FDA Updates on Hand Sanitzers with Methanol
[7-2-2020] FDA
is warning consumers and health care providers that the agency has seen a sharp
increase in hand sanitizer products that are labeled
to contain ethanol (also known as ethyl alcohol) but that have tested positive
for methanol contamination. Methanol, or wood alcohol, is a substance that can
be toxic when absorbed through the skin or ingested and can be life-threatening
when ingested.
The
agency is aware of adults and children ingesting hand sanitizer products
contaminated with methanol that has led to recent adverse events including
blindness, hospitalizations and death.
Methanol
is not an acceptable active ingredient for hand sanitizers and must not be used
due to its toxic effects. FDA’s investigation of methanol in certain hand
sanitizers is ongoing. The agency will provide additional information as it
becomes available.
Consumers
who have been exposed to hand sanitizer containing methanol and are experiencing
symptoms should seek immediate treatment for potential reversal of toxic
effects of methanol poisoning. Substantial methanol exposure can result in
nausea, vomiting, headache, blurred vision, permanent blindness, seizures,
coma, permanent damage to the nervous system or death. Although all persons
using these products on their hands are at risk for methanol poisoning, young
children who accidently ingest these products and adolescents and adults who
drink these products as an alcohol (ethanol) substitute, are most at risk.
FDA
reminds consumers to
wash their hands often with soap and water for at least 20 seconds, especially
after going to the bathroom; before eating; and after coughing, sneezing, or
blowing one’s nose. If soap and water are not readily available, the Centers for Disease Control and Prevention (CDC)
recommend consumers use an alcohol-based hand sanitizer that contains at least
60 percent ethanol (also referred to as ethyl alcohol).
FDA
remains vigilant and will continue to take action when quality issues arise
with hand sanitizers. The agency is especially concerned with:
- The dangers of drinking any
hand sanitizer under any conditions. While hand sanitizers with possible
methanol contamination are more life-threatening than those that are not
contaminated, FDA urges consumers not to drink any of these
products.
- Certain
hand sanitizers that may not contain a sufficient amount of ethyl alcohol
or isopropyl alcohol.
- Hand
sanitizers that are sold or offered for sale with false and misleading,
unproven claims that they can prevent the spread of viruses such as
COVID-19, including claims that they can provide prolonged protection
(e.g., for up to 24-hours).
- Products
that are fraudulently marketed as “FDA-approved” since there are no hand
sanitizers approved by FDA.
- Products
packaged to appear as drinks, candy or liquor bottles, as well as products
marketed as drinks or cocktails because their appearance could result in
accidental ingestion or encourage ingestion. Children are particularly at
risk with these products since ingesting only a small amount of hand
sanitizer may be lethal in a young child.
FDA
is aware of reports of adverse events associated with hand sanitizer products.
FDA encourages health care professionals, consumers and patients to report
adverse events or quality problems experienced with the use of hand sanitizers
to FDA’s MedWatch Adverse Event Reporting program
(please provide the agency with as much information as possible to identify the
product):
- Complete and submit the
report online; or
- Download
and complete the form, then submit it via fax at
1-800-FDA-0178.
The
following chart outlines the information on hand sanitizer labels for consumers
to use to identify a product that has been tested by FDA and found to
contain methanol, that is being recalled by the manufacturer or distributor,
that is purportedly made at the same facility as products in which FDA
has tested and confirmed methanol contamination and/or that has been identified
through the agency’s registration
and listing database. FDA advises consumers not to use hand
sanitizers from these companies, or products with these names or NDC numbers.
Company
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