Top 2 product in anti-diarrheal and intestinal anti-inflammatory/infection drugs.
Statistics from Cyborg Blue show that 145 drug registration certificates were revoked in 2024. In the announcement on December 2, 2024, in addition to Hyoscine Butylbromide Tablets, it also included 3 batches of Losartan Potassium Tablets, 2 batches of Phenazone Tablets, 2 batches of Amlodipine Besylate Tablets, 2 batches of Entecavir Tablets, 2 batches of Compound Snake Gall and Chuan Bei Powder, and 2 batches of Rifampicin Capsules. Phenazone, as a pyrazolone analgesic and antipyretic, was launched early in our country, but its injection and nasal drops have severe adverse reactions, with risks outweighing benefits, and alternative medications are available, leading to its registration certificate being revoked in 2020. Although oral preparations like Phenazone Tablets still have certain clinical value, the National Medical Products Administration has implemented risk control measures by revising the instructions to add safety warnings, restricting applicable populations and indications.
In the domestic market for antipyretic and analgesic drugs, Phenazone has a low market share and is declining. Data from Cyborg Blue shows that there are 861 approvals for "Phenazone Tablets," involving many companies and intense market competition. As related drug approvals are revoked, this market will face further fragmentation.
Finally, according to the relevant provisions of the Regulations on the Implementation of the Drug Administration Law of the People's Republic of China and the Drug Registration Management Measures, the National Medical Products Administration decided on April 11, 2024, to revoke the registration certificates for 87 drugs, including Pancreatin Injection. Cyborg Blue’s analysis found that drugs such as 7 batches of Iohexol Injection, 6 batches of Insulin Glargine Injection, 4 batches of Detemir Insulin Injection, 4 batches of Vardenafil Hydrochloride Tablets, and 3 batches of Brain Protein Hydrolysate Injection were also revoked. Please note that the number of drugs counted in the text has not been deduplicated.
No.
Marketing Authorization Holder
Approval Number
1
Shijiazhuang Lesheng Pharmaceutical Co., Ltd.
SFDA H13023949
2
Jiangzhong Pharmaceutical Co., Ltd.
SFDA H36022316
3
Shijiazhuang Fourth Pharmaceutical Co., Ltd.
SFDA H13023932
4
Shijiazhuang Grey Pharmaceutical Co., Ltd.
SFDA H13023934
5
Handan Bailin Pharmaceutical Co., Ltd.
SFDA H13023945
6
Hebei Yongfeng Pharmaceutical Co., Ltd.
SFDA H13023943
7
China National Pharmaceutical Group Wuhan Zhonglian Fourth Pharmaceutical Co., Ltd.
SFDA H42022497
8
Jiangsu Enhua Pharmaceutical Co., Ltd.
SFDA H32025932
9
Jiangxi Hongshuo Pharmaceutical Co., Ltd.
SFDA H36022013
10
Jiangxi Hongshuo Pharmaceutical Co., Ltd.
SFDA H36022244
11
Jiangsu Chenpai Pharmaceutical Group Co., Ltd.
SFDA H32025935
12
North China Pharmaceutical Hebei Huanuo Co., Ltd.
SFDA H13024102
13
North China Pharmaceutical Hebei Huanuo Co., Ltd.
SFDA H13024073
14
Hebei Hengli Group Pharmaceutical Co., Ltd.
SFDA H13024253
15
Hebei Tianzhi Pharmaceutical Co., Ltd.
SFDA H13024245
16
Hebei Dongfeng Pharmaceutical Co., Ltd.
SFDA H13024170
17
Hebei Jinzhuan Pharmaceutical Co., Ltd.
SFDA H13024269
18
Tianjin Baihai Pharmaceutical Co., Ltd.
SFDA H12021099
19
Henan Daxin Pharmaceutical Co., Ltd.
SFDA H41024876
20
Henan Daxin Pharmaceutical Co., Ltd.
SFDA H41025013
21
Shanxi Xinxing Pharmaceutical Co., Ltd.
SFDA H14023068
22
Jiangxi Jiminke Pharmaceutical Co., Ltd.
SFDA H36022305
23
Suzhou Hongsun Pharmaceutical Co., Ltd.
SFDA H32025897
24
Jiangsu Puhua Kesheng Pharmaceutical Co., Ltd.
SFDA H32026256
25
Guangxi Tiantianle Pharmaceutical Co., Ltd.
SFDA H45021319
26
Tianjin Central Pharmaceutical Co., Ltd.
SFDA H12021120
27
Tianjin Central Pharmaceutical Co., Ltd.
SFDA H12021117
28
Shanghai Modern Harsen (Shangqiu) Pharmaceutical Co., Ltd.
SFDA H41024989
29
Tianjin Pacific Pharmaceutical Co., Ltd.
SFDA H12021100
30
Hebei Guojin Pharmaceutical Co., Ltd.
SFDA H13023940
31
Hebei Kaiwei Pharmaceutical Co., Ltd.
SFDA H13023920
32
Hebei Sanshi Pharmaceutical Co., Ltd.
SFDA H13023928
33
Yuanda Pharmaceutical (China) Co., Ltd.
SFDA H42022649
34
Shanxi Tongda Pharmaceutical Co., Ltd.
SFDA H14023309
35
Shanxi Guorun Pharmaceutical Co., Ltd.
SFDA H14023402
36
Shanxi Fenhe Pharmaceutical Co., Ltd.
SFDA H14023200
37
Shanxi Wanhui Pharmaceutical Co., Ltd.
SFDA H14023333
38
Jilin Wantong Pharmaceutical Co., Ltd.
SFDA H22025288
39
Changchun Overseas Pharmaceutical Group Co., Ltd.
SFDA H22026726
40
Shijiazhuang Xiehe Pharmaceutical Co., Ltd.
SFDA H13024084
41
Shandong Xinyi Pharmaceutical Co., Ltd.
SFDA H37023541
42
Kuihua Pharmaceutical Group (Hengshui) Defier Co., Ltd.
SFDA H13023979
43
Shijiazhuang Kanghewai Pharmaceutical Co., Ltd.
SFDA H13024261
44
Shandong Xinhua Pharmaceutical Co., Ltd.
SFDA H37023523
45
Hebei Yuzhilin Pharmaceutical Co., Ltd.
SFDA H13024426
46
Xinhai Yansheng Pharmaceutical Co., Ltd.
SFDA H41024907
47
Fu'an Pharmaceutical Group Yantai Zhichu Pharmaceutical Co., Ltd.
SFDA H37023543
48
Dingfukang Pharmaceutical Co., Ltd.
SFDA H41025139
49
Dingfukang Pharmaceutical Co., Ltd.
SFDA H41025174
50
Changchun Changqing Pharmaceutical Group Co., Ltd.
SFDA H22025234
51
Henan Baiquan Pharmaceutical Co., Ltd.
SFDA H41024840
52
Changzhou Kangpu Pharmaceutical Co., Ltd.
SFDA H32025910
53
Henan Baiquan Pharmaceutical Co., Ltd.
SFDA H41025575
54
Lepu Hengjiuyuan Pharmaceutical Co., Ltd.
SFDA H41024862
55
Hebei Ruicen Pharmaceutical Co., Ltd.
SFDA H13023953
56
Hainan Xiansheng Pharmaceutical Co., Ltd.
SFDA H46020588
57
Hainan Xiansheng Pharmaceutical Co., Ltd.
SFDA H46020604
58
Yaodu Pharmaceutical Group Co., Ltd.
SFDA H13023951
59
Shandong Xinyi Pharmaceutical Co., Ltd.
SFDA H37023939
60
Shijiazhuang Pharmaceutical Group Ouyi Pharmaceutical Co., Ltd.
SFDA H13023952
61
Tianfang Pharmaceutical Co., Ltd.
SFDA H41024887
62
Lepu Hengjiuyuan Pharmaceutical Co., Ltd.
SFDA H41025576
63
Zhejiang Huisong Pharmaceutical Co., Ltd.
SFDA H33022412
64
Zhejiang Huisong Pharmaceutical Co., Ltd.
SFDA H33022411
65
Shanghai Kaibao Xinyi (Xinxiang) Pharmaceutical Co., Ltd.
SFDA H41024834
66
Henan Xueyinghua Pharmaceutical Co., Ltd.
SFDA H41024896
67
Henan Xueyinghua Pharmaceutical Co., Ltd.
SFDA H41025009
68
Shijiazhuang Pharmaceutical Group Zhongnuo Pharmaceutical (Shijiazhuang) Co., Ltd.
SFDA H13023994
69
Handan Furong Pharmaceutical Co., Ltd.
SFDA H13024077
70
Hebei Tiancheng Pharmaceutical Co., Ltd.
SFDA H13024056
71
Hebei Kangtai Pharmaceutical Co., Ltd.
SFDA H13024041
72
Guangdong Bidi Pharmaceutical Co., Ltd.
SFDA H44025328
73
Guangdong Bidi Pharmaceutical Co., Ltd.
SFDA H44024963
74
Zhengzhou Furuitang Pharmaceutical Co., Ltd.
SFDA H41025579
75
Chongqing Kerui Pharmaceutical (Group) Co., Ltd.
SFDA H50021730
76
Baiyun Mountain Dongtai Shangqiu Pharmaceutical Co., Ltd.
SFDA H41024872
77
Xinxiang Changle Pharmaceutical Co., Ltd.
SFDA H41024895
78
Xinxiang Changle Pharmaceutical Co., Ltd.
SFDA H41025012
79
Baiyun Mountain Dongtai Shangqiu Pharmaceutical Co., Ltd.
SFDA H41025008
80
Tianfang Pharmaceutical Co., Ltd.
SFDA H41025010