Class 4 Medicines Defect Information: Caramet 25/100mg CR Tablets (Teva UK Limited)

Drug alert number:EL(23)A/40

Date issued: 04 December 2023

The Medicines and Health products Regulatory Agency (MHRA) has issued a class 4 medicines defect information notice for: Caramet 25/100mg CR Tablets (Teva UK Limited)

Company name:Teva UK Limited

Product name: Caramet 25/100mg CR Tablets PL 00289/0924

SNOMED Code: 11178911000001104

Batch Number
Expiry Date
Pack Size
First Distributed

Jan 2027
60 tablets
28 June 2023

Active Pharmaceutical Ingredient: Carbidopa (25mg) / Levodopa (100mg)

Brief description of the problem

Teva UK Limited, the Marketing Authorisation Holder (MAH) has informed the MHRA of a labelling error for the batch listed in this notification. The Active Pharmaceutical Ingredient (API) sequence incorrectly states levodopa/carbidopa on the carton (Figure 1), in the Patient Information Leaflet, and on the foil. The correct sequence should be carbidopa/levodopa (Figure 2), to be consistent with the actual API content within the tablets, which is 25mg Carbidopa and 100mg Levodopa.

Please see the images in the notification that indicate the incorrect and correct outer carton artwork. The PIL and foil packaging have not been included as the outer carton highlights the error.

Advice for healthcare professionals

There is no risk to product quality because of this issue, therefore the affected batch is not being recalled. Teva UK Limited have confirmed that the tablets in the pack for this batch contain 25mg Carbidopa and 100mg Levodopa.

Healthcare professionals, including those involved in prescribing and dispensing, are advised that the API content of batch 23043965 is 25mg Carbidopa/100mg Levodopa and not 25mg Levodopa/100mg Carbidopa as implied by the API text sequence on the packaging. For this product, healthcare professionals should not prescribe or dispense additional levodopa to make up the required ratio of carbidopa to levodopa.

This issue only affects batch 23043965, which consists of a total of 16,218 packs, the majority of which already been distributed. To avoid an out-of-stock situation for this product, distribution of the batch will continue until new supply with corrected artworks becomes available in early 2024.

View full alert here.

Advice for patients

No further action is required by patients. If you receive or have received a pack from batch 23043965, please continue to take your medicine as prescribed by your doctor.

The dosage you require will have been carefully considered by your doctor, as such there is a low risk that your medicine was mis-prescribed.

If you have concerns about a medicine you may be using, please contact your healthcare professional. Patients who experience adverse reactions or have any questions about the medication should seek medical attention.

Any suspected adverse reactions can also be reported via the MHRA Yellow Card scheme. Adverse events may also be reported to Teva UK Limited via email to or via phone on +44 (0) 207 540 7117.

Further Information

For medical information queries, please contact Teva UK Limited Medical Information via phone on 0207 540 7117 or via email

For stock control queries, please contact Teva UK Limited Customer Solutions via phone on 0800 590502 or via email

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