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The heartburn drug Zantac has been on the market for decades, and was considered safe enough to be sold over the counter and regularly given to infants. Another major generic manufacturer, Dr. Nitrosamines can cause tumors in the liver and other organs in lab animals, and are believed to be carcinogenic in humans. But Valisure, an online pharmacy buy zantac syrup that tests the drugs it sells, said its own investigation detected far higher levels of the contaminant, especially when the drug is subjected to conditions similar to digestion in the stomach. That company has argued that the drug may be reacting with itself to create NDMA.

SINGAPORE - Eight brands of ranitidine medicines - used to treat patients with conditions like heartburn and gastric ulcers - were removed from Singapore shelves for containing a cancer-causing agent. HSA's order to stop the sale of these ranitidine medicines comes amid similar moves worldwide, as recent medical studies found that prolonged exposure to doses of nitrosamine impurities that are much higher than levels people are usually exposed to could cause cancer in animals. Nitrosamines are environmental contaminants and can be found in food or the environment in very minute amounts. For example, it can be found in processed food such as bacon and sausages. The eight brands for which sales have been stopped, and supplies to clinics, hospitals and pharmacies have been terminated are: Aciloc, Apo-Ranitidine, Hyzan, Neoceptin, Vesyca film-coated, Xanidine, Zantac injection, syrup and tablet and Zynol

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