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The FDA advised Bristol-Myers Squibb Company on December 7, 2001
that their anti-depressant drug Serzone should contain black box
warning labels cautioning drug users of the liver damage it has
been linked to. Black
box warning labels are the most serious warnings the FDA ever
issues, which warns, "cases of life-threatening hepatic failure
have been reported in patients treated with Serzone." The life-threatening
liver damage has been estimated to occur at about 3-4 times the
estimated background rate of liver damage. Figures are probably
more conservative than the actual number of liver complications
that have arisen due to Serzone use because of underreporting.
Liver damage has resulted in transplant and death. Certain symptoms
that appear may indicate if a patient is developing a liver problem,
including jaundice, nausea, anorexia, abdominal pain, and unusually
dark urine. If you notice any of these adverse liver damage symptoms
and have taken Serzone, immediately contact your doctor and contact
us to learn your legal rights.
Other common Serzone side effects include headache, constipation,
dry mouth, drowsiness, insomnia, nausea, vision problems, agitation,
dizziness, fatigue, confusion, hypotension, rash or hives, seizures,
and lightheadedness. In a study performed on Serzone prior to the
marketing of the drug found 16% of the 3,496 patients taking Serzone
discontinued their use due to side effects. Drowsiness was the most
common side effect in Serzone users, experienced in varying dosages
with the drug users.
Serzone should be avoided in any individuals who are:
- Allergic to Serzone or Desyrel
- Taking terfenadine, astemizole, cisapride, triazolam, pimozide,
carbamazepine
- Have liver damage or other problems
- Taking or have taken within the last 14 days any of the depression
medicines monoamine oxidase inhibitors should especially stay
away from using Serzone because of the high risk of developing
Serzone side effects.
- In addition, anyone who has ever had liver damage or other problems,
taking any other medicine, vitamin, herbal remedy, have heart
problems, have had manic episodes, attempted suicide, have had
seizures, or are pregnant or breast feeding should also be concerned
with using, or thinking about using, Serzone antidepressant pills.
Serzone Liver Damage
Serious life-threatening Serzone liver damage and failure has been
reported. There is one case of liver failure in the U.S. that results
in death or a transplant for every 250,000-300,000 patient-years
of Serzone treatment, a rate of 3-4 times the normal rate of liver
failure. While this increased rate of Serzone liver damage and failure
is substantially higher it still does not demonstrate the actual
rate of Serzone liver damage due to underreporting.
The Serzone liver damage and liver failure cases that resulted
in death or transplant normally ranged from 2 weeks to 6 months
on Serzone therapy. Not all cases of these Serzone liver failures
had prior symptoms indicating the resulting problems. There is no
way of predicting if Serzone liver damage will occur in a patient,
but signs of liver damage, including jaundice, anorexia, gastrointestinal
complaints, and malaise should be immediately reported to your healthcare
provider should any of these Serzone side effects surface.
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