Case file
Coldrif cough syrup (Sresan Pharmaceuticals)
Last checked 19 September 2026. Some details are still being verified.
Coldrif, a paediatric cough syrup made by Sresan Pharmaceuticals of Kancheepuram, Tamil Nadu, was found in October 2025 to contain diethylene glycol at 46.28 to 48.6 per cent, far above the 0.1 per cent limit, after children in Chhindwara, Madhya Pradesh, died of acute kidney injury. The final toll was 24 children in Madhya Pradesh and 3 in Rajasthan. Madhya Pradesh banned the syrup on 2 October 2025, more than ten states followed, Tamil Nadu cancelled all of Sresan's licences and sealed the plant, the owner and a prescribing doctor were arrested, and the WHO issued Medical Product Alert N°5/2025 on 13 October 2025.
Status as of 19 September 2026
WHO Medical Product Alert N°5/2025: Substandard (contaminated) oral liquid medicines
Scope. A record here does not by itself mean a product or company is unsafe or banned today. Regulatory actions can apply to one batch, one formulation, one period or one state. Always check the linked government document for the current position, and tell us if something is out of date. How we label records.
Affected products and batches
| Product | Batch | Note |
|---|---|---|
| Coldrif Syrup | SR-13 | 46.28 to 48.6% diethylene glycol (limit 0.1%) |
Current status
Coldrif is recalled and prohibited across India; Sresan Pharmaceuticals has no valid licence and its plant is sealed; criminal and Enforcement Directorate proceedings continue as of 19 Sep 2026. The WHO found no evidence that the syrup was exported.
What to do if you have this product
Step 1
Do not use any Coldrif bottle, whatever the batch; return it to the pharmacy or hand it to the state drug inspector.
Step 2
If a child took Coldrif and has reduced urine, vomiting or drowsiness, seek hospital care immediately and say what was given.
Step 3
Do not give any cough syrup to a child under two, and avoid them under five unless a doctor advises (DGHS advisory, 4 Oct 2025).
Step 4
Report suspected reactions to the Pharmacovigilance Programme of India or a state drug controller.
Official sources and primary records
- Wikipedia: 2025 India cough syrup crisisNewsWikipedia
- Medical Dialogues: 24 child deaths linked to Coldrif syrup; Sresan Pharma medical representative arrestedNewsMedical Dialogues
- Gulf News: Cough syrup deaths: Sresan Pharmaceuticals licence cancelled, company shut down, ED raidsNewsGulf News
- WHO Medical Product Alert N°5/2025: Substandard (contaminated) oral liquid medicinesWHOWorld Health Organization · 13 October 2025
- AIR: Health ministry advises cough syrups should not be prescribed or dispensed to children below two yearsNewsAll India Radio · 4 October 2025
- Medical Dialogues: WHO alert spurs India's probe into deadly cough syrup, licence cancelled, 700-plus units audited, Parliament informedNewsMedical Dialogues · 6 December 2025