Exela Pharma Sciences Recalls Sodium Bicarbonate, Midazolam and ELCYS


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Recaleld Exela Pharma Sciences Product Boxes


Exela Pharma Sciences, LLC, (Exela) is voluntarily recalling the products listed in the table below to the consumer level. Particulate matter identified as silicone was observed during routine inspection of retain samples.

Product
Strength
Vial Size

8.4% Sodium Bicarbonate

Injection, USP

50 mEq/50 mL

50 mL Single Dose Vial

Midazolam in 0.8% Sodium

Chloride Injection

100 mg/100 mL

100 mL Single Dose Vial

ELCYS (cysteine hydrochloride

Injection), USP

500 mg/10 mL

10 mL Single Dose Vial

Risk Statement: Administration of an injectable product that contains particulate matter may result in local irritation or swelling in response to the foreign material. If the particulate matter reaches the blood vessels it can travel to various organs and block blood vessels in the heart, lungs or brain which can cause stroke and even lead to death. Exela has not received any reports of adverse events related to this recall.

8.4% Sodium Bicarbonate Injection USP is used for treatment of metabolic acidosis and is packaged in a 50 mL glass single dose vials, 20 vials per carton Exela brand (Carton NDC: 51754-5001-5; Vial NDC: 51754-5001-1, Figure 1) and 25 vials per carton Exela brand (Carton NDC: 51754-5001-4; Vial NDC: 51754-5001-1) and Civica brand (Carton NDC: 72572-740-20; Vial NDC: 72572-740-01).

The affected 8.4% Sodium Bicarbonate Injection, USP, 50 mEq/50 mL lots (covering both Exela and Civica brands) include the following lot numbers and expiration dates:

Brand Lot Expire Date
Exela P0001429 11/2023
Exela P0001900 08/2024
Exela P0001902 08/2024
Exela P0001903 09/2024
Exela P0001909 09/2024
Civica P0001912 08/2024
Exela P0001945 09/2024
Exela P0002002 11/2024
Exela P0002052 12/2024

Product was distributed nationwide to wholesalers, distributors, and health systems between January 18, 2022 and February 15, 2023.

Midazolam in 0.8% Sodium Chloride Injection is used for sedation and is packaged in a 100 mL glass vial, 25 vials per corrugated shipper. The vials are labeled with Exela brand (Carton NDC: 51754-2131- 4; Vial NDC: 51754-2131-1).

The affected Midazolam in 0.8% Sodium Chloride Injection 100 mg/ 100 mL include the following lot number and expiration date:

Brand
Lot
Expire Date

Exela

10001088

07/2024

Product was distributed nationwide to wholesalers, distributors, and health systems between July 14, 2023, and September 26, 2023.

ELCYS (cysteine hydrochloride Injection) is used for nutritional requirements per total parenteral nutrition (TPN) and is packaged in a 10 mL glass vial, 10 vials per carton. The vials are labeled with Exela brand (Carton NDC: 51754-1007-3; Vial NDC: 51754-1007-1).

The affected ELCYS (cysteine hydrochloride Injection), USP 50 mg/mL includes the following lot number and expiration date:

Brand
Lot
Expire Date

Exela

10000798

03/2025

Product was distributed nationwide to wholesalers, distributors, health systems, and compounders between July 20, 2023, and August 1, 2023.

Exela is notifying its customers by e-mail and certified mail and is arranging for return and replacement of all recalled product directly to Exela.

Customers that have product which is being recalled should discontinue use, segregate the recalled product, submit a recall stock response form to Exela (even if there is no product to return), and hold the product until shipment instructions are provided by Exela.

Source: FDA

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Consumer Contact: -

Customers with questions regarding this recall can contact Exela by phone (828-341-6118) or email at recall@exela.us Monday through Friday, 9:00am – 5:00pm ET. Consumers should contact their physician or healthcare provider if they have experienced any problems related to the usage of this drug product.

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Report a Problem With This Product

Adverse reactions or quality problems experienced with the use of this product may be reported to the FDA's MedWatch Adverse Event Reporting program either online, by regular mail or by fax.

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