In a sweeping move aimed at tightening drug safety regulations, India’s Central Drugs Standard Control Organisation (CDSCO) has banned 35 Fixed-Dose Combination (FDC) drugs. These medicines, often used for diabetes, hypertension, infections, pain relief, and more, were found to have bypassed critical safety and efficacy checks required by national laws. The order, issued on April 11, calls for an immediate halt to their manufacturing, sale, and distribution across the country.

Why Were These Drugs Banned?

According to the CDSCO, these FDCs were approved by state drug regulators without mandatory central oversight. Under the New Drugs and Clinical Trials (NDCT) Rules, 2019, any new drug or drug combination must undergo thorough clinical evaluation before approval. By bypassing this process, these formulations posed what the Drugs Controller General of India (DCGI) described as a “serious risk to public health.”

The order emphasized the need for uniform drug regulation across Indian states to prevent potentially harmful medications from entering the market without adequate scrutiny.

What Are Fixed-Dose Combinations (FDCs)?

FDCs are medicines that combine two or more active ingredients in a single tablet, capsule, or dose. They are intended to improve treatment adherence and convenience—especially in chronic diseases like diabetes or hypertension. However, not all combinations are medically justified, and mixing certain drugs without proper evaluation can lead to harmful side effects or reduced effectiveness.

Medical experts have long warned that irrational FDCs can complicate treatment protocols and increase the risk of drug interactions, resistance (especially in antibiotics), and other health complications.

The Full List: Popular FDCs That Are Now Banned

Among the banned drugs are combinations like:

• Dapagliflozin + Glimepiride + Metformin – often used for diabetes
• Cilnidipine + Metoprolol Succinate – for blood pressure control
• Etodolac + Paracetamol + Chlorzoxazone – for pain relief
• Levocetirizine + Montelukast + Ambroxol – for allergies and respiratory issues
• Pantoprazole + Domperidone + Simethicone – for gastrointestinal discomfort

These medications were widely available across pharmacies and frequently prescribed despite lacking full safety approvals.

What Should You Do If You’re Taking These Medicines?

Stop using them immediately and consult your healthcare provider. Do not discontinue medication without medical advice, especially if the drug was prescribed for chronic conditions.

Pharmacists have been instructed to remove banned FDCs from their inventory, and patients are urged to report any adverse reactions to the Pharmacovigilance Programme of India (PvPI).

Public Health Concerns and Broader Implications

This isn't the first time India has cracked down on irrational FDCs. In 2016 and 2018, the government banned hundreds of such combinations, citing similar health risks. However, the enforcement of bans has often been uneven, with some formulations resurfacing in the market through legal loopholes or rebranding.

A 2019 study published in The Lancet found that over half of FDCs sold in India were unapproved by the central regulatory body, raising serious questions about patient safety and the role of decentralized drug approvals.

The current ban is part of a growing effort to streamline drug approvals and ensure that only thoroughly evaluated formulations reach consumers.

What’s Next?

State regulators must now revoke existing licenses for the 35 banned drugs.

Port offices and drug inspectors have been tasked with monitoring compliance and preventing import or distribution.

A nationwide review of the approval process is expected, with possible reforms in the roles of state regulators.

As the CDSCO works to reinforce its authority and ensure public safety, this development is a reminder that drug safety isn’t just a regulatory issue—it’s a matter of public trust and patient health.

One of the biggest stars of Hollywood, Bruce Willis, who played roles in iconic movies like Die Hard and The Sixth Sense, has been going through dementia. Diagnosed in the year 2022 with aphasia, a condition that affects your speech, a year later he was diagnosed with the real cause for this loss, which is frontotemporal dementia (FTD).

This type of dementia gradually affects your speech, behavior and cognition. His wife, Emma Hemmings, has been sharing updates about his health and his declining dementia, with his fans and well-wishers. She has also been a strong advocate for FTD awareness as well as caregivers’ care, something that is overlooked a lot.

Also Read: The Next Ozempic? New 4-in-1 Weight Loss Drug Could Treat Obesity, Diabetes, Cancer And Heart Diseases

However, things have not been as well and good as we hoped. Recently, news of Emma having to move the Die-Hard legend to a different home for better dementia care. This news was not well-taken by a lot of people, she says she has been unfairly judged for how she cares for her husband. In a recent Instagram post, she responded to criticism she received after a joint ABC special with her husband, "Emma and Bruce Willis: The Unexpected Journey."

Bruce Willis Dementia Care Home Update

In the special, Emma revealed that the family made the difficult decision to move Bruce into a separate one-story house. He lives there with a full-time care team, while Emma and their two young daughters, Mabel, 13, and Evelyn, 11, live in the family's primary residence.

Emma brings the girls to visit Bruce "a lot" for meals and other visits. She explained that the arrangement was made for the girls' benefit. "Bruce would want them to be in a home that was more tailored to their needs, not his needs," she said.

Why Is Emma Hemmings Facing Backlash?

After the special aired, Emma received criticism from viewers about her choices. On Instagram, she expressed frustration with those who judge caregivers without understanding their situation. "Too often, caregivers are judged quickly and unfairly by those who haven’t lived this journey or stood on the front lines of it," she wrote.

She added that while sharing her story invites opinions, it also creates a connection with other caregivers who understand the challenges of looking after a loved one with dementia. Bruce's daughter, Tallulah Willis, whom he shares with ex-wife Demi Moore, commented on the post, praising Emma and thanking her for all she does for the family.

In her post, Emma also read a passage from her upcoming memoir, The Unexpected Journey, which details the advice she once received from a therapist. The advice highlighted the difference between having an opinion and having an experience, noting that those without the experience "don't get a say, and they definitely don't get a vote."

How Has Dementia Affected Bruce Willis?

Bruce Willis withdrew from acting in 2022 after being diagnosed with aphasia, a condition that affects language and communication. In 2023, his family shared that his condition had progressed to FTD, a form of dementia that impacts language and personality but doesn't initially cause memory loss.

Despite the challenges, Emma shared that Bruce "is still very mobile" and in "really great health overall." She emphasized that while his brain is failing him, "he is still very much here." The entire family, including his ex-wife Demi Moore and their three older daughters, has rallied together to support him.

What if a single shot could help you lose weight, lower your risk of diabetes, protect your heart, and even cut your chances of developing certain cancers? That’s the promise scientists at Tufts University are chasing with a new experimental drug. Unlike Ozempic or Wegovy, which rely on one or two hormones, this compound combines four. Early research suggests it could deliver weight loss on par with bariatric surgery—without going under the knife and change how we think about treating obesity and the diseases tied to it.

Despite the popularity of drugs like Ozempic and Wegovy, these drugs come with side effects—nausea, bone loss, and weight regain—that limit their long-term potential. Now, researchers at Tufts University believe they may have found a more powerful alternative: a single drug that combines four hormones to tackle obesity and, in turn, the cascade of diseases it fuels, including diabetes, cancer, and cardiovascular disease.

Obesity is not just about excess weight. It is linked to more than 180 conditions ranging from type 2 diabetes and heart disease to certain cancers and liver disorders. According to the World Health Organization, over 650 million adults worldwide live with obesity. In the United States, more than 40% of adults are affected. Treating obesity effectively could ripple across public health, reducing risks of chronic illness and cutting healthcare costs.

That’s what makes the Tufts team’s work so promising. Their “quadruple-action” drug design aims not only to deliver substantial weight loss—up to 30%, on par with bariatric surgery—but also to change how obesity-related conditions are treated at scale.

How Current Weight Loss Drugs Work?

The first wave of modern weight loss drugs works by mimicking hormones released in the gut after a meal. The most prominent of these, GLP-1 (glucagon-like peptide 1), triggers insulin release, lowers blood sugar, and sends signals to the brain that suppress appetite. Ozempic, which is based on GLP-1, has been so effective that the American Diabetes Association now recommends it as a first-line injectable treatment for diabetes.

But GLP-1 drugs have drawbacks. Patients must inject them weekly. Nearly 40% stop after the first month due to intense nausea. Long-term use is associated with bone and muscle loss, and discontinuation often leads to weight regain.

To improve results, drug developers have experimented with combining hormones. Mounjaro (tirzepatide) pairs GLP-1 with GIP (glucose-dependent insulinotropic peptide), which also promotes satiety but reduces nausea. Retatrutide, still in clinical trials, adds glucagon, which boosts calorie burning and suppresses appetite, offset by the glucose-lowering effects of GLP-1 and GIP. This three-hormone chimera has shown weight loss up to 24%—a significant leap from Ozempic’s 6–15%.

What Makes the New 4-in-1 Drug Different?

The Tufts team, led by chemistry professor Krishna Kumar, decided three wasn’t enough. They added peptide YY (PYY), another gut hormone that reduces appetite and slows digestion, but through different pathways than GLP-1 and GIP. PYY may even play a role in fat burning.

Blending PYY with the other three hormones wasn’t simple—it belongs to a completely different structural class. The researchers fused peptide segments end-to-end, creating a new “tetra-functional” compound that engages four distinct receptors at once. The hope is that this design will deliver more consistent results across diverse patients, many of whom respond differently to existing therapies due to genetic or biological variation.

Bariatric surgery remains the most effective intervention for severe obesity, with patients often losing 30% or more of their body weight and keeping it off long term. But surgery is invasive, expensive, and not accessible to everyone. Current drugs fall short of this benchmark. If the new 4-in-1 therapy delivers weight loss on par with surgery, it could transform obesity treatment by offering comparable results without the risks of an operating table.

Graduate researcher Tristan Dinsmore, a co-author on the Tufts study, explained: “We wanted to bring in PYY to complete the weight control quartet. By hitting four receptors at once, we’re aiming for a more balanced, durable effect.”

Tackles Obesity Diabetes, Cancer and Heart Disease

Obesity rarely comes alone. It drives insulin resistance, raising the risk of type 2 diabetes. It fuels inflammation, which is linked to cancer progression. It strains the heart, worsening conditions like heart failure.

At the recent European Society of Cardiology conference in Madrid, large-scale studies revealed that GLP-1-based drugs reduce the risk of hospitalization or premature death among heart patients by as much as 58%. A study published in JAMA further showed that semaglutide (the active ingredient in Ozempic) lowered the risk of heart attack, stroke, or cardiovascular death by 20%, regardless of weight loss achieved.

These drugs are not just cosmetic. They could become a frontline defense against chronic, life-threatening diseases. By adding PYY into the mix, the Tufts candidate drug could amplify these benefits.

Does It Have Any Side Effects?

Side effects remain a stumbling block. For many patients, nausea is so severe that they abandon treatment early. Tufts researchers hope their four-hormone combination will not only boost effectiveness but also improve tolerability. Tirzepatide already demonstrated that blending GLP-1 with GIP reduces nausea; PYY may offer additional relief while protecting muscle and bone mass.

Another challenge is weight regain after stopping treatment. Studies show that weight lost with GLP-1 drugs often creeps back once injections stop. By acting on more pathways simultaneously, the new compound could make weight loss more sustainable, narrowing the gap between drug therapy and surgical intervention.

When Will This New Weight Loss Drug Be Available?

The Tufts research, published in the Journal of the American Chemical Society, is still in preclinical stages. Clinical trials will be the real test, both for safety and for proving whether the quadruple-action therapy can deliver surgery-level weight loss.

If successful, the drug could be a paradigm shift. More than 15 million American adults roughly 4.5% of the population are already using weight loss medications like Ozempic or Wegovy.

Krishna Kumar and his team emphasize that this isn’t just about shedding pounds. “Obesity is linked to over 180 conditions, from diabetes to cancer,” Kumar noted. “What drives us is the idea that we can design a single drug to treat obesity and simultaneously mitigate the risk of developing a long list of health problems plaguing society.”

Mental health has become one of the most urgent public health issues of the 21st century. Recent statistics from the World Health Organization (WHO) indicate that more than one billion individuals globally live with mental illnesses. Anxiety, depression, and other psychiatric disorders not only cause immense human distress but also carry a massive economic burden, both on individuals and societies as a whole. Where progress has been made in a number of countries to enhance mental health policies and programs, global services remain dramatically underfunded and fragmented, denying access to care for millions.

Mental illnesses are ubiquitous, cutting across all age, gender, and economic strata groups. Anxiety and depression are among the most prevalent disorders, and their effects extend far beyond emotional pain. They are the second global cause of long-term disability, costing money in healthcare, decreasing productivity in the workforce, and lowering quality of life. The fiscal hit is astronomical: depression and anxiety alone have been estimated to cost the international economy $1 trillion each year.

The WHO's recent publications, World Mental Health Today and Mental Health Atlas 2024—set both positive trends and important gaps in mental health services. They are powerful resources to inform national plans and influence the international conversation leading up to the 2025 United Nations High-Level Meeting on noncommunicable diseases, with a focus on mental health and well-being.

Rising Mental Health Concerns Among Young People

Younger populations face particularly intense mental health issues. Gen Z, in particular, is under unprecedented stress from social media, school pressures, and the aftereffects of the COVID-19 pandemic. A 2023 Harvard survey identified that 44% of young adults between ages 18–25 felt like they don't count to others. Further, CDC data indicate that 40% of U.S. high school students indicated they felt sad or hopeless most or all days, and 20% attempted seriously to take their own life. These figures highlight the imperative for accessible and effective mental health care among young people.

Social disruption during the pandemic, from remote learning issues to extended isolation, intensified loneliness and anxiety. Even after lockdowns lifted, many young people still face uncertainty about their futures, academic stress, and the mental health impacts of disrupted childhood or adolescence.

WHO Mental Health Report: One in Every 100 Deaths Worldwide is Caused by Suicide

Suicide continues to be a tragic consequence of mental illness. In 2021 alone, it is estimated that 727,000 individuals across the globe died by suicide, which is a major cause of death among youth. WHO experts point out that although age-specific rates for suicide have fallen worldwide by 35% from 2000 to 2021, efforts are too slow to achieve the United Nations Sustainable Development Goal to cut suicide rates by a third by 2030. The trend indicates only 12% reduction will be realized.

Alarming as it is, almost three-quarters of all suicides are in low- and middle-income countries, where there are limited mental health resources and stigma discourages individuals from going for help. Even in wealthier countries, timely and effective care is not always accessible.

Investment Gap in Mental Health Services

Investment in mental health services globally is not increasing commensurate with growing demand. Median government expenditure on mental health averages only 2% of overall health expenditures—unchanged since 2017. Inequities between nations are glaring: high-income countries can spend as much as $65 per capita on mental health, and low-income nations can spend as little as $0.04. Median numbers of mental health professionals globally stand at only 13 per 100,000 people, and have made low- and middle-income nations critically short.

Access to treatment is most problematic in rural and underserved populations. In the United States, 65% of rural counties have no practicing psychiatrist, and nearly a third have no mental health professionals. Suburban residents, while otherwise better supplied, also experience affordability hurdles, insurance gaps, and cultural stigma, reducing meaningful access to care.

Progress and Persistent Gaps

There has been some progress. In the past two years, most countries have revised their mental health policies, improved emergency preparedness, and incorporated rights-based practices. More than 80% of nations now offer mental health services in emergencies, compared to 39% in 2020. Mental health integrated into primary care is making headway, and telehealth services are increasingly available.

Yet, these developments are insufficient to meet the global burden. Fewer than 10% of countries have fully transitioned to community-based care models, and inpatient care continues to rely heavily on psychiatric hospitals. Many patients experience long-term hospitalization, often involuntarily, highlighting the urgent need for systemic reform.

Why Addressing the Root Causes Is Important?

Mental health is a function of the complex interplay of social, environmental, and biological elements. Social media use, cyberbullying, and the pressure to maintain a "perfect" life on social media can contribute to exacerbating depression and anxiety. Economic insecurity, discrimination, trauma, and the residual effect of global crises such as the pandemic further add to the burden. Resolution of these foundational issues demands intersectoral collaboration—healthcare, education, social services, and policy.

Simple Tips for Improving Your Mental Health Everyday

Although reform on a wide scale is called for, people can also take actions to augment their mental health:

Stay Connected: Regular contact with others reduces loneliness.

Prioritize Physical Health: Exercise, healthy nutrition, and sleep contribute heavily to mood and cognitive performance.

Limit Digital Overload: Cut back on social media time, especially doomscrolling or comparing yourself to idealized models.

Practice Mindfulness: Meditation, journaling, or breathing exercises can reduce stress and enhance emotional resilience.

Get Professional Assistance: Therapy, counseling, or support groups provide direction and management techniques.

Foster Open Discussions: Open discussion of feelings within families, schools, or the workplace decreases stigma and promotes early intervention.

Crisis Hotlines: Familiarize yourself with local or national hotlines. For example, Kosovo provides Lifeline at 0800 12345 between the hours of 10:00 AM to 2:00 AM every day for crisis intervention.

The WHO underlines that mental health services should be addressed as a human right. Radical change to mental health services requires fair financing, legal changes to ensure human rights, and continued investment in the development of the workforce. Community-based, person-focused care models are essential to increase access and enhance outcomes. Multilevel collaboration between governments, NGOs, and international health agencies is required to address the breadth and depth of the crisis.

The current statistics present a grim picture: mental illness disorders are growing more quickly than world population growth, suicide is a leading cause of death among young people, and treatment access is starkly uneven. Unless drastic action is taken, the economic, social, and human toll will keep piling up.

Mental illness is not only a matter of health; it is a societal and economic problem that needs to be addressed immediately. Over one billion individuals are impacted globally, and younger generations disproportionately so. Progress has been made in policy, integration, and emergency response, yet never before has systemic reform and investment been as urgent a need. There is a role for every government, community, and individual in opening up access, decreasing stigma, and placing mental health as a top global public health priority.