Quality Issues with Generic Drugs Out of India?

This is pretty concerning. Intas Pharmaceuticals ltd manufactures at least some of the rapamycin products out of India.


The US Department of Defense entered an agreement with Valisure, an independent lab that’s spotted dangerous chemicals in a variety of widely used pharma and consumer products, to test medications amid surging concerns about generic drug quality and shortages.

Under a multi-year agreement, Valisure will test dozens of drugs for dangerous chemicals and rate manufacturers’ quality to help the department weed out potentially substandard treatments, according to a statement from the Connecticut-based laboratory. The partnership is a cooperative research and development agreement to exchange information, and the Pentagon will not pay Valisure.

Nine out of 10 drugs consumed by Americans are generic, low-cost copies of innovative medications whose patents have expired. Concerns about the generics industry — largely based in India and China — have exploded as the US encounters shortages affecting drugs such as life-saving cancer therapies made at a plant in India found to have major quality shortfalls.

After Covid-19 revealed the US’s dependence on other nations to provide crucial treatments, Congress directed the Defense Department to assess risks to its pharmaceutical supply chain. Bloomberg first reported on the department’s talks with Valisure in June. Drug shortages are at a nine-year high as manufacturers deal with quality issues, difficulty getting supplies and rising demand for certain drugs.

Valisure has gained attention for finding cancer-causing chemicals in drugs and personal-care products such as sunscreen, hand sanitizer and dry shampoo. The heartburn pill Zantac was taken off the market after the lab found a carcinogen in pills in 2019.

Kaiser Permanente, a California-based health system serving 12.7 million Americans, started working with Valisure on additional drug quality checks more than two years ago. However, US regulators at the Food and Drug Administration have pushed back against such independent drug testing, saying that some labs aren’t trustworthy and may spark unwarranted shortages.

The FDA has said that 62% of drug shortages are caused by quality issues stemming from poor manufacturing practices. A current shortage of two drugs, carboplatin and cisplatin, that are used to fight a variety of cancers is linked to a production plant in India operated by Intas Pharmaceuticals Ltd. The company’s plant shut down manufacturing after FDA inspectors found a truckload of shredded documents related to drug quality during a visit late last year.

“Our country’s reliance on active pharmaceutical ingredients and medicines manufactured abroad in China and India has come at significant cost of safety,” US Representative Rosa DeLauro, a Connecticut Democrat, said in the statement from Valisure.

Valisure’s ratings will rely on a scoring system Light helped develop along with other drug safety and shortages experts that was published in March in the Journal of the American Pharmacists Association. The system takes into account the outcomes of FDA inspections and testing of drugs for correct dosage as well as any carcinogens or other toxic compounds.


I hope they share the testing data. This would be very valuable for everyone.


I would have had no trust in the Chinese for manufacturing ingestable consumables of any kind but I did have more trust in the Indians. If there are widespread issues in their main generics contractors that really gives me pause. I know I’m getting real rapamycin as I had all the usual “side effects” to one extent or the other and even my lunulas have entirely disappeared (I’m citing these as evidence in the absence of blood sirolimus data). But now I wonder if I’m getting God knows what along with sirolimus. I’m on vacation in Europe and pretty touch and go but will have to get to the bottom of who manufactures my Indian rapa — no-name-brand siroboon.