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USP Quality Review

No. 54, Issued 5/96

Reported OTC Medication Errors

Type of problem conveyed by reporter to USP PRN Products involved in reports
Products reportedly have the same brand name but are available in different concentrations/strengths. Benadryl®, Benadryl® Dye-Free
Docusate Syrup, Docusate Liquid
Infant's Tylenol® Drops, Tylenol® Elixir
Dimetapp® Decongestant Pediatric Drops,
Dimetapp® Elixir
The same brand name and NDC number reportedly were used after the product was reformulated using different ingredients. Teldrin®
Kaopectate®
Brand names are reported to be misleading or product labeling is either misleading or confusing for intended use. Kaopek
Fungi Nail®, Fungi Cure
Genamin
Vicks® Dayquil®
A brand name extension reportedly identifies several different products with different active ingredients. Chlor-Trimeton® products
Unisom® products
Mylanta® products
Maalox® products
Pepto-Bismol® products
Triaminic® products
Products have similar sounding and/or appearing brand names but contain completely different active ingredients. Some have been confused. MAG 200, MagTab® SR
Betagen, Betagan®
Benylin®, Ventolin®
ReFresh! (oral drops), Refresh® (ophthalmic drops)
pHisoHex®, pHisoDerm®
Zilactin®, Zilactol®
Products labeled by the same firm appear to have similar packaging and labeling, causing confusion between products. Milk of Magnesia, Potassium Chloride Oral
Solution 10% (30 mL unit-dose cups)
Cascara Sagrada, Benzoin Compound
Isopto® Tears, Goniosol®
Hydrocortisone Cream, Triple Antibiotic Ointment, White Petrolatum
The wording used on the label by a particular manufacturer to express product strength caused confusion. It may be difficult to understand what the product strength is. Calcium Carbonate
Halfprin®
Ferrous Sulfate Drops
Ibuprofen
Safe Tussin (sample size)
Product labeling is insufficient, does not contain adequate information for proper or safe use, or does not adequately identify the active and inactive ingredient(s) and/or its strength. Citroma®
Magnesium Citrate
Ferro-Sequels® Unit Dose
Theragenerix, Theragenerix-M
One Tablet Daily
Vicks® Nyquil®
Magonate
Container shape is reported to look like an ophthalmic dropper bottle. Tolnaftate