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From: Schering-Plough

February, 2005

This letter is to inform you of an inconsistency in the labeling of certain lots of INTRON A powder for Injection. This inconsistency does not affect the INTRON A Multidose Pen, nor the INTRON A Multidose  solutions vials. It is not necessary to return any product in your inventory to your wholesaler, or to Schering.

Specifically, Schering has recently learned of an inconsistency in the labeling of certain lots of the product, which may be in your stock. The Package Insert correctly states that the reconstituted product, when reconstituted with Sterile Water for Injection, must be used within 24 hours of reconstitution. However, the label affixed to the powder vial incorrectly states that the reconstituted solution should be used within one month after reconstitution. As a result of this inconsistency, Schering is  voluntarily recalling the affected lots from the wholesale level only. This voluntary recall is being conducted with the knowledge of FDA. There is no intrinsic safety concern associated with this labeling issue, and you can safely use your existing inventory of product if administered to a patient within 24 hours of reconstitution.

Schering has now corrected the vial labels for all INTRON A Powder for Injection product in its inventory. Effective immediately, newly shipped INTRON A Powder for Injection vials have corrected labels affixed to the vials.

As a reminder, the information below describes how INTRON A (Interferon alfa-2b, recombinant) Powder for Injection is to be reconstituted and used. INTRON A Powder for Injection vials have always been, and remain, single-use vials.

STORAGE REQUIREMENTS

Please be aware of and instruct patients on these storage requirements. After reconstitution with Sterile Water for Injection, INTRON A Powder for Injection should be used immediately, but may be stored up to 24 hours at 2 degrees to 8 degrees C (36 degrees to 46 degrees F). Storage for INTRON A Powder for Injection before reconstitution remains the same. between 2 degrees to 8 degrees C (36 degrees to 46 degrees F)

Please see enclosed full Prescribing Information.

Your Schering sales representative will be happy to discuss with you any questions you may have, or call Schering's Customer Service at 1-800-222-7579.

Sincerely,

Robert Spiegel, M.D.

Senior Vice President, Medical Affairs

Chief Medical Officer


June    2002                     

From  ABBOTT                                                                                                               

European Medicines Agency Completes Comprehensive Assessment of Abbott's Meridia®/Reductil® (Sibutramine C-IV), Issues Positive Opinion Reaffirming Product's Favorable Risk/Benefit Profile as Treatment For Obesity

ABBOTT Park, Ill., June 27, 2002 - Abbott Laboratorie announced today that Europe's Committee for Proprietary Medicinal Products (CPMP) issued a positive opinion reaffirming the favorable risk/benefit profile of sibutramine HCl monohydrate capsules for the treatment of obesity.  The positive opinoin that resulted fromt his review is consistent with the conclusions of Abbott, and leading experts in the treatment of obesity: sibutramine, marketed in the United States as Meridia® and in many other countires as Reductil®, is safe and effective.

"As a physician who treats obese patients, the conclusion that sibutramine is safe and effective for the treatment of obesity is consistent with my own experience using sibutramine in treating this disease," said Dr. Stephan Rössner, head of the Obesity Unit, Huddinge University Hospital, Stockholm, Sweden.  "Obesity is an international epidemic.  It contributes significantly to the onset of other serious medical conditions such as diabetes, cardiovascular diseases, cancer and respiratory conditions.  Sibutramine, when used in combination with diet and exercise, is an important tool in my practice that helps treat obesity."

Eugene Sun, M.D., Abbott's divisional vice president, Global Pharmaceutical Development, added, "The CPMP's conclusion should reassure physicians and patients who depend on sibutramine to treat obesity that the product is safe when used as directed.  The positive opinion of the CPMP was supported by an extensive analysis of data provided by Abbott that included more than 100 clinical studies of sibutramine, dating back to 1989.  These studies investigated the use of sibutramine in more than 12,000 obese patients."

To date, more than 8.2 million people in more than 70 countries have used sibutramine for the managemnet of obesity.  Sibutramine is the most extensively studied prescribed medication currently available for the treatment of obesity.

The risk/benefit assessment by the CPMP was requested in March 2002 following a referral by the Italian Health Ministry.  Besides issuing the positive opinion, the CPMP requested that a letter be sent by Abbott to physicians throughout Europe reinforcing appropriate use of the product in accordance with the approved prescribing information.  Patients with questions about sibutramine and the proper treatment of obesity should consult their physician.

Obesity is a global problem associated with an increased incidence of certain chronic diseases and premature death.

The World Health Organization recognizes obesity as a global epidemic and serious public helath issue.  Being overweight or obese substantially increases the risk of hypertension, type 2 diabetes mellitus, coronary heart disease, stroke, gallbladder disease, osteoarthritis, sleep apnea and other respiratory problems, and certain types of cancers (endometrial, breast, prostate, and colon).

Clinical studies show that weight loss of five to 10 percent significantly reduces the incidence of disease and premature death in obese patients- including, for example, a 58 percent reduction in the rate of type 2 diabetes mellitus and a 20 percent reduction in mortality.  In studies, sibutramine in combination with diet and exercise was effective in producing and maintaining statistically significant wieght loss in the majority of obese patients compared to diet and exercise alone.

More than 250 million people worldwide are obese and the consequences of being overweight or obese are now so common that they are replacing the traditional public health concerns such as malnutrition and infectious diseases as some of the most significant contributors to illness.

Product Information

Patients cannot take sibutramine if they are taking presription medicines called monoamine oxidase inhibitors (MAOIs), which are sometimes used to treat depression or Parkinson's disease.  Sibutramine also cannot be taken if patients have anorexia nervosa, are taking other weight loss medications that act on the brain or are hypersensitive to any of lthe ingredients of sibutramine.  Sibutramine substantially increases the blood pressure in some patients.  Regular monitoring of blood pressure is required when taking sibutramine. 

Sibutramine is classified as a schedule IV drug in the United States.

Sibutramine is indicated for people who need to lose 30 pounds (approximately 14 kg) or more dpending on height, and should be used in conjunction with a reduced-calorie diet.  Patients being treated with sibutramine should see their doctor as directed for regular follow-up visits, during which the doctor can carefully monitor their overall health, including regular monitoring of blood pressure and pulse rate.  Patient and product information for sibutramine can be found at www.meridia.net.

Through its acquisition of Knoll Pharmaceuticals and sibutramine, its alliance with Millennium Pharmaceuticals to collaborate on the discovery and the development of new drugs and diagnostics for metabolic diseases, adn its traditional strengths in developing novel medical nutritional products, Abbott Laboratories has assembled the resources to develop innovative treatments for metabolic disorders, including obesity, hyperlipidemia and diabetes. 

Abbott Laboratories is a global, broad-based health care company devoted to the discovery, development, manufacture and marketingk aof pharmaceuticals, nutririonals, and medical products, including devices and diagnostics.  The company employs approximately 70,000 people and markets its products in more than 130 countries.  In 2001, the company's sales and net earnings were $16.3 billion and $2.9 billion, respectively with diluted earnings per share $1.88, excluding one-time charges.

Abbott's news releases and other information are available on the company's Web site at www.abbott.com.


                                                            more news  |  discussions front page

From: ABBOTT                                                                          03-21-05

Dear Pharmacist:

We would like to remind you about important prescribing information for Meridia (sibutramine) according to the product label. In particular, we would like to reinforce the following statements from the product label relating to the appropriate choice of patients for Meridia therapy.

When to use Meridia

Meridia is indicated for the management of obesity, including weight loss and maintenance of weight loss, and should be used in conjunction with a reduced calorie diet. Meridia is recommended for obese patients with an initial body mass index > 30 kg/m-2, or > 27 kg/m-2 in the presence of other risk factors (e.g., diabetes, dyslipidemia, controlled hypertension).

When not to use Meridia

Meridia substantially increases blood pressure and/or pulse rate in some patients. Therefore, Meridia should not be used in patients with a history of coronary artery disease, congestive heart failure, arrhythmias, or stroke.

Meridia should be given with caution to those patients with a history of hypertension and should not be given to patients with uncontrolled or poorly controlled hypertension.

Meridia is contraindicated in patients receiving monoamine oxidase inhibitors (MAOIs).

Meridia is contraindicated in patients with hypersensitivity to sibutramine or any of the inactive ingredients of Meridia.

Meridia is contraindicated in patients with a major eating disorder (anorexia nervosa or bulimia nervosa).

Meridia is contraindicated in patients tasking other centrally acting weight loss drugs.

The use of Meridia during pregnancy is not recommended. Women of child-bearing potential should employ adequate contraception while taking Meridia. Patients should be advised to notify their physician if they become pregnant or intend to become pregnant while taking Meridia.

Patients should be monitored

Blood pressure and pulse rate should be measured prior to starting therapy with Meridia and should be monitored at regular intervals thereafter.

For patients who experience a sustained increase in blood pressure and/or pulse rate while receiving Meridia, either dose reduction or discontinuation should be considered.

For more information on the use of Meridia, please refer to the enclosed product label.

We would also like to remind you that a user-friendly patient package insert (PPI) is available to help you educate patients about appropriate use of the drug. Please encourage your customers to read the PPI. Abbott Laboratories will enhance distribution of the PPI to ensure each patients filling a monthly prescription receives the PPI. Specifically, Abbott will introduce a new product package containing a new 30-count bottle and PPI. More information on the details and timing of this packaging will follow shortly.

If you have any questions regarding Meridia or require additional copies of the product label or patient package insert, please contact our Medical Information Department at 1-800-633-9110 or go to www.Meridia.net.

Sincerely,

William Landschulz, M.D., PhD

Divisional Vice President Metabolic Disease Development

Global Pharmaceutical Research and Development

Abbott Laboratories

More info on Meridia | Back to Previous Page

 


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