A widely used antihistamine was just recalled after being cross-contaminated with a completely different drug

by Adrienne Erin

Reaching for your allergy medication should be routine, not something you need to double-check. But if you take generic cetirizine (the active ingredient in Zyrtec), it’s worth looking at your bottle before your next dose — four specific lots have been recalled nationwide after the FDA called the contamination risk potentially life-threatening. The recall was initiated July 18 by Unique Pharmaceutical Laboratories, based in Panoli, Gujarat, India, and distributed nationwide by Rising Pharma Holdings. (Updated)

Key Takeaways

  • Unique Pharmaceutical Laboratories has voluntarily recalled four lots of Cetirizine Hydrochloride Tablets USP 5 mg, distributed nationwide by Rising Pharma Holdings, after they were found cross-contaminated with a different drug, ranitidine.
  • People sensitive to ranitidine could experience severe allergic reactions, including dangerously low blood pressure, throat and facial swelling, difficulty breathing, hives, or loss of consciousness — the FDA describes these as potentially life-threatening.
  • No adverse events have been reported so far in connection with this recall.
  • The issue was caught by a pharmacy technician who noticed red dots and discoloration on some tablets while counting them for dispensing.

What Was Actually Recalled

The recall covers Cetirizine Hydrochloride Tablets USP 5 mg, sold in 100-tablet bottles under NDC 16571-401-10, manufactured by Unique Pharmaceutical Laboratories (a division of J.B. Chemicals & Pharmaceuticals) and distributed by Rising Pharma Holdings. Four specific lots are affected, all sharing the same expiration date:

  • Lot GY825029 — expires 10/2028
  • Lot GY825030 — expires 10/2028
  • Lot GY825031 — expires 10/2028
  • Lot GY825032 — expires 10/2028

The lot number is printed on the bottle label, alongside the NDC number — both are worth checking against this list if you have a bottle of generic cetirizine at home.

Why This Is Considered a Serious Risk

The tablets were cross-contaminated with ranitidine, a different drug once widely used for ulcers and acid reflux (sold under the brand name Zantac before it was pulled from the market in 2020 over an unrelated contamination issue). Cetirizine and ranitidine are different classes of medication entirely, so someone taking an allergy pill has no reason to expect — or watch for — a reaction tied to a com