RECALL AND WARING UPDATES:

CONSULT YOUR DOCTOR BEFORE ADDING/CHANGING ANY DRUGS OR SUPPLEMENTS

1. VIOXX - In a high profile RECALL, all Vioxx is to be discarded. Do not take this drug. A federal study (Sept. 2004) had to be STOPPED because of the serious increase of heart events (including heart attacks) and stroke for those in the study on this drug. Contact your physician about a replacement drug.

2. KAVA-KAVA (an herbal supplement) Often suggested as a tranquilizer/"feel good" type of drug, there are many serious reports of liver damage, and the FDA is alerting health professionals and the public regarding this supplement.

3. LIPOKENETIX - The FDA is warning consumers to immediately stop use of the product Lipokinetix, marketed as a dietary supplement (for weight loss) by Syntrax Innovations, Inc. FDA has received multiple reports of persons who developed liver injury or liver failure while using Lipokinetix. The product contains norephedrine (also known as phenylpropanolamine or PPA), caffeine, yohimbine, diiodothyronine, and sodium usniate. FDA is also advising consumers to consult their physician if they are experiencing symptoms possibly associated with this product, particularly nausea, weakness or fatigue, fever, abdominal pain, or any change in skin color.

4. Children's MOTRIN Grape Chewable Tablets

FDA and McNeil alerted healthcare professionals that one manufacturing lot (Lot # JAM108, exp 1/06) of Children's Motrin (ibuprofen) Grape Chewable Tablets may mistakenly contain Tylenol 8-Hour extended release (acetaminophen) Geltabs. Lot # JAM108 was distributed nationwide to wholesale and retail customers between February 5 and April 1, 2004. The bottles are labeled as containing 24 tablets. The Tylenol 8-Hour product provides an adult dose of acetaminophen, and use of this adult product could provide more than the recommended dose (overdose) for children. Very high doses of Tylenol, intentional or not, can be fatal.