Batches of three medicines for Parkinson’s, epilepsy and blood clots are recalled

Batches of three drugs for Parkinson’s, epilepsy and blood clots are recalled over fears they were stored wrongly and could be ‘seriously ineffective’

  • The Medicines and Healthcare products Regulatory Agency gave the warning 
  • Certain batches of B&S Healthcare Clexane, Neupro and Vimpat are affected
  • If patients have the exact batch numbers listed below they should contact a GP 

Medicines for patients with Parkinson’s, epilepsy and blood clots are being recalled over fears they were wrongly stored and could be ‘seriously’ ineffective.

People with packs of Clexane, Neupro or Vimpat with a B&S Healthcare logo may be affected by the recall.

The manufacturer, B&S Healthcare, has warned the drugs were temporarily taken out of the supply chain so may not have been stored properly.

As a result, they may be less effective than they should be and health watchdogs have now asked pharmacists to return them.

Other medicines for chronic obstructive pulmonary disease, psoriasis and high cholesterol have also been recalled from pharmacists, not patients.

The Medicines and Healthcare products Regulatory Agency (MHRA) said it’s very unlikely that any patients will suffer but the effects ‘could be serious’.

The body, which polices the safety of medicine, said no patients should stop taking their medication without being told to do so by a GP. 

The UK’s Medicines and Healthcare products Regulatory Agency has recalled batches of three types of medicines used to treat Parkinson’s, epilepsy and blood clots (stock image)

‘For three particular medicines, whilst the likelihood of their effectiveness being compromised is low (because they are stable legitimate medicines), the consequences of a lack of effectiveness could be serious which is why we are treating them differently,’ the MHRA said.

‘If patients have any of these affected products… they should continue taking their medicines and contact their GP practice to arrange a new prescription.

‘Once they have a new prescription, patients should return the affected batches to their pharmacist.’

HOW CAN HIGH OR LOW TEMPERATURES STOP DRUGS WORKING? 

Medicines usually come with storage instructions which dictate whether, for example, they should be stored in a fridge or at room temperature.

How medicines are stored is crucial for making sure they stay effective in the period before a patient needs to take them.

Many medicines need to be kept between 2°C and 8°C – fridge temperature, while some need to be below 15°C or below 25°C – room temperature.

If drugs are not kept within their safe storage limits, the chemicals inside them may be damaged.

Extremes of cold or heat can irreversibly damage the shape of proteins which are needed for the drugs to work. For antibiotics, for example, if the chemical structure of a drug changes it could lose its ability to attach to the bacteria or viruses it is designed to fight.

Temperatures may also cause physical changes to medicines which aren’t completely solid. 

Mixed emulsions, suspensions or suppositories may separate or settle in certain temperatures, while components in liquid medicines may crystallise if they get to cold.

And some drugs contain chemicals which only dissolve in liquid at certain temperatures, so if they get too hot or cold they can become unstable.

Source: Medicines Control Agency 

Clexane is an injectable drug which stops the blood from clotting in patients with deep vein thrombosis (DVT), pregnant women or after a heart attack.

Neupro patches stick to the skin and release a drug called rotigotine to treat the symptoms of Parkinson’s disease.

And Vimpat, which comes in tablets, is an anti-seizure medication given to patients over the age of four who have epilepsy.

All the medicines affected by the recall are in Italian packaging and have a British B&S Healthcare label on them.

They have expiry dates between June 30, 2019, and June 30, 2023 and a total of 69 batches are subject to the warning.

Others which pharmacists have been told to return are Crestor, Seebri Breezhaler, Dovobet, Incruse and Spiriva.

Patients do not need to arrange a new prescription for these and can keep taking them until they run out.

The MHRA’s recall has been issued under its Falsified Medicines Directive, which regulates the security of the medicines supply chain in Europe.

But the UK regulator said there is no reason to believe there’s a problem with the production of the drugs involved, only that they may have been wrongly stored.

Storing drugs at temperatures outside of their optimum range can cause chemical changes which make them less effective, or lead liquids to separate or crystallise.

Certain concoctions may also become unstable if chemicals they contain can only dissolve in liquid between certain temperatures. 

If someone’s medicine is affected in this way and doesn’t work properly, they may suffer damaging effects if they’re being treated for a serious illness. 

It added: ‘The products are believed to be legitimate. There is no evidence that they have been tampered with and these medicines are stable at room temperature.’ 

WHICH BATCHES HAVE BEEN RECALLED? PATIENTS WITH THOSE IN BOLD SHOULD CONTACT THEIR GP (Source: MHRA) 
Product and Pack Size Italian Batch Number B & S Batch Number Expiry Date Date of First Distribution
Clexane 8000iu 0.8ml 1 x 10 7CK98A 04N0078 30-Oct-20 18-Apr-18
Clexane 8000iu 0.8ml 1 x10 7CH63B 04N0016 30-Jun-20 11-Apr-18
Clexane 8000iu 0.8ml 1 x 10 7CL23B 03N1722 30-Oct-20 22-May-18
Clexane 8000iu 0.8ml 1 x10 7CH36C 03N1721 30-Jun-20 11-Apr-18
Clexane 8000iu 0.8ml 1 x 10 7CH77B 03N1721 30-Jun-20 11-Apr-18
Clexane 8000iu 0.8ml 1 x 10 7CL82B 03N1720 30-Nov-20 11-May-18
Clexane 8000iu 0.8ml 1 x 10 7CL37D 03N1722 30-Oct-20 22-May-18
Clexane 8000iu 0.8ml 1 x 10 8CA66C 03N1716 30-Dec-20 10-May-18
Dovobet Gel 1 x 30g A80960 11N0735 30-Jul-20 06-Dec-18
Dovobet Gel 1 x 30g A79729 11N0734 30-Jun-20 05-Dec-18
Dovobet Gel 1 x 30g A85747 01P0222 30-Oct-20 09-Jan-19
Dovobet Gel 1 x 30g A78018 01P0850 30-May-20 16-Jan-19
Dovobet Gel 1 x 30g A80960 01P0221 30-Jul-20 09-Jan-19
Dovobet Gel 1 x 30g A87671 02P1199 30-Oct-20 02-Apr-19
Dovobet Gel 1 x 30g A85936 02P1206 30-Oct-20 19-Mar-19
Dovobet Gel 1 x 30g A85747 02P1207 30-Oct-20 29-Apr-19
Dovobet Gel 1 x 30g A88301 02P1205 30-Nov-21 15-May-19
Dovobet Gel 1 x 30g A80960 02P1204 30-Jul-20 30-Apr-19
Dovobet Gel 1 x 30g A89721 04P0609 30-Nov-21 14-May-19
Dovobet Gel 1 x 30g A90279 03P1677 30-Dec-21 12-Apr-19
Dovobet Gel 1 x 30g A85936 03P1679 30-Oct-20 14-May-19
Incruse Inhaler 55Mcg 1 x 30 Doses R829935 06N0036 30-Jun-19 07-Jun-18
Incruse Inhaler 55Mcg 1 x 30 Doses R834141 05N0506 30-Sep-19 21-May-18
Incruse Inhaler 55Mcg 1 x 30 Doses R839098 05N0750 30-Oct-19 23-May-18
Incruse Inhaler 55Mcg 1 x 30 Doses R838744 05N0659 30-Oct-19 22-May-18
Incruse Inhaler 55Mcg 1 x 30 Doses R844186 05N0657 30-Dec-19 21-May-18
Incruse Inhaler 55Mcg 1 x 30 Doses R851918 11N0754 30-Mar-20 27-Nov-18
Incruse Inhaler 55Mcg 1 x 30 Doses R856773 11N0753 30-Jul-20 21-Nov-18
Incruse Inhaler 55Mcg 1 x 30 Doses R853231 11N0755 30-Mar-20 21-Nov-18
Incruse Inhaler 55Mcg 1 x 30 Doses R849465 11N0752 28-Feb-20 22-Nov-18
Incruse Inhaler 55Mcg 1 x 30 Doses R853231 01P0344 30-Mar-20 09-Jan-19
Incruse Inhaler 55Mcg 1 x 30 Doses R851918 01P0345 30-Mar-20 09-Jan-19
Incruse Inhaler 55Mcg 1 x 30 Doses R856773 12N0071 30-Jul-20 07-Dec-18
Incruse Inhaler 55Mcg 1 x 30 Doses R858970 01P0343 30-Aug-20 09-Jan-19
Incruse Inhaler 55Mcg 1 x 30 Doses R856773 12N0808 30-Jul-20 31-Dec-18
Incruse Inhaler 55MCg 1 x 30 Doses R852223 01P0344 30-Mar-20 09-Jan-19
Incruse Inhaler 55Mcg 1 x 30 Doses R858970 02P1201 30-Aug-20 11-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R856773 02P1200 30-Jul-20 18-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R851918 02P1209 30-Mar-20 18-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R861997 03P0530 30-Sep-20 28-Mar-19
Incruse Inhaler 55Mcg 1 x 30 Doses R860226 03P0991 30-Aug-20 27-Mar-19
Incruse Inhaler 55Mcg 1 x 30 Doses R861997 03P0955 30-Sep-20 03-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R860226 03P1676 30-Aug-20 05-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R861997 03P1675 30-Sep-20 11-Apr-19
Incruse Inhaler 55Mcg 1 x 30 Doses R861997 04P1150 30-Sep-20 29-Apr-19
Neupro 4mg/24hrs 1 x 28 Patches 56688403 05N0469 28-Feb-20 01-Jun-18
Neupro 4mg/24hrs 1 x 28 Patches 56679402 06N0592 30-Jan-20 14-Jun-18
Neupro 4mg/24hrs 1 x 28 Patches 56712404 10N1295 30-Jun-20 31-Oct-18
Neupro 4mg/24hrs 1 x 28 Patches 56722401 10N1292 30-Jul-20 02-Nov-18
Neupro 4mg/24hrs 1 x 28 Patches 56728403 10N1296 30-Aug-20 26-Oct-18
Neupro 4mg/24hrs 1 x 28 Patches 56722401 11N0650 30-Jul-20 23-Nov-18
Neupro 4mg/24hrs 1 x 28 Patches 56712403 11N0649 30-Jun-20 22-Nov-18
Neupro 4mg/24hrs 1 x 28 Patches 56742401 11N0651 30-Nov-20 06-Dec-18
Neupro 4mg/24hrs 1 x 28 Patches 56728403 11N0647 30-Aug-20 26-Nov-18
Neupro 4mg/24hrs 1 x 28 Patches 56712404 11N0648 30-Jun-20 26-Nov-18
Neupro 4mg/24hrs 1 x 28 Patches 56699404 04P1286 30-Apr-20 14-May-19
Neupro 4mg/24hrs 1 x 28 Patches 56728403 01P0366 30-Aug-20 14-Jan-19
Neupro 4mg/24hrs 1 x 28 Patches 56742401 01P0314 30-Nov-20 09-Jan-19
Neupro 4mg/24hrs 1 x 28 Patches 56757104 04P1278 30-Jan-21 03-May-19
Neupro 4mg/24hrs 1 x 28 Patches 56763103 04P1279 30-Jan-21 03-May-19
Provisacor (Sold as Crestor) 10Mg Tabs 1 x 28 U733A 04N1584 30-Apr-20 08-May-18
Provisacor (Sold as Crestor) 10Mg Tabs 1 x 28 U571A 05N0155 28-Feb-20 29-May-18
SEEBRI BREEZHALER 44mg 1 x 30 Doses BFD79 04PO113 30-Jul-20 18-Apr-19
Spiriva Inhalation Powder 18mcg Cap 1 x 30 802223 01P0226 28-Feb-20 09-Jan-19
Spiriva Inhalation Powder 18mcg Cap 1 x 30 804102 01P0227 30-May-20 09-Jan-19
VIMPAT 100MG TABS 1 X 56 254265 01P0324 30-Apr-23 11-Jan-19
VIMPAT 100MG TABS 1 X 56 255279 02P1067 30-Apr-23 19-Mar-19
VIMPAT 100MG TABS 1 X 56 258582 02P0892 30-Jun-23 25-Mar-19
VIMPAT 100MG TABS 1 X 56 254265 02P0893 30-Apr-23 25-Mar-19

Read more at DailyMail.co.uk