More people lose eyeballs in outbreak linked to eye drops

Mongo McMongo

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I'd be pretty aggressive about tossing any liquid medication at the end of the use by date. Pills are typically pretty stable (there are exceptions, of course) but between stuff precipitating out and the entire bottle being a somewhat nutritious primordial soup, I'd toss it.

Same with open bottles. Hospital policies are typically to toss multi use bottles that have been opened by 30 days (these all have preservatives). That's probably a bit fast but especially for an injectable or eye medication, a pretty reasonable precaution.

Twenty years is right out.....
Yep, something you squirt onto mucus membranes really should be younger than the sourdough mutter that you're quietly proud of having kept alive since college days
 
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ColdWetDog

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We (USA) should bring more drug manufacturing back to the states. I'm fine with subsidies if needed. We can tie it together with cheaper and widely available generics! (insert politicians laughing gif)

Edit: I realize this could happen anywhere (see compounding pharmacy disaster in Massachusetts several years ago) but at least we have more control over it domestically.
If you want yet another nightmare scenario to mess up your composure, read Bottle of Lies. Living is so dangerous.
 
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metaldark

Wise, Aged Ars Veteran
103
We (USA) should bring more drug manufacturing back to the states. I'm fine with subsidies if needed. We can tie it together with cheaper and widely available generics! (insert politicians laughing gif)

Edit: I realize this could happen anywhere (see compounding pharmacy disaster in Massachusetts several years ago) but at least we have more control over it domestically.
And recourse. An importer can shut down and reincorporate almost immediately. It's probably a bit harder for Eli Lilly to do so.

And of course like J&J show, there are incredible ways of companies hiding their assets from plaintiff suits.

But still, some recourse vs none?
 
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srh

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I still have the same bottle of Visine I've had for 20 years. I think it's safe.

edit: many folks below took issue with this. So, yeah, you're right, and it'll get tossed.
I generally try to keep my food and what-not fairly fresh. But the medicine cabinet is a shrine to the 90s. I've got Nyquil that I haven't touched in 10 years. Yes, visine (or a generic equivalent) that is probably from the last century. Neosporin, Mentholatum, even bottles of Advil that date back to 2004.

I should really clear it out and just start over.
 
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Okay but... real talk... is it a good practice more generally to toss older eye drops bottles that might be sitting around? Not because of this specific outbreak, but for general safety/hygiene?
There are single or at the most, double use eyedrop dispensers in small plastic vials. Twist the cap off, squirt the stuff on your eyeball and recap it for the next immediate use or throw the whole thing away. I wouldn't use eyedrops in bottles that can sit around opened for weeks, if not months.
 
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Edgar Allan Esquire

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If you want yet another nightmare scenario to mess up your composure, read Bottle of Lies. Living is so dangerous.
My first job out of college was R&D in generic pharma. I know it's not an "all of them are like that" situation, but holy crap did it give me horror show experiences both in office politics and gore. (I was trained on all the equipment and testing for sterilization after "bio-hazard contamination.") A part of me had kind of hoped tightening of oxy controls would pressure out the more sweatshoppy ones, since that was a huge business for them spread out in the industry due to drug control limits.
 
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Mechjaz

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I generally try to keep my food and what-not fairly fresh. But the medicine cabinet is a shrine to the 90s. I've got Nyquil that I haven't touched in 10 years. Yes, visine (or a generic equivalent) that is probably from the last century. Neosporin, Mentholatum, even bottles of Advil that date back to 2004.

I should really clear it out and just start over.
Do it! I did a few months ago and it felt great. Sure, it's a bummer to throw out 6 doses of 12, but you were probably gonna buy new stuff when you got sick anyway, and rotating stock is good for the body and the soul. You didn't need 27 fused-together lozenges anyway :)

It took me years to wise up to not buying value packs (a capitalistic colloquialism in the USA "a lot of something"). It's not as cheap per dose, but it makes way more sense than the "welp I've ended up with 10 DayQuil and 5 NyQuil and my cold is gone" cycle.
 
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I’m about 99% sure that I’ve seen EzriCare products on the shelves at local CVS and Walgreens stores; so it’s not ‘just’ about avoiding buying medications online.

Also, neither the external packaging, nor the insert are guaranteed to show the country of manufacture. And, in my experience, that information is almost never visible.

Instead you’ll see the contact information for the USA-based distributor; and all too often the latter seem to just be fly-by-night importers—and apparently lacking in any organic QC function.

I’ll let you come to your own conclusions as to the reasons for the apparent lack of oversight of those companies…
Is there a way to look up country of manufacture? Or at least which particular brands are reputable and where they are known to source from?

I was looking up a generic motion sickness tablet yesterday and I realized these eyedrop articles have me suspicious of any brand that I haven’t heard of before (chalk one up for pharma advertising).
 
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Do it! I did a few months ago and it felt great. Sure, it's a bummer to throw out 6 doses of 12, but you were probably gonna buy new stuff when you got sick anyway, and rotating stock is good for the body and the soul. You didn't need 27 fused-together lozenges anyway :)

It took me years to wise up to not buying value packs (a capitalistic colloquialism in the USA "a lot of something"). It's not as cheap per dose, but it makes way more sense than the "welp I've ended up with 10 DayQuil and 5 NyQuil and my cold is gone" cycle.
The only two meds that I’d love to get in a Costco sized pack are Tylenol and pseudoephedrine. One I have the giant bottle; the other I just stock up throughout the year so I can survive March/April.
 
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Veritas super omens

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Are you a satirical account?
No, just a moron. As others have said it is important to discard eye drops as instructed by manufacturer. Solid dosage medication is a different thing IMHO, but liquids make a wonderful medium for bacterial or fungal growth.
 
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Veritas super omens

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I'd say, don't buy your pharmaceuticals online, manufactured in countries where you are not familiar with the companies' reputations, have some inkling of their production standards and how well the country monitors such things.

It's a crap shoot here in the U.S., but you trust some other country to do it better? (From the article, it sounds like nursing homes trying to save a buck or two.)
The thing is MOST of the medication available in the US is manufactured in other countries. A large portion of it in India. As a matter of fact, if you look at the stock bottles in the pharmacy, a significant percentage don't even tell you where they actually were manufactured. Just a "distributed by" address. It is a big issue IMHO.
 
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I still have the same bottle of Visine I've had for 20 years. I think it's safe.

edit: many folks below took issue with this. So, yeah, you're right, and it'll get tossed.
Visine is generally not good for you. It constricts your blood vessels to reduce redness. Also, 20 years old it really not good. Meds expire.

And this is your EYES we're talking about. Don't fuck around with your eyes.
 
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The agency noted that Global Pharma has had multiple manufacturing violations, including "lack of appropriate microbial testing, formulation issues (the company manufactures and distributes ophthalmic drugs in multi-use bottles, without an adequate preservative), and lack of proper controls concerning tamper-evident packaging."

How is it that these people are allowed to stay in business???
This is mind-boggling to me..
People who sell weed go to prison, but corporations that sell eyeball-melting drops get, what, a non-binding reprimand from the FDA?
Our priorities are so messed up..
 
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Questar

Ars Scholae Palatinae
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The thing is MOST of the medication available in the US is manufactured in other countries. A large portion of it in India. As a matter of fact, if you look at the stock bottles in the pharmacy, a significant percentage don't even tell you where they actually were manufactured. Just a "distributed by" address. It is a big issue IMHO.
Or the ingredients are sourced from India. People would be shocked if they looked up how large the India Pharma export industry is. It's tens of billions of dollars.
 
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pavon

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Argh! A few days before I first heard about this I started getting discomfort in one of my eyes. We were out of eyedrops, and I really don't want to go buy some and find out the next week they added that brand to the list of contaminated drops. Induced crying and the eyelid trick hasn't helped. So it has been more than a month with intermittent twitching and constant feeling that there is something in my eye that I can't get out.

/pointless venting
 
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"Antibiotic sensitivity testing suggests at least one newer antibiotic is still effective at treating the VIM-GES-CRPA strain"

Anybody knows which antibiotic this is?
It needs to be kept secret otherwise patients will start asking their doctors for it for every cold, and the doctors will give it.
 
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jhodge

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ChefSalad

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Questar

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The FDA’s only purpose now is to help big pharma profits by preventing perfectly good medicine already approved by competent agencies in the UK, EU and Japan!

Did we read the same article?

Both products have been recalled, and the Food and Drug Administration put out separate warnings for consumers to immediately stop using the products

This month, the FDA posted recall notices for two other types of eye drops—from Pharmedica and Apotex—for non-sterility concerns
 
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ERIFNOMI

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I'd say, don't buy your pharmaceuticals online, manufactured in countries where you are not familiar with the companies' reputations, have some inkling of their production standards and how well the country monitors such things.

It's a crap shoot here in the U.S., but you trust some other country to do it better? (From the article, it sounds like nursing homes trying to save a buck or two.)
Name brand medication is manufactured all over the world. It's not like India and China are only making blackmarket knockoffs sold by shady backstreet dealers. The shit you get from behind the counter at CVS comes from all over.
 
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XSportSeeker

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Man, this is one of those horrible news that are hard to parse...

As a non-US citizen, I gotta wonder how much to attribute to inadequate regulation, how much it's drug resistant bacteria, and then how much it's about late-stage capitalism effects of healthcare going private with people accepting to buy drugs from places like Amazon, Walmart and other retailers.

Afaik, down here in my country, regular retailers cannot sell stuff like eye drops, not even simple ones with no drugs on it. This is exclusive to drugstores that have to comply with all sorts of regulations.

Is it the case that Amazon and others are treating drugs like they treat other products, selling left and right overlooking any regulations on them? You know, like hoverboards.
 
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Reil

Seniorius Lurkius
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The very first post on this by Ars came the morning after I got a PRK. Having to choose between discomforted, still-healing eyes and the worry I might be infecting myself with antibiotic resistant bacteria directly on the eyes was an interesting feeling.

I was using different brands from the recall, but they're still preservative-free, it still felt spooky.
 
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RZetopan

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The contaminated infant formula debacle readily demonstrates that companies will try to get away with anything they can, wherever they are. It might be a easier in India, but it can happen anywhere.
Unfortunately, there are always some people who think that the rules don't actually apply to them.
 
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