Delima Raja Urat and Cao Gen Bai Lin Wan

Foreign Product Alert
2009-132
August 19, 2009
For immediate release

Health Canada is advising consumers not to use the following products specified below due to concerns about possible side-effects. More info

Source of Alert: Singapore Health Sciences Authority
Product Names:Delima Raja Urat and Cao Gen Bai Lin Wan
Manufacturer / Place of Origin: Delima Raja Urat is manufactured by Toko Jamu Tri Andara and Cao Gen Bai Lin Wan is mandufactured by  OIS (M) Sdn Bhd

Product Description
Delima Raja Urat is promoted as a traditional Malay medicine used to treat back pain, muscle pain, numbness, weakness and gout.

Cao Gen Bai Lin Wan is promoted as a traditional Chinese medicine used for relaxing muscles, improving blood circulation and relieving pain.

Reason for Warning
The Singapore Health Sciences Authority (HSA) warned consumers to not buy or use Delima Raja Urat or Cao Gen Bai Lin Wan after they were found to contain undeclared pharmaceutical ingredients.

Delima Raja Urat contains undeclared dexamethasone, chlorpheniramine, pheniramine and sibutramine, while Cao Gen Bai Lin Wan contains undeclared dexamethasone and chlorpheniramine.

Dexamethasone is a steroidal prescription drug used to treat inflammatory conditions such as arthritis and allergic reactions. It should only be taken under the supervision of health care practitioner.

Chlorpheniramine and pheniramine are over-the-counter antihistamine drugs used to relieve allergy symptoms.

Sibutramine is a prescription drug used to treat obesity. It should only be taken under the supervision of a health care practitioner.

Possible Side-Effects
Side-effects associated with dexamethasone include irregular heartbeat, increased blood pressure, stomach ulcer, blood disorders, skin, muscle and bone damage, and nervous system disorders.

Side-effects associated with antihistamine drugs include (but are not limited to) drowsiness, dizziness, confusion and blurred vision.

Side-effects associated with sibutramine include increased blood pressure and heart rate, dry mouth, difficulty sleeping and constipation.

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Media Enquiries:
Health Canada
(613) 957-2983

For more details on these Foreign Product Alerts, please visit the Health Canada Web site.

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These products are not authorized for sale in Canada and have not been found in the Canadian marketplace, but it is possible they may have been brought into the country by travellers or purchased over the Internet.

Canadians who have this product are advised not to use it, and should consult with a health care professional if they have concerns about their health related to the use of this product.

Drugs and natural health products that are authorized for sale in Canada will have either an eight-digit Drug Identification Number (DIN), a Natural Product Number (NPN) or a Homeopathic Medicine Number (DIN-HM) on the label. These numbers indicate that the products have been assessed by Health Canada for safety, effectiveness and quality.

Health Canada advises Canadians to contact the Health Products and Food Branch Inspectorate at 1-800-267-9675 if they find the products listed above in the Canadian marketplace.

For more information about the information contained in this advisory, please contact Health Canada's public inquiries line at (613) 957-2991 or toll-free at 1-866-225-0709.

As of the date of this posting, no adverse reactions suspected to be associated with the use of this product have been reported in Canada.