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WHO Pharmaceuticals 2020 WHO Pharmaceuticals No.1 NEWSLETTER The WHO Pharmaceuticals Newsletter provides you with the latest information on the safety of medicines WHO Vision for Medicines Safety and legal actions taken by regulatory authorities around No country left behind: the world. It also provides signals based on information worldwide pharmacovigilance for safer medicines, safer patients derived from the WHO global database of individual case safety reports, VigiBase. This edition of the Newsletter includes updates on The aim of the Newsletter is to disseminate regulatory launch of an ADR Reporting App in Botswana and information on the safety of highlights from the Global Vaccine Safety Summit. pharmaceutical products, based on communications received from our network of national pharmacovigilance centres and other sources such as specialized bulletins and journals, as well as partners in WHO. The information is produced in the form of résumés in English, full texts of which may be obtained on request from: Safety and Vigilance: Medicines , EMP-HIS, World Health Organization, 1211 Geneva 27, Switzerland, Contents E-mail address: [email protected] This Newsletter is also available at: Regulatory matters http://www.who.int/medicines Safety of medicines Signal Feature ISBN 978-92-4-000257-9 (electronic version) ISBN 978-92-4-000258-6 (print version) © World Health Organization 2020 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence (CC BY-NC-SA 3.0 IGO; https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided the work is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses any specific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must license your work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should add the following disclaimer along with the suggested citation: “This translation was not created by the World Health Organization (WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the binding and authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of the World Intellectual Property Organization. Suggested citation. WHO Pharmaceuticals Newsletter No.1, 2020. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data. CIP data are available at http://apps.who.int/iris. Sales, rights and licensing. To purchase WHO publications, see http://apps.who.int/bookorders. To submit requests for commercial use and queries on rights and licensing, see http://www.who.int/about/licensing. Third-party materials. If you wish to reuse material from this work that is attributed to a third party, such as tables, figures or images, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from the copyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solely with the user. General disclaimers. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Printed in Switzerland Table of Contents Regulatory Matters Alemtuzumab (genetic recombination) ................................................................. 4 Atezolizumab (genetic recombination) .................................................................. 4 Bilastine ............................................................................................................... 4 Estradiol (creams) ................................................................................................ 4 Ingenol mebutate ................................................................................................. 4 Ipragliflozin .......................................................................................................... 5 Lamotrigine .......................................................................................................... 5 Levodopa ............................................................................................................. 5 Levothyroxine ...................................................................................................... 6 Mecasermin (genetic recombination) .................................................................... 6 Methotrexate ........................................................................................................ 6 Modafinil .............................................................................................................. 6 Olmesartan medoxomil ........................................................................................ 7 Osimertinib mesilate ............................................................................................ 7 Secukinumab (genetic recombination).................................................................. 7 Sodium-glucose co-transporter 2 (SGLT2) inhibitors ............................................ 7 Tocilizumab ......................................................................................................... 8 Safety of medicines Gabapentin, Pregabalin ....................................................................................... 9 Ibuprofen ............................................................................................................. 9 Lorcaserin ............................................................................................................ 9 Prednisolone (eye drops) ..................................................................................... 9 Serotonin reuptake inhibitors (SRIs) ................................................................... 10 Tamoxifen .......................................................................................................... 10 Tramadol ........................................................................................................... 10 Signal Colecalciferol and insomnia ............................................................................... 11 Desogestrel and night sweats, vulvovaginal dryness and dry eye ....................... 15 Feature Adverse Drug Reaction (ADR) Med Safety App and E-Reporting Launch in Botswana ........................................................................................................... 20 Global Vaccine Safety Summit: Looking to the future of vaccine safety ............. 22 WHO Pharmaceuticals Newsletter No. 1, 2020 3 Regulatory Matters Alemtuzumab small cell lung cancer; and Estradiol (creams) extensive-stage small cell lung (genetic cancer. Four-week limit for use recombination) A total of eight cases of haemophagocytic syndrome Europe. The European Risk of cervicocephalic have been reported in patients Medicines Agency (EMA) has arterial dissection taking atezolizumab in Japan announced that the during the previous three Pharmacovigilance Risk Japan. The Ministry of Health, years. Of the eight cases, a Assessment Committee (PRAC) Labour and Welfare (MHLW) causal relationship between has recommended that high- and the Pharmaceuticals and atezolizumab and the event strength (0.01%) estradiol Medical Devices Agency could not be excluded for six. creams should only be used as (PMDA) have announced that One fatal case has been a single treatment for a the package insert for reported, and the causal maximum of four weeks. alemtuzumab (MabCampath®) relationship could not be Estradiol creams are used as a should be revised to include excluded. topical hormone replacement cervicocephalic arterial MHLW/PMDA have concluded therapy and is indicated to dissection as an adverse drug treat symptoms of vaginal reaction. that revision of the package insert is necessary. atrophy in postmenopausal Alemtuzumab is indicated for women. treatment of recurrent or Reference: Revision of Precautions, The PRAC reviewed available refractory chronic lymphocytic data on the safety and leukemia. MHLW/PMDA, 3 December 2019 (www.pmda.go.jp/english/) effectiveness of high-strength One case of cervicocephalic estradiol-containing creams arterial dissection and and concluded that absorption ischaemic stroke has been of estradiol
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