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Drug Safety-related Labeling Changes (SrLC)

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ADREVIEW (NDA-022290)

(IOBENGUANE SULFATE I-123)

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

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03/05/2020 (SUPPL-5)

Approved Drug Label (PDF)

5 Warnings and Precautions

Risk of Serious Adverse Reactions in Infants due to Benzyl Alcohol Preservative

(Section title revised)

(Additions and/or revisions underlined)

Serious and fatal adverse reactions including “gasping syndrome” can occur in neonates and infants treated with benzyl alcohol- preserved drugs, including AdreView. The “gasping syndrome” is characterized by central nervous system depression, metabolic acidosis, and gasping respirations. When administering AdreView in infants consider the combined daily metabolic load of benzyl alcohol from all sources including AdreView (contains 10.3 mg of benzyl alcohol per mL) and other drugs containing benzyl alcohol. The minimum amount of benzyl alcohol at which serious adverse reactions may occur is not known [see Use in Specific Populations (8.4)].

8 Use in Specific Populations

Lactation

(PLLR conversion. Please refer to label for complete information.)

Pediatric Use

(PLLR conversion. Please refer to label for complete information.)

Pregnancy

(PLLR conversion. Please refer to label for complete information.)

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

PATIENT COUNSELING INFORMATION

(Additions and/or revisions underlined)

Instruct patients to inform their physician or healthcare provider if they:

1.         are pregnant. Advise a pregnant woman of the potential risks of fetal exposure to radiation doses with AdreView [see Use in Specific Populations (8.1)].

2. are breast feeding. Advise a lactating woman to interrupt breastfeeding and pump and discard breastmilk for at least 6 days (>10 physical half-lives) after AdreView administration in order to minimize radiation exposure to a breastfed infant [see Use in Specific Populations (8.2].