February 05, 2009

FDA Reviewing Abilify For Liver Toxicity, Anti-Depressants For Birth Defects

The FDA announced yesterday that it is reviewing the safety of a bunch of drugs, including Abilify and several anti-depressants. As usual, I cannot find notice of this on the FDA's website (it's supposed to be here, but it's not yet), so going from Reuters' account of things, here's what's up:

Abilify is being reviewed by the FDA due to reports of liver toxicity and "other issues." I have no idea what the other issues are at the moment. You can go to the lovely fdable.com website and look at specific liver issues related to Abilify use. You can go here and see about 200 pages of adverse events reports filed with the FDA over Abilify.

As for anti-depressants:

"In addition, the agency said evaluating the risk of birth defects with widely-used SSRI and SNRI antidepressants, which already carry strong warnings about suicidal behavior.

"Well-known antidepressants include Eli Lilly and Co's Prozac, Pfizer Inc's Zoloft, GlaxoSmithKline Plc's Paxil and Forest Laboratories Inc's Lexapro and Celexa."

It's not clear from this which anti-depressants the FDA is looking at, but it's a safe bet one of them is Paxil. The company already faces lawsuits over birth defects allegedly related to Paxil use during pregnancy.

As usual, the fact that the FDA is reviewing the safety of these drugs doesn't mean that the FDA has concluded the drugs have that problem. That will come later. Ought to be interesting to see where the agency goes with all this.

Posted by Philip Dawdy at February 5, 2009 12:05 AM
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Comments

This just seems so crazy to me: "We're going to give you a medication that carries with it the strong possibility that it will make your disorder so bad you'll die of it." Right.

Posted by: Sherry at February 5, 2009 06:14 AM

I wonder why they didn't act this way finding reason for review for safety re: use in the human body when the FDA approved Abilify for use in 10 year olds!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!???

Good luck new depression diagnoses patients when their psychiatrists put them on an antipsychotic for depression when it doesn't even work for schizophrenia!

Posted by: Stephany at February 5, 2009 08:45 AM

Woop-di-doo. No black box wrng. for atypicals since the late nineties (exception - off label use for seniors with dementia) since they first showed up in the late nineties or whenever. Maybe they are waiting until they go off patent.

Another name for HHS - Kitzhaber, former Gov. of Oregon. Superb. Just hope he's paid his taxes. However, he may not please the "healthcare industry" enough. www.whitehouse.gov

Posted by: ebliversidge@earthlink.net at February 5, 2009 11:37 AM
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