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Thousands of Bottles of Blood Pressure Drugs Recalled Due to Cross-Contamination

Thousands of units of a prescription medication used to treat high blood pressure were recently recalled and classified by the Food and Drug Administration (FDA) due to contamination, according to a notice issued by the agency on Dec. 1.

In a report published on Monday on the FDA’s website, more than 11,100 bottles of bisoprolol fumarate and hydrochlorothiazide tablets, USP, were recalled.

The reason for the recall is “cross contamination with other products” after “testing of reserve samples showed presence of traces of ezetimibe,” the FDA notice said. Ezetimibe is a prescription drug used to lower high blood cholesterol.

Bisoprolol is a beta blocker, used to slow the heart rate by relaxing blood vessels. Ezetimibe is a cholesterol absorption inhibitor.

According to the FDA notice, the recalled bisoprolol fumarate and hydrochlorothiazide tablets are in 2.5-milligram/6.25-milligram strength doses in 30-count bottles with the code NDC-68462-878-30; in 100-count bottles with the code NDC-68462-878-01; or in 500-count bottles with the code NDC-68462-878-05.

They are from lot 17232401 with an expiration date of November 2025 as well as lot 17232401 with an expiration date of May 2026, according to the notice.

The drug was manufactured by Glenmark Pharmaceuticals Limited, located in Pithampur, Madhya Pradesh, India, the notice said. It was manufactured for Glenmark Pharmaceuticals, Inc., based in Mahwah, New Jersey.

The FDA labeled the recall as Class III, which the agency defines as a product that is not likely  to “cause adverse health consequences” but may violate labeling or manufacturing regulations. Class III is considered the least severe on a three-tiered scale that goes up to Class I.

Glenmark voluntarily initiated the recall last month, and the FDA classified the recall and posted the notice on Monday. The recall is ongoing and nationwide, the FDA said.

The FDA issued a warning letter to Glenmark earlier this year regarding the same Indian factory where the recalled drugs were manufactured because its “methods, facilities, or controls for manufacturing, processing, packing, or holding do not conform” to the FDA’s standards.

“Your firm failed to thoroughly investigate any unexplained discrepancy or failure of a batch or any of its components to meet any of its specifications, whether or not the batch has already been distributed,” said the warning letter, which did not name any specific drugs that were manufactured at the factory.

According to the ClinCalc database, around 1.8 million bisoprolol prescriptions were filled in 2023, and approximately 562,000 patients are estimated to take the medication.
So far in 2025, tens of thousands of units of blood pressure, cholesterol, or heart medications have been recalled across the United States. In a significant instance, Teva Pharmaceuticals USA and drug distributor Amerisource Health Services in October recalled around 500,000 bottles of prazosin hydrochloride capsules because it contained a potentially cancer-causing chemical.
Weeks before, the FDA posted a notice of recall of at least 140,000 bottles of the generic version of atorvastatin, a commonly used drug prescribed to treat cholesterol and heart issues. In August, around 88,000 bottles of carvedilol, also used to treat high blood pressure, were placed under recall due to the presence of potentially carcinogenic chemicals.



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