[12-4-2012] The U.S. Food and Drug Administration (FDA) is notifying health care professionals that the 32 mg, single intravenous (IV) dose of the anti-nausea drug Zofran (ondansetron hydrochloride) will no longer be marketed because of the potential for serious cardiac risks. This dose has been removed from the Zofran drug label. FDA is now working with the manufacturers of all 32 mg dose ondansetron injectable products (brand and generic) to voluntarily recall them from the market. These drugs are sold pre-mixed in solutions of either dextrose or sodium chloride in plastic containers (See Table 1).
A previous Drug Safety Communication (DSC), issued on June 29, 2012, communicated that the 32 mg, single IV dose should be avoided due to the risk of a specific type of irregular heart rhythm called QT interval prolongation, which can lead to Torsades de Pointes, an abnormal, potentially fatal heart rhythm.
The 32 mg, single IV dose had been used to prevent chemotherapy-induced nausea and vomiting. As stated in the previous DSC, FDA continues to recommend the intravenous regimen of 0.15 mg/kg administered every 4 hours for three doses to prevent chemotherapy-induced nausea and vomiting. If the calculated weight-based dose were to exceed 16 mg, the potential for prolonged QT interval would be greater; therefore, no single intravenous dose should exceed 16 mg. In addition, oral dosing of ondansetron remains effective for the prevention of chemotherapy-induced nausea and vomiting. At this time, there is not enough information available for FDA to recommend an alternative single IV dose regimen.
FDA anticipates these products (see Table 1, below) to be removed from the market through early 2013. FDA does not anticipate that removal of the 32 mg intravenous dose of ondansetron currently sold as pre-mixed injections will contribute to a drug shortage of IV ondansetron, as the 32 mg dose makes up a very small percentage of the current market. According to sales distribution data, ondansetron IV 32 mg premixed bags accounted for less than 1% of ondansetron IV sales (vials, bags, etc.) from the manufacturers to retail and non-retail channels of distribution in the 12-month period ending in June 2012.1
|Generic name||Sponsor||Application Number|
|Ondansetron Hydrochloride Injection, USP premix in Intravia Plastic Container||Baxter Healthcare Corporation||NDA 021915|
|Ondansetron Hydrochloride and Dextrose in Plastic Container||Hospira||ANDA 077348|
|Ondansetron Hydrochloride and Dextrose in Plastic Container||Teva||ANDA 077480|
|Ondansetron Hydrochloride and Dextrose in Plastic Container||Bedford Labs||ANDA 078291|
|Ondansetron Hydrochloride and Dextrose in Plastic Container||Claris Lifesciences||ANDA 078308|
- Source: IMS Health, IMS National Sales Perspectives™. July 2011-June 2012. Extracted Nov 2012.
- FDA Drug Safety Communication: New information regarding QT prolongation with ondansetron (Zofran)
- FDA Drug Safety Communication: Abnormal heart rhythms may be associated with use of Zofran (ondansetron)
- Ondansetron (marketed as Zofran) Prescribing and Label Information4
- Ondansetron (marketed as Zofran) Information
- FDA Drug Safety Podcast: Updated information on 32 mg intravenous ondansetron (Zofran) dose and pre-mixed ondansetron products
- Comunicado de la FDA sobre la seguridad de los medicamentos: InformaciÃ³n actualizada sobre la dosis intravenosa de 32 mg de ondansetrÃn (Zofran) y productos previamente mezclados de ondansetrÃn