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PJ Online homeThe Pharmaceutical Journal
Vol 274 No 7345 p441
16 April 2005

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Bextra sales suspended

Sales and marketing of the cyclo-oxygenase-2 (COX-2) inhibitor valdecoxib (Bextra) have been suspended following concerns about the risk of serious skin reactions.

After discussions with the European Medicines Agency (EMEA), Pfizer has agreed to the suspension of valdecoxib (PDF 20K) as an interim measure pending finalisation of the EMEA’s assessment of COX-2 inhibitors, which is expected to be published later this month. Valdecoxib is associated with a higher rate of potentially fatal skin reactions, including Stevens-Johnson syndrome and toxic epidermal necrolysis, than other COX-2 inhibitors.

In line with this European action, the Medicines and Healthcare products Regulatory Agency has issued updated advice on valdecoxib. The MHRA recommends that patients who have been taking valdecoxib regularly for more than three weeks should make an appointment to arrange alternative treatment, but may continue taking valdecoxib until alternative treatment has been arranged. Patients who have started valdecoxib within the past three weeks should stop treatment and see their doctor to arrange alternative treatment.

Pfizer said it will explore options under which it might be permitted to resume making Bextra available.

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