Orlando Sentinel (Sunday)

FDA issues recall of 5 diabetes drug versions

- By Matthew Perrone

WASHINGTON — U.S. health regulators are telling five drugmakers to recall their versions of a widely used diabetes medication after laboratory tests found elevated levels of a contaminan­t linked to cancer.

The Food and Drug Administra­tion said late Thursday that several batches of the drug metformin tested positive for unsafe levels of NNitrosodi­methylamin­e, a possible cancer-causing chemical that can form as a manufactur­ing byproduct. The agency has stepped up testing after the chemical was found in dozens of shipments of blood pressure and heartburn drugs last year, triggering recalls of Zantac and other popular over-the-counter and prescripti­on medication­s.

Metformin tablets are a staple of diabetes care, reducing excess sugar in the blood. People with Type 2 diabetes use metformin alone or with other drugs to help control blood sugar levels. More than 34 million people in the U.S. have this disease.

Patients should continue taking metformin drugs until their doctor can prescribe a replacemen­t, the FDA said in a statement, noting the risks of discontinu­ing. Regulators are still assessing whether the recalls will lead to shortages of metformin, but noted a number of other companies make generic versions of the drugs that don't appear to be affected by the issue.

Drugmaker Apotex Corp. recalled its extended-release metformin distribute­d in the U.S. this week after the FDA found contaminat­ion in one lot. Apotex said in a statement it voluntaril­y recalled all supplies of the drug “out of an abundance of caution.” The company said it stopped selling the drug in the U.S. in February 2019 and that little remains on the market.

The FDA did not name the other drugmakers who have been requested to recall their products.

 ?? U.S. FOOD AND DRUG ADMINISTRA­TION ?? Five drugmakers have been told to recall their versions of metformin, a widely used diabetes medication, because of high levels of a contaminan­t linked to cancer in some lots.
U.S. FOOD AND DRUG ADMINISTRA­TION Five drugmakers have been told to recall their versions of metformin, a widely used diabetes medication, because of high levels of a contaminan­t linked to cancer in some lots.

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