Statin Pregnancy Contraindication Lifted

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FDA has announced a class-wide labeling change for cholesterol-lowering statin drugs to remove its strongest warning against their use in pregnant patients. “We have conducted a comprehensive review of all available data and are requesting that statin manufacturers make this change to the prescribing information as part of FDA’s ongoing effort to update the pregnancy and breastfeeding information for all prescription medicines,” an agency notice says.

Despite the change, FDA is still recommending that most patients should stop statins once they learn they are pregnant. “Patients should not breastfeed when taking a statin because the medicine may pass into breast milk and pose a risk to the baby,” it says.

FDA says it is requesting statin drug makers to revise their prescribing information to remove the current contraindication against using these medicines in all pregnant patients. “Because the benefits of statins may include prevention of serious or potentially fatal events in a small group of very high-risk pregnant patients, contraindicating these drugs in all pregnant women is not appropriate,” it says.

The move comes one day after FDA officials announced a “major paradigm shift” to move the clinical development community from “systemic exclusion to the inclusion” of pregnant and breastfeeding women in clinical studies (see earlier story). Writing in an online FDA Voices post, officials say it is time to give this patient population needed data about the safety or effectiveness of drugs used during pregnancy.

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