Valsartan recalls (2018-2019)
In July 2018, the FDA expanded a recall of valsartan, a widely used blood pressure drug, after tests found NDMA, a probable carcinogen, in tablets made by Zhejiang Huahai Pharmaceuticals in China and other overseas plants. The recall grew to cover losartan and irbesartan from multiple manufacturers.
Tens of millions of patients needed replacement drugs, and the FDA issued import alerts against several foreign active-ingredient suppliers.
The episode pushed the FDA to tighten oversight of foreign suppliers and set stricter limits on nitrosamine impurities in common medicines.
Like chlorthalidone, valsartan is a chronic blood pressure medicine whose U.S. supply depends on overseas manufacturers. A quality failure at one foreign plant forced mass substitutions for American patients.
