ETHEX Recalls One Lot Of Hydromorphone HCl (2mg) After Finding Oversized Tablet

At Same Time, KV Pharmaceutical Suspends Shipments of All ETHEX Tablet-Form Drugs For An Indefinite Period

(Posted by Tom Lamb at DrugInjuryWatch.com)

On December 23, 2008 KV Pharmaceutical announced another drug recall involving its subsidiary ETHEX Corporation.  This latest recall involves "a single production lot of Hydromorphone HCl 2 mg tablets (Lot 90219, Exp: 3/2010; NDC 58177-0620-04), a pain management drug, following the report of an oversized tablet."

In the same December 23 press release, "KV Pharmaceutical Voluntarily Suspends All Shipments of Its Approved Tablet-Form Drugs", we learned that there is an effort underway to improve the "manufacturing and quality systems" as well as "to implement efficiency improvements" at the production facilities where ETHEX tablet-form drugs are manufactured:

KV Pharmaceutical (NYSE: KV-A) has advised the U.S. Food and Drug Administration (FDA) that, effective midnight Dec. 19, 2008, the company voluntarily suspended all shipments of all FDA approved drug products in tablet form. This action is being taken as a precautionary measure to allow KV to expeditiously review and enhance comprehensively the company's manufacturing and quality systems, and to implement efficiency improvements in its production facilities. KV is keeping the FDA informed about the company's plans.

The list of ETHEX drugs covered by this December 2008 suspension of shipments follows:

  • Benazepril HCl Tablets
  • Buspirone HCl Tablets
  • Dextroaphetamine Sulfate Tablets CII
  • Doxazosin Mesylate Tablets
  • Hydromorphone HCl Immediate Release Tablets, CII
  • Isosorbide Mononitrate Extended-Release Tablets
  • Metoprolol Succinate Extended Release Tablets, USP
  • Morphine Sulfate Extended Release Tablets, CII'
  • Ondansetron Orally Disintegrating Tablets
  • Oxycodone HCl Tablets, CII
  • Potassium Chloride 20 mEq Extended-Release Tablets
  • Propafenone HCl Tablets

As we have reported previously, there have been several earlier recalls of ETHEX drugs in 2008:

Another "Double-Dose" Pill Problem Demonstrates How And Why The Digitek Recall Is So Unusual

ETHEX Corporation Expands Its Voluntary June 2008 Recall Of Morphine Sulfate Extended Release Tablets

A New "Double-Dose" Pill Drug Recall Is Issued By ETHEX Corp.

We will watch for further news from KV Pharmaceutical about the new single-lot recall of Hydromorphone HCl 2 mg tablets as well as the shipment suspension of all ETHEX tablet-form drugs.

P.S.  Sometime after the above article was posted yesterday, this press release, "ETHEX Corporation Initiated Nationwide Voluntary Recall of a Single Lot of Hydromorphone HCl 2 mg Tablets Due to Potential for Oversized Tablet", was published on the FDA web site.

From the December 23 ETHEX press release we get some additional information from this generic drug company about its December 2008 recall of a single lot of Hydromorphone tablets:

If someone were to take a higher than expected dose of Hydromorphone, the risk of adverse effects known to be associated with the drug may be increased, including respiratory depression (difficulty or lack of breathing), low blood pressure, and sedation.

There are other companies in the United States producing and marketing versions of Hydromorphone HCl tablets and consumers and their caregivers are encouraged to check their prescriptions to determine the source of their tablets. Hydromorphone HCl 2 mg tablets marketed by ETHEX are a blue, round tablet with a script "E" on one side and a "2" on the other side.

Now we will wait to see if this Hydromorphone recall is expanded beyond the single lot identified initially by ETHEX.

4 responses to “ETHEX Recalls One Lot Of Hydromorphone HCl (2mg) After Finding Oversized Tablet”

  1. Michael Hudson Avatar
    Michael Hudson

    I have been prescribed Oxycodone 30mg IMM REL Tablets. I am instructed on the bottle, to take 1 tablet by mouth every 4 hours. However, I have noticed with my last Prescription in which I had filled, that some tablets seem to have little or no effect at all, like a placebo.
    Just this morning,1/26/09, before I could get out of bed, I had to take 1 tablet, after not receiving any relief from pain in 1 hour, I then took another tablet, and then after no effect after an hour I took another tablet, and after 2 hours, I had absolutely no effect from this medication, for the relief of my pain, and I was barely able to make it out of bed. After I got up, I checked all of my remaining tablets, to see if they were all the same, and they were, in appearance. So, I tried 1 more tablet, and this time I received the relief that was finally normal for me, with this dose/ strength.
    I have been noticing this, ever since this prescription was filled. So, I looked closer on this bottle, and that is when I saw the,”MFG ETHEX”,underneath the word,”OXYCODONE”. It is then that I went to my computer, to check to see if I could find a picture identifying my particular generic tablets. Though, I have yet to find any corresponding picture, identifying my particular tablet, as being confirmed, “30 mg/IMM REL TABLETS”, I did come across this web-site, and am now realizing why I have been unable to receive proper pain relief, for something is just not consistent with these tablets dose strength. They are not stronger, as I have read in some of the problems with your medications in the past, but are in fact weaker, to the point of having no effect whatsoever, for relieving any pain.
    Could you please tell me if this situation, as I have described has been reported before. The expiration date on my prescription is 1/14/10. Does this fall under the category of those medications that have been recalled and/or suspended?

  2. Tom Lamb Avatar

    Michael:
    I appreciate you sharing your experience with ETHEX Oxycondone tablets. I have not heard such a report from anyone thus far, but this lack-of-effect problem could possibly be due to the out-of-specification issue that has only come to light in recent months.
    Given the nature of your situation, and the particular ETHEX generic drug at issue, I suggest you first speak to the prescribing doctor about your concerns and questions.
    You can, also, contact the drug company, ETHEX, and/or the FDA to inquire about whether your current bottle of pills is covered by the recall.
    If you learn anything about your ETHEX pills that may benefit others, please feel free to re-visit this page, or post, and leave another Comment.
    Thanks for reading Drug Injury Watch.
    Tom Lamb

  3. Denise Dixon Avatar

    To Micheal Hudson and Tom Lambe: My daughter is currently going through a nightmare with ETHEX. She has been on Oxycodone 30 mg tablets for several years and last year was informed by her pharmacist that medication had been recalled due to not enough active ingredient. Now she tried to get her monthly script filled at her pharmacy and wad told that Ethex was not responding to their orders and she needed to contact her doctor. Of course i immediatly showed her this site. She is currently trying to find a different manufacturer but we aren’t having any luck. I do have to say that this ordeal has been a disaster and both the doctor and pharmacist don’t seem to be much help. I sympathize with Mr. Hudson as i have seen my daughter go through the same thing as he has. Thanks for your attention to matters like this Mr. lambe

  4. Tom Lamb Avatar

    Denise:
    Thanks for letting us know about your daughter’s situation. I hope things work out well for her.
    I appreciate the kind words about this Drug Injury Watch blog, and I hope you continue to drop by from time to time.
    Have a good day.
    Tom Lamb

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