flu drugs in children
FDA Ponders Psychiatric Warning for Common Flu Drugs
An FDA staff report recommends adding label warnings about possible
neuropsychiatric side effects in individuals taking the influenza
drugs oseltamivir (Tamiflu) and zanamivir (Relenza).
The report was prepared for a meeting of the Pediatric Advisory
Committee to take place this week. The FDA found 596 cases of
neuropsychiatric events associated with oseltamivir and 115 with
zanamivir. The cases, mostly in people age 21 or younger and mostly
from Japan, included delirium, hallucinations, and impulsive behavior,
including a desire to jump. Five fatalities were associated with
oseltamivir use while none were associated with zanamvir.
The agency cautioned it could not rule out the possibility that the
behavior was due to the illness rather than the treatment. However,
the reports "raise the question" of whether the events result from the
neuraminidase inhibitor class. It said "it seems prudent" for both
drugs to carry label warnings of hallucinations, delirium, and
abnormal behavior.
Glaxo and Roche, which make the two drugs, said label updates are
unnecessary, because the events could have resulted from flu symptoms.
Link(s):
FDA staff report (Free PDF)
http://www.fda.gov/ohrms/dockets/ac/07/briefing/2007-4325b_02_04_Tamif
lu%20Adverse%20Event%20Review%202007.pdf
Bloomberg News story (Free)
http://www.nytimes.com/2007/11/24/business/24drug.html?ref=business
GlaxoSmithKline response (Free PDF)
http://www.fda.gov/ohrms/dockets/ac/07/briefing/2007-4325b_02_16_Spons
or%20Background%20Package%20GSK.pdf
Hoffman-LaRoche response (Free PDF)
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