Propoxyphene: Prescription Drug Causes Fal Heart Abnormalities

Propoxphene, a prescription pain medication, has been withdrawn from the market after the FDA reported new clinical data that showed the drug my cause potentially serious or even fatal heart rhythm abnormalities.

Xanodyne Pharmaceuticals Inc., the maker of the drug, and other generic manufacturers of propoxphene-containing products have agreed to comply with the FDA and withdraw the medication from the U.S. market.

After reviewing the clinical data, the FDA issued a statement that shows they concluded that the risks of the medication far outweighed the benefits

The FDA is pleased by Xanodynes decision to voluntarily remove its products from the U.S. market, said John Jenkins, M.D., director of the Office of New Drugs in the FDAs Center for Drug Evaluation and Research (CDER). These new heart data significantly alter propoxyphenes risk-benefit profile. The drugs effectiveness in reducing pain is no longer enough to outweigh the drugs serious potential heart risks.

Clinical data of the drug, which was approved in 1957 and was used to treat mild to moderate pain, showed that even when taken at recommended doses, propoxyphene causes significant changes to the electrical activity of the heart and may increase the risk for a serious abnormal heart.

With the new study results, for the first time we now have data showing that the standard therapeutic dose of propoxyphene can be harmful to the heart, said Gerald Dal Pan, M.D., M.H.S., director of the Office of Surveillance and Epidemiology, CDER. However, long-time users of the drug need to know that these changes to the hearts electrical activity are not cumulative. Once patients stop taking propoxyphene, the risk will go away. Health care professionals has also been advised to stop prescribing propoxyphene to their patients. Patients who are currently taking the drug should contact their doctor immediately.
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