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Drug Safety Alerts

Teva Valsartan Combination Products Consumer-Level Recall

11/26/18

On November 26, 2018, Teva Pharmaceuticals issued a consumer-level recall of all lots of amlodipine/valsartan combination tablets and amlodipine/valsartan/hydrochlorothiazide combination tablets. This recall was issued due to an impurity, N-nitrosodiethylamine (NDEA), which is above specification limits in the Valsartan Active Pharmaceutical Ingredient (API) that was manufactured by Mylan Laboratories Limited in India. NDEA is a substance that occurs naturally in certain foods, drinking water, air pollution, and industrial processes, and has been classified as a probable human carcinogen according to the International Agency for Research on Cancer (IARC).

A complete list of the affected products is provided here:

Valsartan is used for the treatment of high blood pressure for the treatment of heart failure, and to reduce cardiovascular mortality following myocardial infarction. Valsartan in combination with amlodipine or hydrochlorothiazide is used for the treatment of high blood pressure. Patients should contact their pharmacist or physician who can advise them about an alternative treatment prior to returning their medication. Patients who are on valsartan should continue taking their medication, as the risk of harm to the patient's health may be higher if the treatment is stopped immediately without any alternative treatment.

CVS Caremark Response: Because of this action, CVS Caremark Mail Service Pharmacy is contacting patients and prescribers to advise them of this recall. We are encouraging patients who are taking product affected by this recall to contact their prescriber.

For more information about this recall, health care providers may contact Teva Medical Information at 1-888-838-2872, Monday through Friday, 9:00 am to 5:00 pm (ET) and select option 3 then option 4 or visit http://phx.corporate-ir.net.

You may also contact the FDA consumer inquiry line at 1‑888‑INFO-FDA (1‑888-463-6332) or visit https://www.fda.gov.