Independent register of U.S. FDA drug recalls · updated Oct 10, 2026
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Class I drug recalls - the high-risk category

Class I is the FDA's most serious recall category: a reasonable probability that using the product will cause serious health consequences or death. It is a small share of all recalls, but the one to check first if a medication you take appears here.

1,750 recalls, newest first.

Class I · High risk

Clalis capsules

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0560-2018
Class I · High risk

GOLD VIGRA capsules

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0559-2018
Class I · High risk

LANG YI HAO CHAONONGSUOPIAN tablets

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0558-2018
Class I · High risk

GERMANY NIUBIAN tablets

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0556-2018
Class I · High risk

GERMANY BLACK GOLD tablets

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0555-2018
Class I · High risk

Miraculous Evil Root capsules

Marked Without An Approved NDA/ANDA: FDA analysis found these products to contain sildenafil, an FDA approved drug for the treatment of erectile dysfunction, making these products unapproved drugs for which safety and efficacy have not been establish and therefore, subject to recall.

Terminated Chemical / undeclared A&H Focal Inc. D-0554-2018
Class I · High risk

XtraHRD Natural Male Enhancement Capsules

Marketed without an Approved NDA/ANDA: Product contains N-desmethyl tadalafil an analogue to tadalafil which is an active pharmaceutical ingredient in a FDA approved drug used to treat erectile dysfunction (ED).

Terminated Chemical / undeclared Organic Herbal Supply D-0646-2017
Class I · High risk

Vancomycin Hydrochloride for Injection

Presence of Particulate Matter: A hair was found stuck to the stopper of inside a single vial. The hair came in contact with the reconstituted drug product.

Terminated Particulate / foreign matter Hospira Inc., A Pfizer Company NDC 0409-6510-01 D-0638-2017
Class I · High risk

Nano PNC Water

Marketed without an Approved NDA/ANDA and non-sterility: NANO PNC Water by nebulizer was sampled and found to contain variovorax paradoxus.

Terminated Sterility / contamination Pacific Medical Solutions D-0505-2017
Class I · High risk

SLIMFIT X capsules

Marketed without an approved NDA/ANDA: Product contains undeclared sibutramine and desmethylsibutramine.

Terminated Chemical / undeclared Jersey Shore Supplements, LLC D-0473-2017
Class I · High risk

MegaJex Herbal Supplement

Marketed without an Approved NDA/ANDA; product contains sildenafil and tadalafil which are active pharmaceutical ingredients in FDA approved drugs used to treat erectile dysfunction (ED)

Terminated Chemical / undeclared MS Bionic D-0472-2017
Class I · High risk

Domperidone capsules 10 mg

Marketed without an approved NDA/ANDA for which safety and efficacy has not been established.

Terminated Unapproved drug Jeffreys Drug Store D-0494-2017
Class I · High risk

Ultimate Body Tox PRO capsules

Marketed Without An Approved NDA/ANDA: The product contains undeclared sibutramine. The presence of sibutramine, a previously approved controlled substance that was removed from the U.S. market in October 2010 for safety reasons, in this tainted product renders it an unapproved drug for which safety and efficacy have not been established and therefore subject to recall.

Terminated Chemical / undeclared Ultimate Body Tox D-0210-2017
Class I · High risk

Skinny Bee Diet capsules

Marketed without an approved NDA/ANDA: presence of undeclared sibutramine, desmethylsibutramine (an active metabolite of sibutramine) and phenolphthalein.

Terminated Chemical / undeclared Love My Tru Body D-0223-2017
Class I · High risk

GlucaGen HypoKit

Defective delivery system: detached needles on the syringe in the kit.

Terminated Packaging defect Novo Nordisk Inc NDC 0169-7065-15 D-0217-2017
Class I · High risk

Eye Wash

Non-Sterility: Direct evidence of contamination for 2 lots based on FDA samples.

Terminated Sterility / contamination United Exchange Corporation NDC 0904-6491-20 D-0496-2017

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