US Food and Drug Administration (FDA) Adds 8 Drugs to Watch List

The US Food and Drug Administration (FDA) has added 8 drugs to its list of products to monitor because of possible signs of serious risks or new safety information. The drugs treat conditions that include cancer, epilepsy, hypertension, and malaria.

The agency spotted yellow flags for the 8 drugs in the FDA Adverse Event Reporting System (FAERS) database during April, May, and June 2012.

Making the FDA’s watch list does not mean that the agency has concluded that the drug actually poses the health risk reported through FAERS, formerly known as AERS. Rather, the agency will study the drug to determine whether there is truly a causal link. If it establishes a link, the FDA then would consider a regulatory response such as gathering more data to better characterize the risk, revising the drug’s label, or requiring a risk-evaluation and mitigation strategy.

The FDA also is not suggesting that clinicians should stop prescribing watch-list drugs, or that patients should stop taking them, according to an agency press release.

Potential Signals of Serious Risks/New Safety Information Identified by FAERS, April to June 2012

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Product Name: Active Ingredient (Trade) orProduct ClassPotential Signal of a Serious Risk/New Safety InformationAdditional Information (as of August 1, 2012)*
Cetirizine HCl (Zyrtec, McNeil)Oculogyric crisis
Codeine sulfateRespiratory depression or arrest resulting in death in children taking codeine who are CYP2D6 ultra-rapid metabolizersFDA Drug Safety Communication
Docetaxel (Taxotere, sanofi-aventis)Drug interaction with dronedarone HCl resulting in deathFDA decided that no action is necessary at this time based on available information.
Fluoroquinolone productsRetinal detachment
Levetiracetam (Keppra, UCB)Potential for drug abuse, misuse, or dependence
Mefloquine HCl (Lariam, Roche)Vestibular disorder
Olmesartan medoxomil (Benicar, Daiichi Sankyo)Malabsorption resulting in severe diarrhea and weight lossFDA is continuing to evaluate this issue to determine if the current labeling, which contains information about diarrhea, is adequate.
Proton pump inhibitorsPneumonia

* Unless otherwise noted, the FDA is continuing to evaluate these issues to determine the need for any regulatory action.

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