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Drug Safety-related Labeling Changes (SrLC)

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MICARDIS HCT (NDA-021162)

(HYDROCHLOROTHIAZIDE; TELMISARTAN)

Safety-related Labeling Changes Approved by FDA Center for Drug Evaluation and Research (CDER)

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12/19/2022 (SUPPL-47)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

Additions and/or revisions underlined:

Metabolism and Nutrition Disorders: Hypoglycemia (in diabetic patients), hyponatremia

08/20/2020 (SUPPL-45)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

Newly added information:

Non-melanoma Skin Cancer: Hydrochlorothiazide is associated with an increased risk of non-melanoma skin cancer. In a study conducted in the Sentinel System, increased risk was predominantly for squamous cell carcinoma (SCC) and in white patients taking large cumulative doses. The increased risk for SCC in the overall population was approximately 1 additional case per 16,000 patients per year, and for white patients taking a cumulative dose of greater than or equal to 50,000 mg the risk increase was approximately 1 additional SCC case for every 6,700 patients per year.

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT COUNSELING INFORMATION

Newly added information:

Non-melanoma Skin Cancer

Instruct patients taking hydrochlorothiazide to protect skin from the sun and undergo regular skin cancer screening.

PATIENT INFORMATION

What are the possible side effects of MICARDIS HCT tablets? MICARDIS HCT tablets may cause serious side effects, including:

Newly added information:

  • Skin Cancer. One of the medicines in MICARDIS HCT may increase your risk of getting non- melanoma skin cancer. Protect your skin from the sun and undergo regular skin cancer screening when taking MICARDIS HCT.

02/01/2018 (SUPPL-40)

Approved Drug Label (PDF)

6 Adverse Reactions

6.2 Postmarketing Experience

(addition underlined)

Nervous System Disorders: syncope, headache

8 Use in Specific Populations

8.1 Pregnancy

(PLLR conversion, please refer to label)

8.2 Lactation

(PLLR conversion)

Risk Summary

There is no information regarding the presence of MICARDIS HCT or telmisartan in human milk, the effects on the breastfed infant or the effects on milk production. Limited published studies report that hydrochlorothiazide is present in human milk. However, there is insufficient information to determine the effects of hydrochlorothiazide on the breastfed infant or the effects of hydrochlorothiazide on milk production.

Telmisartan is present in the milk of lactating rats. (see Data). Because of the potential for serious adverse reactions in the breastfed infant including hypotension, hyperkalemia and renal impairment, advise a nursing woman not to breastfeed during treatment with MICARDIS HCT.

Data

Telmisartan was present in the milk of lactating rats at concentrations 1.5 to 2 times those found in plasma from 4 to 8 hours after administration.

17 PCI/PI/MG (Patient Counseling Information/Patient Information/Medication Guide)

PATIENT COUNSELING INFORMATION

(additions underlined)

Lactation

Advise nursing women not to breastfeed during treatment with MICARDIS HCT.

Patient Information

(additions underlined)

 

Tell your doctor about all the medicines you take, including prescription and non-prescription medicines, vitamins, and herbal supplements. Also, tell your doctor if you drink alcohol.

MICARDIS HCT may affect the way other medicines work, and other medicines may affect how MICARDIS HCT works. Especially tell your doctor if you take:

    • aliskiren

    • digoxin (Lanoxin®)

    • lithium (Lithobid®, lithium carbonate, lithium citrate)

      What are the possible side effects of MICARDIS HCT tablets?

    • Eye problems. One of the medicines in MICARDIS HCT can cause eye problems that may lead to vision loss. Symptoms of eye problems can happen within hours to weeks of starting MICARDIS HCT. Tell your doctor right away if you have:

      • decrease in vision

      • eye pain

        How should I store MICARDIS HCT tablets?

  • Store MICARDIS HCT tablets at room temperature 68?F to 77?F (20?C to 25?C).

  • Do not remove MICARDIS HCT tablets from blisters until right before you take them.

    Keep MICARDIS HCT tablets and all medicines out of the reach of children.