Medication recall today
 

Heads up folks!

I picked up a huge bottle of Baclofen last week and noticed that it was different from what I usually get, looked more like provigil than baclofen. I brought it back to the pharmacy and they took it back and told me there was a recall on it. I went into my email later and found this...



Upsher-Smith Expands Recent Recall to Include: Amantadine, Amlodipine, Androxy, Baclofen, Bethanechol, and Oxybutynin

Upsher-Smith Laboratories, Inc. is voluntarily expanding its previously announced recall of Jantoven Warfarin Sodium, USP, 3 mg Tablets to include products that were packaged on the same packaging line between May 17, 2010 and November 17, 2010. The company is initiating this expanded recall as a precautionary measure because a single bottle labeled as Jantoven Warfarin Sodium, USP, 3mg Tablets was found to contain tablets at a higher, 10mg strength before it was dispensed.

The following products were added to the recall:
Amandatine 100 mg
Amlodipine 5 mg
Androxy 10 mg
Baclofen 10 mg
Bethanechol 5 mg, 10 mg, and 25 mg
Oxybutynin 5 mg

The accidental substitution of a different medicine may lead to a change in the effectiveness or possible side effects from the medicines involved.

For more information, please visit:
http://www.mediguard.org/r/0Ng32YwSljY6
****
WHAT DOES THIS MEAN? Upsher-Smith has determined that the risk of serious injury in someone taking any of the recalled products is low and has only recalled these medicines at the warehouse and pharmacy level only. That said, if you take Amandatine 100 mg, Amlodipine 5 mg, Androxy 10 mg, Baclofen 10 mg, Bethanechol 5 mg, 10 mg, and 25 mg, or Oxybutynin 5 mg, please check your prescription and follow up with your pharmacist if your tablets do not look the same as what you usually receive. If you have concerns about this recall or think you are experiencing side effects, please follow up with your doctor, pharmacist, or other healthcare professional.

Consumers and pharmacists can call the Upsher-Smith at 1-877-492-4791 for more information and to access product details, Monday-Friday between 8:00 a.m. and 5:00 p.m. (EST). Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of the recalled medicine to the FDA's MedWatch Adverse Event Reporting Program by telephone at 1-800-332-1088, by fax at 1-800-332-0178, by mail at MedWatch, FDA, 5600 Fishers Lane, Rockville, MD 20852-9787, or on the MedWatch website at www.fda.gov/medwatch.

Hoo boy...I just went and looked up the different images of all generic baclofen and found that my pharmacy was covering their own mistake! What I got was NOT the recalled baclofen!!!

I usually get 10 mg tabs made by Qualitest. I didn't get 10 mg. tabs, they gave me 20 mg tabs made by Qualitest. Good thing I didn't start popping them before I checked them out with the pharmacy. They were mislabeled as 10 mg tabs, and the amount was the usual amount that I get for a 90 day supply!

I'd have surely looked like a walking drunk if I had started taking them thinking they were 10 mg tabs! GRRRR!!

I usually ALWAYS check my meds when I pick them up but I had picked up a large order with my meds and the man's meds, and his was 22 bottles, so I hadn't gotten around to checking mine yet, since I had some left from the last refill.

Not too happy with my pharmacy right now...sending an email to the head pharmacist now!!!

Good thing you checked before taking - everyone should get into this habit! Pharmacists aren't robots, and even robots can make mistakes.

In this case if the pharma was covering up or giving you something that wasn't the prescribed medication, wow... that's a really bad scene.

Makes me kind of glad that I quit baclofen earlier this week. (dont worry, I stepped down 5mg at a time for a few weeks before I stopped. I didnt do it cold turkey)

I just checked my bottle that I was using when I was still taking it, and they're just normal 10mg baclofens.

I am tired and may not have read that quite correctly, but are they saying they may have accidentally put Amantadine in a bottle that should have Baclofen (as an example)? Are they also saying there is little risk of harm?

As someone who has taken 80 mg or more of Baclofen per day for about 4 years now, I have been warned of the risk of seizures if I suddenly stopped taking it. I would say that it could be pretty harmful if my Baclofen was not really Baclofen!

Oh and I would be kind of livid with that pharmacy for giving you the wrong dose. What if you were driving and got really drowsy not knowing you were taking a double dose?

RW, let us know what the response is to your email. I would have been livid, too.

My pharmacy did something similar with my HBP meds when I was taking them. Not only did they give me someone else's prescription (bottle and all) but it was the wrong dosage of the med! Same med, different mg and wrong person! :eek: What's so scary is the pills were very similar and had I not put on my glasses and looked at the bottle first I would have probably taken them!

I realize folks make mistakes and anytime a human is involved there is that risk.....but some jobs should require a double check system.

my mom got prozac once instead of prilosec. (at least she wasnt depressed about it HA!)

I ALWAYS check my pills BEFORE I leave the counter. I learned long ago that pharmacists make mistakes and then they get quite grumpy when you point it out later. I also learned that once I leave the counter with my purchase I lose the right to complain later. I have received generic instead of brand name, missed counts, missing pills, even got the completely wrong pills in the bottle. I dont care if the person behind me is impatient. I am not leaving till I double check my stuff. If I find I am constantly short on my pills, I will go to a new pharmacy. I cant sit and count all my pills, but I can make sure what is in the bottle is what I am expecting.

I don't think any customer LOSES the right to complain after leaving the store. An error is an error and must be corrected.

Pharmacists who grumble are only hurting themselves! (and that has been proven).

If you consistently have errors, I'd save those bottles and report to your state licensing board. An error here or there can happen to anyone. But consistent errors, is negligence!

The pharmacist in my old town said exactly that. "its YOUR responsibility to check your purchase BEFORE you leave. Once you leave my counter, I have no idea what you do to this stuff, and therefore you lose your right to complain." He really said that! So, from then on I made a heinie out of myself and stood to count and examine each prescription before I left. What a jerk! it was the only pharmacy for many miles around, and I had to watch him like a hawk. I put him on notice that I was not going to walk away quietly.

I do understand there are folks who tamper with thier stuff in hopes of tricking a pharmacy into a free refill or a settlement even, but you cant distrust all your customers, can you?

Luckily my pharmacy was quite gracious about their mistake and even offered to bring my correct prescription to me at home! I live less than a mile from the drug store but they didn't know that when they offered. They apologized forever and even offered me a store gift card. The pharmacy tech that made the error apologized, too, and didn't try to make excuses. Just said he got rushed and should have double checked his orders. I doubt it will happen again. I guess I could have been ugly about it but they corrected their error and it hasn't happened since. But I do check my meds. I think we all have a responsibility to make sure we get what we are supposed to.

The stories are reminding me of something that happened to a friend/boss of mine back in 1994.

I was working in a McD's. It was a franchise that was owned by a really nice couple. Mr and Mrs C were very nice, probably the best people I ever worked for. One morning, I got to work (it was the 6am opening shift on a saturday) and I noticed that the flag was at half staff.

I went inside and asked why the flag was at half staff and the store manager told me they put it at half staff because Mr. C had died unexpectedly the night before. We didnt know what happened at the time, something to do with his heart.

A few months later the story was in the paper and Mrs. C told us all what happened. She had picked up some prescriptions from a pharmacy that I wont name, was the same one I'd been using at the time. She got prescriptions for Mr. C and prescriptions for her daughter and her son. Her son was named for his father, so he was Mr. C III. Apparently the pharmacy, when filling the prescriptions had put the son's medication (not sure what it was) in his father's pill bottle, and C III got his dad's prescription in his bottle.

That night, when Mr C took his prescription, whatever the medication was caused him some sort of cardiac crisis and he had a MASSIVE heart attack and I think a stroke. The medication was found to be the cause.

Mrs C sued the pharmacy and won. (I think the pharmacist who filled the Rx's got fired and possibly lost his license too, since it wasnt his first mistake) Mrs. C also decided to not keep the McD's franchise and sold both stores that she and her husband owned to the slum lord that owned the rest of the McD's in town. That ended the fun times I had working at McD's. I quit about a year and a half after Mr. C died. (the slum lord of McD's no longer owns any McD's. He lost his franchising, so it's now safe to eat at McD's here again)

I try to always remember to check my prescriptions now, and if they change something, I always make sure to call the pharmacy and ask about it. I also will google the numbers and letters on the pills to see what they are too. I still use the same pharmacy that I did back then, but I switched to another branch. So far, I havent had a problem with getting someone else's Rx.

I did recently find out that there's someone with the exact same name as me who uses the same bank I do, and I'm pretty sure she's at the same pharmacy too. I called about a Rx about a month ago, and they didnt ask me any information to confirm who I was when I was asking about something, and they were confused for a minute because the med I was asking about wasnt on the account they were looking at. She asked me what my address was and then said "whoops, that explains it. I was looking at the wrong one". So, now I know to be really careful about my meds I pick up.

Good thing I've pretty much stopped taking everything but my migraine pills (which just changed because they dont make my migraine med anymore)

In 40+ yrs I only had ONE person tamper with a bottle... and I think she was getting Alzheimer's or just a tight wad.

She was so patently obvious in what she did...putting FiberCon tablets in an old worn pill container, that would hold tiny pills.

She just wanted a "refund"...the bottle was over a year old!

So the manager did it for customer relations, but we both knew what was going on!

But scamming tablet counts is a real thing, and hard to prove.

The dispensing robots often loosen up and start overcounting, and never did anyone call us to warn us of that. When you have a unit with 200 cells, you cannot catch every one!

Controls are usually double counted now. And I would count them myself when temping, because I didn't know the employees well.

Most places will fix a count error after the people leave the store. The place you describe is very backward and old fashioned. (if you live in a small community-- he is really holding you hostage). I'd make a production each time too just like you...so others can see this. It is more damaging for him to be that way in the end. His own worse enemy.

The problems in a busy pharmacy are the endless interruptions.
One cannot concentrate when interrupted every 30 seconds all day long! That and high volume with inadequate help...nightmares!

This has happened to me before with the same pharmacy. The last time it happened, they put some other med in a bottle labeled for a diabetes drug for the man. I knew what the drug looked like, the label describing the appearance of the med described that same med, and the pills in the bottle did not match it.

I called them and described the pill to them and they offered to come and pick up the bottle and bring the right med. It would have required a 50 mile trip through the snow so I told them I would drop it off after work the next morning.

The pharmacist who processed the medication originally was there early waiting for me, gave me the correct med, and a gift card. He told me he had accidentally given us a heart medication rather than a diabetes med. Scary stuff.

The person who packaged this med was a new pharmacist. I got a call this morning from the pharmacist apologizing and asking me to stop in next time I was in town to pick up a gift card for my troubles.

They are always responsive when there is a problem or a short on pills. One time they refilled a prescription for me and then a few days later I got a call saying I had forgotten my baclofen, and that I had only gotten a partial refill. I went in and they had the new bottle in a bag, stapled shut and I waited until I got home and went to put it away before I checked it.

They had refilled a 90 day scrip, but when I checked the bottle I had picked up a few days before, it was also a 90 day refill with all the pills there. I brought the bottle back and explained what had happened to them and they told me to keep the new bottle as thanks for being honest with them about it.

I pick up large orders all the time for both work and home, and I always check them, but often get delayed. They are NEVER used before being checked, especially at work, those get checked before my shift is over. At home it may take me a day or two to check them but I always do. I not only make sure it is the right pill and the right dose, but the correct count as well. They are used to me now and know I won't come in claiming a short order or keeping an overage. It's a pain in my rump sometimes, especially when keeping track of all the man's meds, he's a walking pharmacy all by himself!. I not only have to check his, but I have to portion them out in two weeks of night and day pills, in organizers, along with notes for shots and reminders to order refills on supplies, syringes, test strips, lancets and other injectables he is on.

Life used to be so much easier when all I had to do was to check the expiration date on a bottle of aspirin!

Hi Holly! :)

I believe that they found ONE bottle of ONE medication that had been filled with a strength that was double the strength listed on the bottle. In order to ensure that every med packed there was correct, they did a recall on ALL meds packed during a certain time, to ensure none were packed as one strength but actually contained another strength. It would have been the supply bottle that pharmacies get, a sealed bottle with hundreds of pills in it.

If a pharmacy was busy, or a pharmacist was distracted, they could miss that the pill was NOT as it should be and use it for a refill on a prescription and not know until someone like us called or showed up and asked questions. It can be even more confusing when it's a generic med that is made by more than one company, as is the case with the meds recalled. My baclofen made by Qualitest does not look like the recalled baclofen, it's oval shaped and has a v on one side and numbers on the other. The recalled Smith and Hawken baclofen was round.

The baclofen I received was made by Qualitest but it was in a 20 mg strength and LOOKED like Provigil, and that is what first keyed me in to this. I had also picked up a 90 day supply of Provigil 200 mg tabs and thought maybe they sent some mistakenly labeled Baclofen, and when I looked at it I realized it was NOT Provigil and it was NOT my usual baclofen. I didn't know it was 20 mg baclofen until after I came home with the right bottle of meds and decided to look up the "recall" that I realized the pharmacist was covering up a mistake, even though there WAS actually a recall on SOME type of generic Baclofen.

I would suggest that anyone who gets a different looking pill or that now knows about this recall should look up an image of the recalled pills and make sure you do not have the recalled medication. If you find that you DO have the recalled medication, call or visit your pharmacy and have them check the med to make sure it is not part of the recall. I believe that it only has to do with the strength of the med packed in the pharmacy supply bottle, and they should know by now whether they got the wrong strength in a supply bottle marked with a different strength.

LMAO! Clear as mud, ain't it! :confused:

It was one specific manufacturer. I called my pharmacy last night just to make sure that the bottle of baclofen that I've still got (but not using at the moment) wasnt part of the recall. My pharmacy doesnt get their baclofen from the manufacturer that's being recalled.

just a few days ago, got a call from the local pharmacy. (there is a new pharmacist there) she wanted me to come pick up my morpheine. um...I already picked it up 3 days ago. She wanted to argue saying it was still hanging, please come. I went a few days later, but had the bottle in my pocket. I showed it to her, that it was filled just a few days ago, and I didnt know what happened, but please dont double charge my insurance, or make my MD think I am double dipping please. She got really quiet and then said "well, ya see, we made a mistake and I need to fix it." She went on to explain on the day in question I got several items at the pharmacy register including my prescription and the cashier forgot to ring it up or include it in the total. She wanted me to bring in my receipt to prove I paid for it.

I told her that I remember getting several items, and I dont know if I had the receipt but would go home and look. 2 days of looking and its not here. I went back and admitted that I have MS and dont remember well. I may or may not paid for them, but I remember counting them, and checking them on the day I picked them up. She wanted to RE Ring my pills and have me REpay for the co pay! I bawlked. Told her that if I could remember clearly I would happily share it, but since I cannot and her cashier made a mistake perhaps we could split the difference. She DEMANDED that I pay for the meds.

Long story short my friend owns the pharmacy. I called him at home and he came down to the store. He told the new girl to STOP. I have been a long standing customer, and it was THEIR fault that the cashier didnt ring it. She was not to mention it to me again. I felt really badly. I swear I think I paid for the pills, but dont know for sure. I do remember examining them, so why wouldnt the girl have rung it up? I signed the thingie near the register to say I refused to see the pharacist for questions, doesnt that mean it hit the register?

I dont have a good track record with pharmacies. I am just glad I dont live near the old one anymore. That place would take 2 weeks sometimes to get my pills in stock. I think they went out of their way to try to force me to go elsewhere.

Some pharmacies have a connection between the sale register and the RX history. Every so many days, a report is generated to show what is not picked up (meaning not scanned out at the register). Rxs in those are scanned into the register as a rule. Not all pharmacies have this tho. When these reports come out and it shows 3 days remaining or less on certain orders, then the techs call the people up.
It exists because there is a 7-10 day delay in billing the insurance company. If you do not pick up the RX when it is filled, and the 10 days go by, the insurance is billed for it. Years ago there were law suits against Walgreen's and CVS for this. It was called insurance fraud. But in many cases it was just not picked up. Now most chains have elaborate checks to make sure RXs not picked up are cancelled before the billing goes thru.

This sounds like what is going on with you. But I will say...
that controlled substances are always picked up unless the patient goes into the hospital or dies. People as a rule never forget to get them. Other things however, even antibiotics are sometimes not picked up. You'd be amazed!

dej,

i doubt that you didn't pay. what clerk would let the customer walk away with a product and not pay.

this has been an interesting thread.
i check my pills carefully too. sometimes the pharmacy changes the manufacturer for the same medication. when i get home i see the pill is different and always call.

i've been given errors in meds only a few times.
best to check.

BTW the pharmacist in charge has a way to override, the prompts of the "not picked up" report. So Dej, the insurance will be billed probably. The pharmacy will get paid for the medication but will lose any copay from you owed if you were not scanned out properly. It will not be a total loss, for them. The payment is figured by wholesale cost + a dispensing fee... from the insurance. The dispensing fee is quite small but something.

It is not any different from refunding a copay for an error.

One thing bothers me about this though. A manager can recall transactions from the registers these days. All the large companies now have that computer capability. They use this feature when someone tries to get refunds on purchases (non pharmacy without a receipt). Perhaps you've seen it in action? They can even print out a duplicate receipt (say for a rebate if you've lost your receipt and want another).
Now I don't know if your pharmacy is some small mom and pop?
If it is that might be not available. But RiteAid, CVS, and Walgreen's should all be able to find the transaction and see for sure if you paid for the RX.

It sounds hinky to me. She wanted to re-ring your pills? Makes me wonder if she filled out two bottles for you, but kept one bottle for herself and needed a way to account for it in her inventory. That's just me be being suspicious of everyone tho.

I wondered the same thing! I have been on this med for 10 years now, and its a brand name so they are always ready for me with the special hidden supply. They drag it from a special cabinet and fill it then and there. I always wait for it, and never leave it to be filled another day. I signed the silly CC looking thing that asks if you want to consult with a pharmacist or do you have any questions about your meds, so it MUST have scanned in to trigger that event on the reader, yes? its also a double counted med, so you know that watch that closely, yes?

btw, my copay is $6. its not a big deal. Its $3 for generic, but the principal was the thing. It is extremely uncommon to be able to walk off with a narc without paying for it, being given the stink eye by the pharmacist and having to show your license to prove its you picking it up, yes? I was asked for my license, so...I dunno. my memory has holes large enough to drive a truck thru it.

The old pharmacy that gave me a hard time was a local mom and pop style place. This new one is a big chain store that is always Rite and ready with Aide. It was taken over from a mom and pop and turned into the big chain store 2 years ago. I find mistakes are common, and the turn over of staff is incredible. One girl could never remember my name. I finally asked her to stop trying. Just say "hello, how are you today. What can I help you with?" instead of "oh its ms ....um...oh...dont tell me" games.

I am extremely honest and that bugged me that someone accused me of walking off without paying. I was insulted. There were much better ways to handle that whole event, and perhaps I would have been happy to have rerung it, but to start off playing games like I would run down for extra pills and get caught...not fair, and insulting! Several times I have asked for Mometesone cream and I get there and its something else. The clerk on the phone just doesnt listen. she hears the first part of what you say and jumps to the end. She needs to go home.

RA's pharmacy computer is a double scan system. Errors of wrong pills are less frequent. Only way to get an error now is to key in the wrong drug in the beginning. But they even scan your hard copy so finding an error is easier. They even have a thumb print activator for IDing the pharmacist who dispensed each RX. Can't fudge that either.

CII's like yours are inventoried on the spot as each RX is filled.
It is quite difficult to scam the system now. But not impossible.

Double scan means the pharmacist checks the RX and scans in the UPC bar code from the bottle the pills came from and then scans the RX container to see if they match. Many places do this now.

I do think you were scanned at the register because the signature capture box activated. So I don't know WHAT is going on there. CVS still uses tags for signing, and WalGreen's has no capture box at all.

You could always contact your insurance to see if the claim went thru. Give it 2 weeks since the date on the RX tho to see.
That might show "something" if things are hinky there.

that sounds very odd. my pharmacy has its customers sign for an rx when a med is picked it up.

I always pay with a credit card when I get my meds, mostly because my dad pays my medical bills, and plus we get points on my credit card for everything we buy. My dad uses Quicken to track all of my medical expenses too. So, he can tell me when I bought something. (doesnt mark down what my meds are on Quicken tho)

I bet tho, that I could get receipts from my credit card company and use information from my credit card charges to go back to any store I've gone to to prove that I purchased something if I ever had a question about something.

Dej, did you pay cash or did you use a credit card? If you used a credit card, you might be able to get the info from your credit card company on the transaction. (at least the exact time it was rung thru, so the Aide of Rite can check their computers and see what transactions went thru at that particular time)

I did look at the CC online, but it only shows the total of items sold, not the breakdown of how much for each item.

I do plan on calling the insurance company, but again worry. if they double billed, will they then chase me? I dont need new cans of worms.

I just want to be able to get my meds without fear that the clerk behind the counter isnt up to snuff. This constant new employee game lately worries me. I know tons of folks in the dead end town and several are either on drugs themselves or married to folks that abuse, or have cousins, neighbors and so on that are. The risk is too high for some of these folks to be behind the counter. I mean what if employee X tells her cousin where I live and what meds I take? I am considering going to Target in the big city.

The insurance companies rely on their customers to alert them to potential fraud issues. If no one ever spoke up, stealing would be more rampant than it is already.

It should not affect you at all.

What may happen is an internal audit of that store. Sometimes the insurance sends in auditors who look at MANY files... so many you wouldn't believe. Any irregularities...and they will cancel payments for up to a year on each infraction(going back a year). Blue Cross does that, and I've seen some HMO's too.
The audit looks at the hard copy of the RX. In the case of RA, it might use the scanned electronic capture. If one is not done, they will pull the original RX.

If you did not get DAW on each RX however, the store just giving you brand because you requested it, the payments may be denied.

I've seen payments denied even on refills, all sorts of minor infractions, in the past.

But I don't think they would do an expensive audit, unless they see other things of suspected sloppiness.
Some insurances send payment bill copies to their customers.
That is how Blue Cross caught an independent pharmacy not far from me several years ago, filling scripts no one picked up. (this was before the "fraud" cases against CVS and Walgreen's.)
Today this is less likely to happen. Customers of Blue Cross got those statements, and realized they never picked up those RXs and reported it. In the end people went to JAIL over it and the store lost its license, etc. It involved hundreds of thousands of dollars of fraudlent billing!

What I did learn once when I reported RX diversion to our state over a decade ago, about a doctor diverting drugs for personal use. When I gave my deposition, involving maybe 50 incidents I reported, they showed me a computer printout they found of the REST.... it was inches thick involving thousands of RXs....
The auditors told me what is found by accident is almost always the tip of a huge mountain of real activity. That situation was a real eye opener for me!

But the bottom line is that chain pharmacies are less likely to be involved in complex fraud, than independents. But it still can happen. A colleague I ran into at a conference, last year told me of a huge internal theft of OxyContin not far from us. It was a big chain and the thieves covered it cleverly. Security did a spot audit on them in person and discovered it, finally. So it can happen. Morphine is a little less common, but brand name may be easier to sell on the black market.

It is your decision in the end, Dej. Living in a small community is not like the big city where I am. So you have to consider more things which may fall out than I would. In my case, whistle blowing is written into our public health code. If another professional does not report, they can be charged if a coverup is suspected...so some responsibility lies on many shoulders in the end.

I will call on Monday. You are right. Something is really funny about this one, and if it was Cipro I wouldnt be upset, but this narc is handled too carefully for this type of slip. I got upset when the big girl hosp billed me for full body radiation, and some bone marrow thingie I never had. I made sure it was investigated. I was told "your insurance paid, so its no big deal" well YES it IS a big deal. I have life time limits on my plans! if I eat them up with full body radiation I dont have, what happens when I need surgery and it goes over? So, yes I watch my EOBs like a hawk. I get a yearly readout of my meds in January. Its not monthly. Actually they send it to me to show how much money i would have saved to use their mail in service.

Thanks!

Dej, my best friend got Prilosec (Omeprazole ) instead of Prozac. Just the opposite of your Mom. Different state or I would wonder who got the wrong one in my friend's case.

She was to up her dosage to 40 mg, from 20 mg of Prozac. So the pills were new looking to her. She didn't know what they should look like. She took them all month.

She went into depression after a month of cold turkey from not only not increasing Prozac, but getting none at all. She almost lost her job due to this Mom and Pop Pharmacy. :mad:

She has the bottle, with Prozac on the front store printed label (all correct info) and on the side is the generic, original full bottle for Prilosec (Omeprazole ) imprinted and instructions under the label they stuck on it for her insurance info.

Instructions came with it for Prozac, yet the full new bottle was Prilosec.

So this med switch and lack of the pharmacy double checking, caused many bad issues for my friend. One other thing good, and one bad. :eek:

She didn't have any heartburn for that month that was the good, but it inhibited the making of hydrochloric acid in her body, so she had terrible heartburn for two months after, and never had a problem with spices before.

So it can snowball, to a mountain, a mistake.. to be many problems, even death in some cases.

On News TV.
That young girl who got cancer medicine, instead of her Anti-B's, while in the third month of pregnancy. She now has to worry about miscarriage or her baby being injured now. I haven't read anything recently about her, has anyone?

The FDA put up a list similar to RW.
http://www.fda.gov/Safety/MedWatch/S.../ucm243850.htm