{"id":36854,"date":"2021-07-09T16:38:23","date_gmt":"2021-07-09T20:38:23","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=36854"},"modified":"2023-11-07T09:29:28","modified_gmt":"2023-11-07T14:29:28","slug":"chantix-recall","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/news\/chantix-recall\/","title":{"rendered":"Pfizer issues voluntary recall of Chantix"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">In July 2021, Pfizer announced a voluntary recall of nine lots of <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/chantix\/what-is\"><span style=\"font-weight: 400;\">Chantix (varenicline)<\/span><\/a><span style=\"font-weight: 400;\">, its smoking cessation drug, due to concern about levels of nitrosamine in this medication. Nitrosamines are a type of<\/span><a href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/information-about-nitrosamine-impurities-medications\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">impurity<\/span><\/a><span style=\"font-weight: 400;\"> that can exist in pharmaceutical products and are considered possible carcinogens when they are above acceptable levels.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.singlecare.com\/prescription\/apo-varenicline\"><span style=\"font-weight: 400;\">Varenicline<\/span><\/a><span style=\"font-weight: 400;\">, the first generic version of Chantix, was <\/span><a href=\"https:\/\/www.fda.gov\/drugs\/drug-and-biologic-approval-and-ind-activity-reports\/2021-first-generic-drug-approvals\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">approved by the U.S. Food and Drug Administration<\/span><\/a><span style=\"font-weight: 400;\"> on August 11, 2021, one month after Pfizer\u2019s initial recall. In September 2021, <\/span><a href=\"https:\/\/www.fda.gov\/safety\/recalls-market-withdrawals-safety-alerts\/pfizer-expands-voluntary-nationwide-recall-include-all-lots-chantixr-varenicline-tablets-due-n\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pfizer expanded the recall<\/span><\/a><span style=\"font-weight: 400;\"> to <\/span><i><span style=\"font-weight: 400;\">all<\/span><\/i><span style=\"font-weight: 400;\"> lots of 0.5 mg and 1 mg tablets of Chantix. Currently, Chantix is not available as a brand-name drug (Pfizer still has production paused) and only varenicline is available as the generic.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Why was Chantix recalled?<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">You\u2019ve been exposed to nitrosamines many times and probably didn\u2019t even know it. That\u2019s because these compounds are common in water and foods, including cured and grilled meats, dairy products and vegetables, according to the FDA. At low levels, experts don\u2019t believe they\u2019re harmful.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, nitrosamine impurities could potentially increase your cancer risk if you consume enough over an extended period of time. As such, the FDA set limits for the daily intake of nitrosamines. Nitrosamine impurities have led to the recall of other medications, such as <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/pharmacies-pull-zantac-ranitidine-recall\/\"><span style=\"font-weight: 400;\">Zantac (ranitidine)<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/news\/metformin-recall-fda\/\"><span style=\"font-weight: 400;\">metformin ER<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">After previous recalls, the FDA created <\/span><a href=\"https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/control-nitrosamine-impurities-human-drugs\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">guidance for pharmaceutical manufacturers<\/span><\/a><span style=\"font-weight: 400;\"> to detect and prevent higher-than-recommended nitrosamine levels. As part of the suggested investigation, Pfizer discovered levels of the impurity known as N-nitroso-varenicline that exceeded the acceptable intake limit in Chantix. That prompted Pfizer\u2019s decision to voluntarily recall certain lots of this particular drug.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cThe <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/what-happens-when-you-quit-smoking\/\"><span style=\"font-weight: 400;\">benefits<\/span><\/a><span style=\"font-weight: 400;\"> of Chantix outweigh the very low potential risks, if any, posed by nitrosamine exposure from varenicline on top of other common sources over a lifetime,\u201d Pfizer spokesperson Steven Danehy said in an email, according to <\/span><a href=\"https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/pfizer-halts-distribution-anti-smoking-drug-after-finding-carcinogen-2021-06-24\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Reuters<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b>RELATED: <\/b><a href=\"https:\/\/www.singlecare.com\/blog\/what-to-do-when-a-drug-is-recalled\/\"><b>What to do if a drug is recalled<\/b><\/a><\/p>\n<h2><span style=\"font-weight: 400;\">What to take instead of Chantix<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The generic varenicline is available in doses of 0.5 mg (white pill) and 1.0 mg (blue pill) for use as an aid in smoking cessation treatment. It works by <\/span><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a606024.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">blocking<\/span><\/a><span style=\"font-weight: 400;\"> the pleasant effects of nicotine on the brain.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There are three ways to take varenicline, and a healthcare professional will help you determine the best method before beginning the medication.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Method one: <\/b><span style=\"font-weight: 400;\">Choose a date when you will quit smoking, and begin taking the medication one week prior to your quit date. You can continue to smoke until your quit date.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Method two: <\/b><span style=\"font-weight: 400;\">Start treatment with varenicline before choosing your quit date. Your quit date may be anywhere from eight to 35 days after you begin the medication, and you can smoke until the scheduled date.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Method three: <\/b><span style=\"font-weight: 400;\">Start taking varenicline and stop smoking slowly during treatment, with a goal of smoking half your normal amount weeks one to four, one quarter of your starting amount weeks five to eight, and as few cigarettes as possible weeks nine to 12 until you\u2019re no longer smoking.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You should take varenicline with a full glass of water or food to reduce the odds of experiencing nausea, a common side effect. Most people take varenicline for 12 weeks, beginning with at a lower dose to get used to the medication:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Days 1-3: <\/b><span style=\"font-weight: 400;\">One 0.5 mg pill each morning<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Days 4-7: <\/b><span style=\"font-weight: 400;\">Two 0.5 pills (one in the morning and one in the evening)\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Day 8 through the completion of treatment:<\/b><span style=\"font-weight: 400;\"> Two 1.0 mg pills (one in the morning and one in the evening)\u00a0<\/span><\/li>\n<\/ul>\n<p><b>RELATED:<\/b><b>\u00a0<\/b><a href=\"https:\/\/www.singlecare.com\/blog\/smoking-cessation-drugs\/\"><b>Other treatment options for smoking cessation<\/b><\/a><\/p>\n<p><span style=\"font-weight: 400;\">If you have any questions about the Chantix recall or varenicline dosages, you can speak with your healthcare provider or pharmacist.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Sources:<\/span><\/h2>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/drugs\/drug-safety-and-availability\/information-about-nitrosamine-impurities-medications\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Information about nitrosamine impurities in medications. <\/span><\/a><span style=\"font-weight: 400;\">U.S. Food &amp; Drug Administration (2023)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/drugs\/drug-and-biologic-approval-and-ind-activity-reports\/2021-first-generic-drug-approvals\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">2021 First generic drug approvals. <\/span><\/a><span style=\"font-weight: 400;\">U.S. Food &amp; Drug Administration (2022)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/safety\/recalls-market-withdrawals-safety-alerts\/pfizer-expands-voluntary-nationwide-recall-include-all-lots-chantixr-varenicline-tablets-due-n\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pfizer expands voluntary nationwide recall to include all lots of CHANTIX\u00ae (varenicline) tablets due to n-nitroso varenicline content<\/span><\/a><span style=\"font-weight: 400;\">. U.S. Food &amp; Drug Administration (2021)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.fda.gov\/regulatory-information\/search-fda-guidance-documents\/control-nitrosamine-impurities-human-drugs\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Control of nitrosamine impurities in human drugs<\/span><\/a><span style=\"font-weight: 400;\">. U.S. Food &amp; Drug Administration (2020)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.reuters.com\/business\/healthcare-pharmaceuticals\/pfizer-halts-distribution-anti-smoking-drug-after-finding-carcinogen-2021-06-24\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pfizer halts distribution of anti-smoking drug after finding carcinogen.<\/span><\/a><span style=\"font-weight: 400;\">\u00a0Reuters (2021)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/medlineplus.gov\/druginfo\/meds\/a606024.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Varenicline.<\/span><\/a><span style=\"font-weight: 400;\">\u00a0National Library of Medicine (2017)<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>In July 2021, Pfizer announced a voluntary recall of nine lots of Chantix (varenicline), its smoking cessation drug, due to concern about levels of nitrosamine in this medication. Nitrosamines are a type of impurity that can exist in pharmaceutical products and are considered possible carcinogens when they are above acceptable levels.\u00a0 Varenicline, the first generic [&hellip;]<\/p>\n","protected":false},"author":94,"featured_media":9067,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4589,4114],"tags":[788,72],"coauthors":[9482],"class_list":["post-36854","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-drug-info","category-news","tag-drug-safety","tag-fda","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Pfizer issues voluntary Chantix recall<\/title>\n<meta name=\"description\" content=\"Pfizer issued a recall of certain lots of its smoking cessation drug due to contamination of possible carcinogens. 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