The devastating cough syrup deaths in Madhya Pradesh have shaken the nation. Medical representative Satish Verma faced arrest in connection with this tragedy. Moreover, the contaminated Coldrif syrup claimed 24 young lives. Parents trusted this medicine to heal their children. Instead, it delivered death.
Medical Representative Arrested in Chhindwara
Police arrested Satish Verma on the intervening night of Sunday and Monday in Chhindwara. He worked as a medical representative for Sresan Pharma, a Tamil Nadu-based pharmaceutical company. Sub Divisional Officer of Police Jitendra Kumar Jaat confirmed his arrest. Subsequently, authorities began questioning him about his role in distributing the toxic syrup.
The cough syrup deaths triggered a massive investigation. Therefore, police formed a Special Investigation Team (SIT) to uncover every detail. This arrest marks the sixth in the ongoing case. Previously, authorities detained company owner G Ranganathan and prescribing doctor Praveen Soni. Additionally, chemist K Maheshwari, wholesaler Rajesh Soni, and pharmacist Sourabh Jain faced arrest. However, more arrests are expected as the probe deepens.
Toxic Contamination Behind Child Fatalities
Cough syrup deaths occurred after children consumed Coldrif syrup manufactured by Sresan Pharmaceuticals. Laboratory tests revealed shocking results. The syrup contained 48.6 percent diethylene glycol (DEG), a highly toxic industrial chemical. Consequently, this exceeded the permissible limit by nearly 500 times. The safe limit stands at just 0.1 percent.
“Diethylene glycol is an industrial solvent found in antifreeze and brake fluids. It should never appear in medicines meant for human consumption.”
Most victims were children under five years of age. They suffered acute kidney failure after taking the contaminated medicine. Despite medical intervention, 24 children from Madhya Pradesh lost their lives. Furthermore, three additional children died in neighboring Rajasthan. Families placed trust in doctors and pharmacies. Tragically, that trust proved fatal.
Manufacturing Unit Sealed After Violations
Tamil Nadu authorities discovered severe violations at Sresan Pharmaceuticals. Inspectors found 39 critical and 325 major violations during factory raids. The company sourced industrial-grade propylene glycol from paint dealers and chemical traders. Moreover, no qualified chemists supervised the production process. Raw materials never underwent contamination testing.
The manufacturing facility lacked basic hygiene standards. Pest infestations plagued the premises. Broken equipment remained unrepaired. Open drains and zero ventilation characterized the production area. Clearly, such conditions endangered public health. Consequently, Tamil Nadu revoked the company’s manufacturing license permanently. Officials ordered the facility’s complete shutdown.
WHO Issues Global Alert
The World Health Organization (WHO) issued an urgent alert on October 13, 2025. Three contaminated cough syrups from India posed severe health risks globally. Besides Coldrif from Sresan Pharmaceuticals, the alert included Respifresh TR from Rednex Pharmaceuticals. Additionally, ReLife from Shape Pharma appeared on the warning list.
The WHO emphasized these products could cause life-threatening illnesses. National regulatory authorities worldwide received instructions to report any detection immediately. Moreover, the organization urged heightened surveillance of informal supply chains. Such unregulated markets often circulate dangerous medicines undetected.
The Central Drugs Standard Control Organisation (CDSCO) confirmed no exports occurred. Nevertheless, the WHO recommended targeted market surveillance. Countries must evaluate risks from oral liquid medicines produced since December 2024.
Nationwide Ban and Government Action
Following the cough syrup deaths, multiple states banned Coldrif immediately. Tamil Nadu, Madhya Pradesh, Kerala, and Karnataka prohibited its sale. Similarly, Punjab, Himachal Pradesh, and Uttar Pradesh joined the ban. Puducherry, West Bengal, and Delhi also took swift action.
Madhya Pradesh Chief Minister Mohan Yadav vowed strict punishment. He stated the guilty would not be spared. Additionally, the state government suspended its drug controller and assistant drug controller. Their negligence in testing random medicine samples proved catastrophic. An SIT continues investigating every aspect of the tragedy.
The state government announced compensation of Rs 4 lakh for each victim’s family. Funds transferred directly to bank accounts. However, no amount of money can replace a lost child. Parents demand justice and accountability.
Doctor Accused of Taking Commission
Dr. Praveen Soni, who prescribed the lethal syrup, faced serious allegations. Police reports submitted to court revealed disturbing facts. The doctor allegedly received 10 percent commission for prescribing Coldrif. Furthermore, he reportedly knew about severe side effects including kidney failure. Despite official health guidelines prohibiting use in children under four, he continued prescribing it.
His wife owned a pharmacy in Parasia, Chhindwara. This connection raised additional concerns about financial motives. The court denied him bail. Meanwhile, medical associations debate whether doctors are being scapegoated. Some argue manufacturers and regulatory authorities bear primary responsibility.
Regulatory Failures Exposed
A 2024 report from India’s Comptroller and Auditor General revealed systemic failures. Tamil Nadu conducted only two-thirds of required pharmaceutical inspections between 2016 and 2021. Moreover, testing collected barely half the expected sample numbers. Such lapses allowed contaminated medicines to reach consumers.
Medical associations criticized the arrest-first approach. The Indian Medical Association stated manufacturers and authorities bear primary responsibility. They condemned intimidation of the medical profession. Nevertheless, prescribing banned medicines to vulnerable children demands accountability.
India exports the largest volume of generic drugs globally. However, recurring contamination incidents damage the country’s pharmaceutical reputation. Previously, Indian-made cough syrups caused child deaths in Gambia and Uzbekistan during 2022-2023. Each tragedy highlights the urgent need for stricter quality control.
Families Demand Justice
Parents describe unimaginable grief and anger. They administered medicine hoping to relieve their children’s coughs. Instead, they watched helplessly as their babies suffered kidney failure. Many families lack resources for advanced medical treatment. Eight children received treatment in Nagpur hospitals. Four went to government facilities, one to AIIMS, and three to private hospitals.
The cough syrup deaths exposed gaps in India’s pharmaceutical safety net. Corruption, inadequate testing, and profit-driven negligence combined with devastating consequences. Families want everyone responsible held accountable. From manufacturers to distributors to prescribers, each link in the chain failed these innocent children.
Preventing Future Tragedies
Authorities must implement comprehensive reforms immediately. First, mandatory testing of all raw materials before production starts. Second, unannounced inspections of pharmaceutical manufacturing units. Third, qualified chemists must supervise every production batch. Fourth, strict penalties for violations including permanent license cancellation and criminal prosecution.
Parents should verify manufacturing details before purchasing medicines. Additionally, report any adverse effects immediately to authorities. Healthcare providers must stay updated on drug safety alerts. Ultimately, preventing the next tragedy requires vigilance from everyone involved.
The cough syrup deaths serve as a grim reminder. Lives depend on pharmaceutical integrity. When profit supersedes safety, innocent children pay the ultimate price. This tragedy demands lasting change. Only comprehensive reform can prevent history from repeating itself. The 24 young lives lost deserve justice. Their families deserve answers. Society deserves protection from such preventable deaths.






