WORDS LIM TECK CHOON
 FEATURED EXPERTLIM EN NI Chief Pharmacist and Director of Engagement Alpro Pharmacy |
On 30 July 2024, the Ministry of Health announced a ban on the selling of Pei Pa Koa-flavoured ice cream in an ice cream chain store.
The official reason cited for this ban was that mixing Pei Pa Koa—a cough syrup that is marketed as an over-the-counter traditional medicine—with food products is an act prohibited under Section 13B(2) of the Food Act 1983.
WHAT IS THE PROBLEM WITH USING THE COUGH MIXTURE AS AN ICE CREAM FLAVOURING?
According to Lim En Ni, unregulated consumption of this cough mixture can be harmful especially to pregnant women and young children.
This is because Pei Pa Koa contains licorice (甘草) that can bring about the following health issues.
Fluid Retention and Hypertension
Licorice contains glycyrrhizin, a substance that resembles the structure of the hormone aldosterone and, when it is in the body, mimics the function of aldosterone.
As a result, high levels of glycyrrhizin can lead to fluid retention, hypertension, and an imbalance of electrolytes in the body.
Blood Pressure Issues
Glycyrrhizin can cause an increase in blood pressure by reducing potassium levels and increasing sodium levels in the body.
In pregnant women, high blood pressure can lead to complications such as preeclampsia.
Preterm Labour Risk
Lim En Ni points out that some studies suggest that consuming large amounts of licorice during pregnancy may increase the risk of preterm labour by increasing production of prostaglandin, a hormone-like compound that is involved in triggering labour.
Baby Developmental Issues
There is evidence suggesting that excessive licorice consumption during pregnancy might affect the cognitive development of the child. It has been associated with lower intelligence and behavioral problems in children.
THE TAKE-AWAY MESSAGE
While over-the-counter medications are readily accessible, they should not be taken lightly—and definitely should not be used as flavouring for foods and beverages!
- Always exercise caution and read labels carefully before use.
- For optimal safety, consult a pharmacist or doctor prior to taking any new medication, even those available without prescription.
The above two simple precautions can help prevent adverse reactions and ensure the most appropriate treatment for your condition.
