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zz-SEP-2Afi !?ta] + a52 23L9 2A69 P'At HEFLTH DEPT DRUG OFFICE DEPAp+rrsAlT4|F.gli4fnl|.HAnM^EElin6^t€ nEclsTnATlefl EEsneN ffi4€ 3E Publio Healih Labo/8tory csntre' *il'I?ffi'F &E /t 0l|Sd! ftli'tr H et 3sz ffi a\$f,]i 4rrs{if{it ouH Kowloon, Hong Kong. BYFAX lA52lBrs 8468 (852)2403 4s62 eEF., (*tsl,lt&EIfl,ifiRsn$) iIN 382 Nam Cheong Street' 231,9 8458 Tel. No.: iXIIJIN Enquirics {llj+St4 Faxlino No, ffiryAWAE {h&Ut| +'t'=ffi 2 September 2011 DH pS PRIE/7-30I15 REPLY PLEASE OUOTE THIS FILE FEEI Dr, RaYmond LIANG President Hong Kong Academy of Medicine (Fax Numbet:2505 5577) Dear Dr. LIANG, to Food and Drug Administlation (FDA)'1 notifioation i" th"" drug label for Reclast (zoledronic acid)of healthcare professionals and patients of an update *iil i, indicated for the treatment regarding the risk of kidney faiture. Reclast i;;1";;; Yoru attention is drawn to the us ostEoporosis. a fatal outcome following Reclast use cases of acute renal failure requiring dialysis or having with tt ot RJdast is contraindicated in patients havo boen repoded to FDA. ttre revised luU"t "t"t", ;ith evidence of acute renal impairment' fusk creatinine clearanee less than 35 ml/min ot it p;;;;* impairment' use of inolude underlying moderate to severe renat factors for developine at the same time as Reclast' or severe kidney-damaging lnephoioxic) or diuretio medicatiins Th" risk of developing renal failure in patients dehydration occprring Uufor" oi after Reolast it with underlying renafimpairment also incrsases with age' patients prior to administering Reclast in FDA advised healthcarro professionals should screen renal function in order to idenrifo at-risk patients, Healthcare iP,:nonitor ,g'R;"tt For details, piease refer to FDA's website: ,;; fuit; gi;' ;"-frJil"[:l*d- s/ucm270454.htm of Aclasta Solution for Infusion 5mg/100ml In Hong Kong Reclast is registered u4:'-ft" name prescriptior-onlv medicine' In view of the (HK-54084) ty Novart senarmac-eutical (H$ ilJ:;Jis a of tf'u Registation Committee of the FDA,s action, the issue will be discussed in tn"i".ting Pbarmacy and Poisons Board. ovents caused by the drugs-to- the Adverse Please remind your members to report any adverse no,: 23lg 86t3, fax: 2147 -0457 or email: Drug Reaction Monitoring Unit of Department.of ff.aift Col. websit", rrqy/**r"'psdh.gov,hk at Pharmaceutical [email protected]). for o"tiifr, ft"*u iufu. tjr tr," Serilce rinder';Reporting anAdvene Drug Reaction' yours siqcerely, /1 , IW (Ms Pamela LI) forAD(D) lTe are committed to providing qudity client'oriented sewice TOTFL P.E1