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Drug Safety-related Labeling Changes (SrLC)

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RIZAFILM (NDA-205394)

(RIZATRIPTAN BENZOATE)

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

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02/26/2026 (SUPPL-5)

Approved Drug Label (PDF)

4 Contraindications

Additions and/or revisions underlined:

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  • Concurrent administration of propranolol in pediatric patients who weigh less than 40 kg [see Drug Interactions (7.1) and Clinical Pharmacology (12.3)][see Warnings and Precautions (5.6)]

6 Adverse Reactions

6.1 Clinical Trials Experience

Extensive changes to table 1; please refer to label for complete information)

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Pediatric Patients 6 Years of Age and Older

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7 Drug Interactions

7.1 Propranolol

Additions and/or revisions underlined:

Because propranolol increases the exposure of rizatriptan, dosage adjustment is recommended for RizaFilm in adults and in pediatric patients who weigh 40 kg or more and who are taking concomitant propranolol. RizaFilm is contraindicated in pediatric patients who weigh less than 40 kg and taking concomitant propranolol because dosage adjustment is not possible [see Dosage and Administration (2.4), Contraindications (4) and Clinical Pharmacology (12.3)].

8 Use in Specific Populations

8.4 Pediatric Use

Additions and/or revisions underlined:

RizaFilm is contraindicated in pediatric patients weighing less than 40 kg taking propranolol [see Dosage and Administration (2.4) and Drug Interactions (7.1)].

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

PATIENT COUNSELING INFORMATION

Newly added information:

Direct patients to place RizaFilm oral film on the tongue, where it will disintegrate and be swallowed with saliva. Inform patients that administration with liquids is not necessary [see Dosage and Administration (2.3)].

PATIENT INFORMATION

Additions and/or revisions underlined:

What is RizaFilm?

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  • RizaFilm is used to treat migraine attacks with or without aura in adults and in children 6 years of age and older.

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Do not take RizaFilm if you:

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  • weigh less than 88 pounds (40 kg) and take propranolol

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