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Drug Safety-related Labeling Changes (SrLC)

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BONJESTA (NDA-209661)

(DOXYLAMINE SUCCINATE; PYRIDOXINE HYDROCHLORIDE)

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

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06/18/2018 (SUPPL-4)

Approved Drug Label (PDF)

5 Warnings and Precautions

Addition to following subsection title underlined:

5.1 Somnolence and Severe Drowsiness

Addition of the following subsection

5.3 Interference with Urine Screen for Methadone, Opiates and Phencyclidine Phosphate (PCP)

There have been reports of false positive urine screening tests for methadone, opiates, and PCP with doxylamine succinate/pyridoxine hydrochloride use.

7 Drug Interactions

Newly created subsection:

7.3 False Positive Urine Tests for Methadone, Opiates and PCP

False positive drug screens for methadone, opiates, and PCP can occur with doxylamine succinate/pyridoxine hydrochloride use. Confirmatory tests, such as Gas Chromatography Mass Spectrometry (GC-MS), should be used to confirm the identity of the substance in the event of a positive immunoassay result.

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

PATIENT COUNSELING INFORMATION

Addition of the following:

Interference with urine drug screening

Inform women that use of BONJESTA may result in false positive urine drug screening for methadone, opiates and PCP.