As per the USFDA, the companies are recalling the product due to deviation from the current good manufacturing practices (CGMP).
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Drug makers Lupin and Granules
India are recalling close to 9.71 lakh bottles of generic diabetes drug in
the US due to possibility of the affected lot containing cancer causing
nitrosodimethylamine (NDMA) above the acceptable intake limit.
As per the latest Enforcement
Report of the US Food and Drug Administration (USFDA), Lupin is recalling
4,92,858 bottles of Metformin Hydrochloride extended-release tablets in 500 mg
and 1,000 mg strengths.
On the other hand,
Hyderabad-based Granules India is recalling over 4.78 lakh bottles of the drug
in 750 mg strength.
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As per the USFDA, the companies
are recalling the product due to deviation from the current good manufacturing
practices (CGMP).
"FDA analysis detected N-Nitrosodimethylamine
(NDMA) impurity above the acceptable intake level," it noted.
The USFDA has classified it as a Class-II recall,
which is initiated in a "situation in which use of or exposure to a
violative product may cause temporary or medically reversible adverse health
consequences or where the probability of serious adverse health consequences is
remote".
Lupin is recalling 1,23,912 bottles of the 500 mg
Metformin Hydrochloride extended-release tablets and 3,68,946 bottles of the
same drug of 1,000 mg strength.
The product has been manufactured at Lupin's USFDA
approved Goa-based manufacturing plant, and is being recalled by company's US
based subsidiary.
Lupin sells Metformin Hydrochloride
extended-release tablets under Gluconorm SR brand in India. The product is not
impacted in the country as it is manufactured in a separate facility which
caters to the domestic market, while there are specific plants which cater to
the US market.
Granules India is recalling 4, 78,173 bottles of
the drug in the strength of 750 mg due to similar reasons.
The company's US-based arm is recalling the
affected lots which have been manufactured in India.
Metformin Hydrochloride extended-release tablet is
a prescription oral medication indicated as an adjunct to diet and exercise to
improve blood glucose control in adults with type-2 diabetes mellitus.
Various companies across the globe have announced
similar recalls for the product after the USFDA pointed out presence of NDMA
above permissible limits.
FDA's testing has shown elevated levels of NDMA in
some extended release (ER) metformin formulation, but not in the immediate
release (IR) formulation or in the active pharmaceutical ingredient.
NDMA is classified as a probable human carcinogen
based on results from laboratory tests. It is a known environmental contaminant
and found in water and food, including meats, dairy products and vegetables.

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