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Drug Safety-related Labeling Changes (SrLC)

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ZELNORM (NDA-021200)

(TEGASEROD MALEATE)

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

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03/29/2019 (SUPPL-15)

Approved Drug Label (PDF)

4 Contraindications

PLR Conversion; additions and/or revisions underlined:

ZELNORM is contraindicated in patients with:

  • A history of myocardial infarction (MI), stroke, transient ischemic attack (TIA), or angina

  • A history of ischemic colitis or other forms of intestinal ischemia

  • Severe renal impairment (eGFR< 15 mL/min/1.73 m2) or end-stage renal disease

  • Moderate and severe hepatic impairment (Child-Pugh B or C)

  • Hypersensitivity to tegaserod 

5 Warnings and Precautions

PLR conversion

Newly added subsection:

5.1 Cardiovascular Ischemic Events, Including Major Adverse Cardiovascular Events (MACE) See label for complete information.

5.2 Ischemic Colitis Revised; please refer to label for complete information.

Two newly added subsections:

5.3 Volume Depletion Associated with Diarrhea

5.4 Suicidal Ideation and Behavior

6 Adverse Reactions

6.1 Clinical Trials Experience Revised; please refer to label for complete information.

Newly added subsection:

6.2 Postmarketing Experience Please refer to label for complete information

8 Use in Specific Populations

8.1 Pregnancy

8.2 Lactation

PLLR conversion; please refer to label for complete information.

8.4 Pediatric Use

Additions and/or revisions underlined:

Safety and effectiveness of ZELNORM in pediatric patients have not been established.

8.5 Geriatric Use

Revised to read:

ZELNORM is not indicated in patients 65 years of age and older.

Newly added subsections; please refer to label for complete information.

8.6 Renal Impairment

8.7 Hepatic Impairment

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

MEDICATION GUIDE

Newly added section; please refer to label for complete information.

PATIENT COUNSELING INFORMATION

Newly added section; please refer to label for complete information.

Other

PLR conversion – Please refer to label for complete information.