The Recall Desk

Hazard

Medication Mix Up recalls

11 recalls in our database tag this hazard, drawn from FDA, USDA FSIS, CPSC, and NHTSA source notices.

What the numbers show

Total
11
Critical
0
Severe
6
Most recent
2024-06-05

Of the 11 medication mix up recalls we have scored against our rubric, 0 (0%) are Critical — deaths or serious injuries reported, or the agency’s own highest classification — and 6 (55%) are Severe.

About this hazard tag

Hazard tags are short, machine-readable labels we attach to every recall to make cross-cutting queries possible — “all medication mix up recalls regardless of agency”, “all listeria recalls in California”, “all airbag recalls in 2025”. The tags are extracted from each recall’s source text during the LLM rewrite step and validated against a fixed schema.

A recall can carry multiple tags — a Listeria recall might also be tagged ready-to-eat and undeclared-allergen. Use the full-text search if you want to combine hazard tags with brand or category filters.

1–11 of 11

  • SevereFDA (Drugs)·D-0511-2024·2024-06-05

    Compounded Tirzepatide Vials Mislabeled with Testosterone Cypionate

    Revive Rx Pharmacy recalls 751 vials of compounded tirzepatide (Lot #748127) labeled to contain tirzepatide but actually filled with testosterone cypionate. Patients receiving this medication may take the wrong drug with serious health consequences.

    Product
    Tirzepatide 10 mg/0.5 mL Sterile Solution, 2 mL Multi-dose vial, Rx only, This is a Compounded Product By: Revive RX Pharmacy, 3831 Golf Dr A, Houston, TX 77018, internally assigned NDC 99000-9278-64
    Category
    Drug
    Distribution
    Distributed nationwide
  • HighFDA (Drugs)·D-0086-2024·2023-11-15

    Drug Recall: Montelukast Sodium Tablets Contaminated with Foreign Metoprolol Tablet

    Dr. Reddy's Laboratories is recalling 1,656 bottles of Montelukast Sodium 10 mg tablets due to contamination with a foreign metoprolol tablet found in at least one bottle. Affected lots were distributed nationwide.

    Product
    MONTELUKAST SODIUM — MONTELUKAST SODIUM (MONTELUKAST SODIUM)
    Category
    Drug
    Distribution
    Distributed nationwide
  • ModerateFDA (Drugs)·D-0778-2023·2023-06-07

    Compounded Phenylephrine Solution Recalled Due to Wrong Base Diluent

    Advanced Compounding Solutions is recalling a compounded phenylephrine solution made with 5% Dextrose instead of the correct 0.9% Sodium Chloride diluent. The error affects 198 units distributed nationwide.

    Product
    Phenylephrine HCl 20 mg added to 0.9% Sodium Chloride 250mL Bag, Rx Only, Compounded by: Advanced Compounding Solutions, 4 Constitution Way Ste L Woburn, Massachusetts 01801-1042 United States, NDC 71546-451-25
    Category
    Drug
    Distribution
    Distributed nationwide
  • SevereFDA (Drugs)·D-0019-2023·2022-11-02

    Atenolol 25mg bottles mislabeled; contain Clopidogrel 75mg tablets

    Golden State Medical Supply Inc. is recalling 2,584 bottles of Atenolol 25mg tablets nationwide. Bottles labeled as Atenolol 25mg actually contain Clopidogrel 75mg tablets—a different medication.

    Product
    ATENOLOL — ATENOLOL (ATENOLOL)
    Category
    Drug
    Distribution
    Distributed nationwide
  • SevereFDA (Drugs)·D-0634-2022·2022-02-23

    Morphine Sulfate Syringe Recall Due to Labeling Mix-Up

    STAQ Pharma is recalling a limited number of syringes labeled as Morphine Sulfate PF that actually contain HYDROmorphone HCl PF due to a labeling error. The affected lot was distributed to Colorado, Ohio, and Texas.

    Product
    Morphine Sulfate PF 25 mg/25mL (1 mg/mL) in NaCl, 25 mL in 30 mL Single Dose Syringe, Rx only, STAQ Pharma, Inc., Denver, CO 80239, NDC: 73177-0105-04.
    Category
    Drug
    Distribution
    3 states
  • SevereFDA (Drugs)·D-0633-2022·2022-02-23

    HYDROmorphone HCl syringe recalled due to labeling mix-up

    STAQ Pharma is recalling HYDROmorphone HCl PF syringes (lot 21104221A) that were incorrectly labeled as Morphine Sulfate PF. The mislabeling affects approximately 905 syringes distributed in Colorado, Ohio, and Texas.

    Product
    HYDROmorphone HCl PF 10 mg/50 mL (0.2mg/mL) in NaCl, 50 mL in 50 mL Single Dose Syringe, Rx only, STAQ Pharma, Inc., Denver, CO 80239, NDC: 73177-0104-05.
    Category
    Drug
    Distribution
    3 states
  • HighFDA (Drugs)·D-0754-2021·2021-09-01

    Carvedilol 25 mg Tablets Recalled Due to Foreign Medication Contamination

    RemedyRepack Inc. is recalling Carvedilol 25 mg tablets after discovering that a 500-count source bottle contained two Paroxetine tablets (40 mg), which were then repackaged into 180-count bottles distributed to medical facilities in Virginia and Florida.

    Product
    Carvedilol 25 mg, 180-count bottle, Rx only, Manufactured by Zydus Pharm, Pennington, NJ 08534, NDC 68382-0095-05, Repackaged by RemedyRepack Inc., Indiana, PA 15701, NDC 70518-1826-01
    Category
    Drug
    Distribution
    2 states
  • ModerateFDA (Drugs)·D-0153-2020·2019-11-06

    Apotex Recalls Atorvastatin Calcium Tablets Due to Foreign Tablet Presence

    Apotex Inc. is recalling specific bottles of Atorvastatin Calcium 40 mg tablets because a single Pravastatin 40 mg tablet was found inside one bottle.

    Product
    ATORVASTATIN CALCIUM — ATORVASTATIN CALCIUM (ATORVASTATIN CALCIUM)
    Category
    Drug
    Distribution
    5 states
  • SevereFDA (Drugs)·D-0042-2015·2014-10-29

    Ciprofloxacin 500 mg Tablets Recalled Due to Foreign Tramadol Tablets

    Aidarex Pharmaceuticals is recalling Ciprofloxacin 500 mg tablets because Tramadol 50 mg tablets were found in the bottles.

    Product
    Ciprofloxacin 500 mg tablets, 20 count bottle, Rx only, Packaged by Aidarex Pharmacecuticals LLC, MFG: Unique Pharmaceutical Laboratories, Mumbai, India
    Category
    Drug
    Distribution
    Distributed nationwide
  • SevereFDA (Drugs)·D-1342-2014·2014-05-28

    Zydus Recalls Promethazine Hydrochloride Tablets Due to Foreign Tablet Presence

    Zydus Pharmaceuticals USA Inc. is recalling 10,200 bottles of Promethazine Hydrochloride 25 mg tablets because atenolol 25 mg tablets were found mixed into the bottles.

    Product
    PROMETHAZINE HYDROCHLORIDE — PROMETHAZINE HYDROCHLORIDE (PROMETHAZINE HYDROCHLORIDE)
    Category
    Drug
    Distribution
    Distributed nationwide