Hydrocodone Bitartrate & Acetaminophen Oral Solution 7.5 mg/325 mg per 15 mL, a) 15 mL Unit Dose ...

FDA Drug Recall #D-1416-2012 — Class II — May 30, 2012

Recall Summary

Recall Number D-1416-2012
Classification Class II — Moderate risk
Date Initiated May 30, 2012
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm VistaPharm, Inc.
Location Largo, FL
Product Type Drugs
Quantity a) 949 Cases, b) 188 bottles

Product Description

Hydrocodone Bitartrate & Acetaminophen Oral Solution 7.5 mg/325 mg per 15 mL, a) 15 mL Unit Dose Cups (50 unit dose cups per case), b) 473 mL Bottles, C III, Rx Only, Warning May be habit forming, Manufactured by VistaPharm, Largo, FL 33771, NDC a) 66689-023-50, b) NDC 66689-023-16.

Reason for Recall

Impurities/Degradation Products: exceeded specification at 3 month stability testing

Distribution Pattern

Nationwide

Lot / Code Information

Lot #'s a) 251400, Exp 07/13; b) 251500 Exp 07/13.

Other Recalls from VistaPharm, Inc.

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D-0376-2022 Class II Clobazam Oral Suspension 2.5 mg/mL, 120 mL bott... Jan 7, 2022
D-0019-2021 Class III NYSTATIN ORAL SUSPENSION, USP 100,000 units per... Sep 25, 2020
D-1378-2020 Class III Nystatin Oral Suspension, USP 100,000 units per... Jun 23, 2020
D-1377-2020 Class III Nystatin Oral Suspension, USP 500,000 units/5mL... Jun 23, 2020

Frequently Asked Questions

Nitrosamines are probable human carcinogens — they can increase cancer risk with long-term exposure above certain thresholds, but they do not cause immediate harm from taking a single dose. The FDA calculates an acceptable daily intake (ADI) for each nitrosamine compound, and recalls are triggered when levels exceed this threshold. If you have been taking a recalled product, the FDA generally advises against abruptly stopping your medication (especially for critical conditions like blood pressure or diabetes) until you consult your doctor. The incremental cancer risk from short-term exposure is very small.

Not necessarily. Many drug recalls are initiated because of quality system failures or test results that suggest a product might not meet specifications — even if no patients have reported harm. The FDA uses a precautionary approach: if there is reason to believe quality standards were not met, a recall is required regardless of whether adverse effects have been reported. Class I recalls typically involve a reasonable probability of harm; Class II recalls may cause temporary health issues; Class III recalls are for products unlikely to cause adverse health consequences but that still violate regulations.

Pharmacies typically receive recall notices directly from drug wholesalers and manufacturers within days of the recall being announced. Your pharmacist can look up whether any product in your prescription history matches a recalled lot number. For current recalls, the FDA publishes updates at FDA.gov/safety/recalls-market-withdrawals-safety-alerts and sends MedWatch email alerts for significant drug safety issues. You can sign up for MedWatch alerts at FDA.gov. Most major pharmacy chains also have their own recall notification systems that automatically alert pharmacists when a recalled product is in their inventory.

What Should You Do?

Stop using this medication if affected by this recall. Contact your pharmacist or prescribing doctor immediately for guidance. Do not flush medications — use a drug take-back program.