Field safety notice, national patient safety alert, device safety information, and medicines recall/notification
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** If there is no link available, details can be found on the MHRA (Medicines & Healthcare products Regulatory Agency) website
Latest Field safety notice, national patient safety alert, device safety information, and medicines/product recall/notification
February 26
Continuing Outbreak of Burkholderia Stabilis ST 480
Dear colleagues,
This is an update on the continuing outbreak of Burkholderia stabilis ST480 linked to non-sterile alcohol-free wipes.
UKHSA previously issued a National Patient Safety Alert (NatPSA, 26 June 2025) and a joint press release with MHRA (04 August 2025).
Key updates:
· UKHSA have issued an urgent public health message and an updated press release on 05 February 2026
· 7 additional cases have been identified with a specimen date after the issue of the NatPSA and the prior press release. These have included some clinically significant and severe infections and one attributable death.
· The total number of cases in the UK linked to this outbreak is now 62 (59 confirmed).
The attached letter explains possible clinical presentation, management of possible cases and recommendations.
Kind regards,
London Region Urgent Emergency Care Team
January 2026
Infant Formula and Follow-On Formula recall due to possible cereulide toxin contamination
UK Health Security Agency (UKHSA) has been notified of the Food Standard Agency’s public product recall alert of Nestlé SMA (Synthetic Milk Adaption) Infant Formula and Follow-On Formula, following Nestlé’s precautionary measure because of possible presence of cereulide, an emetic toxin, produced by some strains of Bacillus cereus.
Clickhere to read a letter explaining possible clinical presentation, management of possible cases and recommendations.
August 2025


Speak to your dispensing pharmacy for more information if you think this relates to medication you take
July 2025
- CAS-ViewAlert: National Patient Safety Alert – Potential contamination of non-sterile alcohol-free skin cleansing wipeswith Burkholderia spp: measures to reduce patient risk
- Class 2 Medicines Recall: Zaditen 0.25 mg/ml, eye drops, solution, Laboratoires Théa EL(25)A/34 – increased risk of microbial contamination of the medicinal product.
Archive
- Class 2 Medicines Recall: Tesco Health Dry Cough Release 200ml, Asda Strong Dry Tickly Cough 200ml, Almus Dry Cough Relief and Bells Dual Action Dry Cough, EL(25) A/03 Updated
- Class 2 Medicines Recall: Pfizer Limited, Oxbryta 500mg Tablets (voxelotor), EL(24)A/44
- Class 3 Medicines Recall: Accord-UK Ltd, Trandolapril 0.5mg, 2mg, 4mg Capsules, EL(24)A/35
- Class 4 Medicines Defect Information: Sandoz Limited, Omeprazole products, EL(24)A/34
- Class 4 Medicines Defect Information: Dawa Limited, Paracetamol 500mg, 1000mg Film-Coated Tablets, EL (24)A/21
- Class 4 Medicines Defect Information: Orifarm UK Ltd, Concerta XL 18mg & 36 mg prolonged release tablets, EL (24)A/07
- Class 3 Medicines Recall: Torrent Pharma (UK) Limited, Ramipril 1.25mg tablets, EL(24)A/05
- Estriol (Imvaggis®) 0.03mg pessary is out of stock until mid-late May 2023
- Clarithromycin 125mg/5ml oral suspension is out of stock until w/c 10th April 2023
• Clarithromycin 250mg/5ml oral suspension is in limited supply until w/c 10th April 2023
• Serious Shortage Protocols (SSP) for clarithromycin 125mg/5ml and 250mg/5ml oral suspension were issued on 06/04/2023 - Wockhardt is out of stock oxycodone 5mg/5ml oral solution until end of June 2023.
- Class 4 Medicines Defect Information: Albireo AB, Bylvay 1200 micrograms Hard Capsules, EL (23)A/01 – GOV.UK (www.gov.uk)
- Prenoxad 1mg/ml Solution for Injection in a pre-filled syringe, Macarthys Laboratories, (Aurum Pharmaceuticals Ltd), caution due to potential needles in sealed kits https://www.cas.mhra.gov.uk/ViewAndAcknowledgment/viewAlert.aspx?AlertID=103215
- MHRA – Class 4 Medicines Defect Information: Quadrant Pharmaceuticals Limited, Bezalip Mono 400mg Tablets, EL (22)A/38 Class 4 Medicines Defect Information: Quadrant Pharmaceuticals Limited, Bezalip Mono 400mg Tablets, EL (22)A/38 – GOV.UK (www.gov.uk)
- Recall of Amiodarone Hydrochloride 50 mg/ml Concentrate for Solution for Injection/Infusion https://www.gov.uk/drug-device-alerts/class-2-medicines-recall-hameln-pharma-ltd-amiodarone-hydrochloride-50-mg-slash-ml-concentrate-for-solution-for-injection-slash-infusion-el-22-a-slash-31
- Abbott recalls two infant formula powders because of the possible presence of Salmonella Feb 2022 Please see link to FSA recall: https://www.food.gov.uk/news-alerts/alert/fsa-prin-11-2022
- Tesco Max All-In-One Chesty Cough & Cold Lemon Sachets Oct 21
- Emerade Emerade 300mcg Patient Letter Emerade 500mcg Patient Letter
- Phyllocontin (Aminophylline) 225mg And 350mg Modified Release Tablets (Update On Sda/2021/003 Issued On 9 February 2021 Regarding Stock Exhaustion Date For Phyllocontin (Aminophylline) Continus 225mg). SDA-2021-003(U).pdf
- Choral Hydrate 143.3/Ranitidine April 21
- Fluoxetine 10mg April 21
- Diamorphone limited supply April 21
- Inhaled Budesonaide April 21
- Pneomovax 23 solution April 21
- Estradot® 75 microgram patches May 21 a Serious Shortage Protocol (SSP) has been issued for Estradot® 75 microgram patches. The SSP will enable community pharmacists in England and Wales to supply patients with Evorel® 75 microgram patches OR Estraderm MX® 75 microgram patches.
- Urgent Assessment/Treatment Following Ingestion Of ‘Super Strong’ Magnets
- MSN_2020_055U Desmopressin (DDAVP) 0.01% w_v (100mcg per 1ml) intranasal solution June 21
- Recall Of Co-Codamol 30/500 Effervescent Tablets, Batch 1k10121, Zentiva Pharma Uk Ltd NatPSA_2021_004_MHRA – co-codamol June 21
- Dexamethasone 0.1% (Maxidex®) 5ml eye drops June 21
- Champix ® (varenicline) 0.5mg and 1mg tablets – Supply Disruption June 21