Nearly 375000 bottles of antidepressant duloxetine recalled over cancer-causing contamination
A popular antidepressant medication called duloxetine, also known by the brand name Cymbalta, has been recalled nationwide. Nearly 375,000 bottles were pulled from shelves after tests revealed elevated levels of a chemical impurity called N-nitroso-duloxetine. This chemical belongs to a group of compounds known as nitrosamines, which scientists classify as probable human carcinogens. The FDA classified this as a Class II recall, meaning the probability of serious harm is considered remote. The medication manufacturer Towa Pharmaceutical and distributor Breckenridge Pharmaceuticals issued the voluntary recall after detecting levels exceeding federal safety limits. The FDA notes that exposure at or below acceptable daily intake limits is not expected to increase cancer risk. This is the second major duloxetine recall by Breckenridge in less than two years. Patients are advised to consult healthcare providers before discontinuing the medication, as abruptly stopping antidepressants can cause withdrawal symptoms.
Key facts
- Nearly 375000 bottles of duloxetine delayed-release capsules were recalled in June 2026
- The recall affects both 30mg and 60mg versions of the generic form of Cymbalta
- The contamination involves N-nitroso-duloxetine, a nitrosamine impurity
- FDA classified this as a Class II recall, indicating remote probability of serious harm
- The FDA acceptable daily intake limit for N-nitroso-duloxetine is 100 nanograms per day
- Breckenridge Pharmaceuticals issued a similar recall in October 2024 affecting over 7000 bottles
- Nitrosamines have triggered multiple drug recalls since 2018, including valsartan and metformin
Limits of this briefing
Limited partisan editorial framing found in coverage; most reporting focused on factual recall details. The ultimate health impact remains uncertain as no direct causal link between N-nitroso-duloxetine and cancer in humans has been established, only classification based on chemical structure.
Sources
- ABC News / Good Morning America: Antidepressant recalled due to presence of potentially cancer-causing impurity Centre
- KVUE (Austin, Texas): Nearly 375,000 bottles of popular antidepressant recalled over high levels of carcinogen Centre
- Daily Beast / The Looker: Antidepressant Used by Millions Recalled Over Possible Cancer-Causing Contamination Centre
- Pharmaceutical Technology: FDA Duloxetine Recall Highlights Generic Manufacturing Quality Gaps Centre
- The National Pulse: Hundreds of Thousands of Antidepressants Recalled Due to Cancer-Causing Chemicals Right