The Recall Desk
SevereFDA (Drugs)·D-0268-2025·Announced 2025-03-19

Potassium Chloride Injection Strength Mislabeled on Packaging Overwrap

ICU Medical recalls Potassium Chloride Injection (lot 1023172) whose overwrap labeled as 10 mEq may contain 20 mEq containers, creating overdose risk. Product distributed nationwide.

What this means for you

Illness, injury, or structural failure has been reported. Stop using the product immediately and contact the manufacturer for a refund or repair.

Our severity reasoning: FDA classified this as Class I, which requires a minimum severity score of 4 per the rubric. The mislabeling of potassium chloride strength (10 mEq labeled but 20 mEq contained) creates serious risk of medication error and patient harm, despite no illnesses currently reported.

Plain-English summary

ICU Medical, Inc. is recalling Potassium Chloride Injection, NDC 0990-7074-26, a prescription intravenous medication. The product's overwrap is labeled as Potassium Chloride Injection 10 mEq in 100 mL flexible container, but some containers in affected lot 1023172 contain 20 mEq instead.

This labeling discrepancy creates a serious risk of medication error. Healthcare workers or patients may administer the incorrect strength based on the label, potentially resulting in a dose double what was intended. Potassium chloride is a critical electrolyte supplement, and dosing errors can lead to serious patient harm.

The affected product, lot 1023172 with expiration date January 31, 2026, has been distributed nationwide throughout the United States.

The recalled product

Product
POTASSIUM CHLORIDE (POTASSIUM CHLORIDE)
Brand
POTASSIUM CHLORIDE
Manufacturer
ICU Medical, Inc.
Hazard
  • mis-labeling
  • dosage-error

Is your product affected?

Check your packaging against the codes below. If any of them match, the product is part of this recall.

Lot numbers (2)

  • Lot 1023172
  • Exp Date: 31 January 2026

Distribution

Distributed nationwide across the United States.