Metformin Hydrochloride Extended Release Tablets are being recalled for having more carcinogen NDMA than the FDA’s acceptable allowance. NDMA is classified as a probable human carcinogen (a substance that could cause cancer) based on results from laboratory tests. NDMA is a known environmental contaminant found in water and foods, including meats, dairy products, and vegetables.1 With levels above admissible according to the FDA it is being recalled ensuring no adverse reactions arise during consumption. If any adverse reactions are experienced you can submit them online here or find more information on how to mail or fax here. Many different retailers might be involved so it is important to check your label and bottle.
What products are being recalled?
Metformin HCl Extended Release Tablets, USP, 500 mg and 750 mg, manufactured by Amneal, are being recalled. They are the prescription, solid oral products that are indicated as an adjunct to diet and exercise to improve blood sugar control in adults with type 2 diabetes mellitus.1
The Metformin Hydrochloride Extended Release Tablets, USP, 500 mg and 750 mg, subject to the recall, are identified by the NDC numbers stated on the product label.
*Amneal’s Metformin Hydrochloride Immediate Release Tablets, USP are not affected by this recall.1
Metformin HCI Extended Release Tablets manufactured by Bayshore Pharmaceuticals, LLC are also being recalled.
Metformin Hydrochloride Extended-Release Tablets USP, 500 mg and 750 mg lots subject to the recall are identified in the table below.
Because Metformin is used to treat serious medical conditions, patients taking the recalled Metformin should continue taking their medicine until they have a replacement product.
To determine whether a specific product has been recalled, patients should look at the drug name and company name on the label of their prescription bottle. If the information is not on the bottle, patients should contact the pharmacy that dispensed the medicine.
Patients should also contact their health care professional (the pharmacist who dispensed the medication or doctor who prescribed the medication) if their medicine is included in this recall to discuss their treatment, which may include another product not affected by this recall or an alternative treatment option.
With winter weather sweeping across the country,
many individuals are experiencing winter-onset depression also known as
seasonal affective disorder (SAD). While the cause of SAD is not known, brain
chemicals that affect your mood can change according to the amount of light you
get each day.1 While some may be more susceptible to SAD than
others, there are ways of preventing and managing SAD until you get through the
Seasonal Affective Disorder?
Seasonal affective disorder (SAD) is a type of
depression that happens during a change of seasons, usually occurring during
autumn and winter months when there is less sunlight. Symptoms usually go away
in late spring or early summer.1
How is SAD
There are four primary treatment methods for SAD:
Light therapy, medications, psychotherapy, and mind-body connection techniques.2
Light Therapy: A method that mimics natural outdoor light using a special light box with the goal of changing the brain chemicals linked to mood. It typically takes a few days to a few weeks before becoming effective. Your doctor will be able to help determine if this is the best option for you and identify which product would be the most effective.
Medications: Individuals with depression are more susceptible to SAD, making antidepressant treatment a good option.
Psychotherapy: Psychotherapy, also called talk therapy, is another option to treat SAD. Therapy can help you learn coping mechanisms to manage your stress and changing your negative thoughts and behaviors.
Mind-Body Connection: This includes a variety of techniques such as meditation, guided imagery and music or art therapy.
Tria Health Help?
If Tria Health is offered through your benefits plan, you have the option of receiving a one-on-one, private consultation with one of Tria Health’s pharmacists over the phone. During your consultation, your pharmacist will review all your current medications, including vitamins and supplements. If you’re interested in exploring medication treatments for SAD, Tria’s pharmacist will be able to provide you with recommendations and coordinate with your doctor(s).
Taking multiple medications can be overwhelming. Some medications need to be taken with food while others need to be taken in the evening. It can become ever more complex with the fear of drug interactions involved. While most interactions are usually not life-threatening, some mixtures of medications can lead to serious – and even fatal – consequences.1 It’s important to talk with your doctor and pharmacist about your current medication regimen to help avoid any possible reactions.
The more medications you take, the higher the risk
The more medications a patient takes, the higher the risk that drugs will interact with each other. According to drugwatch.com, the drug-interaction risks are:
A recent study from the University of Illinois at Chicago also concluded that children taking multiple medications are also at risk for drug interactions. “Among those using multiple medications, one in 12 was at risk for a major drug interaction, and the vast majority of these potential interactions involved antidepressants.”3
Drug Interaction Types
There are four main types of drug interactions:
Simple steps to avoid drug interactions
Talk with your doctor and pharmacist about any new medications. Make sure they know about any vitamins and supplements you are currently taking.
Follow all the dosing instructions listed on each of your medications.
Keep an updated medication list on hand for any of your medical appointments.
If Tria Health is offered through your benefits plan, you have the option of receiving a one-on-one private consultation with one of Tria Health’s pharmacists over the phone. During your consultation, your pharmacist will review all your current medications, including vitamins and supplements. Tria Health will assist you in identifying any possible drug interactions or savings opportunities!
Have any questions for us?
Contact the Tria Health Help Desk at 1.888.799.8742
Memorial Day is approaching and many of you are most likely preparing for weekend travels to see family or friends. We all know the worst part about any vacation is packing. What makes packing even more complicated is packing for air travel. There are a multitude of regulations to keep track of and if you have a chronic condition, the idea of managing your medications can seem overwhelming.
To help you get ready for vacation season, here are a few tips and tricks to keeping your medications safe and organized!
The Medication Screening Process
The Transportation Security Administration (TSA) requires that medications in pill or other solid form must undergo security screening. You can also bring any medically necessary liquids or creams, but they must be screened separately from the rest of your belongings.
To make things easy, the TSA recommends you:
Store medications in clearly labeled containers
Check with state laws regarding prescription medication labels
If you’ve already thrown away your prescription containers, get a letter from your doctor explaining what the medication is and why you need it.
Declare any accessories associated with your liquid medication
If you happen to travel to somewhere in a different time zone, you may need to discuss the time you take your medications with your doctor. If you must take your prescriptions at a certain time, we recommend setting alarms on your phone or watch to help remind you when to take your medications.
Antibiotic resistance occurs when bacteria are capable of resisting the effects of
antibiotics. This can occur for many reasons for example, taking antibiotics when you do not have an infection caused by bacteria or not taking antibiotics as prescribed by your doctor.
Many common infections like the common cold, most sore throats and the flu are actually caused by viruses. Antibiotics are only effective against infections caused by bacteria and cannot kill viruses. Overuse and overprescribing of antibiotics has markedly increased bacterial resistance in recent years. We all normally have bacteria that live on and in our bodies. The more antibiotics we take the more likely these bacteria are to become resistant to antibiotics and potentially cause infection.
Some common signs that you may have an infection caused by bacteria and you should contact your physician include:
Fever higher than 100 °F
Symptoms that last more than 7-10 days
Symptoms that are not relived by over the counter medications
What can you do to prevent antibiotic resistance?
If prescribed antibiotics make sure to take the full course of antibiotics and follow the prescription directions
Don’t always assume that an antibiotic will be the answer to your cold and flu symptoms
(Written by Tria Health Pharmacy Student Intern Jessica McClain, UMKC School of Pharmacy)