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. 2023 May 15:1–10. Online ahead of print. doi: 10.1007/s40290-023-00468-w

Table 1.

Possible types of drug counterfeiting with examples

S. no. Type of counterfeiting Example References
1. No active drug + no harmful substance

a. Vials of PROCRIT® (epoetin) were found to contain nothing but Miami city tap water

b. Remdesivir ampoules filled with normal saline

[51]
2. Excessive (concentrated) active drug Concentrated onabotulinumtoxin A (Botox®) not meant for human application [31]
3. Wrong active drug Sibutramine instead of orlistat in GSK’s Alli® [31]
4. Drug contaminated with microbes, toxins and harmful chemicals

a. Fake inhalers for the treatment of paediatric cystic fibrosis were found to contain contaminated bacteria

b. Counterfeit cough syrup that was mixed with ethylene glycol (i.e., antifreeze)

[31]

GSK GlaxoSmithKline