Acetadote Injection Vials Recalled for Particulate Matter

Cumberland Pharmaceuticals Inc. just announced that it has implemented a recall of six lots of<""> Acetadote® (acetylcysteine) Injection, its injectable treatment to prevent or lessen liver injury after ingestion of a potentially toxic quantity of acetaminophen, the U.S. Food and Drug Administration (FDA) said.

Cumberland informed the FDA of its plans to voluntarily recall these lots of Acetadote as a precautionary measure based on observed particulate matter found in a very small number of vials. The source of the particulate matter was from the glass vial produced by a former supplier. The recall, which is not being undertaken on the basis of any known adverse medical events, affects a limited supply of product.

“We are recalling certain lots manufactured by a previous packaging supplier as a precautionary measure, and believe the risk of any serious adverse medical events to be remote,” said A.J. Kazimi, Chief Executive Officer of Cumberland Pharmaceuticals. “As part of ongoing quality assessment, we switched to a new vial packaging supplier in August of 2009. Patient safety, as always, remains our highest priority, and we are committed to taking the necessary steps to proactively protect patients from the potential of any safety risks,” added Kazimi.

The product being recalled is Acetadote (acetylcysteine) Injection, 20% solution (200mg/mL) in 30 mL single dose glass vials, NDC 66220-107-30. The lot numbers being recalled are lots 090304 (expiration Feb 2011), 090331 (expiration Feb 2011), 090401 (expiration Mar 2011), 090511 (expiration Apr 2011), 090602 (expiration May 2011) and 090616 (expiration May 2011). This product was distributed to U.S. wholesalers and distributors nationwide.

To report adverse reactions or quality concerns, Cumberland Pharmaceuticals can be reached via email at, by fax to 866-438-2372, or by phone at 1-877-484-2700. Adverse reactions may also be reported to FDA’s MedWatch Program online at, or by mail to MedWatch, 5600 Fishers Lane, Rockville, Maryland, 20852-9787.

Acetadote is administered intravenously within eight to 10 hours after ingestion of a potentially hepatotoxic quantity of acetaminophen and is indicated to prevent or lessen hepatic injury. Used in the emergency department, Acetadote is the only injectable product approved in the United States to treat overdose of acetaminophen, a common ingredient in many over-the-counter painkillers.

Acetadote is contraindicated in patients with hypersensitivity or previous anaphylactoid reactions to acetylcysteine or any components of the preparation. Serious anaphylactoid reactions, including death in a patient with asthma, have been reported in patients administered acetylcysteine intravenously.

Acetadote should be used with caution in patients with asthma, or where there is a history of bronchospasm. The total volume administered should be adjusted for patients weighing less than 40 kg and for those requiring fluid restriction. To avoid fluid overload, the volume of diluent should be reduced as needed. If volume is not adjusted fluid overload can occur, potentially resulting in hyponatremia, seizure, and death.

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