NYSTATIN Oral Suspension, USP 500,000 Units/5mL, unit dose 5ml cups, packaged in a) 50 unit dose ...

FDA Drug Recall #D-0348-2019 — Class III — November 30, 2018

Recall Summary

Recall Number D-0348-2019
Classification Class III — Low risk
Date Initiated November 30, 2018
Status Terminated
Voluntary Voluntary: Firm initiated

Recalling Firm

Firm VistaPharm, Inc.
Location Largo, FL
Product Type Drugs
Quantity 4,065,550 5 ml cups

Product Description

NYSTATIN Oral Suspension, USP 500,000 Units/5mL, unit dose 5ml cups, packaged in a) 50 unit dose cups (10x5ml unit dose cups per tray, 5 trays per case) NDC 66689-037-50; b) 100 unit dose cups (10x5ml unit dose cups per tray, 10 trays per case) NDC 66689-037-99. Rx Only, Manufactured by VistaPharm, Inc. Largo, FL 33771

Reason for Recall

Failed Impurities/Degradation Specifications:Out of specification for impurities.

Distribution Pattern

Nationwide in the USA and Puerto Rico

Lot / Code Information

Lots: a) 505300 Exp. Dec 2018; 522200 Exp. Apr 2019; 534400 Exp. Jul 2019; 539000 Exp. Aug 2019; 543400 Exp. Sep 2019; b) 523600, 522200X Exp. Apr 2019; 535500 Exp. Jul 2019; 540700 Exp. Aug 2019; 543300 Exp. Sep 2019; 550100 Exp. Oct 2019.

Other Recalls from VistaPharm, Inc.

Recall # Classification Product Date
D-0018-2023 Class II Pyridostigmine Bromide Oral Solution, USP 60 mg... Sep 30, 2022
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.