Fluoroquinolone Antibiotic Label Changes Ordered
FDA is requiring safety labeling changes for fluoroquinolone antibiotics to strengthen the warnings about the risks of mental health side effects and serious blood sugar disturbances, and to make the warnings more consistent across the labeling for all fluoroquinolones taken by mouth or given by injection. An agency news release says the safety labeling changes are based on a comprehensive review of FDA’s adverse event reports published in medical literature.
The new class-wide labeling changes will require that the mental health side effects be listed separately from other central nervous system side effects and be consistent across the labeling of the fluoroquinolone class. The mental health side effects to be included in the labeling across all the fluoroquinolones are disturbances in attention, agitation, nervousness, memory impairment, and delirium.
Also, the release says, the recent FDA review found instances of hypoglycemic coma where users of fluoroquinolones experienced hypoglycemia. As a result, FDA says, the Blood Glucose Disturbances subsection of the labeling for all systemic fluoroquinolones will not be required to explicitly reflect the potential risk of coma with hypoglycemia.