Foreign Product Alerts: JOINT-SOFT, KEBIGUTAIJIAONANG, and Pil Raja Urat Asli

Starting date:
December 30, 2014
Type of communication:
Foreign Product Alert (FPA)
Subcategory:
Natural health products
Source of recall:
Health Canada
Source of alert:

Singapore Health Sciences Authority

Issue:
Undeclared Substance
Audience:
General Public
Identification number:
RA-43013

These products are not authorized for sale in Canada and have not been found in the Canadian marketplace, but it is possible they may have been brought into the country by travellers or purchased over the Internet.

Affected products

  • JOINT-SOFT
  • KEBIGUTAIJIAONANG
  • Pil Raja Urat Asli

JOINT-SOFT

Product description

This product is promoted for joint pain relief.

Hazard identified

The Singapore Health Sciences Authority warned consumers not to use the product JOINT-SOFT after it was found to contain piroxicam and dexamethasone.

  • Piroxicam is a prescription drug in the family known as non-steroidal anti-inflammatory drugs (NSAIDs) and is used to treat pain, fever and inflammation.
  • Dexamethasone is a steroidal prescription drug used to treat inflammatory conditions such as arthritis and allergic reactions. 
  • Prescription drugs such as piroxicam and dexamethasone should only be taken under the supervision of a healthcare professional.

Place of origin

Unknown

Side effects

Side effects associated with piroxicam include changes in blood pressure, gastrointestinal disorders (with or without bleeding), anemia, kidney failure and reduced blood-clotting ability.

Side effects associated with dexamethasone include irregular heartbeat; increased blood pressure; stomach ulcer; blood disorders; skin, muscle and bone damage; and nervous system disorders.  Consult with your healthcare professional prior to stopping use, as sudden discontinuation of dexamethasone may cause symptoms of withdrawal.

KEBIGUTAIJIAONANG

Product description

This product is promoted for joint pain relief.

Hazard identified

The Singapore Health Sciences Authority warned consumers not to use the product KEBIGUTAIJIAONANG after it was found to contain piroxicam, hydrochlorothiazide, and prednisone.

  • Piroxicam is a prescription drug in the family known as non-steroidal anti-inflammatory drugs (NSAIDs) and is used to treat pain, fever and inflammation.
  • Hydrochlorothiazide is a diuretic (water pill) prescription drug used to remove excess fluid from the body.
  • Prednisone is a steroidal prescription drug used to treat inflammatory conditions such as arthritis and allergic reactions. 
  • Prescription drugs such as piroxicam, hydrochlorothiazide, and prednisone should only be taken under the supervision of a healthcare professional.

Place of origin

Unknown

Side effects

Side effects associated with piroxicam include changes in blood pressure, gastrointestinal disorders (with or without bleeding), anemia, kidney failure and reduced blood-clotting ability.

Side effects associated with hydrochlorothiazide include changes in electrolytes (specifically potassium), muscle cramps, dizziness, low blood pressure, headache and nausea.

Side effects associated with prednisone include irregular heartbeat; increased blood pressure; stomach ulcer; blood disorders; skin, muscle and bone damage; and nervous system disorders. Consult with your healthcare professional prior to stopping use, as sudden discontinuation of prednisone may cause symptoms of withdrawal.

Pil Raja Urat Asli

Product description

This product is promoted for pain relief.

Hazard identified

The Singapore Health Sciences Authority warned consumers not to use the product Pil Raja Urat Asli after it was found to contain piroxicam and indomethacin.

  • Piroxicam and indomethacin are prescription drugs in the family known as non-steroidal anti-inflammatory drugs (NSAIDs) and are used to treat pain, fever and inflammation. Piroxicam and indomethacin should only be taken under the supervision of a healthcare professional.

Place of origin

Unknown

Side effects

Side effects associated with piroxicam and indomethacin include changes in blood pressure, gastrointestinal disorders (with or without bleeding), anemia, kidney failure and reduced blood-clotting ability.

What you should do

Health Canada advises Canadians to contact the Health Products and Food Branch Inspectorate at 1-800-267-9675 if they find the products listed above in the Canadian marketplace.

Canadians who have these products are advised not to use them, and should consult with a healthcare professional if they have concerns about their health related to the use of these products.

Background

Drugs and natural health products that are authorized for sale in Canada will have an eight-digit Drug Identification Number (DIN), a Natural Product Number (NPN) or a Homeopathic Medicine Number (DIN-HM) on the label. These numbers indicate that the products have been assessed by Health Canada for safety, effectiveness and quality.

As of December 16, 2014, no adverse reactions suspected to be associated with the use of these products have been reported to Health Canada.

Report health or safety concerns

To report a side effect to a health product to Health Canada:

  • Call toll-free at 1-866-234-2345
  • Visit Health Canada's Web page on Adverse Reaction Reporting for information on how to report online, by mail or by fax

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