• Bactrim DS (sulfamethoxazole and trimethoprim)
  • Septra (sulfamethoxazole and trimethoprim)
  • Generic products containing sulfamethoxazole and trimethoprim
  • Sulfatrim (sulfamethoxazole and trimethoprim)*
Hypersensitivity/Acute respiratory failure 

The “Warnings” section of the labeling was updated between November 2020 and October 2021 to include hypersensitivity reactions of the respiratory tract.

Example: Bactrim DS labeling

*An administrative error resulted in the omission of Sulfatrim from this signal and was added after the initial quarterly report was posted.

  • Nucala (mepolizumab)*
  • Cinqair (reslizumab)*
Flu-like illness

FDA decided that no action is necessary at this time based on available information. 

*An administrative error resulted in the omission of Nucala and Cinqair from this signal and was added after the initial quarterly report was posted.

Herpes zoster

FDA decided that no action is necessary at this time based on available information. 

*An administrative error resulted in the omission of Cinqair from this signal and was added after the initial quarterly report was posted.

  • Feraheme (ferumoxytol)
  • Ferrlecit (sodium ferric gluconate)
  • INFeD (iron dextran)
  • Injectafer (ferric carboxymaltose)
  • Venofer (iron sucrose)
  • Generic products containing sodium ferric gluconate
Fetal death

The “Use in Specific Populations (Pregnancy)” section of the labeling was updated in March 2020 for Ferrlecit and September 2020 for Feraheme, INFeD, Injectafer, and Venofer to include risks to the fetus associated with maternal severe hypersensitivity reactions.

Example: Feraheme labeling

Gamunex-C [Immune Globulin (Human), 10% Caprylate/Chromatography Purified] Increased hypersensitivity reactions in patients receiving certain product lots

FDA decided that no action is necessary at this time based on available information.

Tumefactive multiple sclerosis

The “Warnings and Precautions” section of the labeling was updated in December 2019 to include tumefactive multiple sclerosis.

Gilenya labeling

Thrombocytopenia

The “Adverse Reactions” section of the labeling was updated in December 2019 to include thrombocytopenia.

Gilenya labeling

HMG-CoA reductase inhibitors

  • Altoprev (lovastatin)
  • Caduet (amlodipine besylate and atorvastatin calcium)
  • Crestor (rosuvastatin calcium)
  • Ezallor (rosuvastatin)
  • Lescol (fluvastatin sodium)
  • Lescol XL (fluvastatin sodium)
  • Liptruzet (atorvastatin and ezetimibe)
  • Livalo (pitavastatin)
  • Pitavastatin
  • Pravachol (pravastatin sodium)
  • Zocor (simvastatin)
  • Zypitamag (pitavastatin magnesium )
  • Generic products containing HMG-CoA reductase inhibitors
Immune-mediated necrotizing myopathy

The “Warnings and Precautions” section of the labeling was updated in September 2020 to include immune-mediated necrotizing myopathy.

Example: Crestor labeling

The FDA withdrew approval for Lescol in the Federal Register effective May 1, 2019.

Withdrawal of Approval for Lescol

The FDA withdrew approval for Pravachol in the Federal Register effective October 5, 2023.

Withdrawal of Approval for Pravacol

Increlex (mecasermin) Malignancies

The “Contraindications”, “Warnings and Precautions”, “Adverse Reactions”, and “Patient Counseling Information and Patient Information” sections of the labeling were updated in December 2019 to include nonmalignant and malignant neoplasia.

Increlex labeling

  • Livalo (pitavastatin)
  • Zypitamag (pitavastatin  magnesium )
Drug hypersensitivity

The “Contraindications” and “Adverse Reactions” sections of the labeling were updated in October 2019 to include hypersensitivity reactions and angioedema.

Livalo labeling

The “Contraindications” and “Adverse Reactions” sections of the labeling were updated in February 2020 to include hypersensitivity reactions and angioedema.

Zypitamag labeling

Mavyret (glecaprevir and pibrentasvir) Hypersensitivity: angioedema and anaphylaxis

The “Adverse Reactions” section of the labeling was updated in September 2019 to include angioedema.

Mavyret labeling

Ninlaro (ixazomib)   Thrombotic microangiopathy (TMA)

The “Warnings and Precautions”, “Adverse Reactions”, “Patient Counseling Information”, and “Patient Package Insert” sections of the labeling were updated in February 2020 to include thrombotic microangiopathy.

Ninlaro labeling

  • Nipent (pentostatin)
  • Generic products containing pentostatin
Thrombotic microangiopathy (TMA)

The “Adverse Reactions” section of the labeling was updated in October 2019 to include febrile neutropenia, hemolytic uremic syndrome, thrombotic thrombocytopenic purpura, and autoimmune thrombocytopenia.

Nipent labeling

  • Onfi (clobazam)
  • Generic products containing clobazam
Drug rash with eosinophilia and systemic symptoms (DRESS)

The “Warnings and Precautions” section of the labeling was updated in March 2024 to include Drug rash with eosinophilia and systemic symptoms (DRESS).

Onfi labeling 

Orencia (abatacept) Angioedema

The “Warnings and Precautions” and “Adverse Reactions” sections of the labeling were updated in June 2020 to include angioedema.

Orencia labeling

Orbactiv (oritavancin diphosphate) Anaphylaxis

The “Warnings and Precautions” section of the labeling was updated in December 2019 to include anaphylaxis.

Orbactiv labeling

  • Sensipar (cinacalcet hydrochloride)
  • Generic products containing cinacalcet hydrochloride
Chondrocalcinosis pyrophosphate

The “Adverse Reactions” section of the labeling was updated in December 2019 to include chondrocalcinosis pyrophosphate (acute pseudogout).

Example: Sensipar labeling

Tecfidera (dimethyl fumarate) Serious herpes infection

The “Warnings and Precautions”, “Adverse reactions”, and “Patient Counseling Information” sections of the labeling were updated in December 2019 to include the risk for serious herpes zoster and other serious opportunistic infections.

Tecfidera labeling

  • Udenyca (pegfilgrastim-cbqv)
  • Prolia (denosumab)
Medication error – Labeling confusion (wrong drug errors)

The carton labeling and tray labels for Udenyca were revised in October 2019 to mitigate the risk of product selection errors between Udenyca and Prolia.

Velphoro (sucroferric oxyhydroxide) Hemoglobin increased

FDA decided that no action is necessary at this time based on available information.

Vivitrol (naltrexone hydrochloride)  Medication Error – Patient self-administration errors The carton labeling, sections of the product labeling (“Dosage and Administration”, “Warnings and Precautions,” “Adverse Reactions,” “How Supplied/Storage and Handling,” and “Patient Counseling”), and the Medication Guide, were updated to emphasize that Vivitrol must be injected by a healthcare provider.
Vivitrol labeling Xofluza (baloxavir marboxil) Anaphylaxis and angioedema

The “Contraindications”, “Warnings and Precautions”, “Adverse Reactions”, and “Patient Counseling Information” sections of the labeling were updated in October 2019 to include anaphylaxis, angioedema, urticaria, and erythema multiforme.

Xofluza labeling

Xofluza (baloxavir marboxil) Medication error – Labeling confusion (wrong dose errors)

The “Dosage and Administration”, “How Supplied/Storage and Handling”, and “Patient Counseling Information” sections of the labeling, the carton labeling, and container labels were updated in October 2019 to address dosing errors. 

Xofluza labeling

Yondelis (trabectedin) Interstitial lung disease and mucositis

The “Adverse Reactions” section of the labeling was updated in June 2020 to include mucosal inflammation.

Yondelis labeling

Source