Multaq: FDA Issues Black Box Warning
Multaq, known chemically as dronedarone, is still safe to treat patients with brief bouts of irregular heart rhythms. However, the FDA stresses physicians must monitor the heart rhythms of patient's being administered Multaq, at least once every three months.
Afib, or atrial fibrillation, is when the upper chambers of the heart beat in a manner that is uncoordinated or without a steady rhythm. When this happens, there is a risk of blood pooling which can cause both life threatening blood clots and strokes. Patients with Afib can have this condition for a short time, or it can be permanent.
The FDA has approved continued, limited use of Multaq in the United States. Multaq can be used to reduce hospitalizations of patients with the short term version of Afib. However, some physicians still prescribe the medication in an 'off-label' manner to patients with permanent irregular heartbeats.
In a statement issued by the manufacturer, "The FDA label is meant to ensure the drug goes to the right patients. We fully agree with the FDA that patients with permanent AF should not use the product. We're fully committed to patient safety and updating our labels whenever information comes in that would be useful.
Multaq is a drug prescribed for the treatment of cardiac arrhythmias. Multaq is manufactured by the Paris based pharmaceutical company Sanofi-Aventis. The U.S. Food and Drug Administration approved Multaq in July of 2009. Multaq helps maintain normal heart rhythms in patients, who have a history heart rhythm disorders, such as cardiac arrhythmia, atrial fibrillation and atrial flutter. Multaq contains Dronedarone as main active ingredient. Clinical trials showed that Multaq reduced cardiovascular hospitalization or death by 24 percent. It has shown positive results, especially in patients having history of atrial fibrillation. Heart rhythm disorders such as a-fib and atrial flutter could prevent pumping of blood out of the heart. The FDA approval in July of 2009 did come with a request for a box warning asking physicians to not use this drug in severe heart failure patients.
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