Posts Tagged ‘Children’

Warning on Testosterone Gel Products (July 2009)

Friday, July 24th, 2009

Video originally created by FDA -- posted by Lawsuit.com on July 8th, 2009

FDA will require that two topical testosterone gel products carry a boxed warning stating that children could be inadvertently exposed to testosterone if they contact the gel on the skin of another person, and listing specific recommendations to prevent this. The gels, available only by prescription, are used to treat men who don’t produce sufficient testosterone. The products are Testim 1%, which is applied to the shoulders and upper arms, and AndroGel 1%, which can also be applied to the abdomen.

The current labeling does have precautions about exposing children, but FDA continues to receive reports where children have come in contact with the gel on another person’s body, with serious effects. Some children have experienced inappropriate enlargement of the genitalia, premature development of pubic hair, advanced bone age, and behavioral changes. In a few cases, some signs did not regress when the exposure to testosterone stopped.

To minimize the possibility of exposing children to the gel, FDA recommends that users wash their hands with soap and water after every application. They should cover the site with clothing after the gel dries. And they should wash the application site with soap and water before any skin-to-skin contact with another person. As a further precaution, children and women should avoid contact with application sites on the skin of men who use these products.

FDA is requiring the gel manufacturers to develop a Medication Guide that will describe these risks. It will be given to patients each time their prescriptions are dispensed.

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Preventing Meningitis in Kids with Cochlear Implants (Dec. 07)

Monday, February 23rd, 2009

Video originally created by FDA -- posted by Lawsuit.com on September 03, 2008

September 2008- This story originally aired in December 2007. In this special edition of FDA PSN, we are repeating some of the most important safety issues that continue to pose a public health concern.FDA is reminding healthcare practitioners about the importance of vaccinating children with cochlear implants against bacterial meningitis caused by Streptococcus pneumoniae. Two deaths from meningitis have been reported over the past year in children with cochlear implants. Neither of them had completed the recommended vaccinations against pneumococcus.Many parents of cochlear implant patients are not getting the message about immunizing these children against pneumococcus. A recent survey at Johns Hopkins revealed that despite repeated efforts to educate parents, up to 40 percent did not know their child’s vaccination status. This suggests that at least some cochlear implant patients are not getting vital preventive care that can reduce the risk of a potentially life-threatening illness.To improve this situation, there are several recommendations that healthcare professionals should follow. Here are a few:• When caring for patients who have or will be getting cochlear implants, review their vaccination records to be sure they are current on all the immunizations recommended by CDC for this special patient population. Note that CDC considers children with cochlear implants as a high-risk group when it comes to invasive pneumococcal infections.• Teach parents and caregivers to recognize and report the signs of meningitis. It is important to identify and treat this illness promptly in order to avoid permanent neurological damage. Early signs of meningitis may include high fever, headache, stiff neck, nausea or vomiting, photophobia, somnolence, confusion, ear pain and ear infection. Young children with meningitis can be sleepy, cranky and eat less.• Diagnose and treat middle ear infections promptly. In some of the cases reported to FDA, patients with meningitis had shown signs of otitis media prior to the implant surgery or before the meningitis developed. According to the American Academy of Pediatrics, practitioners treating otitis media in patients with cochlear implants should consider antibiotic therapy more readily than they might for other patients.• Consider prophylactic antibiotic treatment perioperatively in children receiving cochlear implants.

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New Labels for Non-prescription Cough & Cold Medications (Jan. 2009)

Friday, January 16th, 2009

Video originally created by FDA -- posted by Lawsuit.com on January 14, 2009

Most makers of nonprescription cough and cold medicines are voluntarily changing the labels on these products to say “do not use” for children under 4 years of age. New child resistant packaging and measuring devices are also being introduced.The changes were recently announced by the Consumer Healthcare Products Association (CHPA), which represents most of these manufacturers. FDA supports this action, which reflects a more restrictive use of these drugs in children.FDA is working with other public health and scientific organizations to obtain, analyze and make available the most up-to-date information about the effects of these medicines on children, and FDA will take additional action as needed. In the meantime, here are some reminders for parents and caregivers:•First, understand that these medicines do not cure a cold or cough or shorten its duration. They only treat a child’s symptom(s) such as a runny nose, congestion, fever and aches.•Do not give children medications labeled only for adults.•Choose OTC cough and cold medicines with child-resistant safety caps, where possible. Be sure to close the cap tightly after use, and store the medication out of reach of children.•Check the “Drug Facts” on the label, which tells how much medicine to give and how often to give it. Misusing or using too much of these products can cause serious and even life threatening side effects such as rapid heartbeat, drowsiness, suppression of the respiratory system and seizures.•Be careful when giving a child more than one medicine. Using two medicines with the same or similar active ingredients could give a child too much of that drug.•Only use measuring devices that come with the medicine, or those specially made for measuring drugs.•Finally, if you have questions or are not sure how to use a product, check with the doctor or pharmacist.

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Leukemia Risk with Intra-Articular Use of Phosphocol P 32 (Dec. 2008)

Thursday, December 11th, 2008

Video originally created by FDA -- posted by Lawsuit.com on December 03, 2008

Covidien and Mallinckrodt, the manufacturers of Phosphocol P 32, have informed healthcare professionals that this drug may increase the risk of leukemia in certain situations. Phosphocol P 32 is used to treat peritoneal or pleural effusions in patients with metastatic cancer. It is instilled into the peritoneal or pleural cavities, where it locally irradiates tissues. The manufacturers report that two children, ages 9 and 14, developed acute lymphocytic leukemia about 10 months after they received Phosphocol P 32 by intra-articular injection. Phosphocol P 32 is not indicated for intra-articular injection in treating hemarthroses, and its safety and effectiveness in children have not been established.

Phosphocol P 32 can also cause radiation injury to the small bowel, cecum and bladder when it is instilled into the peritoneal cavity. 

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FDA Advisory on Adderall (May 2005)

Friday, December 5th, 2008

Video originally created by FDA -- posted by Lawsuit.com on July 15, 2008

FDA recently issued a Public Health Advisory describing reports of sudden unexplained death in children taking Adderall and Adderall XR, which are used to treat ADHD.Sudden death has been reported in children with underlying cardiac abnormalities who are taking recommended doses of amphetamines, including Adderall and Adderall XR. A very small number of cases of sudden death have been reported in children without cardiac abnormalities taking Adderall.At this time, it doesn’t appear that the number of sudden deaths in children taking Adderall is greater than the number that would be expected in this population without treatment. But it’s possible that patients with underlying heart defects might be especially at risk, and so the advisory reemphasizes the warning in the product labeling that these patients should ordinarily not be treated with Adderall products.

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