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Drug Safety-related Labeling Changes (SrLC)

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ZIRGAN (NDA-022211)

(GANCICLOVIR)

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

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01/20/2026 (SUPPL-7)

Approved Drug Label (PDF)

5 Warnings and Precautions

5.3 Risk of Contamination

Newly added subsection:

Do not allow the tip of the container to touch any surface, as this may contaminate the ointment. If pain develops, or if redness, itching, or inflammation becomes aggravated, the patient should be advised to consult a physician.

8 Use in Specific Populations

8.1 Pregnancy

PLLR conversion; please refer to label for complete information

8.2 Lactation

PLLR conversion; please refer to label for complete information

8.3 Females and Males of Reproductive Potential

PLLR conversion; please refer to label for complete information

8.4 Pediatric Use

Newly added information

The safety and effectiveness of ZIRGAN for the treatment of acute herpetic keratitis (dendritic ulcers) have been established in pediatric patients aged 2 years and older. Use of ZIRGAN for this indication is supported by evidence from adequate and well-controlled studies.

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

PATIENT COUNSELING INFORMATION

Additions and/or revisions underlined:

When to Consult a Physician

Advise patients to consult a physician if pain develops, or if redness, itching, or inflammation becomes aggravated.

Risk of Contamination

ZIRGAN is sterile when packaged. Advise patients to not allow the dropper tip to touch any surface, as this may contaminate the gel.

Avoidance of Contact Lenses

Advise patients to not wear contact lenses when using ZIRGAN.