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Products found to contain undeclared medicines

Singapore: HSA Alert: Three products found with undeclared potent medicinal ingredients; One led to serious adverse reaction in consumer
The Health Sciences Authority (HSA) is alerting members of the public not to purchase or consume the following products: ‘Skinny Lolita’, ‘Xtreme Candy’ and unlabelled clear capsules containing dark brown powder (‘unlabelled capsules’). A woman in her 50s who took the ‘unlabelled capsules’ developed steroid-induced Cushing’s syndrome, a serious medical condition which may cause high blood pressure, decreased immunity, weight gain, and round or “moon” face. HSA has tested the three products and found the following undeclared potent medicinal ingredients:
- ‘Skinny Lolita’: sibutramine
- ‘Xtreme Candy’: N-desmethyl tadalafil
- ‘unlabelled capsules’: amoxicillin, chlorpheniramine, diclofenac, dexamethasone, prednisolone, sildenafil

The ‘unlabelled capsules’ were sold in packets of 50 capsules by a peddler at Redhill market. The product came with a leaflet printed in Chinese stating that the capsules contained multiple herbal ingredients such as Moringa seeds, cordyceps and Panax notoginseng flower. The leaflet claimed that the product was “100% Herbal” and could treat numerous medical conditions, including chronic diseases such as cancer, high blood pressure, high cholesterol and diabetes. A woman in her 50s developed Cushing’s syndrome, a serious medical condition, after taking the product for 3 to 4 months for her headache. Her doctor suspected that the product was adulterated with steroids and alerted HSA. Tests found the product to contain steroids (dexamethasone, prednisolone) and other potent medicinal ingredients; namely, amoxicillin (an antibiotic), chlorpheniramine (an antihistamine), diclofenac (a painkiller), and sildenafil (an erectile dysfunction drug).

HSA was alerted to the online sale of ‘Skinny Lolita’ by a member of the public. It was marketed as a traditional “all natural” slimming remedy that contained only plant and herbal extracts. However, HSA tested it to contain sibutramine, a medicine that has been banned in Singapore since 2010 due to increased risk of heart attacks and strokes. Besides its false claims, ‘Skinny Lolita’ was also promoted as the new packaging of ‘Beautea Slim’, a product similar to ‘Beautea Slim Fat Burner for Weight Loss’ which was previously tested by HSA in 2017 to contain sibutramine. ‘Xtreme Candy’ was seized from a woman in her 40s who had imported them from Malaysia. The product was packaged and marketed as a candy containing ginseng and other plant ingredients. However, it was tested to contain an analogue (chemically-related compound) of tadalafil, a potent prescription-only medicinal ingredient used in the treatment of erectile dysfunction. Inappropriate use of tadalafil or its analogues can cause serious adverse effects, such as stroke, heart attack, low blood pressure and priapism (painful and exceedingly long erections). Both products are being sold on multiple e-commerce websites in Singapore and Malaysia.

Please refer to the following website in HSA for details:

In Hong Kong, the above products are not registered pharmaceutical products.

Ends/Wednesday, Aug 14, 2019
Issued at HKT 16:00