
Fake & Substandard Medicine Alerts in Pakistan: 2026 Roundup
A plain-language roundup of notable DRAP rapid alerts published in 2026: what was found, which batches, and what to do if you have them.
6 min readUpdated
Table of contents9 sections
Quick answer
In 2026 DRAP declared batches of Influvac Tetra (P13), Vaxigrip Tetra (Y4B34), Augmentin 625 (YT9D), Velosef 500 (LX3E), Brexin (W68C), Nasomet (FW-099), Enhertu (DK1262), Cefixime 400 (LLM034) and others spurious or falsified. Only the named batches are affected. Check yours on our batch checker.
Key takeaways
- Only the specific batch numbers named are affected. Other batches of the same brand may be genuine.
- Check your batch instantly with our Fake & Batch Alert Check.
- Always confirm details on the original DRAP notice, linked below.
Notable 2026 alerts
The table summarises batches named in DRAP rapid alerts during 2026. It is not exhaustive. DRAP publishes new alerts frequently on dra.gov.pk ↗. Search the full list on our safety alerts page.
| Product | Batch | Finding | Source |
|---|---|---|---|
| Influvac Tetra (influenza vaccine) | P13 | Spurious (30 Oct) | DRAP Oct 2026 ↗ |
| Vaxigrip Tetra (influenza vaccine) | Y4B34 | Falsified (27 Oct) | DRAP 2026 alerts ↗ |
| Brexin tablet (piroxicam) | W68C | Spurious: no piroxicam (22 Oct) | DRAP Oct 2026 ↗ |
| Augmentin 625 mg | YT9D | Spurious: no active ingredient (21 Oct) | DRAP Oct 2026 ↗ |
| Velosef 500 mg | LX3E | Spurious: no cephradine (21 Oct) | DRAP Oct 2026 ↗ |
| Nasomet nasal spray | FW-099 | Falsified: no mometasone (19 Oct) | DRAP Oct 2026 ↗ |
| Brexin 20 mg tablet | 1207863 | Spurious (Jun) | DRAP alert 31 ↗ |
| Enhertu 100 mg | DK1262 | Falsified: batch never produced (6 May) | DRAP alert 27 ↗ |
| Terbiderm Forte 250 mg | HH003L | Spurious (14 Apr) | DRAP alert 18 ↗ |
| Glantrim eye drops | LZ010K | Spurious (14 Apr) | DRAP alert 18 ↗ |
| Efaston 10 mg (dydrogesterone) | 51062 | Spurious (23 Jan) | DRAP alert 136 ↗ |
| Gabica 300 mg capsules | 518C27 | Spurious (11 Mar) | DRAP alert 12 ↗ |
| Rhophylac 300 µg injection | P100707423 | Spurious | DRAP alert #10 ↗ |
| Venofer 5 mL injection | 4721026AA | Spurious & substandard | DRAP alert #11 ↗ |
| Cefixime 400 mg capsule | LLM034 | Spurious | DRAP alert #09 ↗ |
| Jakavi (ruxolitinib) tablets | AVT50, FNR06, SGL04 | Falsified (following WHO alert) | ARY News report ↗ |
Patterns worth knowing
- Injectables and vaccines feature heavily. See spotting fake injections and vaccines.
- Cancer and specialist medicines are targeted because of their high price.
- Common antibiotics like cefixime are faked because of high volume.
- Provincial drug control directorates (e.g. Punjab) also issue their own alerts after lab testing.
What the 2026 alerts tell us
- Missing active ingredient was the most common lab finding (Augmentin, Velosef, Brexin, Nasomet, Terbiderm Forte, Glantrim).
- Vaccines were targeted ahead of flu season (Influvac Tetra, Vaxigrip Tetra).
- High-value specialist medicines (Enhertu, Jakavi) were falsified despite limited distribution.
- Everyday brands (Brexin, Augmentin) show that common medicines are not safe from counterfeiting.
Guidance for pharmacies
Quarantine any stock matching these batches, inform your supplier and DRAP, and check incoming deliveries against the alerts list. See pharmacist stock screening.
If you have an affected batch
- 1
Match exactly
Confirm the product name and strength as well as the batch number. Batch numbers can repeat across companies.
- 2
Stop using it
Return it to the pharmacy. Speak to your doctor about a replacement, especially for critical medicines.
- 3
Report
If you experienced side effects, report them. See how to report a fake medicine.
Common questions
Where is the full fake medicine list for 2026?
Our searchable DRAP drug alerts table lists every 2026 batch with its official source.
Which medicines were faked most in 2026?
Vaccines, antibiotics and cancer drugs. See fake antibiotics and most counterfeited medicines.
How do I check my batch against the list?
Use the batch number check or verify a medicine.
Sources & references
This guide is general information, not medical advice. DrugTrace.pk is independent and not affiliated with DRAP.
Topic hub
DRAP Alerts & Recalls
Every 2026 fake and recalled batch, and what to do if you have one.
- DRAP drug alerts list ★
- Fake medicine list 2026 (this page)
- Understanding DRAP alerts
- Medicine recalls in Pakistan
- Most counterfeited medicines
- Fake antibiotics
- Fake flu vaccines 2026
- Counterfeit cancer medicines
- Fake eye drops & nasal sprays
Related topics
Keep reading
Taking actionHow to Report a Fake or Substandard Medicine in Pakistan
Exactly who to contact, what evidence to keep, and what happens after you report to DRAP.
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Taking actionUnderstanding DRAP Recalls and Rapid Alerts
How to read an official alert, what recall classes mean, and what to do if your batch is listed.
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Taking actionTook a Fake or Expired Medicine? What to Do Now
Calm, step-by-step guidance on symptoms to watch, when to see a doctor, how to replace your treatment and how to report the product.
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