Drug Advisories

CMAJ is committed to publishing advisories and warnings of serious adverse drug reactions from Health Canada (HC) and the US Food and Drug Administration (FDA) as soon as they are available. In addition, we regularly create practical, readable summaries of the important information contained in some advisory and warning letters. For more information about drug reactions reported in Canada, see the Health Canada Web site.

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 Advisory From Date posted
Transdermal fentanyl warnings FDA December 21, 2007
Medication to relieve sleepiness modafinil (Alertec): Serious skin reactions, psychiatric symptoms and cardiac condition alerts HC December 21, 2007
Carbamazepine severe skin reactions and specific HLA types FDA December 12, 2007
Radio Frequency Ablation Device deaths FDA December 12, 2007
MMR vaccine lot recalls HC December 12, 2007
Omeprazole and esomeprazole: Cardiac safety update FDA December 12, 2007
Breast implant information from Health Canada HC December 12, 2007
Bedwetting treatment: Severe hyponatremia, seizures and death FDA December 5, 2007
Rosiglitazone (Avandia) US warnings FDA November 22, 2007
Smoking cessation drug varenicline (Chantix, Champix)): suicidal thoughts FDA November 22, 2007
Heart attack risk and rosiglitazone (Avandia) FDA November 16, 2007
Deaths on B-lactam antibiotic cefepime FDA November 16, 2007
PDE-5 inhibitors Viagra, Levitra and Cialis and hearing loss: Info sheet for MDs FDA November 16, 2007
Welsh Allyn Automatic External Defibrillators Recall FDA November 8, 2007
Restrictions on rosiglitazone (Avandia, Avandamet, Avandaryl) HC November 8, 2007
Mycophenolate mofetil (CellCept): pregnancy loss, congenital malformations FDA October 30, 2007
Blood conservation agent aprotinin (Trasylol): increased risk of death FDA October 26, 2007
Sleep disorder treatment modafinil (Provigil): Stevens Johnson syndrome FDA October 24, 2007
Baxter infusion pump failures HC October 24, 2007
Cochlear implant, meningitis risk update FDA October 18, 2007
OTC cough and cold products and kids HC October 18, 2007
Echocardiogram Bubble study agents: Cardiopulmonary adverse events FDA October 18, 2007
Cox-2 inhibitor Lumiracoxib (Prexige) withdrawm from Canadian market HC October 5, 2007
Lead contamination of Calabash Chalk HC October 5, 2007
Bisphosphanates and atrial fibrillation FDA October 5, 2007
Gadolinium-based contrast agents in MRI: warnings FDA October 5, 2007
Haloperidol (Haldol): Injectable warnings FDA September 24, 2007
Telithromycin (Ketek): Indications removed HC September 14, 2007
Oral fentanyl adverse effects FDA September 14, 2007
Paradigm MiniMed Insulin Infusion Pumps: over-delivery of insulin near MRI machines HC August 20, 2007
Rituximab (Rituxan): fatal Progressive Multifocal Leukoencephalopathy (PML) when used for the lupus and vasculitis HC August 20, 2007
Codeine and risk to breastfeeding infants FDA August 20, 2007
Thiazolidinediones Diabetes Drugs and CHF risks FDA August 17, 2007
Parkinson's treatment pergolide (permax) taken off Canadian market HC August 17, 2007
Entecavir (Baraclude) not recommended alone for HIV/hepatitis B virus (HBV) co-infected patients FDA August 17, 2007
Specific gene variants determine warfarin (coumadin) response FDA August 17, 2007
lumiracoxib (Prexige): serious liver adverse events HC August 16, 2007
Proton pump inhibitors: FDA warns of possible cardiac adverse events FDA August 13, 2007
Omeprazole, Losec, Nexium: Increased cardiac event rates in patients taking the drugs as compared to antireflux surgery HC August 13, 2007
Proton pump inhibitors: FDA warns of possible cardiac adverse events FDA August 10, 2007
Omeprazole, Losec, Nexium: Increased cardiac event rates in patients taking the drugs as compared to antireflux surgery HC August 10, 2007
FDA warns of red rice/medication interaction FDA August 10, 2007
Baxter IV Pump recall: Corrected information HC August 10, 2007
Baxter pump recall FDA July 30, 2007
Ceftriaxone (Rocephin): Calcium interaction and avoid in neonates FDA July 11, 2007
Supplements containing methyl-1-testosterone or methyldienolone: infertility and liver failure concerns HC July 11, 2007
Liquid Form of Colistimethate and The Death of A Cystic Fibrosis Patient FDA June 29, 2007
RotaTeq rotavirus vaccine: Kawasaki's disease FDA June 20, 2007
US propofol warning FDA June 20, 2007
Over the counter sleep aids laced with benzodiazepine HC June 15, 2007
Salbutamol IV/IM to slow labour: Myocardial ischemia HC June 15, 2007
bevacizumab (Avastin) and tracheo-esophageal fistula HC June 13, 2007
COMPLETE All-In-One Contact Lens Care Solution: Warning HC June 6, 2007
rosiglitazone maleate (Avandia): Cardiovascular concerns HC June 6, 2007
Bone Cements in Vertebroplasty and Kyphoplasty Procedures: Complications HC May 31, 2007
Rosiglitazone (Avandia): MI, cardiovascular death in diabetics HC May 31, 2007
Acanthamoeba Keratitis in contact lens wearers who used Complete MoisturePlus FDA May 30, 2007
Acute renal failure after gadolinium-based contrast for MRI FDA May 24, 2007
rosiglitazone (Avandia) Differing Rates Of Ischemic Cardiovascular Events in ongoing trial FDA May 23, 2007
Chronic iron overload drug deferasorix (Exjade): acute renal failure FDA May 23, 2007
Diabetic test strips: OneTouch Ultra Test Strips may have damaged package HC May 23, 2007
Myozyme (alglucosidase alfa) black particles on reconstitution of drug HC May 18, 2007
Gefitinib (Iressa): No survival benefit in SCC of the Head and Neck patients HC May 16, 2007
ICDs safety update HC May 10, 2007
Diabetes treatment pioglitazone (Actos) and increased fracture risk CMAJ Summary HC May 9, 2007
FDA issues suicide warnings for young adults using antidepressants FDA May 3, 2007
darbepoietin alfa (Aranesp) or epoetin alfa (Eprex) and hemoglobin >120: cardiovascular events and thromboses, tumour progression HC April 23, 2007
DDU-100 Series Automatic External Defibrillators: Problems and corrective actions HC April 18, 2007
Natural health product weight loss aids: warnings HC April 18, 2007
Antispasticity agent tizanidine hydrochloride (Zanaflex): CYP1A2 interactions FDA April 11, 2007
Bone Cement for Vertebroplasty and Kyphoplasty Procedures: Safety information HC April 11, 2007
CPAP Mask Recall HC April 11, 2007
telithromycin (Ketek): No longer indicated for Acute bacterial sinusitis and acute bacterial exacerbations of chronic bronchitis FDA April 11, 2007
Intussusception following administration of Rotavirus, Live, Oral, Pentavalent vaccine (RotaTeq) FDA April 11, 2007
Omalizumab (Xolair)- serious allergic reactions and anaphylaxis FDA April 11, 2007
FDA ADHD Prescription Guides for safe prescribing FDA April 11, 2007
Mycophenolate mofetil (CellCept) trial terminated: acute rejection in heart transplant patients FDA April 11, 2007
Herbal sleep supplement Sleepees contains a habit-forming drug HC April 11, 2007
Entecavir (Baraclude)- Risk of developing HIV resistance FDA April 11, 2007
Pioglitazone (Actos) and fracture concern CMAJ Summary FDA April 11, 2007
Vitamin mineral supplement EMPowerplus: adverse reactions HC April 11, 2007
Pinel Waist Restraint: Risk of positional asphyxiation HC April 11, 2007
Confirm Clearly Smart Pregnancy Test and Refills: false-positives HC April 11, 2007
Worldwide Recall of Automated External Defibrillators: Lifeline and ReviveR AEDs FDA April 11, 2007
darbepoetin alfa (Aranesp),epoetin alfa (Epogen, Procrit): Safety concerns FDA April 11, 2007
Actimmune trial for idiopathic pulmonary fibrosis (IPF) halted: lack of effect FDA April 11, 2007
Gadodiamide (Omniscan) and Nephrogenic Systemic Fibrosis/Nephrogenic Fibrosing Dermopathy (NSF/NFD) HC April 11, 2007
US warning: sedative-hypnotic drug product label changes FDA April 11, 2007
Linezolid (Zyvox): Infection safety concerns FDA April 11, 2007
Patient restraints: Warnings HC April 11, 2007
Pediatric antinauseant (trimethobenzamide hydrochloride) Tigan: Withdrawal in US for lack of effectiveness FDA April 11, 2007
Deferasirox (Exjade): acute renal failure and cytopenias HC April 4, 2007
Antibiotic telithromycin (Ketek): exacerbation of myasthenia gravis, hepatotoxicity, visual disturbances, and loss of consciousness FDA April 4, 2007
Influenza treatment oseltamivir (Tamiflu): Suicidality in Japanese teens HC April 4, 2007
Aprotinin (Trasylol): hypersensitivity reactions and renal dysfunction HC April 4, 2007
Permax withdrawn: valvulopathy concerns HC April 4, 2007
Tegaserod (Zelnorm) withdrawn: cardiovascular concerns HC April 4, 2007
Darbepoetin alfa(Aranesp) drug ineffective in reducing RBC transfusions or fatigue in cancer patients FDA February 7, 2007
Health Canada warns against use of several foreign erectile dysfunction products HC February 7, 2007
ranibizumab (Lucentis)- Preliminary SAILOR study results suggest increased CVA risk FDA February 7, 2007
Topical anaesthetic drugs: US warning FDA February 7, 2007
Death and illness when heparin stopped prior to drotrecogin alfa (Xigris)for severe sepsis HC January 10, 2007
Kidney failure after contrast MRI FDA January 10, 2007
Oseltamivir (Tamiflu): self-injury and delirium in patients with Influenza FDA January 10, 2007
Warnings regarding several foreign natural health products HC January 10, 2007
pioglitazone (Actos) and fracture concern FDA January 10, 2007