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New Message on Pituitary Chat

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From: PTResearcher2
Message 1 in Discussion

I have not been on the boards for several weeks and I had assumed this would 
have been posted by now, but since it wasn't and since it is important, I'll 
post the following information:        
FOR IMMEDIATE RELEASE
P07-54 
March 29, 2007   
Media Inquiries: 
Sandy Walsh, 301-827-6242
Consumer Inquiries: 
888-INFO-FDA    FDA Announces Voluntary Withdrawal of Pergolide Products
Agency Working with Product Manufacturers 
 
The U.S. Food and Drug Administration (FDA) today announced that manufacturers 
of pergolide drug products, which are used to treat Parkinson’s disease, will 
voluntarily remove these drugs from the market because of the risk of serious 
damage to patients’ heart valves.  
The products being withdrawn are Permax, the trade name for pergolide marketed 
by Valeant Pharmaceuticals, and two generic versions of pergolide manufactured 
by Par and Teva. Pergolide is in a class of medications called dopamine 
agonists and is used with levodopa and carbidopa to manage the symptoms 
(tremors and slowness of movement) of Parkinson’s disease.  
In 2006, an estimated 12,000 patients received prescriptions for pergolide from 
retail pharmacies in the United States. Patients taking pergolide should 
contact their doctors to discuss alternate treatments. Patients should not stop 
taking the medication, as stopping pergolide abruptly can be dangerous.  
There are alternative therapies available for Parkinson’s disease, including 
three other dopamine agonists that have not been associated with valvular heart 
disease. The removal of pergolide products is not expected to adversely affect 
patient care because of the alternative therapies available.  
“Based on important new drug safety information, FDA has been working with the 
manufacturers of pergolide products to voluntarily remove these drugs from the 
market,” said Douglas Throckmorton, M.D., deputy director of FDA’s Center for 
Drug Evaluation and Research. “The FDA’s increased evaluation of post-market 
safety is benefiting the public because, in this case, as new data about the 
product became available, we were able to remove a less safe drug from the 
market.” 
Two recent New England Journal of Medicine studies confirm previous findings 
associating pergolide with increased chance of regurgitation (backflow of 
blood) of the mitral, tricuspid, and aortic valves of the heart. Valve 
regurgitation is a condition in which valves don’t close tightly, allowing 
blood to flow backward across the valve. Symptoms include shortness of breath, 
fatigue and heart palpitations.  
In light of this additional post-market safety information, the companies that 
manufacture and sell pergolide will stop shipping pergolide for distribution 
and, in cooperation with FDA, will withdraw the products from the market.  
Permax was approved in 1988 for Eli Lilly and Company as an adjunctive therapy 
with levodopa in Parkinson’s disease. Valvular heart disease was first 
described in association with pergolide in 2002. In 2003, FDA asked Lilly to 
add valvulopathy (abnormality of cardiac valves) to the warnings section of 
Permax labeling, at which time a Dear Healthcare Practitioner letter was sent 
by Lilly. In 2006, the warning was upgraded to a black box warning, the FDA’s 
strongest form of warning, because of new data concerning risks of heart valve 
damage. 
FDA today is issuing a Public Health Advisory (PHA) detailing the removal of 
pergolide products from the market. The PHA, which is available at 
www.fda.gov/cder/drug/advisory/pergolide.htm includes information and 
recommended actions for physicians, pharmacists and patients.  
The effect of the voluntary withdrawal on supplies of pergolide currently in 
pharmacies will not be immediate. This delay will allow time for health care 
providers and patients to discuss appropriate treatment options and time to 
change treatments.  
FDA is working with the manufacturers of pergolide to determine if it might be 
possible, once the drug is withdrawn from the market, to make the drug 
available under an Investigational New Drug Application (IND) for those few 
patients who are currently receiving pergolide and who cannot be successfully 
converted to other available treatments. 
 
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01596.html

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