FEBRUARY 2005

WEEK ENDING FEBRUARY 5

PRODUCT
Power Plus Energy Supplement N-3, 4 oz;
Power Plus Energy Supplement C-3, 4 oz;
Power Plus Normal Kit; and
Power Plus Chemically Treated Kit.
CODE Product Numbers: B18604, B18605, KT5520, and KT5515. All lots remaining on the market.
RECALLING FIRM/MANUFACTURER Farouk Systems, Inc., Houston, TX.
REASON Unapproved new drug, hair regrowth claims, contains minoxidil.
VOLUME OF PRODUCT IN COMMERCE 17,140 units.
DISTRIBUTION Nationwide and Internationally.

PRODUCT
a) Metoclopramide Tablets, USP, 5 mg tablets, Rx only, packaged in 30 and 31 count grid cards. NDC 0615-3546-39 and NDC 0615-3546-31.
b) Folic Acid Tablets, USP, 1 mg, Rx only, packaged in 30 and 31 count grid cards. NDC 0615-0664-39 and NDC 0615-0664-31.
CODE
a) Lot 3546-4009, exp. Date 10/31/05 and Lot 3546-4009, exp. Date 10/31/05;
b) Lot 0664-4010, exp. Date 10/31/05 and Lot 0664-4010, exp. Date 10/31/05.
RECALLING FIRM/MANUFACTURER NCS Healthcare of Kentucky, Inc., Glasgow, KY.
REASON Mislabeling, the outside grid card package is labeled as Metoclopramide, 5 mg, however, individual blister packages contained within the grid cards are labeled as, and contain, Folic Acid, 1 mg.
VOLUME OF PRODUCT IN COMMERCE 38,354 packages.
DISTRIBUTION Nationwide.

PRODUCT Biosilk Dandruff Control Conditioner 11.6 oz and 34 oz. 
CODE Product Numbers: BI9111 and BI9134. All lots remaining on the market.
RECALLING FIRM/MANUFACTURER Farouk Systems, Inc., Houston, TX.
REASON cGMP deficiencies.
VOLUME OF PRODUCT IN COMMERCE 1,413 units.
DISTRIBUTION Nationwide and Internationally.

PRODUCT Premarin (conjugated estrogens) tablets USP, 0.625 mg, 100 count tablet bottles, NDC # 0046-0867-81. 
CODE Lot #034039 and 040349.
RECALLING FIRM/MANUFACTURER Amerisource Health Services Corp., Columbus, OH.
REASON Dissolution Failure.
VOLUME OF PRODUCT IN COMMERCE 48,883/100 tablet bottles.
DISTRIBUTION Nationwide.

PRODUCT USept Tablets, Urinary Antiseptic Antibacterial/Analgesic, Rx only, 100 count tablets, NDC 51991-027-01. 
CODE Lots S04C01 (exp. 3/07), S04E05 (exp. 5/07), S04F03 (exp. 6/07).
RECALLING FIRM/MANUFACTURER Syntho Pharmaceuticals, Inc., Farmingdale, NY.
REASON Presence of foreign substance.
VOLUME OF PRODUCT IN COMMERCE 29,659 bottles.
DISTRIBUTION Nationwide.

 WEEK ENDING FEBRUARY 12

PRODUCT
a) Lafayette Baro-Cat Barium Sulfate Suspension USP, 1.5% w/w (w/v) barium sulfate, USP, Net Contents: 300mL, 900mL and 1900mL bottles, Rx only, Distributed in Canada by: Tyco Healthcare, Montreal Quebec, Canada, Made in Mexico. 
b) Lafayette Cheetah Barium Sulfate Suspension, 2.2% w/w barium sulfate USP, Net Contents: 250mL, 450mL, 900mL, and 1900mL bottles, Rx only. Made in Mexico. 
c) NovaPlus Colon Barium - Air Contrast Barium Sulfate Suspension, 100% w/v (55% w/w) barium sulfate USP, Net Contents: 1900mL bottles, Rx only, Made in Mexico. 
d) NovaPlus CT Barium Sulfate Suspension, 1.5% w/w (w/v) barium sulfate, Net Contents: 450mL bottles, For Computed Tomography, Rx only, Made in Mexico. 
e) NovaPlus CT Barium-Fast Transit Barium Sulfate Suspension, 2.2% w/w barium sulfate USP, For Computed Tomography, Net Contents:
450mL bottles, Rx only, Made in Mexico.
f) Lafayette Entrobar Barium Sulfate Suspension, 50% w/v barium sulfate suspension, Net Contents: 500mL bottles, Rx only. 
g) Lafayette Entrocel Methylcellulose Solution, 1.5% w/w hydroxypropyl methylcellulose solution, Net Contents: 500mL bottles, Rx only, Made in Mexico. 
h) Lafayette Entro-Ease Barium Sulfate Suspension, 15% w/v (12% w/w) barium sulfate, Net Contents: 600mL bottles, Rx only, Made in Mexico.
i) Lafayette Entro-Ease Barium Sulfate Suspension, 15% w/v (12% w/w) barium sulfate, Net Contents: 600mL bottles, Rx only, Made in Mexico.
j) Lafayette Liqui-Coat HD Barium Sulfate Suspension, 210% w/v (81% w/w) barium sulfate, Net Contents: 150 mL unit dose bottles, Rx only,
Made in Mexico. 
k) Lafayette Liquid Barosperse Barium Sulfate Suspension, 60%w/v barium sulfate, Net Content: 355mL and 1900mL bottles, Rx only,
Made in Mexico. 
l) Lafayette Flo-Coat Barium Sulfate Suspension, 100% w/v (55% (w/w) suspension of barium sulfate USP, Net Contents: 1850mL, Rx only.
m) HD 85 Barium Sulfate Suspension, 85% w/v suspension of barium sulfate USP, Net Contents: 1900 mL bottles, Rx only.
n) Medebar Plus Barium Sulfate Suspension, 100% w/v suspension of barium sulfate USP, Net Content: 650mL and 1900mL bottles, Rx only.
o) Medescan Barium Sulfate Suspension USP, 2.2% w/w (2.3% w/v), Net Content: 250mL, 450mL and 1900mL bottles, Rx only.
p) Prepcat Barium Sulfate Suspension, 1.5% w/w (w/v) barium sulfate USP, Net Contents: 450mL bottles, For Computed Tomography, Rx only. Made in Mexico, 
q) Lafayette Entrokit Enteroclysis Kit with Catheter, Kit contains: Reglan (metoclopramide hydrochloride) 10mg (metoclopramide base)
Tablets, 2% lidocaine hydrochloride, viscous solution, Entrobar 50% w/v barium sulfate suspension, Entrocel methylcellulose solution.
r) Lafayette Intropaste Barium Sulfate Paste, (barium sulfate, USP), 70% w/v (44% w/w),454 gm tubes, Rx only, Made in Mexico.
s) Entrokit Enteroclysis Kit, Contents: Drugs: Rx only, Reglan, metoclopramide hydrochloride, 10mg (metoclopramide base) tablets, 2%
Xylocaine, lidocaine hydrochloride, viscous solution, Entrobar, 50% w/v barium sulfate suspension, Entrocel, methylcellulose solution
concentrate. 
t) Novaplus Liquid Barium - Single Contrast Barium Sulfate Suspension, 50% w/v barium sulfate USP, 1900 mL bottles, Rx Only, Made in Mexico.
u) Scan C Barium Sulfate Suspension, 2.1% w/w for computed tomography (CT) exams, 250 mL bottle, Preservative Free, Rx only. 
v) EVACU-PASTE 100, Barium Sulfate Paste (100% w/v,56%w/w), Contents: 12 x 454 g Cartridges, 12 Tip Assemblies and 1 Cutter,
Rx Only. 
CODE
a) Lot Numbers: 300mL: 409316, 411485, 411486, 411489 -- 900mL: 406112 - 406114, 409313 - 409315, 409321- 409349, 410429, 410435, 411487, 411488, 411490 -- 1900mL: 407203, 409350;
b) Lot Numbers: 250mL: 031145 - 031147, 406102, 407148, 410378, 410416, 411465, 411466 - 450mL: 031145 - 031147, 040318 - 040340, 040430 - 040441, 040477, 040549 - 040551, 406029 - 406034, 407132 - 407137, 408269, 408271 - 408282, 408292, 408293, 409303, 409304, 409356 - 409358, 410369 - 410373, 410391, 410404, 401420 - 410427, 411467 - 411474 -- 900mL: 031145 - 031147, 040424 - 040429, 406035, 406036, 406103 - 406105, 407149, 409363 - 409365, 410374 - 410377, 410428 -- 1900mL: 031145 - 031147, 410379, 410380, 411475, 412612;
c) Lot Numbers: 040456, 410384;
d) Lot Numbers: 040542, 040543, 409320;
e) Lot Numbers: 040541, 040574, 040575, 406083 - 406086, 410383, 410432 - 410434;
f) Lot Numbers: 040115 - 040117, 410381, 410382, 412615, 412616;
g) Lot Numbers: 040119 - 040121, 406092;
h) Lot Numbers: 031026, 031027, 031028, 040442, 040443, 406093, 407205, 407206, 411464, 411484, 412581, 412587;
i) Lot Numbers: 031263 - 031265, 040578 - 040581, 407180 - 407182, 411437, 412565, 412624, 412625;
j) Lot Numbers: 355mL: 040582, 040583, 406037, 407192, 407193, 407216, 410381, 412562, 412566, 412567 -- 1900mL: 040584, 040585, 406051, 407189 - 407191, 407217, 411440, 412563;
k) Lot Numbers: 031033, 031034, 031035, 031037, 407150 - 407154, 410414, 410415, 411443, 411444, 411498 - 411500;
l) Lot Numbers: 410400, 412611;
m) Lot Numbers: 650mL: 031138, 031139, 031252, 040576, 040577, 406014, 406100, 406101, 410402, 410403 -- 1900mL: 031255 - 031257, 040341, 040342, 407171 - 407173;
n) Lot Numbers: 250mL: 407204, 410398, 412626 - 450mL: 040373 - 040375, 040463 - 040465, 040480, 040544 - 040548, 406024 - 406028, 407126, 407127, 407220, 409343 - 409346, 410390, 410396, 410397, 411491 - 411494, 412582 - 412585 - 1900mL: 410399, 412586;
o) Lot Numbers: 405002 - 405006, 406053 - 406056, 409317 - 409319, 409336-409338, 410386 - 410389, 410412 - 410413, 412613, 412614;
p) Lot Number: 040804-01;
q) Lot Numbers: 030614-1 - 030616-8, 040388-1 - 040562-8, 406081 - 409335-8;
r) Lot Numbers: 040511-01, 041111-01;
s) Lot Numbers: 506052, 512564, 512658;
t) Lot Numbers: 030717-1 - 031267-4, 040122 - 040125, 040234-1 - 040540-4, 406087-1 - 411462-1;
u) Lot Numbers: 406065-1 through 406076-4.
RECALLING FIRM/MANUFACTURER Kendall Healthcare Products Co, Mansfield, MA.
REASON Microbial contamination; product may be contaminated with Burkholderia cepacia.
VOLUME OF PRODUCT IN COMMERCE 165,000 cases or 2.2 million units.
DISTRIBUTION Nationwide and Internationally.

PRODUCT Carboplatin Injection, Each mL contains 10mg carboplatin and water for Injection, 50 mg/5 mL (10 mg/ml), 5mL Single Dose Vial, For IV Infusion. NDC 55390-220-01. 
CODE Lot #589490B.
RECALLING FIRM/MANUFACTURER Bedford Laboratories, Bedford, OH.
REASON Mispacked; outer carton labeled as Carboplatin Injection 50mg/5mL vial actually contains Carboplatin Injection 150mg/15mL vial.
VOLUME OF PRODUCT IN COMMERCE 60 vials.
DISTRIBUTION IL, OH, NJ, MI, MO, MN, and WA.

PRODUCT Paxil Tablets (paroxetine hydrochloride), 10mg scored tablets, 30 count bottles, Rx only. NDC 0029-3210-13. 
CODE Lot Number: F61-4B10; Expiration date: 31 July 2006.
RECALLING FIRM/MANUFACTURER Sb Pharmco Puerto Rico Inc., Cidra, PR.
REASON Subpotent; 3 month stability.
VOLUME OF PRODUCT IN COMMERCE 78,000 bottles.
DISTRIBUTION Nationwide.

PRODUCT Desyrel Dividose Tablets (tranzodone HCL) 150 mg, 100 count bottle, Rx only. NDC 0087-0778-43. 

CODE Lot # 4F83245, Exp. date 6/30/2007.
RECALLING FIRM/MANUFACTURER Bristol-Myers Squibb Manufacturing Co, Mayaguez, PR.
REASON Good Manufacturing Practice Deviation; Quarantine drum of active ingredient was inadvertently used for production.
VOLUME OF PRODUCT IN COMMERCE 242 bottles/100 tablets.
DISTRIBUTION Nationwide.

 

Alliant Pharmaceuticals Expands Its Voluntary Nationwide Recall of Methylin® CT, 2.5mg, 5mg, and 10mg tablets Methylphenidate-based product being voluntarily recalled because of possible health risk

Alliant Pharmaceuticals, Inc. is expanding its voluntary recall of Methylin® (Methylphenidate HCl) Chewable Tablets to include all lots of the product. The nationwide recall now includes all 2.5 mg, 5 mg and 10 mg dosage strengths because some tablets may contain too much or too little active ingredient.

The company initially elected to recall one lot of 5 mg product, lot #AMT50402A, from the market on January 14, 2005, because it was determined that some tablets may contain up to three times the required amount of active ingredient. After further investigation, the manufacturer, Mallinckrodt, Inc., of St. Louis, MO, determined that there was potential for other lots to contain superpotent and subpotent tablets. Upon Mallinckrodt's further investigation they found that the potential problem was the result of a manufacturing mixing issue and not due to the medication's active ingredient.

Methylin® (Methylphenidate HCl) Chewable Tablets are a therapy for Attention Deficit Hyperactivity Disorder and Narcolepsy. The drug is sold in 100-tablet bottles and dispensed to patients in amounts prescribed by a physician.

The company is notifying wholesalers and pharmacists of the recall by letter. They are asking pharmacists to attempt to notify patients who were dispensed prescriptions from their pharmacy. Distributors and pharmacies should promptly quarantine any product with the following lot numbers:

2.5 mg (NDC 68188-132-01)
Lot numbers:
AMT20401A, AMT20402A, AMT20403A, AMT20404A

5 mg (NDC 68188-135-01)
Lot numbers:
AMT50401A, AMT50402A (previously recalled), AMT50403A, AMT50404A

10 mg (NDC 68188-137-01)
Lot numbers:
AMT100401A, AMT100402A, AMT100403A, AMT100404A

Alliant's liquid form of the product -- Methylin® Oral Solution (5mg / 5mL and 10mg / 5mL strengths) -- is not affected by the recall and is still widely available. In addition, Mallinckrodt's Methylin® ER or Methylin® immediate release products are not affected by this recall.

Patients should call their pharmacists or physicians if they have questions about the recall. Health care providers or patients who have questions can contact Alliant Pharmaceuticals, at 770-817-4500 or visit www.alliantpharma.com.

WEEK ENDING FEBRUARY 19
 

PRODUCT
a) Lupron Depot Injection (leuprolide acetate for depot suspension) 7.5mg, Single Dose Administration Kit with prefilled dual-chamber
syringe, IM injection, Rx Only, Kit includes: One prefilled dual chamber syringe containing needle with LuproLoc safety device and plunger.
NDC 0300-3642-01. 
b) Lupron Depot Injection (leuprolide acetate for depot suspension), 4 Month 30mg, Single Dose Administration Kit with prefilled dual-chamber syringe, IM injection, Rx Only, Kit includes: One prefilled dual chamber syringe containing needle with LuproLoc safety device and one plunger. NDC 0300-3683-01. 
CODE
a) Lot 20119AP21;
b) Lot 20117AP21.
RECALLING FIRM/MANUFACTURER Tap Pharmaceutical Prod, Lake Forest, IL.
REASON Subpotent; clumping of the powdered medication in the diluent may interfere with delivery of the full therapeutic dose.
VOLUME OF PRODUCT IN COMMERCE 16,275 syringes.
DISTRIBUTION Nationwide.

PRODUCT Ciprofloxacin Ophthalmic Solution, USP, 0.3%, Ciprofloxacin hydrochloride 3.5 mg equivalent to 3 mg base; Rx only, sterile ophthalmic solution for topical ophthalmic use only in 5 mL plastic dispenser bottle, 10 bottles per shelf pack. NDC 60505-1000-1. 
CODE Lot numbers GM9408, GM9410, GM9412.
RECALLING FIRM/MANUFACTURER Apotex Corp, Lincolnshire, IL
REASON Impurities/Degradation: Degradation level exceeds specification requirement of less than 0.2% impurities.
VOLUME OF PRODUCT IN COMMERCE 121,071 bottles.
DISTRIBUTION Nationwide.

PRODUCT Ipratropium Bromide Inhalation Solution, 0.02%, 0.5mg/vial, 30 Sterile 2.5mL Unit-Dose Vials, For oral inhalation only, Rx only, Sterile, NDC 0487-9801-01. 
CODE Lot Number P4174A.
RECALLING FIRM/MANUFACTURER Nephron Pharmaceuticals, Corp, Orlando, FL.
REASON Mislabeling: a single vial of Albuterol Sulfate Inhalation Solution found in Ipratropium Bromide Inhalation Solution, 0.02% pouches.
VOLUME OF PRODUCT IN COMMERCE 9,640 carton of 30 vials each (289,200 vials).
DISTRIBUTION Nationwide.

PRODUCT Ethex Corporation Anemagen OB Prenatal Multivitamin and Mineral Soft Gelatin Capsules, 1 mg folic acid and 1.6 mg Vitamin B1, 100 capsules per bottle, Rx only. 
CODE Lot #62800, Exp. 05-2006.
RECALLING FIRM/MANUFACTURER Ethex Corporation, Bridgeton, MO
REASON Superpotent: The batch was formulated above the USP limit for folic acid and thiamine mononitrate.
VOLUME OF PRODUCT IN COMMERCE 1,462/100-capsule bottles.
DISTRIBUTION Nationwide.

PRODUCT Prascion Cleanser, (sodium sulfacetamide10% and sulfur 5%), Cleanser, Rx only, 6 oz (170.3g), 
CODE Lot #GB430.
RECALLING FIRM/MANUFACTURER Kiel Laboratories, Inc., Gainesville, GA, 
REASON Subpotent: sulfur (12 month stability).
VOLUME OF PRODUCT IN COMMERCE 3,609 bottles.
DISTRIBUTION OH.

PRODUCT K-Tan 4 Suspension, Each 5mL (one teaspoonful) contains: Phenylephrine Tannate 5mg, Pyrilamine Tannate 30mg, 4 fl oz (ll8mL) bottles, Rx only. NDC 66993-521-55. 
CODE Lot #GB643.
RECALLING FIRM/MANUFACTURER Kiel Laboratories, Inc., Gainesville, GA
REASON Subpotent: phenylephrine tannate (24 month stability).
VOLUME OF PRODUCT IN COMMERCE 6,493 bottles.
DISTRIBUTION OH.

PRODUCT Double Tussin DM Cough/Cold Syrup, (Dextromethorphan HBr 20 mg and Guaifenesin 300 mg), OTC, 4 oz. amber PET bottles with a white child resistant screw cap and tamper evident neck band. 
CODE Lot K0429, Exp. 10/06.
RECALLING FIRM/MANUFACTURER Medico Labs, Inc., Hamilton, NJ.
REASON Presence of Precipitate.
VOLUME OF PRODUCT IN COMMERCE 7,740 bottles.
DISTRIBUTION Nationwide.

PRODUCT
a) Premarin (conjugated estrogens) tablets, USP, 0.9 mg, 100 tablet bottles, Rx, NDC 0046-0864-81. 
b) Prempro (conjugated estrogens/medroxyprogesterone acetate) tablets, 0.45 mg/1.5 mg, shipped in cartons containing 3 EZ DIAL Dispensers of 28 tablets each, Rx. NDC 0046-0937-09.
CODE
a) A49687, Exp. 01/2006;
b) A49710, Exp. 06/2005, A80422, Exp. 06/2005, and A80424, Exp. 06/2005.
RECALLING FIRM/MANUFACTURER Richmond Division of Wyeth, Richmond, VA.
REASON Dissolution Failure.
VOLUME OF PRODUCT IN COMMERCE 88,224 bottles Premarin; 74,521 cartons Prempro.
DISTRIBUTION Nationwide.

WEEK ENDING FEBRUARY 26

PRODUCT Megace Oral Suspension (megestrol acetate) Each mL contains 40 mg of micronized megestrol acetate in a lemon-lime flavored oral suspension, 240 mL (8fl. Oz.) bottle, Rx only, NDC 0015-0508-42. 
CODE Lot 3K75331 Exp. Date 10/05; Lot 3K75337 Exp. Date 11/05; Lot 3K79118 Exp. Date 11/05; Lot 3L68577 Exp. Date 11/05; Lot 3L73761 Exp. Date 11/05.
RECALLING FIRM/MANUFACTURER Bristol Myers Squibb Caribbean Company, Mayaguez, PR.
REASON Product contains microbial contamination; mold and yeast.
VOLUME OF PRODUCT IN COMMERCE 23,439 bottles.
DISTRIBUTION Nationwide.

PRODUCT
a) Nefazodone HCl Tablets, 50 mg, 100 count bottles, Rx only. 
b) Nefazodone HCl Tablets, 100 mg, 100 count bottles, Rx only. 
c) Nefazodone HCl Tablets, 150 mg, 100 count bottles, Rx only. 
d) Nefazodone HCl Tablets, 200 mg, 100 count bottles, Rx only. 
CODE
a) Lot 118557A, Exp. Date 6/2005;
b) Lot 118550, Exp. Date 7/2005;
c) Lot 118552, Exp. Date 6/2005;
d) Lot 118555, Exp. Date 7/2005.
RECALLING FIRM/MANUFACTURER Ivax Pharmaceuticals, Inc., Northvale, NJ. 
REASON Dissolution Failure: Lots may fail to meet requirements for dissolution throughout expiration.
VOLUME OF PRODUCT IN COMMERCE
a) 50 mg-949 units;
b) 100 mg-937 units;
c) 150 mg-1348 units;
d) 200 mg-1316 units.
DISTRIBUTION Nationwide.

PRODUCT Madame Pearl's brand Cough Syrup, OTC product. Product is amber liquid packed in a clear glass 120 ml bottle with a red cap, and green and white adhesive labels on the front and back of the bottle. 
CODE
Old code: PD/BAT 19990805 Exp. D 20011105;
New code: PD/BAT 20030805 Exp.D20070605.
RECALLING FIRM/MANUFACTURER  Great Kingsland, Inc., Brooklyn, NY
REASON The product has exceeded the label expiration date, and has been re-labeled with a new production and expiration date without any supporting data.
VOLUME OF PRODUCT IN COMMERCE 5 cases (6 x 12 bottles).
DISTRIBUTION PA, IL, and MA.

PRODUCT Premarin 0.625 mg (Conjugated Estrogens Tablets, USP), Rx only, NDC 0046-0867-91. 
CODE Lot # 09748, Exp. 09/05; Lot 09913, Exp. 09/05; Lot 09912, Exp. 09/05; Lot 09911, Exp. 09/05; Lot 10043, Exp. 09/05; Lot 09749, Exp. 09/05.
RECALLING FIRM/MANUFACTURER Rx PAK, Memphis, TN.
REASON Dissolution Failure.
VOLUME OF PRODUCT IN COMMERCE 15,000,600 bottles of 100 tablets.
DISTRIBUTION Nationwide.

PRODUCT Premarin 0.625 mg (Conjugated Estrogens Tablets, USP), Rx only. 
CODE Lot 08890, Exp. 09/05; Lot 08946, Exp. 09/05; Lot 08947, Exp. 09/05; Lot 06901, Exp. 03/05; Lot 07217, Exp. 03/05; Lot 07218, Exp. 03/05; Lot 08029, Exp. 03/05.
RECALLING FIRM/MANUFACTURER Rx PAK, Memphis, TN
REASON Dissolution Failure.
VOLUME OF PRODUCT IN COMMERCE 210,581 bottles of 100 tablets.
DISTRIBUTION Nationwide.