The Pharmacovigilance Risk Assessment Committee (PRAC) gave recommendations on two medicines and started one new safety review at its September 2013 meeting.
PRAC recommends restriction to the use of short-acting beta-agonists in obstetric indications
The PRAC recommended that medicines called ‘short-acting beta-agonists’ should no longer be used in oral or suppository forms in obstetric indications (for the care of pregnant women), such as for suppressing premature labour or excessive labour contractions. However, injectable forms of these medicines should remain authorised for short-term obstetric use under specific conditions.
PRAC recommends suspension and reformulation for Numeta G13%E and risk minimisation measures for Numeta G16%E
The PRAC recommended suspending the marketing authorisation of Numeta G13%E, an intravenous nutrition preparation given to premature babies for nutritional support, until a re-formulated preparation has been approved.
For Numeta G16%E, another intravenous nutrition preparation used in full-term newborns and children up to two years of age, the PRAC considered the benefit-risk balance to be positive, provided that a number of risk minimisation measures are implemented.
New review for bromocriptine started
The PRAC started a new review procedure for bromocriptine-containing medicines when used orally for preventing or suppressing lactation (milk production) in women following childbirth. The PRAC will assess whether the benefits of these medicines outweigh the risk of rare but potentially serious (including fatal) cardiovascular, neurological and psychiatric side effects.