Decoding the 'GG' Imprint: More Than One Medication
Identifying a pill solely by the letters 'GG' can be misleading, as multiple pharmaceutical companies, such as Sandoz and Glenmark Generics, use this manufacturer's mark. The full imprint, which includes additional numbers and sometimes letters, combined with the pill's color and shape, is necessary for accurate identification. This is particularly important for distinguishing between controlled substances and common over-the-counter medications that may carry a similar marking.
The Notorious Alprazolam: GG Imprints and High Risks
Perhaps the most recognized pills with a 'GG' imprint are various strengths of Alprazolam, the generic form of Xanax. This benzodiazepine is a Schedule IV controlled substance, used to treat anxiety and panic disorders. Alprazolam is known for its high potential for dependence, addiction, and abuse, particularly in its high-dosage forms.
- GG 249: This is a potent, white, rectangular pill containing 2 mg of Alprazolam. It is known colloquially as a 'Xanax bar' and is frequently misused. The risk of counterfeit versions containing lethal substances like fentanyl is extremely high for this pill.
- GG 256: A white, oval-shaped pill with the imprint GG 256 contains 0.25 mg of Alprazolam.
- GG 257: This is a peach-colored, oval pill with 0.5 mg of Alprazolam.
- GG 258: A blue, oval-shaped pill contains 1 mg of Alprazolam.
Other Legitimate Medications with a 'GG' Imprint
While Alprazolam is a significant concern, many other legitimate and far less dangerous medications also feature a 'GG' imprint. These examples highlight why complete identification is crucial.
- Levocetirizine Dihydrochloride (G G): A white, oval pill with just "G G" on it contains 5 mg of Levocetirizine, an antihistamine used to treat allergies. Unlike Alprazolam, it is not a controlled substance.
- Amoxicillin and Clavulanate Potassium (GG N6): This is a white, oval antibiotic used to treat bacterial infections. It has the imprint GG N6.
- Amoxicillin (AMOX 500 GG 849): A yellow capsule containing 500 mg of Amoxicillin has the imprint AMOX 500 GG 849.
- Levothyroxine Sodium (GG 332 50): This was a white, oblong pill used to treat hypothyroidism. This particular NDC (national drug code) has been discontinued, but similar products exist.
The Grave Danger of Counterfeit 'GG' Pills
The illicit market is rife with counterfeit versions of popular prescription drugs, and Alprazolam (especially the 2 mg GG 249 bar) is a prime target. These counterfeit pills, often called 'pressies', look nearly identical to the genuine article but are not manufactured by licensed pharmaceuticals. Unregulated production means their contents are unpredictable and extremely dangerous.
- Fentanyl Contamination: Analysis of seized counterfeit pills has frequently found them to be laced with fentanyl, a potent synthetic opioid. An amount of fentanyl as small as a few grains of sand can be fatal, and its presence in a drug a user believes to be Xanax dramatically increases the risk of a fatal overdose.
- Incorrect Active Ingredients: Counterfeit GG pills might contain other potent but dangerous substances, such as other benzodiazepines like bromazolam or etizolam, in inconsistent and potentially lethal doses.
Comparison of Common 'GG' Imprinted Pills
| Imprint | Drug | Strength | Color | Shape | Classification | Primary Use | Associated Risks |
|---|---|---|---|---|---|---|---|
| GG 249 | Alprazolam | 2 mg | White | Rectangular | Controlled (Schedule IV) | Anxiety, Panic Disorder | High potential for abuse, dependence, counterfeit (fentanyl) risk, overdose |
| GG 256 | Alprazolam | 0.25 mg | White | Oval | Controlled (Schedule IV) | Anxiety, Panic Disorder | Potential for dependence, abuse, counterfeit risk |
| GG 257 | Alprazolam | 0.5 mg | Peach | Oval | Controlled (Schedule IV) | Anxiety, Panic Disorder | Potential for dependence, abuse, counterfeit risk |
| GG 258 | Alprazolam | 1 mg | Blue | Oval | Controlled (Schedule IV) | Anxiety, Panic Disorder | Potential for dependence, abuse, counterfeit risk |
| G G | Levocetirizine | 5 mg | White | Oval | Prescription | Allergies, Hives | Drowsiness, dry mouth |
| GG N6 | Amoxicillin/Clavulanate | 500 mg / 125 mg | White | Oval | Prescription | Bacterial Infection | Allergic reaction (penicillin), GI upset |
How to Accurately and Safely Identify a Pill
To identify a pill, rely on multiple data points rather than just the first few characters. For any medication you find that you cannot identify, especially if it is a controlled substance, exercise extreme caution.
- Observe the Imprint Code: Look for all letters, numbers, and symbols. Be careful to read characters correctly (e.g., distinguishing a '6' from a '9' or an 'N' from a 'Z').
- Note the Color, Shape, and Size: These physical characteristics are essential for confirming an identity. Use a ruler or coin for size comparison if needed.
- Use a Reliable Pill Identifier: Tools from trusted sources like Drugs.com or WebMD allow you to input the imprint, color, and shape to find matches.
- Consult a Professional: For any uncertainty, ask a pharmacist or doctor. They have access to comprehensive drug databases to provide definitive identification.
What to Do If You Find an Unidentified Pill
If you come across a pill and don't know what it is, never take it. A single error could have fatal consequences, especially with the prevalence of counterfeit drugs. Here are the steps to take:
- Do Not Handle with Bare Hands: Treat any unknown pill with caution, especially if you suspect it might be counterfeit. Wear gloves if possible.
- Isolate the Pill: Place it in a small plastic bag or container to prevent it from being accidentally ingested or contaminating other surfaces.
- Dispose of It Properly: Do not flush it down the toilet. Participate in drug take-back programs at pharmacies or police stations. The FDA also provides guidance on safe at-home disposal if other options are unavailable.
- Seek Medical Help for Emergencies: If someone has ingested an unidentified pill, call 911 or your local poison control center immediately.
Conclusion
The imprint "GG" can belong to several different medications, from common allergy pills to potent, controlled substances like Alprazolam. Relying on the full imprint code, shape, and color is essential for accurate identification, but even then, the danger of counterfeit pills, particularly those laced with fentanyl, means no pill from an unknown source should ever be ingested. The best course of action when encountering an unidentified pill with a GG imprint is to identify it cautiously using official resources and then dispose of it safely, prioritizing health and safety above all else. For a reliable online tool, consider using the Pill Identification Wizard on Drugs.com.
