FDA Orders Addyi Safety Labeling Changes
Following its review of postmarketing studies, FDA is ordering Sprout Pharmaceuticals to make safety labeling changes for its Addyi (flibanserin) that is indicated to treat acquired, generalized hypoactive sexual desire disorder in postmenopausal women. An agency media statement says that at the time Addyi was approved 8/2015, FDA reviewed data including several cases of severe hypotension and syncope when Addyi and alcohol were taken together. As a result, the drug’s labeling contains a Boxed Warning stating that alcohol must be avoided in women treated with Addyi.
The agency now says that based on the results of the postmarketing studies, it believes changes must be made to the labeling to clarify that there still is a concern about consuming alcohol close in time to taking Addyi, but it does not have to be avoided completely.
The Boxed Warning, Contraindication, Warnings and Precautions, and Adverse Reactions sections of the labeling are being updated to reflect that women should stop drinking alcohol at least two hours before taking Addyi at bedtime or skip the dose that evening. Women should not consume alcohol at least until the morning after taking Addyi at bedtime, FDA says.
The agency ordered Sprout to make the changes because it was unable to reach an agreement with the company, which was requesting removal of the Boxed Warning and Contraindication about alcohol completely from the labeling.
“FDA determined, based on a careful review of available data, that removing this important safety information was not acceptable for the protection of public health,” the media statement says.