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Tuesday, October 10, 2017

Cancer Drugs Dominate New FDA Watch List

Cancer Drugs Dominate New FDA Watch List

"Product Name: Trade (Active Ingredient) or Product Class Potential Signal of a Serious Risk/New Safety Information Additional Information (as of September 30, 2017)
Adrenalin (epinephrine injection), for intramuscular and subcutaneous use
Adrenalin (epinephrine) injection and wrong drug errors
FDA published a Dear Healthcare Provider letter on its website to communicate the change in formulation and removal of the mydriasis indication for Adrenalin.
The carton/container labeling for Adrenalin was updated to remove the mydriasis indication.
                                               
  • Aldara (imiquimod) cream, 5%, for topical  use only
  • Zyclara (imiquimod) cream, 3.75%, for topical use
  • Zyclara (imiquimod) cream, 2.5%, for topical use
  •                                             
    Drug-induced vitiligo-like depigmentation
    FDA is evaluating the need for regulatory action.
    Ameluz (aminolevulinic acid hydrochloride) gel, 10%, for topical use
    Transient global amnesia
    The "Warnings and Precautions," "Adverse Reactions," and "Patient Counseling" sections of the labeling for Ameluz were updated to include transient amnestic episodes.
                                                   
  • Campath (alemtuzumab) injection, for intravenous use
  • Lemtrada (alemtuzumab) injection, for intravenous use
  •                                             
    Acute acalculous cholecystitis
    FDA is evaluating the need for regulatory action.
    Carafate (sucralfate)  oral suspension
    Medication error: administration error
    The labeling for Carafate was updated to revise the name of the drug from "Carafate suspension" to "Carafate oral suspension."
    The labeling for Carafate was changed to include warnings of fatal complications with inappropriate intravenous administration of Carafate oral suspension.
    Coartem (artemether/lumefantrine) tablets
    Hemolytic anemia
    FDA is evaluating the need for regulatory action.
                                                   
  • EpiPen (epinephrine injection, USP), auto-injector 0.3 mg, for intramuscular or subcutaneous use
  • EpiPen Jr (epinephrine injection, USP) auto-injector 0.15 mg, for intramuscular or subcutaneous use
  •                                             
    Device failure
    FDA issued a warning letter to Meridian Medical Technologies Inc summarizing significant violations of current good manufacturing practice requirements for combination products
    Dipeptidyl peptidase-4 inhibitors
                                                   
  • Glyxambi (empagliflozin and linagliptin) tablets, for oral use
  • Janumet (sitagliptin and metformin hydrochloride) tablets, for oral use
  • Janumet XR (sitagliptin and metformin hydrochloride extended-release) tablets, for oral use
  • Januvia (sitagliptin) tablets, for oral use
  • Jentadueto (linagliptin and metformin hydrochloride) tablets, for oral use
  • Jentadueto XR (linagliptin and metformin hydrochloride extended-release) tablets, for oral use
  • Kazano (alogliptin and metformin hydrochloride) tablets, for oral use
  • Kombiglyze XR (saxagliptin and metformin hydrochloride extended-release) tablets, for oral use
  • Nesina (alogliptin) tablets, for oral use
  • Onglyza (saxagliptin) tablets, for oral use
  • Oseni (alogliptin and pioglitazone) tablets, for oral use
  • Qtern (dapagliflozin and saxagliptin) tablets, for oral use
  • Tradjenta (linagliptin) tablets, for oral use
  •                                             
    Rhabdomyolysis
    FDA is evaluating the need for regulatory action.
    Gilenya (fingolimod) capsules, for oral use
    Rebound multiple sclerosis upon discontinuation of fingolimod
    FDA is evaluating the need for regulatory action.
    Gleevec (imatinib mesylate) tablets, for oral use
    Decline in renal function
    The "Warning and Precautions" section of the labeling for Gleevec was updated to include renal toxicity.
                                                   
  • GlucaGen (glucagon [recombinant DNA origin] for injection), for subcutaneous, intramuscular, or intravenous use
  • Glucagon for injection, for subcutaneous, intramuscular, or intravenous use
  •                                             
    Necrolytic migratory erythema
    FDA is evaluating the need for regulatory action.
                                                   
  • Keytruda (pembrolizumab) injection, for intravenous use
  • Opdivo (nivolumab) injection, for intravenous use
  •                                             
    Complications of allogeneic hematopoietic stem cell transplantation
    FDA is evaluating the need for regulatory action.
    Keytruda (pembrolizumab) injection, for intravenous use
    Stevens-Johnson syndrome and toxic epidermal necrolysis
    The "Warning and Precautions" section of the labeling for Keytruda was updated to include Stevens-Johnson syndrome and toxic epidermal necrolysis.
    Pomalyst (pomalidomide) capsules, for oral use
    Ischemic colitis
    FDA decided that no action is necessary at this time based on available information.
    Proton-pump inhibitors
                                                   
  • AcipHex (rabeprazole sodium) delayed-release tablets, for oral use
  • Esomeprazole strontium delayed-release capsules, for oral use
  • Nexium (esomeprazole magnesium) delayed-release capsules, for oral use
  • Nexium (esomeprazole magnesium) for delayed-release oral suspension
  • Nexium I.V. (esomeprazole sodium) for injection, for intravenous use
  • Prevacid (lansoprazole), delayed-release capsules, for oral use
  • Prevacid SoluTab (lansoprazole) delayed-release orally disintegrating tablets
  • Prilosec (omeprazole) delayed-release capsules
  • Prilosec (omeprazole) delayed-release oral suspension
  • Protonix (pantoprazole sodium) delayed-release tablets, for oral use
  • Protonix (pantoprazole sodium) for delayed-release oral suspension
  • Protonix IV (pantoprazole sodium) for injection, for intravenous use
  •                                             
    Polyps of stomach and duodenum
    FDA is evaluating the need for regulatory action.
    Proton-pump Inhibitors
                                                   
  • AcipHex (rabeprazole sodium) delayed-release tablets, for oral use
  • Esomeprazole strontium delayed-release capsules, for oral use
  • Nexium (esomeprazole magnesium) delayed-release capsules, for oral use
  • Nexium (esomeprazole magnesium) for delayed-release oral suspension
  • Nexium I.V. (esomeprazole sodium) for injection, for intravenous use
  • Prevacid (lansoprazole), delayed-release capsules, for oral use
  • Prevacid SoluTab (lansoprazole) delayed-release orally disintegrating tablets
  • Prilosec (omeprazole) delayed-release capsules
  • Prilosec (omeprazole) delayed-release oral suspension
  • Protonix (pantoprazole sodium) delayed-release tablets, for oral use
  • Protonix (pantoprazole sodium) for delayed-release oral suspension
  • Protonix IV (pantoprazole sodium) for injection, for intravenous use
  •                                             
    Chronic kidney disease/acute kidney injury
    FDA decided that no action is necessary at this time based on available information.
    Repatha (evolocumab) injection, for subcutaneous use
    Skin and subcutaneous tissue bacterial infections
    FDA is evaluating the need for regulatory action.
    Taxotere (docetaxel) injection concentrate, intravenous  infusion
    Docetaxel and neutropenic enterocolitis
    FDA is evaluating the need for regulatory action.
    Uvadex (methoxsalen) injection, solution
    Embolism and thrombosis
    FDA is evaluating the need for regulatory action.
    Source: FDA"

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