Public Citizen Sues FDA to Force SSRIs Decision

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Public Citizen is suing FDA in DC federal court to force the agency to act on a six-year-old petition seeking revised labeling for selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) to warn of serious side effect risks. A Public Citizen statement says the revised labeling would warn of the drugs’ risks of serious sexual side effects that may persist after stopping treatment with the drugs.

The statement says SSRIs and SNRIs are prescription drugs approved by FDA to treat clinical depression and certain other conditions. The drugs are known to cause adverse sexual side effects, it says, and the current U.S. labeling warns of disturbances to sexual functioning during treatment with SSRIs and SNRIs, but does not convey the risk of persistent, worsening, or new symptoms of sexual dysfunction after stopping use of the drugs.

The petition asked for labeling revisions and also for FDA to require that a Dear Healthcare Provider letter be sent to inform prescribers of the risks, and to develop a Medication Guide and communication plan to make patients aware of the risk.

Public Citizen says similar 2018 petitions to drug regulators in Europe and Canada resulted in warnings to patients and healthcare professionals about the risk that sexual side effects may persist after the drugs are discontinued.

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