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Drug Safety-related Labeling Changes (SrLC)

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ONYDA XR (NDA-217645)

(CLONIDINE HYDROCHLORIDE)

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

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05/07/2025 (SUPPL-4)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.3 Rebound Hypertension

Additions and/or revisions underlined:

… Pediatric patients with gastrointestinal illnesses that lead to vomiting may result in missed doses of ONYDA XR, increasing the risk for rebound hypertension.

…

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

PATIENT COUNSELING INFORMATION

Additions and/or revisions underlined:

…

Administration Instructions

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  • For the bottles of 30 mL and 60 mL, discard any unused ONYDA XR 30 days after first opening the bottle.

  • For the 120 mL bottle, discard any unused ONYDA XR 60 days after first opening the

…

Rebound Hypertension

Advise patients not to discontinue ONYDA XR abruptly. Inform patients and caregivers that pediatric patients with gastrointestinal illnesses that lead to vomiting may be at increased risk for rebound hypertension [see Warnings and Precautions (5.3)].

…

PATIENT INFORMATION

Additions and/or revisions underlined:

…

How should I take ONYDA XR?

…

  • For the bottles of 30 mL and 60 mL, throw away (discard of) any remaining ONYDA XR if you have not used it 30 days after first opening the bottle.

  • For the120 mL bottle, throw away (discard of) any remaining ONYDA XR if you have not used it 60 days after first opening the bottle.

…

What should I avoid while taking ONYDA XR?

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Do not suddenly stop ONYDA XR. Tell your healthcare provider if you have been vomiting and cannot take ONYDA XR, you may be at risk for rebound hypertension.

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How should I store ONYDA XR?

  • Store ONYDA XR at room temperature between 68°F to 77°F (20°C to 25°C).

  • Protect from light and keep ONYDA XR in the original container. Tightly close the child-resistant cap.

  • For the bottles of 30 mL and 60 mL, throw away (discard of) any remaining ONYDA XR if you have not used it 30 days after first opening the bottle.

  • For the 120 mL bottle, throw away (discard of) any remaining ONYDA XR if you have not used it 60 days after first opening the bottle.

    Keep ONYDA XR and all medicines out of the reach of children.

    …