Yesterday, the Malaysian Ministry of Health announced that an ice cream chain store is banned from selling “Pei Pa Koa Flavoured Ice Cream”, citing that mixing Pei Pa Koa cough syrup with food products, is prohibited under Section 13B(2) of the Food Act 1983.
As Malaysia’s largest prescription pharmacy chain, Alpro Pharmacy would like to caution the public on the risk of taking any medication, including herbal medicine, without consulting your healthcare professionals.
Pei Pa Koa, a seemingly ordinary and easily reachable traditional cough medicine, can be harmful especially to pregnant women and young children because Pei Pa Koa contains licorice (甘草).
This ingredient will cause several effects :

1. Hormonal Effects: Licorice contains glycyrrhizin, which can mimic the hormone
   aldosterone. High levels of aldosterone can lead to fluid retention, hypertension, and an
   imbalance of electrolytes in the body.
2. Blood Pressure Issues: Glycyrrhizin can cause an increase in blood pressure by reducing
   potassium levels and increasing sodium levels in the body. High blood pressure during
   pregnancy can lead to complications such as preeclampsia.
3. Preterm Labor Risk: Some studies suggest that consuming large amounts of licorice
   during pregnancy may increase the risk of preterm labor due to its effects on prostaglandin
   synthesis.
4. 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.

This situation underscores the importance of consulting your healthcare professional before taking any medication, including herbal medicines, during pregnancy.
Always seek professional advice to ensure the health and safety of both the mother and the baby.
For any inquiries regarding medications during pregnancy or breastfeeding, the public can speak to our pharmacist for free at 019-702 1923.