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  • FDA Drug Updates

    FDA New Approvals

    Bronchitol

    The FDA has provided approval of Bronchitol (mannitol) inhalation powder. Bronchitol is the first and only inhaled dry powder indicated as add-on maintenance therapy to improve pulmonary function in cystic fibrosis patients aged 18 years and older. Learn more about Bronchitol

    Inmazeb

    The FDA approved Inmazeb (atoltivimab/maftivimab/odesivimab-ebgn) for the treatment of infection caused by Zaire ebolavirus in adult and pediatric patients, including newborns of mothers who have tested positive for the infection. The treatment consists of three monoclonal antibodies of similar structure, atoltivimab, maftivimab, and odesivimab, that bind to different, non-overlapping epitopes on Zaire ebolavirus glycoprotein. The three antibodies help neutralize the Ebola virus by blocking its ability to invade patients’ and/or enlisting other immune cells to target infected cells and remove them from the body. Learn more about Inmazeb

    Oxlumo

    The FDA has approved Oxlumo (lumasiran) injection for subcutaneous use, the first-ever therapy available for the treatment of primary hyperoxaluria type 1 to lower urinary oxalate levels in pediatric and adult patients. Oxlumo is expected to be available for shipment to healthcare providers in the US by year-end. Learn more about Oxlumo

    Sesquient

    The FDA has approved Sesquient (fosphenytoin sodium for injection) for the treatment of status epilepticus in adult and pediatric patients. It is currently the only FDA-approved room-temperature stable formulation of fosphenytoin sodium. It is FDA approved for adult and pediatric use in the US to treat generalized tonic-clonic status epilepticus, the prevention and treatment of seizures occurring during neurosurgery and for substitution short-term use in place of oral phenytoin when oral phenytoin administration is not possible. Learn more about Sesquient

    Sutab

    The FDA approved Sutab (sodium sulfate/magnesium sulfate/potassium chloride) tablets. Sutab, a sulfate-based tablet preparation for colonoscopy, gives patients and physicians an alternative to liquid-based colonoscopy preparations. Learn more about Sutab

    Veklury

    The FDA approved the antiviral drug Veklury (remdesivir) for use in adult and pediatric patients aged 12 years and older and weighing at least 40kg (about 88 lb) for the treatment of COVID-19 requiring hospitalization. Veklury should only be administered in a hospital or in a healthcare setting capable of providing acute care comparable to inpatient hospital care. Veklury is the first treatment for COVID-19 to receive FDA approval. Learn more about Veklury

    Zokinvy

    The FDA has approved Zokinvy (lonafarnib) for the treatment of Hutchinson-Gilford Progeria Syndrome and processing-deficient progeroid laminopathies. Zokinvy blocks the accumulation of defective, farnesylated proteins which form tight associations with the nuclear envelope, leading to cellular instability and the process of premature aging in children and young adults. Zokinvy is indicated in adult and pediatric patients aged 12 months and older with a body surface area of 0.39m2 and above. Learn more about Zokinvy

    FDA First-Time Generic Approvals

    Gemmily

    The FDA provided approval of Gemmily (norethindrone acetate and ethinyl estradiol capsules and ferrous fumarate capsules), 1mg/20mcg, a therapeutically equivalent generic version of Taytulla. Gemmily is the first generic to Taytulla approved in the US. Commercialization activities for Gemmily will begin immediately. Learn more about Gemmily

    FDA New Rx-to-OTC Switch

    Sklice

    The FDA approved a lotion to treat head lice for nonprescription, or over-the-counter (OTC), use through a process called a prescription (Rx)-to-OTC switch. The FDA initially approved Sklice (ivermectin) lotion, 0.5% for the treatment of head lice infestation in patients 6 months of age and older as a prescription drug in February 2012. Sklice will be marketed in the US as a nonprescription drug and will no longer be available as a prescription drug. Learn more about Sklice

    FDA New Indications

    Wakix

    The FDA has approved Wakix (pitolisant) for the treatment of cataplexy in adult patients with narcolepsy. Wakix is the first and only treatment approved by the FDA for people with excessive daytime sleepiness or cataplexy associated with narcolepsy that is not scheduled as a controlled substance by the DEA. Wakix received FDA approval for the treatment of excessive daytime sleepiness in adult patients with narcolepsy in August 2019. Learn more about Wakix

    Xofluza

    The FDA expanded the approved indication for Xofluza (baloxavir marboxil) to include post-exposure prevention of influenza (flu) for patients age 12 years and older after contact with an individual who has the flu. Xofluza, previously available only in tablet form, is also now available as granules for mixing in water. Learn more about Xofluza

    FDA Recalls

    Fresenius Kabi Dexmedetomidine HCl Injection

    Fresenius Kabi is voluntarily recalling a single lot of dexmedetomidine HCl in 0.9% sodium chloride injection, 200mcg/50mL (4mcg/mL), 50mL fill in a 50mL vial. Fresenius Kabi initiated this recall due to a trace amount of lidocaine present in the lot. This recall is being performed to the user level. Learn more about the Fresenius Kabi Dexmedetomidine HCl Injection recall

    Fusion Health and Vitality Core Essential Nutrients and Immune Boost Sublingual Vitamin

    Fusion Health and Vitality is voluntarily recalling all 2020 Lots of CORE essential nutrients and Immune Boost Sublingual Vitamin D3. CORE has been found to contain an unapproved food additive, hordenine HCl, rendering it adulterated. Immune Boost labeling was found to contain statements that caused it to become an unapproved new drug under FDA labeling laws. Hordenine HCl is possibly unsafe when taken by mouth and might have similar stimulant effects and side effects such as rapid heart rate and high blood pressure. Learn more about the Fusion Health and Vitality Core Essential Nutrients and Immune Boost Sublingual Vitamin recall

    Lohxa Chlorhexidine Gluconate Oral Rinse

    Lohxa is voluntarily recalling chlorhexidine gluconate oral rinse USP, 0.12% alcohol-free (NDC:70166-027-15) products bearing an expiration date from January 31, 2021 through March 31, 2021, to the consumer level. This product is sourced and repackaged from Sunstar Americas Inc. who has stated the product may be contaminated with the bacteria Burkholderia lata. Learn more about the Lohxa chlorhexidine gluconate oral rinse recall

    Nostrum Metformin HCl ER Tablets, 500mg

    Nostrum Laboratories is voluntarily recalling 2 lots of metformin HCl extended-release tablets, USP 500mg to the consumer level. The affected lot numbers are MET100201 and MET100401. The product has been found to contain levels of nitrosamine impurities above the ADI limit of 96ng/day. Learn more about the Nostrum metformin HCl ER tablets, 500mg recall

    Nostrum Metformin HCl ER Tablets, 750mg

    Nostrum Laboratories is voluntarily recalling 2 lots of metformin HCl extended-release tablets, USP 750mg to the consumer level. The affected lot numbers are MET200101 and MET200301. The product has been found to contain levels of nitrosamine impurities above the ADI limit of 96ng/day. Learn more about the Nostrum metformin HCl ER tablets, 750mg recall

    Sunstar Paroex

    Sunstar Americas is voluntarily recalling Paroex chlorhexidine gluconate oral rinse USP, 0.12% products bearing an expiration date from June 30, 2022 through September 30, 2022, to the consumer level. This product may be contaminated with the bacteria Burkholderia lata. Learn more about the Sunstar Paroex recall

    FDA Alerts

    FDA Authorizes Bamlanivimab for Treatment of COVID-19

    The FDA issued an emergency use authorization for the investigational monoclonal antibody therapy bamlanivimab for the treatment of mild-to-moderate COVID-19 in adult and pediatric patients. Bamlanivimab is authorized for patients with positive results of direct SARS-CoV-2 viral testing who are aged 12 years and older, weighing at least 40kg, and who are at high risk for progressing to severe COVID-19 and/or hospitalization. Learn more about the FDA authorizing bamlanivimab for treatment of COVID-19

    FDA Authorizes Baricitinib, in Combination with Remdesivir, for Treatment of COVID-19

    The FDA has issued an emergency use authorization for the drug baricitinib, in combination with remdesivir, for the treatment of suspected or laboratory-confirmed COVID-19 in hospitalized adults and pediatric patients aged 2 years or older requiring supplemental oxygen, invasive mechanical ventilation, or extracorporeal membrane oxygenation. Learn more about the FDA authorizing baricitinib, in combination with remdesivir, for treatment of COVID-19

    FDA Authorizes Monoclonal Antibodies for Treatment of COVID-19

    The FDA issued an emergency use authorization for casirivimab and imdevimab to be administered together for the treatment of mild to moderate COVID-19 in adults and pediatric patients (aged 12 years or older weighing at least 40kg with positive results of direct SARS-CoV-2 viral testing and who are at high risk for progressing to severe COVID-19. This includes those who are 65 years of age or older or who have certain chronic medical conditions. Learn more about the FDA authorizing monoclonal antibodies for treatment of COVID-19

    FDA Authorizes Olumiant, in Combination with Veklury, for Treatment of COVID-19

    The FDA issued an emergency use authorization for baricitinib (Olumiant), in combination with remdesivir (Veklury), for the treatment of suspected or laboratory confirmed COVID-19 in certain hospitalized patients requiring supplemental oxygen, invasive mechanical ventilation, or extracorporeal membrane oxygenation ECMO. Learn more about the FDA authorizing Olumiant, in combination with Veklury, for treatment of COVID-19

    FDA’s Do-Not-Use Hand Sanitizer List

    The FDA recommends checking its do-not-use hand sanitizer list maintained online. The list is updated regularly as new test results are released. Recent additions include instances of sanitizers containing methanol and subpotent for ethanol. The FDA is warning consumers and healthcare providers that the agency has seen a sharp increase in hand sanitizer products labeled to contain ethanol (also known as ethyl alcohol) but that have tested positive for methanol contamination. The agency is aware of people ingesting hand sanitizer products contaminated with methanol that has led to recent adverse events, including blindness, hospitalizations, and death. Methanol is not an acceptable ingredient for hand sanitizers and must not be used due to its toxic effects. Learn more about the FDA’s do-not-use hand sanitizer list

    Insulin Pen Packaging and Dispensing

    The FDA is clarifying the intent of the November 2019 revisions to labeling for insulin pens, which state that healthcare professionals should dispense the pens to a single patient in the original sealed carton. There is an increased risk of dispensing errors and patients using the wrong product if individual insulin pens are stored or dispensed outside of their carton. Insulin pens dispensed individually outside of their cartons may have contributed to medication errors, including wrong-drug and wrong-dose errors resulting in hyper- or hypoglycemia, missed doses, complaints of possible tampering, and dispensing without the instructions for use. Learn more about insulin pen packaging and dispensing

    NSAIDs in Pregnancy

    The FDA announced in a Drug Safety Communication that it is requiring labeling changes for nonsteroidal anti-inflammatory drugs (NSAIDs). These changes include new labeling to explain that if women take the medications around 20 weeks or later in their pregnancy, the drugs can cause rare but serious kidney problems in the unborn baby, which can lead to low levels of amniotic fluid (the protective cushion surrounding the unborn baby) and the potential for pregnancy-related complications. Learn more about NSAIDs in pregnancy