Product recalls & drug alerts (UK market)

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Latest recall/drug alert

30 October

DRUG ALERT:
Salbutamol inhalers more


9 April

Actiq lozenges ... more

17 September

Adult Meltus for Chesty Coughs and Catarrh ... more

3 September

Baxter products supplied in Viaflo bags ... more

30 April

Cetraben emollient cream ... more

11 September

CoaguChek PT test strips ... more

30 May

Cox amoxycillin mixture ... more

5 August

EpiPen ... more

12 August

Eprex pre-filled syringes ... more

6 February

Erwinase (crisantaspase/asparaginase) 10,000 units/vial ... more

16 April

Flamrase SR 100mg tablets ... more

3 September

Flucloxacillin 500mg capsules ... more

14 October

Methotrexate ... more

12 February

Metrodin High Purity ... more

30 April

Phenylephrine Hydrochloride Minims ... more

30 October

Salbutamol inhalers ... more

20 February

Salivix pastilles ... more

12 August

Sodium chloride intravenous infusion ... more

15 August

CLASS 1 RECALL  Sodium chloride intravenous infusion ... more

28 February

Valium injection 10mg/2ml ... more

26 September

Zopiclone 7.5mg tablets ... more


PRODUCT ALERTS


DRUG ALERTS

30 October

DRUG ALERT:
Salbutamol inhalers more



DRUG ALERT: Test firing important for certain inhalers (30 October)

The Medicines and Healthcare products Regulatory Agency (www.mhra.gov.uk) has issued a drug alert stating the importance of a “test fire” before using a Generics (UK) salbutamol inhaler for the first time. The alert follows reports of sticking or squeaking valves on first use of the inhaler.

The patient information leaflet states: “It is a wise precaution to test fire before using the aerosol for the first time and also on every occasion when it has not been used for a week or more.” Some units may require several “test fires” before operating smoothly, and in a small number of cases, the valve may take longer than one minute to return after the first actuation, but the dose delivered should not be affected.

Pharmacists are advised to remind patients of the importance of test firing. For further information contact the Generics (UK) medical information department on 01707 853000.

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DRUG ALERT: Methotrexate (14 October)

The Medicines and Healthcare products Regulatory Agency has advised caution in use for the following batches of methotrexate injection and tablets in Cyanamid livery because changes in the summary of product characteristics have not been incorporated into the packaging and labels.

Presentation

Batch number

Expiry date

Methotrexate injection

Injection 50mg/2ml

A7WM/11

28/11/2004

Injection 200mg/8ml

A8EZ/11

28/05/2005

Solution 500mg/20ml

K386

31/03/2005

Solution 1gm/40ml

K370

31/03/2005

Solution 5gm/200ml

K384

31/03/2005


Methotrexate tablets 2.5mg

 

K535B

30/04/2008

 

K634A

30/04/2008

Stock with compliant packaging will be available by the end of October. Further details at www.mhra.gov.uk


See also Law and Ethics Bulletin and Good Practice Points

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RECALL: Zopiclone 7.5mg tablets (26 September)

The following batches of zopiclone 7.5mg tablets, pack size 28, in Dominion Pharma and Arrow Generics liveries and manufactured by PLIVA Pharma are being recalled because they may not be meet their shelf-life specification.

Batch number

Release date

Expiry date

Dominion Pharma packs

 

 

7032H

April 2001

1 August 2003

8068F

August 2001

30 June 2004

8069F

September 2001

30 June 2004

8118I

November 2001

31 October 2004

8119I

November 2001

31 October 2004

8120I

November 2001

31 October 2004

8139J/1

January 2002

31 October 2004

8140J

January 2002

31 October 2004

8139J/2A

February 2002

31 October 2004

9246L

May 2003

31 January 2006

Arrow Generics packs

 

 

9044C

May 2002

31 March 2005

9045C

June 2002

31 March 2005

9104F

August 2002

30 June 2005

9105F

September 2002

30 June 2005

Recipients of these batches should quarantine any remaining product. PLIVA suggests that pharmacists contact customers to whom they have supplied the product to arrange for return or destruction of remaining stock. Customers should contact their supplier to arrange for credit.

For further information contact PLIVA Pharma on 01730 710900.

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RECALL: Adult Meltus for Chesty Coughs and Catarrh (17 September)

The following batch of Adult Meltus for Chesty Coughs and Catarrh is being recalled because of a failure to meet its specification in respect of guaiphenesin and cetylpyridinium chloride (SSL International).

Batch number

Pack size

Expiry date

First distributed

P631640

100ml

July 2007

September 2002

Any remaining product should be quarantined.

For credit and replacement customers can contact A. Knott, Quality Manager, SSL International Distribution Centre, Stakehill Industrial Estate, Finlan Road, Middleton, Manchester M24 5ST.

For general enquiries contact the company’s medical information department on 0161 621 2030.

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RECALL: CoaguChek PT test strips (11 September)

The following batch of CoaguChek PT test strips are being recalled because a manufacturing problem has caused a defect in the packaging of the strips that may give rise to falsely high international normalised ratio results (Roche Dignostics).

Batch number

Pack size

Expiry date

First distributed

583

12

August 2004

29 July 2003

Any remaining product should be quarantined. Roche suggest that pharmacists identify patients who have been supplied with these strips and advise them to repeat their blood testing with a new batch of strips.

Customers can contact Roche for replacement strips on 01273 484 863.

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RECALL: Flucloxacillin 500mg capsules (3 September)

The following batches of Generics (UK) flucloxacillin 28 x 500mg capsules are being recalled because stability test data has indicated that the registered shelf life specifications may not be guaranteed.

Batch number

Manufacture date

Expiry date

6179Y1

October 2002

October 2005

6678Y1

December 2002

December 2005

679Y1

December 2002

December 2005

6680Y1

December 2002

December 2005

6681Y1

January 2003

January 2006

6682Y1

January 2003

January 2006

7183A1

March 2003

March 2006

7184A1

March 2003

March 2006

7185A1

March 2003

May 2006

7200A1

April 2003

April 2006

C6729A1

January 2003

January 2006

C6731A1

January 2003

January 2006

C6733A1

January 2003

January 2006

C7178A1

March 2003

March 2006

C7180A1

March 2003

March 2006

Any remaining product of these batches should be quarantined. Customers can contact Generics (UK) to arrange for credit and/or replacement (tel 01707 853100).

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RECALL: Baxter products supplied in Viaflo bags (3 September)

All batch numbers of the following products supplied in 250ml, 500ml or 1 litre Viaflo bags manufactured at Thetford are being recalled (Baxter Healthcare). This is because of a potential contamination which may cause the products to have a high pH without exhibiting any physical changes, although particles and/or a colour change may be present.

Product

PL number

Product codes

Sodium chloride 0.9 per cent intravenous infusion BP

PL 0116/0334

FKE1322, FKE1323, FKE1324

Glucose 5 per cent intravenous infusion BP

PL 0116/0335

FKE0062, FKE0063, FKE0064

Compound sodium lactate solution for infusion BP

PL 0116/0330

FKE2323, FKE2324

Water for injection Ph Eur

PL 0116/0324

FKE0304

Ringer’s solution for infusion

PL 0116/0349

FKE2303, FKE2304

Products supplied in Viaflex and Viaflo products with codes starting FPE and FUE are not affected. Customers in critical need of these products who have not heard from Baxter should contact the company’s customer services on 01635 206060 or 01635 206161. For technical/clinical information contact Baxter medical information on 01842 767189.

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RECALL: Sodium chloride 0.9 per cent intravenous infusion (15 August)

Further to the recall of two batches of Baxter's sodium chloride 0.9 per cent intravenous infusion on 12 August, five further batches have been recalled. The recall notice issued by the Medicines and Healthcare products Regulatory Agency is a Class I recall, which demands immediate action by recipients, even out of hours. Some bags in the affected batches contain white particles and some bags have a high pH.

Batch number

Expiry date

Pack size

First distributed

03E21TL

04/2006

1000ml

6 June 2003

03E21TLA

04/2006

1000ml

11 June 2003

03E21TLB

04/2006

1000ml

6 June 2003

03E21TLY

04/2006

1000ml

7 July 2003

03E21TLZ

04/2006

1000ml

6 July 2003

Any remaining product of these batches should be quarantined. Baxter is contacting customers to arrange for credit or replacement.

For further information contact Baxter Healthcare customer services on 01635 206060 (Northern team) or 01635 206161 (Southern team.)

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RECALL: Sodium chloride intravenous infusion (12 August)

The following batch numbers of sodium chloride 0.9 per cent intravenous infusion BP are being recalled because a small number of bags have been reported to contain white particles (Baxter Healthcare Ltd).

Batch number

Expiry date

Pack size

First distributed

03F19TF

May 2006

1 Litre

4 July 2003

03F19TFA

May 2006

1 Litre

4 July 2003

Any remaining product of these batches should be quarantined. Baxter is contacting customers to arrange for credit or replacement.

For further information contact Baxter Healthcare customer services on 01635 206060 (Northern team) or 01635 206161 (Southern team.)

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RECALL: Eprex pre-filled syringes (12 August)

Batches of the following strengths of eprex (epoetin alfa) solution for injection pre-filled syringes manufactured during 2002 have been recalled because of low level contaminants arising from the rubber stoppers (Janssen-Cilag Ltd).

Strength

Batch number

Expiry date

1000 units/0.5ml

All batches beginning “02”

All in-date batches

2000 units/0.5ml

All batches beginning “02”

All in-date batches

3000 units/0.3ml

All batches beginning “02”

All in-date batches

4000 units/0.4ml

All batches beginning “02”

All in-date batches

10,000 units/ml

All batches beginning “02”

All in-date batches

The company says that there is no evidence of any health risks. Any remaining stock should be quarantined. Janssen-Cilag will be contacting customers to arrange for return or replacement. This recall also applies to some strengths of parallel imports with the same batch numbers from PIE Pharmaceuticals, Concept Medical, Chemlines and Danfleet International.

Further information can be obtained from Janssen-Cilag customer services on 0800 333001.

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DRUG ALERT: EpiPen (5 August)

There is a potential discrepancy of expiry dates on EpiPen Auto-injectors (adrenaline 1 in 1000) (ALK-Abelló).

The outer pack and the syringe label carry identical and correct expiry dates. The syringe label can be peeled back to reveal the list of ingredients and a different expiry date may be found printed directly onto the syringe barrel. The correct expiry date is that on the pack and syringe label. This does not affect the quality or safety of the product.

For further information contact ALK-Abelló (tel 01488 686016)

www.alk-abello.com

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RECALL: Cox amoxycillin mixture (30 May)

Alpharma has recalled a batch of amoxycillin mixture manufactured by Athlone Laboratories Ltd and packed in Cox livery because the batch has been labelled with a mixture of 125mg/5ml and 250mg/5ml labels.

Batch number

Product licence

Pack size

02K078

6453/0022

100ml

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RECALL: Cetraben emollient cream (30 April)

The following batch of Cetraben emollient cream 500g pump-dispenser has been recalled as a precautionary measure (Sankyo Pharma UK).

Batch number

Expiry date

Pack size

507

January 2006

500g

This is because the preservative content is out of specification. The stability of the product remains unaffected. Recipients of this batch are requested to embargo any remaining stock and make arrangements for return and replacement via their wholesaler.

Further information can be obtained by telephoning Sankyo Pharma on 01494 766866.

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RECALL: Phenylephrine Hydrochloride Minims (30 April)

The following batch of Phenylephrine Hydrochloride Minims 2.5% has been recalled as a precautionary measure (Chauvin Pharmaceuticals)

Batch number

Expiry date

Pack size

First distributed

2534

January 2004

20

December 2002

This is because a small number of complaints have been received regarding leaking Minims. Recipients are asked to quarantine any remaining stock and contact either their supplier or Chauvin Pharmaceuticals in order to make arrangements for return and replacement.

Further information can be obtained by contacting Chauvin Pharmaceuticals on 020 8781 2800.

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RECALL: Flamrase SR 100mg tablets (16 April)

The following batch of Flamrase (diclofenac sodium) SR 100mg tablets in the livery of Berk Pharmaceuticals is being recalled (Clonmel Healthcare):

Batch number

Expiry date

Pack size

9159M

October 2004

28

The batch is being recalled because stability samples have failed to meet the specification for dissolution at three months. Details from Kath Birch, customer services manager, at APS/Berk on 0800 590 502.

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URGENT RECALL: Actiq lozenges 200 µg, 400 µg, 600 µg, 800 µg and 1600 µg (9 April)

The following batches of Actiq (fentanyl as citrate) compressed lozenge with integral oromucosal applicator have been recalled (Cephalon):

Batch number

Strength

Expiry date

Pack size

First distributed

P26842

200 µg

August 2004

3

10 August 2002

P26855

200 µg

July 2005

30

12 December 2002

P26848

200 µg

October 2004

30

12 December 2002

P26843

400 µg

July 2004

3

24 October 2002

P26849

400 µg

September 2004

30

24 October 2002

P26844

600 µg

September 2004

3

22 November 2002

P26850

600 µg

September 2004

30

22 November 2002

P26851

800 µg

September 2004

30

22 November 2002

P26847

1600 µg

April 2004

3

23 September 2002

P26853

1600 µg

April 2004

30

23 September 2002

The above batches are being recalled as a precautionary measure to avoid any risk of overdose of fentanyl to patients as some "high potency out of specification" results were found during non-routine product testing. Only a small number of potentially affected lozenges were identified.

Recipients are requested to quarantine all stocks of all affected batches and return them to their supplier for credit. Any packs returned by patients should be destroyed in accordance with the Misuse of Drugs Act and following guidance provided. Further information can be obtained by calling the Cephalon medical information helpline (tel 0800 783 4869).

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RECALL: Valium injection 10mg/2ml (28 February)

Roche Products Ltd has recalled two batches of Valium injection 10mg/2ml because follow-up stability testing has revealed visible particles after two years of storage.

Batch number

Expiry date

Pack size

First distributed

B1032

01/2004

10 x 2ml ampoules

19 April 2001

B1036

02/2004

10 x 2ml ampoules

15 August 2001

Stocks can be returned to suppliers for credit.

For further information contact Roche Customer Services (tel 0800 731 5711), Roche Products Ltd, 40 Broadwater Road, Welwyn Garden City, Hertfordshire AL7 3AY.

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RECALL: Salivix pastilles (20 February)

Due to labelling anomalies, the following batch of Salivix pastilles for treating dry mouth symptoms is being recalled (Provalis Healthcare):

Batch number

Pack size

Expiry date

241

50

December 2004

Stocks of the product should be returned to suppliers.

Details from Provalis Healthcare, Newtech Square, Deeside Industrial Estate, Deeside CH5 2NT (tel 01244 288888).

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RECALL: Metrodin High Purity

All suppliers of Metrodin High Purity (urofollitrophin as follicle-stimulating hormone) 75iu and 150iu ampoules are recalling existing stocks of the product as a precautionary measure. Supply of the product is being permanently discontinued with immediate effect. Full batch number details are not currently available for all suppliers, however, stocks of all batches should be quarantined and returned to the supplier as follows:

Serono Recipients are requested to return any packs remaining in stock for credit by 31 March to Serono, c/o UniDrug Distribution Group, South Normanton, Derby, DE55 2FH. Credit claims for reimbursement should be forwarded to customer services at the above address (tel 01773 510123). Questions should be directed to Serono medical information (tel 0800 783 4661).

Other suppliers
Chemilines (tel 020 8799 7600)
Dowelhurst (tel 0800 731 4040)
Global Pharmaceuticals (tel 020 8974 2786)
OPD Laboratories (tel 01923 331409 or 01923 444999)
Primecrown (tel 01895 810787, fax 01895 812306)
Stephar (UK) (tel 01493 650069)
Swinghope (tel 020 8675 6918)
Swingward (tel 020 8523 5500)
Waymade (tel 01268 535222)

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RECALL: Erwinase (crisantaspase/asparaginase) 10,000 units/vial (6 February)

Ipsen Biopharm is recalling all of the following batches of Erwinase (crisantaspase/asparaginase) 10,000 units/vial, manufactured by CAMR, Porton Down.

Batch number

Expiry date

1023B0/suffix

February 2003

1026E0/suffix

May 2003

1027G0/suffix

July 2003

1028A1/suffix

January 2004

1029F1/suffix

May 2004

1030L1/suffix

November 2004

1031L1/suffix

November 2004

The recall is a precautionary measure following a review of process revalidation results relating to product sterility assurance. All of the batches met specifications at the time of release. Stocks should be quarantined and returned to Ipsen Biopharm, Ash Road, Wrexham Industrial Estate, Wrexham LL13 9UF.

Further details from John Johnson, quality assurance manager, Ipsen Biopharm, on 01978 661181.

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