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DRUG REGISTRATION GUIDANCE DOCUMENT (DRGD) - BPFK

DRUG REGISTRATION GUIDANCE DOCUMENT (DRGD) - BPFK

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Drug Registration Guidance Document (<strong>DRGD</strong>)NO.SPECIFIC LABELLING REQUIREMENTS (SUBSTANCE SPECIFIC)141. VARENICLINEThe following statement shall be included in the package inserts of productscontaining Varenicline:SPECIAL WARNINGS AND PRECAUTIONS FOR USEEffect of smoking cessation:Smoking cessation, with or without pharmacotherapy has been associatedwith the exacerbation of underlying psychiatric illness (eg. depression). Careshould be taken with patients with a history of psychiatric illness and patientsshould be advised accordingly.Depression, rarely including suicidal ideation and suicide attempt, has beenreported in patients undergoing a smoking cessation attempt.UNDESIRABLE EFFECTSPost marketing cases of MI, depression and suicidal ideation have beenreported in patients taking varenicline.Reference: Circular Bil (83) dlm. <strong>BPFK</strong>/17/FV/28: Maklumat dari European MedicinesAgency (EMEA) berkaitan penggunaan produk Champix (Varenicline) untuk rawatan berhentimerokok (smoking cessation).National Pharmaceutical Control Bureau (NPCB)First Edition, January 2013 Page | 423

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