On April 29, 2026, a significant recall of antidepressants was announced in the UK after a patient discovered Citalopram tablets inside a pack labeled as Sertraline. This alarming mix-up has led to more than 80,000 packs of Sertraline being recalled by Amarox Limited as a precautionary measure.
It all began when the patient opened their medication and noticed something wasn’t right. Citalopram—another selective serotonin reuptake inhibitor (SSRI) used for treating depression and anxiety—should never have been included in that pack. The error occurred during the secondary packaging process of blister strips into cartons, raising serious concerns about quality control.
The Medicines and Healthcare products Regulatory Agency (MHRA) swiftly responded to the incident, emphasizing the importance of patient safety. They urged anyone who might have received batch number V2500425 to check their cartons carefully.
Key facts about the recall:
- Over 80,000 packs of Sertraline recalled due to incorrect packaging.
- The total batch size affected is 81,872 packs.
- Citalopram tablets were mistakenly included in these packs.
Dr. Alison Cave from the MHRA stated, “If you have been prescribed Sertraline 100mg tablets and have received batch number V2500425, please check the carton contains the right medication.” This warning is particularly crucial for patients who may have accidentally taken Citalopram instead of Sertraline, as they could experience heightened serotonergic side effects.
These side effects can include nausea, headache, sleep changes, and mild anxiety. Patients are advised to seek medical advice immediately if they suspect they’ve ingested the wrong medication. As mental health treatment relies heavily on proper medication management, this recall underscores an urgent need for vigilance in pharmaceutical practices.
The incident serves as a stark reminder of how easily medication errors can occur—errors that can significantly impact patient health and trust in their treatment plans. With SSRIs like Sertraline being prescribed extensively (over 16.7 million prescriptions in England alone in 2019), ensuring accurate dispensing is critical.


