Children's cough syrup recalled due to microbial contamination, removed from Guam shelves

A popular children’s cough syrup from brand Little Remedies is being recalled nationwide due to microbial contamination that could result in vomiting, diarrhea or even death, and local health officials on Thursday said the products are being removed from Guam’s store shelves.

The U.S. Food and Drug Administration issued an alert, stating that brand manufacturer Medtech Products Inc. voluntarily issued the recall due to the presence of Bacillus cereus and loss of shelf-stability.

Little Remedies® Honey Cough Syrup is packaged in a 4 FL OZ (118 mL) amber bottle and is sold in an outer carton with the Lot Code appearing both on the bottle label and on the bottom of the carton.

The Guam Department of Public Health and Social Services said its Division of Environmental Health has conducted recall effectiveness checks and determined that the recalled products were distributed, sold, and consumed on Guam.

“To date, JCME Distributors and D&Q International Distributors have confirmed the distribution of the affected products to retail stores on Guam,” DPHSS said in a statement Thursday.

DEH is working closely with both distributors and corrective actions were immediately taken to remove the affected products from shelves to be picked-up by both distributors for destruction or return to the manufacturer, Public Health said.

Consumers on Guam who have purchased the recalled products should stop using it immediately and to return to the place of purchase or discard the products, DPHSS added.

Health concerns

Bacillus cereus (B. cereus) can cause two types of food-borne illnesses. One type is characterized by nausea, vomiting, and stomach cramps that can start one to six hours after eating or drinking contaminated food.

The second type can cause stomach cramps and diarrhea that can start eight to 16 hours after eating or drinking contaminated food.

Diarrhea may be a small volume or profuse and watery. Although healthy individuals may suffer only short-term illness, exposure to high levels of foodborne B. cereus can cause death.

Public Health said to date, it has not received any reports on Guam of injuries or illnesses associated with the use of these potentially affected products.

Anyone concerned about a reaction should contact their health care provider, the department said.

It said DEH continues to conduct its recall effectiveness check activities and will update the public as more information is obtained.

The affected lots were distributed nationwide in the U.S. through retailers and online from Dec. 14, 2025 through June 4, 2025, Public Health said.

The table below identifies the UPC, lot numbers, and expiration dates of the Little Remedies® Honey Cough Syrup impacted by this recall.

• Item: UPC 7-56184-10737-9
• Lot #0039, Exp. date 11/2025
• Lot #0545, Exp. date 01/2026
• Lot #0640, Exp. date 02/2026
• Lot #0450, Exp. date 05/2026
• Lot #1198, Exp. date 12/2026

All lots of Little Remedies® Honey Cough 4 FL OZ (118 mL) still within expiry are being included in the scope of the recall.

However, this recall does not include any other Little Remedies® products.

Public Health said the company will offer reimbursement for consumers who have purchased products from the recalled lots.

Consumers with refund requests or questions regarding this recall can contact Medtech via:

• e-mail at medicalaffairs@prestigebrands.com
• website at https://www.prestigebrands.com/contactExternal Link Disclaimer
• phone at (800) 754-8853, Monday-Friday 8:30-5:30 eastern time.

For more information, contact the DEH’s Consumer Commodities Program at (671) 300-9579.

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