U.S. Food and Drug Administration
FDA Consumer magazine
January-February 2002
Table of Contents

Safety-Based Drug Withdrawals (1997-2001)

Drug Name

Use

Risks

Date Approved

Manufacturer

2001

Baycol (cerivastatin)

Cholesterol drug

Risk of rhabdomyolysis, severe damage to muscle that is sometimes fatal, especially when used at a high dose or with another drug called gemfibrozil

1997

Bayer Pharmaceutical Division, West Haven, Conn.

Raplon (rapacuronium bromide)

Injectable anesthesia drug administered as a muscle relaxant for breathing tube placement and surgery

Risk of bronchospasm, an inability to breathe normally that can lead to permanent injury or death

1999

Organon Inc., West Orange, N.J.

2000

Lotronex (alosetron)

Treatment for irritable bowel syndrome in women

Risk of intestinal damage resulting from reduced blood flow to the intestine (ischemic colitis) and severely obstructed or ruptured bowels (complications of severe constipation)

2000

Glaxo Wellcome Inc. (now GlaxoSmithKline), Research Triangle Park, N.C.

Propulsid (cisapride)

Treatment for nighttime heartburn

Risk of fatal heart rhythm abnormalities

1993

Janssen Pharmaceutica Inc., Titusville, N.J.

Phenylpropanolamine

Decongestant used in many prescription and over-the-counter cough and cold medications

Risk of hemorrhagic stroke (bleeding in the brain)

**

**

Rezulin (troglitazone)

Treatment for type 2 diabetes

Risk of severe liver toxicity

1997

Parke-Davis/Warner Lambert, Morris Plains, N.J.

1999

Hismanal (astemizole)

Antihistamine

Risk of fatal heart rhythm abnormalities when used with other drugs or at too high a dose

1988

Janssen Pharmaceutica Inc.
(Manufacturer identified in printed version of January-February 2002 FDA Consumer was incorrect.)

Raxar (grepafloxacin)

Antibiotic

Risk of fatal heart rhythm abnormalities

1997

Glaxo Wellcome Inc. (now GlaxoSmithKline)

1998

Posicor (mibefradil)

Treatment for high blood pressure and chronic stable angina

Risk of dangerous interactions with other drugs

1997

Roche Laboratories, Nutley, N.J.

Duract (bromfenac)

Pain reliever

Risk of severe liver damage

1997

Wyeth-Ayerst Laboratories, Philadelphia

Seldane (terfenadine) and Seldane-D

Antihistamine

Risk of fatal heart rhythm abnormalities

1985

Hoechst Marion Roussel, Kansas City, Mo., and Baker Norton Pharmaceuticals, Miami

1997

Pondimin (fenfluramine)

Treatment for obesity

Risk of heart valve abnormalities

1973

Wyeth-Ayerst Laboratories

Redux (dexfenfluramine)

Treatment for obesity

Risk of heart valve abnormalities

1996

Wyeth-Ayerst Laboratories

** Phenylpropanolamine was in use prior to 1962, when an amendment to food and drug laws required a review of the effectiveness of this and other drugs while they remained on the market. It was deferred from final approval because of safety concerns about a possible association between phenylpropanolamine use and an increased risk of stroke. Based on previous case reports of stroke and data from a recent safety study, the FDA is proposing to remove phenylpropanolamine from the market.