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Drug Safety-related Labeling Changes (SrLC)

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GOLYTELY (NDA-019011)

(POLYETHYLENE GLYCOL 3350; POTASSIUM CHLORIDE; SODIUM BICARBONATE; SODIUM CHLORIDE; SODIUM SULFATE ANHYDROUS)

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

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05/14/2021 (SUPPL-33)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.7 Aspiration

Additions and/or revisions underlined:

Use with caution in patients with impaired gag reflex, unconscious, or semiconscious patients, and patients prone to regurgitation or aspiration. Observe these patients during administration of GoLYTELY, especially if it is administered via nasogastric tube.

Do not combine GoLYTELY with starch-based thickeners [see Dosage and Administration (2.1)]. Polyethylene glycol (PEG), a component of GoLYTELY, when mixed with starch- thickened liquids reduces the viscosity of the starch-thickened liquid. When a PEG-based product used for another indication was mixed in starch-based pre-thickened liquids used in patients with dysphagia, thinning of the liquid occurred and cases of chocking and potential aspiration were reported.

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

MEDICATION GUIDE

GoLYTELY may affect how other medicines work. Do not take medicines by mouth within 1 hour of starting GoLYTELY or after you start taking GoLYTELY.

Especially tell your healthcare provider if you take:

Newly added:

  • starch-based thickeners. For patients who have trouble swallowing, do not mix GoLYTELY with starch-based thickeners.

06/05/2020 (SUPPL-31)

Approved Drug Label (PDF)

4 Contraindications

(Additions underlined)

  • Gastric retention

  • Ileus

5 Warnings and Precautions

5.8 Hypersensitivity Reactions

(New subsection added)

GoLYTELY contains PEG and may cause serious hypersensitivity reactions including anaphylaxis, angioedema, rash, urticaria, and pruritus. Inform patients of the signs and symptoms of anaphylaxis and instruct them to seek immediate medical care should signs and symptoms occur.

6 Adverse Reactions

(Additions underlined)

The following clinically significant adverse reactions are described elsewhere in the labeling:

 

  • Renal impairment

  • Colonic mucosal ulcerations and ischemic colitis

  • Patients with significant gastrointestinal disease

  • Aspiration

 

The following adverse reactions associated with the use of GoLYTELY were identified in clinical trials or postmarketing reports. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to estimate their frequency, reliably, or establish a causal relationship to drug exposure.

 

  • Cardiovascular: arrhythmia, atrial fibrillation, peripheral edema, asystole, and acute pulmonary edema after aspiration.

 

  • Nervous system: tremor, seizure

 

  • Hypersensitivity: Urticaria/rash, pruritus, dermatitis, rhinorrhea, dyspnea, chest and throat tightness, fever, angioedema, anaphylaxis and anaphylactic shock

  • Gastrointestinal: Nausea, abdominal fullness and bloating are the most common adverse reactions (occurred in up to 50% of patients). Other less common adverse reactions include: abdominal cramps, vomiting, “butterfly-like” infiltrates on chest X-ray after vomiting and aspirating PEG, anal irritation, and upper GI bleeding from Mallory-Weiss Tear, esophageal perforation [usually with gastroesophageal reflux disease (GERD).

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

MEDICATION GUIDE

(Additions, please refer to label for complete information)

PATIENT COUNSELING INFORMATION

(Additions underlined)

Instruct patients:

 

  • To reconstitute GoLYTELY with water prior to ingestion.

 

  • To take only clear liquids but avoid red and purple liquids.

  • To follow the directions in the Instructions for Use on how to prepare and administer the product