Nostrum expands recall of diabetes drug metformin after carcinogen concerns

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Nostrum expands recall of diabetes drug metformin after carcinogen concerns

Conner Mitchell

Associate Editor

Gener­ic met­formin has been a thorn in drug­mak­ers’ sides for months af­ter a prob­a­ble hu­man car­cino­gen was found in test­ed lots. Now, one of the com­pa­nies is ex­pand­ing its re­call to an­oth­er lot of the drug.

Nos­trum Lab­o­ra­to­ries out of Kansas City, MO vol­un­tar­i­ly re­called one lot of met­formin HCl ex­tend­ed re­lease tablets, USP 750 mg, a type 2 di­a­betes drug (the gener­ic equiv­a­lent to Glu­cophage tablets) af­ter test­ing dis­cov­ered el­e­vat­ed lev­els of ni­trosamine, the prob­a­ble car­cino­gen.

The re­call is an ex­pan­sion of a pre­vi­ous Nos­trum re­call in No­vem­ber for the same prod­uct and the same rea­son­ing, the FDA said. The pills at is­sue from the No­vem­ber re­call were a low­er dosage of 500 mg.

Met­formin is used to im­prove blood glu­cose con­trol in adults with type 2 di­a­betes mel­li­tus, and is an off-white, ob­long tablet stamped with “NM7”. The lot in Mon­day’s re­call is MET200501, with ex­pi­ra­tion dates of Ju­ly 2022.

Nos­trum has not been no­ti­fied of any ad­verse ef­fects from the now-re­called prod­uct, the FDA said. Any­one tak­ing met­formin who is con­cerned about the re­called batch is asked to con­sult with their physi­cian be­fore they stop tak­ing the drug, as do­ing so could be dan­ger­ous.

The ex­pand­ed re­call is the lat­est in a line of at least eight man­u­fac­tur­ers across the globe tak­ing met­formin off the shelves. In Oc­to­ber, In­dia’s Mark­sans Phar­ma pulled back an eye-pop­ping 76 lots of its met­formin ver­sion; in Sep­tem­ber, Sun Phar­ma re­called one lot of its Ri­omet ER, an ex­tend­ed-re­lease ver­sion of the drug; in Au­gust, Bayshore Phar­ma­ceu­ti­cals re­called one lot each of its 500- and 750-mg ex­tend­ed-re­lease met­formin; and in Ju­ly, Lupin Phar­ma­ceu­ti­cals pulled all lots of its ex­tend­ed-re­lease met­formin.

All re­calls were linked to high ni­trosamine lev­els found in the com­mon­ly used drug.

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