AUGUST 2005

 

WEEK ENDING AUGUST 6

PRODUCT Maxipime (cefepime hydrochloride, USP) for Injection, Equivalent to 1 gram, 15mL Single-Dose Vial, box of 10 vials, For IV or IM Use after constitution, Rx only, NDC 51479-054-30
CODE Lots: 5E02293, exp 4/30/2008; 5E01410, exp 4/30/2008; 5E00604, exp 4/30/2008; 5E01868, exp 3/31/2008
RECALLING FIRM/MANUFACTURER
Recalling Firm: Bristol Meyers Squibb Company, New Brunswick, NJ,
Manufacturer: Bristol-Myers Squibb S.r.l., Sermoneta-Latina, Italy. 
REASON Mislabeled; incorrect bar code on 10-pack tray. Bar code indicates 2 gram vials instead of 1 gram vials.
VOLUME OF PRODUCT IN COMMERCE 266,940
DISTRIBUTION Nationwide

PRODUCT Hyoscyamine Sulfate Oral Solution, USP, Hyoscyamine Sulfate, USP 0.125mg, Alcohol 5%, 15mL bottle, Rx only, NDC 0603-1314-73
CODE Lot L030L04A, Exp 11/06
RECALLING FIRM/MANUFACTURER Vintage Pharmaceuticals LLC, Huntsville, AL
REASON Impurity; extraneous peak was discovered during routine long-term stability testing.
VOLUME OF PRODUCT IN COMMERCE 11,611 units
DISTRIBUTION Nationwide and PR

PRODUCT
a) Stannous Flouride 0.63% Concentrate Oral Rinse, 10 oz (283 g) bottle, Mint Flavor, Rx only, 39110,
NDC 60258-159-10
b) Andehist -NR Syrup, Each teaspoonful (5mL) contains: 4mg and Pseudoephedrine Hydrochloride 45mg, 16 fl oz (473 mL) bottle, Rx only, NDC 60258-434-16,
c) Andehist-NR Oral Drops, Each dropperful (1mL) contains: Carbinoxamine Maleate 1mg and Pseudoephedrine Hydrochloride 15mg, 1 fl oz (30mL) bottle, Rx only, NDC 60258-435-30,
d) Andehist-DM NR Syrup, Each teaspoonful (5mL) contains: Brompheniramine Maleate 4mg,
Pseudoephedrine Hydrochloride 45mg and Dextromethorphan Hydrobromide 15mg, 16 fl oz
(473 mL) bottle, Rx only, NDC 60258-444-16,
e) Bromhist-DM Drops, Each dropperful (1mL) contains: Brompheniramine Maleate 1mg,
Pseudoephedrine Hydrochloride 15mg and Dextromethorphan Hydrobromide 4mg, 1 fl oz (30mL) bottle, Rx only, NDC 60258-447-30,
f) Dytan Suspension, Each 5mL (one teaspoonful) contains: Diphenhydramine Tannate 25mg, 4 fl oz (120mL) bottle, Rx only, NDC 63717-570-04,
g) Dytan-D Suspension, Each 5 mL (one teaspoonful) contains: Diphenhydramine Tannate 25mg and
Phenylephrine Tannate 7.5 mg, 4 fl oz (118mL), Rx only. NDC 63717-576-04
CODE
a) Lot Nos.: L402003, 402004;
b) Lot Nos.: 3K06, L401002, 3L06, 3L05;
c) Lot Nos.: 3L07, 3L08;
d) Lot Nos.: 3L02, 3L03, L401001;
e) Lot No.: 3L06;
f) Lot Nos.: L409001A, L409002A;
g) Lot Nos.: L401007, L401008, L401009, L401010, L4034002, L404002, L404003, L404004, L404005
RECALLING FIRM/MANUFACTURER
Recalling Firm: Cypress Pharmaceutical, Inc, Madison, MS

Manufacturer: Able Laboratories, Inc., Cranbury, NJ. 
REASON Lack of assurance that testing conducted for release and stability conformed to standard operating procedures (Able Labs)
VOLUME OF PRODUCT IN COMMERCE 156,197 units
DISTRIBUTION Nationwide

PRODUCT CVS pharmacy brand Wart Remover, Maximum Strength, Salicylic Acid, 17% w/w, Net Wt. ½ oz (14mL); Over the Counter, UPC # 0 50428 21032
CODE Lot Nos. 5A012A (exp. 01/07) and 5E001 (exp. 02/07)
RECALLING FIRM/MANUFACTURER
Recalling Firm: Clay Park Labs, Inc., Bronx, NY
Manufacturer: Pharma Pac LLC, De Kalb, MS. 
REASON Mislabeled: cartons of CVS pharmacy brand Wart Remover (Liquid) were printed with the Drug Facts Panel referencing Corn Remover (Liquid).
VOLUME OF PRODUCT IN COMMERCE 45,642 units
DISTRIBUTION Nationwide

PRODUCT Renaphro Softgels, Each softgel contains: Vitamin C 100mg, Folic Acid 1mg, Niacinamide 20mg, Thiamine Mononitrate 1.5mg, Riboflavin 1.7mg, Vitamin B6 10mg, Vitamin B12 6mcg, Calcium Pantothenate 5mg and Biotin 150 mcg, 100 count bottles, Stress/Dialysis Vitamin, Rx only, NDC 64980-114-01
CODE All lots whose first 3-digits start with ì664î.
RECALLING FIRM/MANUFACTURER
Recalling Firm: Rising Pharmaceuticals, Inc., Allendale, NJ
Manufacturer: Strides Inc., Somerset, NJ. 
REASON Subpotent; calcium pantothenate
VOLUME OF PRODUCT IN COMMERCE 208,692 Units (100's) were distributed
DISTRIBUTION Nationwide and PR

WEEK ENDING AUGUST 13

PRODUCT K Effervescent Tablets Potassium (978mg), Orange Flavored, Potassium Bicarbonate Effervescent Tablets for Oral Solution, Rx only, 30 Effervescent Tablets, NDC 0603-4170-16,
CODE KL40834-1, Exp. 8/07, and KL50126-1, Exp. 1/08
RECALLING FIRM/MANUFACTURER
Recalling Firm: Bajamar Chemical Co, Inc., Olivette, MO
Manufacturer: Project Inc., St. Louis, MO. 
REASON Mispacked; outer carton incorrectly labeled as K Effervescent Tablets actually contains correct labeled product Effervescent Potassium/Chloride Tablets Fruit Punch Flavor.
VOLUME OF PRODUCT IN COMMERCE 7,680/30-tablet boxes
DISTRIBUTION Nationwide

WEEK ENDING AUGUST 20

PRODUCT Adrenalin Chloride Solution, (Epinephrine Nasal Solution, USP), 1mg per mL, 1 fl oz (30 mL) bottle Vasoconstrictor, For Topical Application 1:1000, Rx only, NDC 61570-300-31
CODE Lot No. 005D4M, exp. 06/06
RECALLING FIRM/MANUFACTURER
Recalling Firm: King Pharmaceuticals, Inc., Bristol, TN
Manufacturer: Parkdale Pharmaceuticals, Inc., Rochester, MI. 
REASON Defective container, split cap thread defects which may lead to a lack of sterility assurance.
VOLUME OF PRODUCT IN COMMERCE 16,887 units
DISTRIBUTION Nationwide

PRODUCT
a) Phenazopyridine HCL Tablets, 100 mg, bottles of 8, 10, 12, and 15, Rx, NDC 49999-047-xx,
b) Phenazopyridine HCL Tablets, 200 mg, bottles of 6, 9, 10, and 15, Rx, NDC 49999-176-xx,
c) Propoxacet-N Tablets, (propoxyphene napsylate, USP 100 mg and Acetaminophen 650 mg), in bottles
of 6, 10, 12, 15, 20, 30, 50, 60, 90, and 100, Rx, NDC 49999-025-xx, 
d) Naproxen Sodium Tablets, 550 mg., in bottles of 20, 28, 30, and 60. Rx, NDC 49999-0058-xx.
e) Metronidazole Tablets, 500 mg, in bottles of 14, 21, 28 and 100, Rx, NDC 49999-095-xx,
f) Indomethacin Capsules, 25 mg, in bottles of 15, 20, 30 and 90, Rx, NDC 49999-234-xx,
g) Indomethacin Capsules, 75 mg, Extended-Release, in bottles of 30, Rx, NDC 49999-0371-xx,
h) APAP 300 mg/Codeine 30 mg Tablets (acetaminophen and codeine phosphate), in bottles of 10, 12, 15,
20, 30, 50, 60 and 100, Rx, NDC 49999-060-xx,
CODE All units
RECALLING FIRM/MANUFACTURER
Recalling Firm: Lake Erie Medical & Surgical, Temperance, MI
Manufacturer: Able Laboratories Inc., S Plainfield, NJ. 
REASON Lack of assurance that testing conducted for release and stability conformed to standard operating procedures (Able Labs).
VOLUME OF PRODUCT IN COMMERCE 3,325 bottles
DISTRIBUTION Nationwide

PRODUCT Antacid Tablets Ultra Strength (calcium carbonate) 500mg, 72 Chewable Tablets, Assorted Fruit, CVS pharmacy brand
CODE Lot 1717487 Exp. Dec 06
RECALLING FIRM/MANUFACTURER Guardian Drug Co., Inc, Dayton, NJ
REASON Mislabeled; Back panel label incorrectly states the strength of the product as Calcium carbonate 500 mg instead of actual strength of Calcium carbonate 1000 mg.
VOLUME OF PRODUCT IN COMMERCE 6,527 bottles
DISTRIBUTION Nationwide

PRODUCT Creomulsion For Children (dextromethorphan HBc, USP) 5 mg, 4 fl. oz. (118mL) bottles, Soothing Cough Syrup, Cough Suppressant, Great Cherry Taste, Over-The-Counter, NDC 12099-0015-1, CODE Lot #G01
RECALLING FIRM/MANUFACTURER Summit Industries, Marietta, GA
REASON Tamper Evident Seals partially or completely broken.
VOLUME OF PRODUCT IN COMMERCE 808 cases -- approximately 9,696 bottles
DISTRIBUTION Nationwide

WEEK ENDING AUGUST 27

PRODUCT
a) Econopred plus (prednisolone acetate) Sterile Ophthalmic Suspension, 1%, 5 ml tradesize, 5 ml sample, 10 ml tradesize, and 10ml sample, Rx only, NDC 0098-0637-04, Also under other label as Prednisolone Acetate Ophthalmic Suspension1%
b) Neomycin and Polymyxin B Sulfates and Dexamethasone Ophthalmic Suspension, Each mL contains Neomycin Sulfate equivalent to Neomycin 3.5mg, Polymyxin B Sulfate 10,000 units, Dexamethasone 0.1%, Sterile, 5 ml tradesize, Rx only, Also sold in Saudia Arabia as Maxitrol Sterile Ophthalmic Suspension,
c) TobraDex (Tobramycin 0.3% (3mg) and Dexamethasone 0.1% (1mg)) Sterile Ophthalmic Suspension, 2.5ml sample, 5ml tradesize, 1 ml sample, 10ml tradesize, and 2.5ml tradesize, Rx only, NDC 0065-0647-05
d) Neomycin and Polymyxin B Sulfates and Hydrocortisone Ophthalmic Suspension, USP, Each mL contains Neomycin Sulfate (equivalent to 3.5mg neomycin sulfate base), polymyxin B sulfate 10,000 units, hydrocortisone 10mg, 7.5ml tradesize, Rx only, NDC 61314-641-75,
e) Ciprodex (ciprofloxacin 0.3% and dexamethasone 0.1%) Sterile Otic Suspension, 7.5ml tradesize, 1.5ml sample, and 7.5ml sample, Rx only, NDC 0065-8533-02.
CODE
a) Lot numbers: 70020F, 68154F, 71266F, and 71267F (all 4 lots are samples); 72489F, and 82236F
(both lots are samples); 69081F; 71281F and 70591F; Lot number 86060F distributed only in Botswana;
b) Lot 70565F and Lot 081663F distributed only in Saudia Arabia;
c) Lot number: 72950F;
d) Lot number: 70029F;
e) Lot number 70739F; Lot number 72540F distributed only in Canada
RECALLING FIRM/MANUFACTURER Alcon Research, Ltd, Fort Worth, TX
REASON Lack of assurance of sterility; leak in the transfer hose of a Vaporous Hydrogen Peroxide (VHP) generator resulting in reduced amount of VHP used in decontamination cyle.
VOLUME OF PRODUCT IN COMMERCE 548,869 units
DISTRIBUTION Nationwide, Botswana, Saudi Arabia, and Canada

PRODUCT
a) Paxil Tablets (paroxetine HCl) 10 mg, Bottles of 30, Rx only, NDC 0029-3210-13 ----- Also labeled as
Paroxetine HCl Tablets, 10 mg, Bottles of 30, Rx only
b) Paxil Tablets (paroxetine HCl) 20 mg, Bottles of 100, Rx only, NDC 0029-3211-20 ----- Also labeled as
ratio-Paroxetine Tablets, 20mg
c) Paxil Tablets, (paroxetine HCl), 30 mg, Bottles of 30, Rx only, NDC 0029-3212-13
d) Paxil Tablets (paroxetine HCl), 40 mg, Bottles of 30, Rx only, NDC 0029-3213-13
CODE
a) Lot # F61-5B10 expiration February 2008 Lot # 1-5Z76 expiration March 2008;
b) Lots # 203-5B11 & 202-5B11 expiration date 01-31-2008; Lot # 1-5P22 expiration 03/31/07 (distributed only in Canada);
c) Lots # 503-4B12, F503-4B12, 504-4B12, M504-4B12 & I504-4B12 Expiration Date 12/31/2007;
d) Lots # 702-5B13 & 704-5B13 expiration date 03/31/2008
RECALLING FIRM/MANUFACTURER
Recalling Firm: Smithkline Beecham Pharmaceuticals, Co., Cidra, PR
Manufacturer: Sb Pharmco Puerto Rico, Inc., Cidra, PR. 
REASON Superpotent
VOLUME OF PRODUCT IN COMMERCE 290,704 bottles
DISTRIBUTION Nationwide, PR, HI, and Canada

PRODUCT Toprol XL 50 mg tablets, 100 count bottles, Rx only
CODE Lot # LF0012 exp 2/29/08
RECALLING FIRM/MANUFACTURER
Recalling Firm: Astra Zeneca, Wilmington, DE
Manufacturer: Astra Zeneca, Sodertalje, Sweden, 
REASON Mispackaging: bottles may also contain Toprol XL 100 mg tablets.
VOLUME OF PRODUCT IN COMMERCE 94,776 bottles
DISTRIBUTION Nationwide

PRODUCT
a) Mirtazapine Tablets, 30 mg, 10x10 blister cards and 30 count bottles, Rx only, NDC 0054-8677-25,
b) Mirtazapine Tablets, 45 mg, 30 count bottles, Rx only, NDC 0054-4678-13
CODE
a) Lot 556066A, expiration date Feb. 07, Lot 556066B, expiration date Feb. 07;
b) Lot 556247A, expiration date Apr. 07
RECALLING FIRM/MANUFACTURER Boehringer Ingelheim Roxane, Inc., Columbus, OH
REASON Dissolution Failure
VOLUME OF PRODUCT IN COMMERCE 69,913 units
DISTRIBUTION Nationwide

Custom-Rx Compounding Pharmacy Issues Nationwide Recall of Trypan Blue 0.06% Ophthalmic Solution

Custom RX Compounding Pharmacy of Richfield, Minnesota, is initiating a nationwide recall of Trypan Blue 0.06% Ophthalmic Solution because it may be contaminated with Pseudomonas aeruginosa, a bacteria that, if applied to the eyes, might lead to serious injury, including possible blindness. Use of Trypan Blue which is being recalled should stop immediately.

Trypan Blue was distributed to hospitals and clinics in MD, MN, IL, NE, ND, MI, DC, and PA. This product is intended for ophthalmic use (in the eyes) during cataract surgery. 

The solution is dark blue in appearance and is packaged in one cc sterile tuberculin syringes. Custom Rx Pharmacy is asking that all unexpired syringes be collected and returned to the pharmacy. The recall includes, but may not be limited to thefollowing lot numbers: 05042005:86@17, 05252005:36@13, 06282005:91@27, 08012005:63@24, and 08182005:43@17.

The pharmacy immediately began notifying customers and/or distributors and working with the Centers for Disease Control (CDC) has called each individual hospital and clinic to arrange for the return, destruction and reimbursement of all recalled product.

For more information on the recall, please contact Verne Betlach with Custom RX Pharmacy at 612-866-2211, 612-810-1363 (mobile) for information.