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PJ Online homeThe Pharmaceutical Journal
Vol 279 No 7479 p579
24 November 2007

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Warning over allergic reactions to strontium ranelate

Women taking strontium ranelate who develop a rash should stop taking the drug immediately and seek medical advice, the Medicines and Healthcare products Regulatory Agency warned last week.

Marketed as Protelos in the UK, strontium ranelate is a non-hormonal medicine used to treat postmenopausal osteoporosis. Concerns have been raised about the risk of severe allergic reactions associated with its use. To date, 16 cases of drug rash with eosinophilia and systemic symptoms (DRESS), two of which were fatal, have been reported to the European Medicines Agency (EMEA).

DRESS is a serious and life-threatening allergic reaction, which starts with a rash, accompanied by fever, swollen glands, increased white cell count and affects the liver, kidneys and lungs.

The reported reactions started within three to six weeks of initiating strontium ranelate.

The MHRA says that if treatment is stopped and corticosteroids administered symptoms usually improve but recovery can be slow and symptoms may return. Once strontium ranelate has been stopped it should not be restarted, it said.

The EMEA has recommended that warnings concerning the risk of severe hypersensitivity reactions should be included in the summary of product characteristics and patient information leaflet for Protelos.

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