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Elmiron Side Effects, and Drug Interactions - Pentosan

Elmiron Side Effects, and Drug Interactions - Pentosan

SIDE EFFECTS

Elmiron®was evaluated in clinical trials in a total of 2627 patients (2343 women, 262 men, 22 unknown) with a mean age of 47 [range 18 to 88 with 581 (22%) over 60 years of age]. Of the 2627 patients, 128 patients were in a 3 month trial and the remaining 2499 patients were in a long term, unblinded trial.

Deaths occurred in 6/2627 (0.2%) patients who received the drug over a period of 3 to 75 months. The deaths appear to be related to other concurrent illnesses or procedures, except in one patient for whom the cause was not known.

Serious adverse events occurred in 33/2627 (1.3%) patients. Two patients had severe abdominal pain or diarrhea and dehydration that required hospitalization. Because there was not a control group of patients with interstitial cystitis who were concurrently evaluated, it is difficult to determine which events are associated with Elmiron® and which events are associated with concurrent illness, medicine, or other factors.

Adverse Experience In Placebo-Controlled
Clinical Trials of Elmiron® 100 mg
Three Times a Day for 3 Months
Body System/
  Adverse Experience
Elmiron®
n=128
    Placebo
   n=130
CNS  
  Overall Number of Patients*         
3 5
Insomnia   
Headache
Severe Emotional Lability/Depression     Nystagmus/Dizziness     
Hyperkinesia
1
1
2
1
1
0
3
1
1
1
GI  
  
Overall Number of Patients*  
7 7
Nausea
Diarrhea
Dyspepsia
Jaundice
Vomiting
3
3
1
0
0
3
6
0
1
2
Skin / Allergic   
  Overall Number of Patients*   
2 4
Rash
Pruritus
Lacrimation
Rhinitis
Increased Sweating
0
0
1
1
1
2
2
1
1
0
Other  
  Overall Number of Patients*
1 3
Amenorrhea   
Arthralgia    
Vaginitis
0
0
1
1
1
1
Total Events 17 27
Total Number of Patients
Reporting Adverse Events
13 19


* Within a body system, the individual events do not sum to equal overall number of patients because a patient may have more than one event.

The adverse events described below were reported in an unblinded clinical trial of 2499 interstitial cystitis patients treated with Elmiron®. Of the original 2499 patients, 1192 (48%) received Elmiron® for 3 months; 892 (36%) received Elmiron® for 6 months; and 598 (24%) received Elmiron® for one year, 355 (14%) received Elmiron® for 2 years, and 145 (6%) for 4 years.

Frequency (1 to 4%): Alopecia (4%), diarrhea (4%), nausea (4%), headache (3%), rash (3%), dyspepsia (2%), abdominal pain (2%), liver function abnormalities (1%), dizziness (1%).

Frequency (£ 1%):
Digestive: Vomiting, mouth ulcer, colitis, esophagitis, gastritis, flatulence, constipation, anorexia, gum hemorrhage.
Hematologic: Anemia, ecchymosis, increased prothrombin time, increased partial thromboplastin time, leukopenia, thrombocytopenia.
Hypersensitive Reactions: Allergic reaction, photosensitivity.
Respiratory System: Pharyngitis, rhinitis, epistaxis, dyspnea.
Skin and Appendages: Pruritus, urticaria.
Special Senses: Conjunctivitis, tinnitus, optic neuritis, amblyopia, retinal hemorrhage.

DRUG INTERACTIONS

Drug-Drug Interactions: Not studied.

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