Drug Alert: Amoxicillin Sodium 1g, 250mg and 500mg Powder for Solution for Injection – NOT FOR neonates and infants below one year old

by Kazeem Olalekan MRPharmS The Medicines and Healthcare products Regulatory Agency has just issued a Class 4 Drug Safety Alert for Wockhardt UK Ltd – Amoxicillin Sodium 1g, 250mg and 500mg Powder for Solution for Injection. Alert details Drug alert number EL (14)A/09 in connection with the above products was issued on 9 July 2014. […]

Febuxostat (Adenuric) and hypersensitivity reaction

by Kazeem Olalekan Attention has just been drawn to the Drug Safety Update on Febuxostat (Adenuric) via the PJOnline website. In summary, there have been rare but serious reports of hypersensitivity reactions, including Stevens-Johnson syndrome and acute anaphylactic shock, with febuxostat (Adenuric). Febuxostat must be stopped immediately if hypersensitivity occurs, and must not be re-started […]

Cloudy but clearly OK – MHRA Class 4 alert for Priadel Liquid

A class 4 alert has been issued for Priadel Liquid by the MHRA. Priadel Liquid (Lithium Citrate 520mg/5ml equivalent to Lithium Carbonate 204mg/5ml) appears cloudy rather than clear. A detailed investigation carried out by Sanofi, the manufacturer, “has shown that the cloudiness is not due to microbial contamination. The root cause has been attributed to […]

Class 1 Drug Alert Co-codamol by Wockhardt UK Ltd Batch: LL11701

A class 1 drug alert (FOR IMMEDIATE ACTION) was posted on the MHRA website last week for Co-codamol 8/500 (codeine phosphate 8mg, paracetamol 500mg) containing rogue Co-codamol 30/500 tablets! The brand affected was manufactured by Wockhardt UK Ltd. Batch No: LL11701.   Excerpts from the MHRA website below: Visit the MHRA website for more information

Class 3 Drug Alert: Novgos 3.6 mg Implant

Action within 5 days Genus Pharmaceuticals Ltd is temporarily ceasing manufacture of the above product and recalling all remaining stock from pharmacy and wholesaler level. This is due to a small number of problems during implantation and the product is being withdrawn until the implantation system can be made more robust. Product: Genus Pharmaceuticals Ltd […]

Class 2: Drug Alert – Gaviscon Advance

Gaviscon Advance Peppermint Flavour Oral suspension containing sodium alginate 500mg and potassium bicarbonate 100mg in 5ml PL 0063/0103 Batch Number Expiry Date Pack Size First Distributed 924471 1/08/2011 500 ml bottle 19/09/2009 925071 1/09/2011 500 ml bottle 19/09/2009 Reckitt Benckiser Healthcare (UK) Ltd are recalling the above lots due to a low -evel microbial contamination […]

Drug Safety Information – Phenergan Elixir

MHRA has just posted this Drug Safety Information with respect to Phenergan Elixir PL 04425/0630, 100ml packs. The labelling may “cause confusion to diabetic patients”. This relates to the technical distinction between hydrogenated glucose (which is not considered as sugar and therefore does not carry the risks of dental caries but nonetheless not suitable for […]

Spot the difference?

The images above illustrate an important point about parallel import of medication. At first glance the Oxis Turbohaler on the left shows a strength of 9 microgram and on the other side of the same Turbohaler, the English label shows 12 microgram (picture on the right). It may be reasonable to conclude that there might […]

Clopidogrel and Proton Pump Inhibitors

We have just receive some indication from the manufacturers (Sanofi Aventis + Bristol-Myer Squibb ) that Clopidogrel-containing medicines and proton pump inhibitors (PPIs) ‘should be avoided unless absolutely necessary’. The preliminary studies indicate a cytochrome P450-type interaction. Clopidogrel is a pro-drug which is metabolised in the liver, partially by the cytochrome P450 complex. Hence any […]

Important – Class 4 Alert

We have just been alerted to this packaging issue with Priadel 400mg Prolonged Release. The labelling on the rear panel of the cartons are wrong. On the side of the box where you place the dispensing label, you have Lithium Carbonate 200mg incorrectly printed on it. Please find more details on the MHRA site below: […]