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You are here: Home / Food Recalls / FDA Press Releases / Caraco Pharmaceutical Laboratories, Ltd. Announces a Nationwide Voluntary Recall of All Lots of Digoxin Tablets Due to Size Variability

Caraco Pharmaceutical Laboratories, Ltd. Announces a Nationwide Voluntary Recall of All Lots of Digoxin Tablets Due to Size Variability

April 1, 2009 By The FDA 2 Comments

CARACO PHARMACEUTICAL LABORATORIES, LTD. (NYSE AMEX: CPD), A GENERIC PHARMACEUTICAL COMPANY, ANNOUNCED TODAY THAT ALL TABLETS OF CARACO BRAND DIGOXIN, USP, 0.125 MG, AND DIGOXIN, USP, 0.25 MG, DISTRIBUTED PRIOR TO MARCH 31, 2009, WHICH ARE NOT EXPIRED AND ARE WITHIN THE EXPIRATION DATE OF SEPTEMBER, 2011, ARE BEING VOLUNTARILY RECALLED TO THE CONSUMER LEVEL. THE TABLETS ARE BEING RECALLED BECAUSE THEY MAY DIFFER IN SIZE AND THEREFORE COULD HAVE MORE OR LESS OF THE ACTIVE INGREDIENT, DIGOXIN. THE RECALLED TABLETS WERE MANUFACTURED BY CARACO PHARMACEUTICAL LABORATORIES, LTD. THIS RECALL IS BEING CONDUCTED WITH THE KNOWLEDGE OF THE FOOD AND DRUG ADMINISTRATION.

DIGOXIN IS A DRUG PRODUCT USED TO TREAT HEART FAILURE AND ABNORMAL HEART RHYTHMS. IT HAS A NARROW THERAPEUTIC INDEX AND THE EXISTENCE OF HIGHER THAN LABELED DOSE MAY POSE A RISK OF DIGOXIN TOXICITY IN PATIENTS WITH RENAL FAILURE. DIGOXIN TOXICITY CAN CAUSE NAUSEA, VOMITING, DIZZINESS, LOW BLOOD PRESSURE, CARDIAC INSTABILITY, AND BRADYCARDIA. DEATH CAN ALSO RESULT FROM EXCESSIVE DIGOXIN INTAKE. A LOWER THAN LABELED DOSE MAY POSE A RISK OF LACK OF EFFICACY POTENTIALLY RESULTING IN CARDIAC INSTABILITY. CONSEQUENTLY, AS A PRECAUTIONARY MEASURE, CARACO IS RECALLING THESE TABLETS TO THE CONSUMER LEVEL TO MINIMIZE ANY POTENTIAL RISK TO PATIENTS.

CONSUMERS WITH THE PRODUCTS WITH THE FOLLOWING NDC CODES THAT ARE WITHIN EXPIRATION SHOULD RETURN THESE PRODUCTS TO THEIR PHARMACY OR PLACE OF PURCHASE.

PRODUCT IDENTIFICATION

CARACO DIGOXIN 0.125 MG IS A SCORED ROUND BICONVEX YELLOW TABLET IMPRINTED WITH “437”

CARACO DIGOXIN 0.25 MG IS A SCORED ROUND BICONVEX WHITE TABLET IMPRINTED WITH “441”

NDC NUMBERS:

DIGOXIN TABLETS, USP, 0.125 MG 57664-437-88 (100-COUNT) 57664-437-18 (1000-COUNT)

DIGOXIN TABLETS, USP, 0.25 MG 57664-441-88 (100-COUNT) 57664-441-18 (1000-COUNT)

PATIENTS USING CARACO’S DIGOXIN TABLETS, USP, 0.125 MG OR 0.25 MG, WHO HAVE MEDICAL QUESTIONS SHOULD CONTACT THEIR HEALTHCARE PROVIDER FOR ADDITIONAL INSTRUCTIONS OR GUIDANCE.

RETAILERS WHO HAVE THIS PRODUCT SHOULD RETURN THE PRODUCT TO THEIR PLACE OF PURCHASE. RETAILERS CAN CALL CARACO CUSTOMER SERVICE AT (800) 818-4555, MONDAY THROUGH FRIDAY, 8:00 A.M. – 5:00 P.M. EST, FOR INSTRUCTIONS ON HOW TO RETURN THE AFFECTED PRODUCT OR FOR ANY OTHER INQUIRIES RELATED TO THIS ACTION.

ANY ADVERSE REACTIONS EXPERIENCED WITH THE USE OF ALL AFFECTED PRODUCT, AND/OR QUALITY PROBLEMS SHOULD ALSO BE REPORTED TO THE FDA’S MEDWATCH PROGRAM BY PHONE AT 1-800-FDA-1088, BY FAX AT 1-800-FDA-0178, BY MAIL AT MED WATCH, FDA, 5600 FISHERS LANE, ROCKVILLE, MD 20852-9787, OR ON THE MEDWATCH WEBSITE AT WWW.FDA.GOV/MEDWATCH.

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Filed Under: FDA Press Releases

About The FDA

The Food and Drug Administration (FDA) is an agency within the U.S. Department of Health and Human Services. It consists of the Office of the Commissioner and four directorates overseeing the core functions of the agency: Medical Products and Tobacco, Foods and Veterinary Medicine, Global Regulatory Operations and Policy, and Operations.

Comments

  1. Joyce Stringfellow says

    April 3, 2009 at 5:50 pm

    I called my pharmacy when I received this batch of digoxin because the pills looked bigger then they should have been and was reassured that they were okay and that generic pills often look different. This is the second time this has happened with my digoxin. So far I have been lucky and not had any adverse effects, but it is scary.

    Reply
  2. Brian Lee says

    April 13, 2009 at 6:41 pm

    My father-in-law almost dyied from this pill the frist part of march .
    the doctors said it was a long term use overdose.
    he lost alot of his body mass ,heart slowed down,.
    it was bad.

    Reply

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