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An interestin service from the FDA

here is their Sept 5 warnings

Potential Signals of Serious Risks/New Safety Information Identified by the Adverse Event Reporting System (AERS) January - March 2008

Product Name: Active Ingredient (Trade)

or Product Class Potential Signal of Serious Risk/New Safety Information

Arginine Hydrochloride Injection (R-Gene 10) Pediatric overdose due to labeling / packaging confusion

Desflurane (Suprane) Cardiac arrest

Duloxetine (Cymbalta) Urinary retention

Etravirine (Intelence) Hemarthrosis

Fluorouracil Cream (Carac) and Ketoconazole Cream (Kuric) Adverse events due to name confusion

Heparin Anaphylactic-type reactions

Icodextrin (Extraneal) Hypoglycemia

Insulin U-500 (Humulin R) Dosing confusion

Ivermectin (Stromectol) and Warfarin Drug interaction

Lapatinib (Tykerb) Hepatotoxicity

Lenalidomide (Revlimid) Stevens Johnson Syndrome

Natalizumab (Tysabri) Skin melanomas

Nitroglycerin (Nitrostat) Overdose due to labeling confusion

Octreotide Acetate Depot (Sandostatin LAR) Ileus

Oxycodone Hydrochloride Controlled-Release (Oxycontin) Drug misuse, abuse and overdose

Perflutren Lipid Microsphere (Definity) Cardiopulmonary reactions

Phenytoin Injection (Dilantin) Purple Glove Syndrome

Quetiapine (Seroquel) Overdose due to sample pack labeling confusion

Telbivudine (Tyzeka) Peripheral neuropathy

Tumor Necrosis Factor (TNF) Blockers Cancers in children and young adults

Potential Signals of Serious Risks/New Safety Information Identified by the Adverse Event Reporting System (AERS) January - March 2008

Talk to your doctor before stopping any medication.

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Great links DVK

A full time job to keep up with it all!

the FDA is now publishing alist of drugs they are rewiwng for safty info

their resons and links to reports are here

http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/AdverseDrugEffects/UCM082196

This is the latest list although formatting will not paste over

Product Name: Active Ingredient (Trade)

or Product Class Potential Signal of Serious Risk/New Safety Information

 

Additional Information

 

(as of May 7, 2009)

Apomorphine (Apokyn) Psychiatric events FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Choriogonadotropin alfa (Ovidrel) Anaphylactic reactions FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Clomiphene citrate (Clomid) Visual disorders FDA is evaluating this issue to determine if the labeling, which includes visual disorders in the Warnings and Adverse Reactions sections, is adequate.

Clozapine orally disintegrating tablet (FazaClo) Deaths This issue relates to a finding, based on AERS reports, that the proportion of death events versus all events is higher for FazaClo than for other clozapine products. The reported events in the death cases are similar for FazaClo and other clozapine products. FDA is continuing to evaluate this issue.

Darifenacin (Enablex) and Solifenacin (Vesicare) Angioedema and other allergic reactions FDA is continuing to evaluate these issues to determine the need for any regulatory action.

Drospirenone/ethinyl estradiol (Yasmin) Pancreatitis FDA is evaluating this issue to determine if the labeling, which includes pancreatitis, is adequate.

Efavirenz (Sustiva) Birth defects involving the eye and face This issue stemmed from a case of anophthalmia in AERS that was originally reported to the Antiretroviral Pregnancy Registry (APR). The labeling was updated in March 2009 to include a description of this case.

Efavirenz (Sustiva) labeling

Fibrin sealant, human (Evicel) Air embolism FDA is evaluating this issue to determine if labeling is adequate.

Hydrochlorothiazide in combination products Skin reactions FDA is evaluating this issue to determine if labeling is adequate for the various hydrochlorothiazide-containing combination products.

Imiquimod cream (Aldara) Dysuria due to severe local reactions during use in the genital area

 

This issue was identified during a review of imiquimod adverse events as required by the Best Pharmaceuticals for Children Act and was presented at the November 18, 2008 Pediatric Advisory Committee meeting: One Year Post-Exclusivity Adverse Event Review: Imiquimod Pediatric Advisory Committee Meeting November 18, 2008 (PDF - 83 KB) (refer to Slide 24).

 

The labeling will be updated to include this event.

Modafinil (Provigil) and Armodafinil (Nuvigil) Serious skin reactions

 

This issue was originally identified from AERS reports and added to labeling in 2007. An FDA Drug Safety Newsletter article featured this issue in Fall 2007: Modafinil (marketed as Provigil): Serious Skin Reactions.

 

FDA is continuing to evaluate this issue to determine the need for any further regulatory action.

Orlistat (Xenical, Alli) Hepatotoxicity FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Polyethylene glycol oral laxative (various trade names) Neuropsychiatric events FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Raltegravir (Isentress) Psychiatric events The Adverse Reactions section of labeling (postmarketing experience) was updated to include psychiatric events.

Raltegravir (Isentress) labeling

Selegiline (Emsam) Hypertension FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Sumatriptan/naproxen (Treximet) Myocardial infarction FDA evaluated case reports in AERS and determined that the current labeling, which includes a Boxed Warning addressing myocardial infarction, is adequate.

Testosterone gel (Androgel, Testim) Adverse events from accidental exposure May 2009 FDA News Release, Testosterone Gel Safety Concerns Prompt FDA to Require Label Changes, Medication Guide, describes the addition of a Boxed Warning to the labeling addressing adverse events in children and women due to accidental exposure to testosterone gel.

Tolterodine tartrate (Detrol) Stevens-Johnson syndrome FDA is continuing to evaluate this issue to determine the need for any regulatory action.

Varenicline (Chantix) Angioedema, serious skin reactions, visual impairment, accidental injury FDA is continuing to evaluate these issues to determine the need for any regulatory action.

 

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Page Last Updated: 06/04/2009

http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Surveillance/AdverseDrugEffects/ucm161063.htm

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« Has health reform got you tearing your hair out? Here’s some relief…

How can we put all health interventions on an equal footing? A Croakey survey »

Pfizer’s billion dollar payout in US prompts calls for action here

September 3, 2009 – 9:10 pm, by Croakey

 

News that Pfizer is paying $2.3 billion in the US to settle a marketing case has prompted a call for changes in the way Australia does business from Dr Ken Harvey, Adjunct Senior Research Fellow in the School of Public Health at La Trobe University.

 

He writes:

 

The New York Times report says: “Prosecutors said that they have become so alarmed by the growing criminality in the industry that they have begun increasing fines into the billions of dollars and will soon start charging doctors individually as well.”

 

Not in Australia unfortunately!

 

This topic was aired on ABC Radio “World Today” program today. The transcript hasn’t added my interview but I made the point that Pfizer Australia has had 17 complaints against Medicines Australia self-regulatory Code of Conduct upheld during 2005-09. Although one of these complaints received the maximum fine of $200,000, over this time the fines only averaged $50,000. There is no evidence that such fines have reduced Code violations by Pfizer or other member companies.

 

Somewhat different to the $2.8 billion fine imposed on Pfizer by U.S. regulators!

Pfizer’s billion dollar payout in US prompts calls for action here – Croakey
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