Apace Packaging Recalls 2 Drug Products Over Mislabeling
Apace Packaging has recalled one lot of cyclobenzaprine HCl tablets, USP 5 mg 50ct unit dose, and one lot of amantadine HCl capsules, USP 100 mg 50ct unit dose. The actions were taken due to a potential mislabeling error. A small number of cartons containing cyclobenzaprine HCl may be mislabeled as amantadine, a recall notice says.
“Unintentional dosing with cyclobenzaprine HCl may potentially lead to the development of life-threatening serotonin syndrome, which has been reported with cyclobenzaprine HCI when used in combination with other drugs, such as selective serotonin reuptake inhibitors (SSRIs), serotonin norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs), tramadol, bupropion, meperidine, verapamil, or MAO inhibitors,” the notice says. “The effects of alcohol, barbiturates, and other CNS depressants may be enhanced, and may impair mental and/or physical abilities required for performance of hazardous tasks, such as operating machinery or driving a motor vehicle. Amantadine has a precaution in its prescribing indication about the abrupt discontinuation of the medicine. Missed doses of Amantadine in a few patients with Parkinson’s disease have experienced a parkinsonian crisis, i.e., a sudden marked clinical deterioration, when this medication was suddenly stopped.”