Friday, June 14, 2019

Aspen Pharmacare Canada Inc's Birth Control Pills, Linessa 21 Mislabeled

Aspen Pharmacare Canada Inc's Birth Control Pills, Linessa 21 Mislabeled with Linessa 28. According to Health Canada, the English side of Linessa 28 boxes is incorrectly labelled with the eight-digit Drug Identification Number (DIN) for Linessa 21 (02272903) instead of the correct Linessa 28 DIN (02257238). The labelling error could result in a Linessa 21 patient inadvertently receiving Linessa 28 instead of Linessa 21 if the product is dispensed at the pharmacy only using the incorrect DIN as a reference.
Health Canada also mentioned that there are no increased risk of pregnancy if you are taking Linessa 21 or Linessa 28 according to the instructions that accompany the product you received. Instructions are also available from the company's website (click the Patient Information button to download the instructions.


Please read the whole circular below and take appropriate action;
 

Labelling error may lead to patients receiving Linessa 28 birth control pills instead of Linessa 21

Starting date:
June 12, 2019
Type of communication:
Advisory
Subcategory:
Drugs
Source of recall:
Health Canada
Issue:
Labelling and Packaging, Important Safety Information
Audience:
General Public
Identification number:
RA-70187

Last updated: 

Issue

OTTAWA - Health Canada is advising Canadians of a labelling error affecting one lot of Linessa 28 birth control pills on the Canadian market (lot 190056, expiry 06/2021). The English side of Linessa 28 boxes is incorrectly labelled with the eight-digit Drug Identification Number (DIN) for Linessa 21 (02272903) instead of the correct Linessa 28 DIN (02257238). The labelling error could result in a Linessa 21 patient inadvertently receiving Linessa 28 instead of Linessa 21 if the product is dispensed at the pharmacy only using the incorrect DIN as a reference.
There is a small chance that patients who were prescribed Linessa 21 but received Linessa 28 in error may not know that the last 7 green "reminder" pills in the Linessa 28 pack are inactive pills that do not contain any hormones. If patients take a "break" week (no pills) after completing a 28-day pack, as is the practice with Linessa 21, this would result in two weeks without hormone treatment, which could increase the risk of pregnancy.
The DIN error affects the English side of Linessa 28 boxes only. The French side of Linessa 28 boxes has the correct DIN. The product name "Linessa 28" is clearly and accurately printed on the box, the foil pouch and the blister pack.
The labelling issue does not affect the safety or quality of Linessa pills. Patients who take Linessa 21 or Linessa 28 according to the instructions that accompany the product they received are not at an increased risk of pregnancy as a result of the labelling error.
At Health Canada's request, Aspen Pharmacare Canada Inc. has asked that pharmacies contact patients prescribed Linessa 21 to confirm that they received the correct product.
According to the company, approximately 10,000 mislabelled packages from lot 190056 have been distributed nationally, starting in late May 2019. A second lot of Linessa 28 is affected by the same issue (lot 190141, expiry 06/2021) but has not yet been released on to the market. A sticker with the correct DIN will be placed on all affected Linessa 28 boxes that have not yet been distributed, to prevent patients from receiving Linessa 28 instead of Linessa 21.

Products affected

  • Linessa 28, lot 190056, expiry 06/2021
  • Linessa 28, lot 190141, expiry 06/2021

What you should do

  • If you were prescribed Linessa 21 but received Linessa 28, or if you are unsure, contact your pharmacy to confirm that you have the product that was prescribed for you and that you understand the directions for use.
    • You do not need to return your packages of Linessa 28 to the pharmacy unless advised to do so by your pharmacist. There is no increased risk of pregnancy if you are taking Linessa 21 or Linessa 28 according to the instructions that accompany the product you received. Instructions are also available from the company's website (click the Patient Information button to download the instructions).
    • Contact your pharmacy if you have any questions.
  • If you were prescribed Linessa 28 and received Linessa 28, continue to take the pills as directed in the product instructions. Contact your pharmacy if you have any questions. You may receive packages of Linessa 28 with a sticker indicating the correct DIN.
  • If you were prescribed Linessa 21 and received Linessa 21, continue to take the pills as directed in the product instructions. Contact your pharmacy if you have any questions.
  • Report any health product-related adverse reactions or complaints to Health Canada.

Who is affected

  • Patients prescribed Linessa 21 but who received Linessa 28

Background

Linessa 21 and Linessa 28 are prescription drugs used to prevent pregnancy.
Linessa 21 contains 21 active pills (with hormones) [7 light yellow, 7 orange and 7 red] taken daily for three weeks (followed by a week of no pills unless otherwise directed by the prescriber).
Linessa 28 contains 21 active pills (with hormones) [7 light yellow, 7 orange and 7 red] taken daily for three weeks, and then seven (7) [green] "reminder" pills (without hormones) taken daily for one week.

Media enquiries

Health Canada
613-957-2983
hc.media.sc@canada.ca

Public enquiries

613-957-2991
1-866-225-0709

What Health Canada is doing

Health Canada continues to follow up with the company to make sure that appropriate risk mitigation measures are taken. We will continue to monitor and assess the need for further action, and will update Canadians as necessary.

Images

Select thumbnail to enlarge
Linessa 28 box – English side labelled incorrectly with DIN 02272903, which is the DIN for Linessa 21
Linessa 28 box – French side labelled correctly with DIN 02257238
Linessa 28 blister pack (the last row of green pills are “reminder” pills that do not contain any hormones)
Linessa 21 box
Linessa 21 blister pack (all 21 pills contain hormones)

Tuesday, June 11, 2019

Health Canada is advising Canadians about unauthorized health products that may pose serious health risks.


Unauthorized products may pose serious health risks

Starting date:
June 11, 2019
Type of communication:
Information Update
Subcategory:
Natural health products
Source of recall:
Health Canada
Issue:
Unauthorized products, Important Safety Information
Audience:
General Public
Identification number:
RA-70171

Last updated: 


Issue

Health Canada is advising Canadians about unauthorized health products that may pose serious health risks. The table below is updated when Health Canada finds unauthorized health products that are promoted for sexual enhancement, weight loss, as a workout aid, or as “poppers,” and that are labelled to contain or have been tested and found to contain dangerous ingredients. Links to previous tables with affected products are also available below.
Unauthorized health products have not been approved by Health Canada, which means that they have not been assessed for safety, effectiveness and quality. Unauthorized health products can pose many health dangers, including:
  • They may contain ingredients not listed on the label. This includes ingredients like prescription drugs, possibly at doses exceeding maximum recommended amounts. Prescription drugs should be taken only under the supervision of a health professional because they may cause serious side effects. Using a product that contains ingredients that the consumer is not aware of increases the chance of dangerous allergies and interactions with other medications and foods.
  • The label may indicate a dangerous ingredient or combination of ingredients. For example, it could list a drug that should be available only by prescription from a heath care professional, or a combination of ingredients that Health Canada does not permit because of serious health risks.
Health Canada maintains this page so that Canadians can easily identify products they may have purchased and take appropriate action. Canadians are encouraged to check back regularly for updates. Advisories on safety issues involving other types of products are available in the recalls and safety alerts database.

What you should do

  • Stop using the products listed below. Consult your health care professional if you have used these products and have health concerns, and for advice on which health products are best for you and your family.
  • Read product labels to verify that health products have been authorized for sale by Health Canada. Authorized health products have an eight-digit Drug Identification Number (DIN), Natural Product Number (NPN) or Homeopathic Drug Number (DIN-HM). You can also check if products have been authorized for sale by searching Health Canada’s Drug Product Database and Licensed Natural Health Product Database.
  • Report any health product adverse events or complaints to Health Canada.
  • See the additional information on buying health products safely in the helpful links below.

What companies should know:

  • Selling unauthorized health products in Canada is illegal.
  • When Health Canada identifies unauthorized products that may pose serious health risks, Health Canada takes appropriate action to prevent further distribution and informs Canadians. This includes working with the Canada Border Services Agency to help prevent further importation of unauthorized products.

Background

Sildenafil is a prescription drug used to treat erectile dysfunction and should be used only under the supervision of a health care professional. It should not be used by individuals taking any kind of nitrate drug (e.g. nitroglycerine) as it can cause potentially life-threatening low blood pressure. Individuals with heart problems are at increased risk of cardiovascular side effects such as heart attack, stroke, chest pain, high blood pressure and abnormal heartbeat. Other possible side effects include headache, facial flushing, indigestion, dizziness, abnormal vision, and hearing loss. The following are unauthorized substances that are similar to sildenafil and may pose similar health risks: desmethyl carbodenafil, dithiodesmethyl carbodenafil, homosildenafil, hydroxythiohomosildenafil, and thiosildenafil.
Tadalafil is a prescription drug used to treat erectile dysfunction and should be used only under the supervision of a health care professional. It should not be used by individuals taking any kind of nitrate drug (e.g. nitroglycerine) as it can cause potentially life-threatening low blood pressure. Individuals with heart problems are at increased risk of cardiovascular side effects such as heart attack, stroke, chest pain, high blood pressure and abnormal heartbeat. Other possible side effects include headache, facial flushing, indigestion, dizziness, abnormal vision, and hearing loss. Aminotadalafil is an unauthorized substance that is similar to tadalafil and may pose similar health risks.
Yohimbine is a prescription drug and should be used only under the supervision of a health care professional. Yohimbine is derived from yohimbe, a bark extract. The use of yohimbine or yohimbe may result in serious adverse reactions particularly in people with high blood pressure, or heart, kidney or liver disease. Side effects include increased blood pressure and heart rate, anxiety, dizziness, tremors, headache, nausea and sleep disorders. It should not be used by children, or pregnant or nursing women.

Affected products

Links to previous tables with affected products are also available below.

Product description

Unauthorized health products
PhotoProduct &
Promoted Use
Hazard IdentifiedCompanyAction TakenDate Added
Jaguar 30000Jaguar 30000
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain sildenafil and tadalafil
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
Seized from the retail locationJune 11, 2019
KangarooKangaroo
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain sildenafil
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
Master Zone 1500Master Zone 1500
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain sildenafil and tadalafil
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
ResERECTIONResERECTION!
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain sildenafil and tadalafil
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
RhinoRhino
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain aminotadalafil
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
Stiff Nights Stiff Nights
Sexual enhancement
Product with similar packagingpreviously seized was tested and found to contain sildenafil and tadalafil
Forbidden Pleasures
91 George St. N,
Market Plaza,
Peterborough, ON
Seized from the retail locationJune 11, 2019
Super Panther 7KSuper Panther 7K
Sexual enhancement
Labelled to contain yohimbe
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
Triple GreenTriple GreenLabelled to contain yohimbe
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
VIP Go Rhino Gold 69KVIP Go Rhino Gold 69KLabelled to contain yohimbe
Forbidden Pleasures
Locations:
91 George St. N,
Market Plaza,
Peterborough, ON
871 Chemong Rd,
Peterborough, ON
1268 Simcoe Street North,
Oshawa, ON
Seized from the retail locationJune 11, 2019
XXLant 3000XXLant 3000Labelled to contain yohimbe
Forbidden Pleasures
871 Chemong Rd,
Peterborough, ON
Seized from the retail locationJune 11, 2019


Media enquiries

Health Canada
(613) 957-2983

Public enquiries

(613) 957-2991
1-866 225-0709

Images

Select thumbnail to enlarge
Jaguar 30000
Kangaroo
Master Zone 1500
ResERECTION!
Rhino
Stiff Nights
Super Panther 7K
Triple Green
VIP Go Rhino Gold 69K
XXLant 3000

Monday, June 10, 2019

Five Possible signs of severe food poisoning - CDC


Do you have these symptoms? If so, see a doctor.

•Fever over 102°F
•Bloody diarrhea
•Frequent vomiting
•Dehydration
•Diarrhea for more 3 days

If you think you got sick from food, report it to your local health department so they can investigate. Learn more about foodborne illness at https://www.cdc.gov/foodsafety/symptoms.html


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