NEWS 08/01/1994
August 1, 1994 Susan Cruzan (301) 443-3285 Suspension of Felbatol Use Urged The Food and Drug Administration today recommended the immediate withdrawal of patients from the antiepilepsy drug Felbatol because it has been linked to 10 cases of aplastic anemia. In a "Dear Doctor" letter to 240,000 physicians, Carter-Wallace, Inc., the drug's manufacturer, in conjunction with the FDA recommended suspension of Felbatol therapy, "unless in the physician's judgement, an abrupt withdrawal would be deemed to pose a more serious risk to the patient." Aplastic anemia is a rare and frequently fatal form of bone marrow failure. The rate of aplastic anemia cases reported with Felbatol appears to be about 50 times higher than expected. However, since the syndrome is still relatively rare, no cases were observed in premarket testing in which approximately 1000 patients were exposed to Felbatol. All reports of aplastic anemia associated with Felbatol have been in patients on the drug for at least 2 1/2 months. "We strongly recommend that patients consult their physician as soon as possible, but it is critical that they not discontinue the drug on their own due to the risk of seizures," said FDA Commissioner David A. Kessler, M.D. "Physicians should prescribe -More- Felbatol-page 2 this drug only if it is absolutely necessary." In those rare cases where Felbatol is continued, FDA suggests careful monitoring. However, there is no evidence that even close monitoring can protect against the occurrence of aplastic anemia. Felbatol was approved in August 1993 for partial seizures with and without secondary generalization in adults and for Lennox- Gastaut Syndrome, a serious form of childhood epilepsy. ####