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February 2012 Drug Update Information - Pharmacy Benefits ...

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Source website: http: ://www.fda.gov/default.htm<br />

The MedWatch December 2011 Safety Labeling Changes<br />

[<strong>Update</strong>dd 1/13/12]<br />

The following drugs had modifications to the<br />

BOXED WARNINGS, CONTRAINDICATIONS<br />

and WARNINGS sections:<br />

Multaq (dronedaronee hydrochloride) tablets<br />

Dilantin-125 (phenytoin) Oral Suspension<br />

Norvir (ritonavir) Soft Gel Capsules, Oral Solution and Tablets<br />

Relenza (zanamivir)<br />

inhalation powder<br />

Tyzeka ( telbivudine)<br />

tablets and oral solution<br />

Capoten (captopril) Tablets<br />

Danocrine brand of Danazol capsules<br />

Desferal (deferoxamine mesylate) for injection<br />

Edarbi (azilsartan medoxomil) Tablets<br />

Eloxatin (oxaliplatin)<br />

for intravenous use<br />

Heparin Sodium Injection<br />

Isentress (raltegravir)<br />

scored, chewable tablets, film-coated tablet<br />

Keppra ( levetiracetam) Tablets and oral solution<br />

Onglyza (saxagliptin) tablets<br />

Ovide (malathion) 0. 5% lotion1<br />

PegIntronn (Peginterferon alfa-2b) Injection, Powder for Solution for Subcutaneous Use<br />

Plavix (clopidogrel bisulfate) tablets<br />

Remeron<br />

(mirtazapine) tablets and RemeronSolTab (mirtazapine) Orally Disintegrating<br />

Zegerid (omeprazole<br />

e/sodium bicarbonate) powder for oral suspension and capsules<br />

Article link: http://www.fda.gov/<br />

/Safety/MedWatch/Safety<strong>Information</strong>/Safety-<br />

Related<strong>Drug</strong>LabelingChanges/ucm284231.htm?source=govdelivery<br />

Source website: http: ://www.fda.gov<br />

Adcetris<br />

(brentuximab vedotin): <strong>Drug</strong> Safety Communication - Progressivee Multifocal<br />

Leukoencephalopathy and Pulmonary Toxicity<br />

[Posted 01/13/<strong>2012</strong>]<br />

ISSUE: FDA notified<br />

healthcare professionals that two additional cases of progressive multifocal<br />

leukoencephalopathy<br />

(PML), a rare but serious brain infection that can result in death, have been<br />

reported with the lymphoma drug<br />

Adcetris (brentuximabb vedotin). Due to the serious nature of<br />

PML, a new Boxed Warning highlighting this risk has been added to<br />

the drug label.<br />

In addition, a new Contraindication warning was added against use of Adcetris with the cancer<br />

drug bleomycin due to increased risk of pulmonary (lung) toxicity.<br />

The signs and symptoms of PML<br />

may develop over the course of several weeks or months. They<br />

may include changes<br />

in mood or usual behavior, confusion, thinking<br />

problems, loss of memory,<br />

changes in vision, speech, or walking, and decreased strength or weakness on one side of the<br />

body.<br />

BACKGROUND: Adcetris (brentuximab vedotin) is used to treat Hodgkin lymphoma and a rare<br />

lymphoma known as systemic anaplastic large cell lymphoma. At the time of Adcetris' approval<br />

in August 2011, one case of PML<br />

was described in the Warnings and<br />

Precautions section of<br />

the<br />

label.<br />

RECOMMENDATION: Patients<br />

who develop any signss and symptoms of PML<br />

should notify<br />

their healthcare professional immediately. Healthcare professionals should hold Adcetris dosing<br />

if PML is<br />

suspected and discontinue Adcetris<br />

if a diagnosis of PML is confirmed. See the Data<br />

Summary<br />

in the <strong>Drug</strong><br />

Safety Communicationn for additional information.<br />

8

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