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Ayurvedic Cough Syrups in India: Ingredients, Well-Known Brands and How They Are Regulated - Vibcare Pharma

Ayurvedic Cough Syrups in India: Ingredients, Well-Known Brands and How They Are Regulated

Vibcare Pharma

05/10/26

  • Updated 5 October 2026
  • Reviewed by Sudhanshu Singhal
  • 10 min read
  • 25 sources
Rule 161Label must list every herb, plant part and quantity
899Children in the Cochrane review of honey for cough (2018)
Under 1Never give honey to a baby (risk of infant botulism)
21Ingredients in Vibcare's Nuracuff syrup

Common herbs in ayurvedic cough syrups at a glance

Herb (Hindi/Sanskrit)Botanical nameTraditional useWhat modern evidence says
Vasaka / AdulsaAdhatoda vasicaCough, bronchitis, asthmaVasicine is its main alkaloid; bromhexine and ambroxol are derived from it. Antitussive effects shown in animal studies; reviews found no human efficacy trial.
Mulethi / Yashtimadhu (liquorice)Glycyrrhiza glabraDry cough, bronchitisGlycyrrhizin can raise blood pressure and lower potassium (pseudohyperaldosteronism); the effect is reversible on stopping.
TulsiOcimum sanctumIn 7 of the 8 brands listed belowA review of 24 human studies covered metabolic, stress and immunity outcomes; cough was not studied.
PippaliPiper longumBronchitis, cough, coldEvidence is mostly preclinical.
KantakariSolanum xanthocarpumIn Honitus, Zandu and KasamritSmall human trials of whole-plant extract reported benefit in asthma.
Haridra (turmeric)Curcuma longaCommon cold and other conditionsNCCIH says there is not enough evidence to say it helps; liver injury has been reported with bioavailable products.
Honey—CoughCochrane (2018): honey probably reduces cough frequency more than no treatment or placebo (moderate certainty). Never for babies under 1.
Source: published reviews, NCCIH and Cochrane (links under Sources).

How ayurvedic medicines are regulated in India

Ayurvedic cough syrups are regulated as Ayurvedic drugs under Chapter IVA (sections 33B to 33N) of the Drugs and Cosmetics Act, 1940, and the Rules made under it. The framework covers Ayurveda, Siddha and Unani (ASU) medicines together.

Classical medicines and patent or proprietary medicines

The Act divides Ayurvedic medicines into two groups. Classical medicines, under section 3(a), are made exclusively to the formulae given in the authoritative books listed in the First Schedule.

Patent or proprietary medicines, under section 3(h)(i), are formulations that contain only ingredients drawn from those same authoritative books, but are not themselves formulations from those books.

Licensing, standards and labelling

Section 33EEC bars the manufacture of an Ayurvedic drug without a licence. Licensing sits with State Licensing Authorities, and Good Manufacturing Practice is governed under Schedule T.

  • Pharmacopoeial standards are set by the Pharmacopoeia Commission for Indian Medicine & Homoeopathy.
  • Adverse reactions are reported through AYUSH pharmacovigilance centres.
  • Rule 161 requires the label to carry the true ingredient list with botanical names, plant part and quantity.

For a reader, this means the back label of an ayurvedic syrup for cough should tell you exactly what is inside and how much, not just a marketing description.

Advertising and Rule 170

Rule 170: a changing rule

Rule 170, which required state pre-approval of ASU advertisements and was inserted in 2018, was omitted by the Drugs (Fourth Amendment) Rules 2024 with effect from 1 July 2024. The Supreme Court stayed that omission in August 2024, and then vacated the stay on 11 August 2025, as reported by LiveLaw.

Advertising of these medicines remains governed by the Drugs and Magic Remedies (Objectionable Advertisements) Act, 1954.

Common ingredients and what the evidence says

The brands listed further down share many of the same herbs. Traditional use is not the same thing as proof from human clinical trials, so below, the traditional use and the modern evidence are kept separate.

Vasaka (Adulsa) — Adhatoda vasica

Traditional use: vasaka is used for cough, bronchitis and asthma. Evidence: vasicine is its main alkaloid, and the modern drugs bromhexine and ambroxol are derived from it. Antitussive effects have been shown in animal studies, but the reviews found no human efficacy trial. The same reviews report abortifacient effects, so vasaka should be avoided in pregnancy.

Mulethi (Yashtimadhu) — Glycyrrhiza glabra

Traditional use: mulethi is used for dry cough and bronchitis. Evidence: its glycyrrhizin fraction can raise blood pressure and lower potassium, a condition described as pseudohyperaldosteronism, and this is reversible on stopping. If you have high blood pressure or low potassium, ask a doctor before using a liquorice-containing syrup.

Tulsi — Ocimum sanctum

Use: tulsi is in 7 of the 8 brands listed below. Evidence: a review of 24 human studies on tulsi covered metabolic, stress and immunity outcomes; cough was not studied in those trials, so a cough benefit cannot be read from that review.

Pippali — Piper longum

Traditional use: pippali is used for bronchitis, cough and cold. Evidence: the research is mostly preclinical, which means laboratory and animal work rather than human trials.

Kantakari — Solanum xanthocarpum

Use: kantakari is listed in Honitus, Zandu and Kasamrit (as kantikari). Evidence: small human trials of the whole-plant extract reported benefit in asthma. These were small trials, and they looked at asthma rather than ordinary cough.

Haridra (turmeric) — Curcuma longa

Traditional use: NCCIH records turmeric as traditionally used for the common cold and other conditions. Evidence: NCCIH states that we do not know enough to say whether turmeric helps, and liver injury has been reported with bioavailable turmeric products.

Honey for cough

Honey has been tested for cough in children in randomised trials, and it has a firm age limit. The Cochrane review of 10 April 2018 looked at 6 trials with 899 children aged 12 months to 18 years and concluded that honey probably reduces cough frequency more than no treatment or placebo, with moderate certainty.

NICE guideline NG120 likewise refers to limited evidence of some benefit from honey for cough in people over 1 year of age. The NHS lists honey among simple measures that may help a cough.

Important

Never give honey to a baby under 1 year. The NHS and the CDC warn that honey can cause infant botulism in babies under one, so this rule applies to every honey-containing product and to honey given from the kitchen.

Safety and when to see a doctor

Herbal cough syrups are medicines too, and some common ingredients carry their own cautions. Read the label, and ask a doctor or pharmacist if you are unsure.

  • Liquorice and blood pressure: glycyrrhizin in mulethi can raise blood pressure and lower potassium. The effect is reversible on stopping; if you have high blood pressure or low potassium, ask a doctor first.
  • Vasaka in pregnancy: reviews of Adhatoda vasica report abortifacient effects, so it should be avoided in pregnancy.
  • Turmeric products: liver injury has been reported with bioavailable turmeric products.
  • Honey: never for babies under 1 year.

The NHS advises seeing a GP if a cough lasts more than 3 weeks, or if it comes with chest pain, breathlessness, coughing up blood, or weight loss. A cough that does not go away needs a proper diagnosis. Follow the directions on the label, or your doctor's advice.

Well-known ayurvedic cough syrups in India

The ayurvedic cough syrups below are sold by well-known Indian companies. The table lists ingredients as published by the companies and by online pharmacies.

BrandCompanyKey ingredients as listed
Honitus Cough SyrupDaburPer 5 ml: tulsi 50 mg, mulethi 50 mg, banaphsa 50 mg, kantkari 50 mg, talispatra 50 mg, sunthi 25 mg, pippali 25 mg, vasaka 25 mg, shati 25 mg, pudina satva 3 mg, honey 1.75 g
Koflet SyrupHimalaya WellnessHoly basil, honey, liquorice
Zandu Ayurvedic Cough SyrupEmamiTulasi, vasa, sati, yasti, pippali, marica, lavanga, kantakari, sunthi
Kofol SyrupCharakTulsi, haridra, shunthi, yashtimadhu, vasa, bibhitaki
KasamritBaidyanathTulsi, pipal, sounth, basak, kantikari, kali mirch, dalchini
Kuka Cough SyrupMultaniTulsi, pippali, vasa, kulanjan
TussnilKerala AyurvedaVasa, kasamarda, yashtimadhu, bharngi, sunthi
Divya Swasari PravahiPatanjaliMulethi, tulsi, lavang, tejpatra (liquid)
Source: company and pharmacy listings, 5 October 2026. Check the current label before use; this is not a recommendation.

Nuracuff syrup from Vibcare's NURALZ ayurvedic division

Nuracuff Syrup is Vibcare Pharma's ayurvedic cough syrup, from the NURALZ ayurvedic division. Its composition, as listed on our product page, has 21 ingredients, with vasaka (1,200 mg) and somlata (1,000 mg) the largest.

Nuracuff Syrup

Nuralz

Composition as listed on our product page

  • Vasaka 1200 mg IP, Somlata 1000 mg IP
  • Ustukhuddus 120 mg IP
  • Banafsha 60 mg IP, Munakka 60 mg IP, Unav 60 mg IP, Gajwan 60 mg IP, Mulethi 60 mg IP, Saunf 60 mg IP, Reshakhatmi 60 mg IP, Anjeer 60 mg IP, Kantakari 60 mg IP, Kaiphal 60 mg IP, Giloy 60 mg IP, Tulsi 60 mg IP, Ginger 60 mg IP
  • Lasura 30 mg IP, Apamarg 30 mg IP, Noshadar 30 mg IP, Satpudina 30 mg IP, Sat Kapoor 30 mg IP

The label on the pack is the authority on ingredients and directions. Like most of the brands above, Nuracuff contains vasaka and mulethi, so the cautions under Safety apply.

Availability through a PCD franchise

Vibcare Pharma Pvt Ltd, incorporated in 2014 and running commercial operations since 2015, appoints PCD franchise partners district by district, with one partner per district and monopoly rights confirmed in writing. The company works with more than 5,000 partners across 11 divisions.

NURALZ products, along with injectables and ophthalmics, are made at partner WHO-GMP units, and the manufacturer is named on the pack. To start a franchise you need a wholesale drug licence and GST registration.

For distributors and entrepreneurs

Add the NURALZ ayurvedic range to your portfolio

Vibcare appoints one PCD franchise partner per district, with monopoly rights confirmed in writing. NURALZ products are made at partner WHO-GMP units, with the manufacturer named on the pack.

Frequently asked questions

Do ayurvedic cough syrups work?

Ayurveda traditionally uses herbs such as vasaka, mulethi and pippali for cough and bronchitis, but the modern evidence differs by ingredient: vasaka has animal antitussive data but no human efficacy trial in the reviews, pippali evidence is mostly preclinical, and honey has moderate-certainty Cochrane evidence of reducing cough frequency in children over one year. The NHS advises seeing a GP if a cough lasts more than 3 weeks.

Which herbs are used in ayurvedic cough syrups?

Common herbs include vasaka (Adhatoda vasica), mulethi or liquorice (yashtimadhu), tulsi (Ocimum sanctum), pippali (Piper longum), kantakari (Solanum xanthocarpum) and haridra (turmeric), along with honey and spices such as sunthi (dry ginger) and pepper. Under Rule 161 the label must state the true ingredient list with botanical names, plant part and quantity, so you can always check the exact composition.

Are ayurvedic cough syrups safe for children?

Safety depends on the ingredients, the child's age and the child's health, so a doctor or pharmacist should be consulted before giving any cough syrup to a child. Honey has evidence of some benefit in children over one year, but it must never be given to a baby under 1 because of the risk of infant botulism. Liquorice-containing products can affect blood pressure and potassium.

Can I give honey for a cough to a baby?

No. Never give honey to a baby under 1 year of age, because of the risk of infant botulism. The Cochrane review that supports honey for cough studied children from 12 months to 18 years, and NICE refers to limited evidence of some benefit in people over 1 year.

Is an ayurvedic cough syrup safe in pregnancy?

Some common ingredients are not advised in pregnancy; reviews of vasaka (Adhatoda vasica) report abortifacient effects and say it should be avoided. Ask your doctor before taking any cough syrup in pregnancy.

How are ayurvedic medicines approved in India?

They are regulated under Chapter IVA of the Drugs and Cosmetics Act, 1940, and cannot be manufactured without a licence under section 33EEC. Licensing is done by State Licensing Authorities, GMP is under Schedule T, standards come from the Pharmacopoeia Commission for Indian Medicine & Homoeopathy, labels follow Rule 161, and adverse reactions go to AYUSH pharmacovigilance centres.

Sources

For distributors and entrepreneurs

Add the NURALZ ayurvedic range to your portfolio

Vibcare appoints one PCD franchise partner per district, with monopoly rights confirmed in writing. NURALZ products are made at partner WHO-GMP units, with the manufacturer named on the pack.

About this article. Written by the Vibcare Pharma team from the sources listed above and reviewed by Sudhanshu Singhal, Director & Co-Founder, Vibcare Pharma. Figures are as published on the dates shown. Medical information here is general information, not a substitute for advice from a doctor.

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