{"id":7269,"date":"2011-03-30T13:03:21","date_gmt":"2011-03-30T17:03:21","guid":{"rendered":"http:\/\/blogs.nejm.org\/cardioexchange\/?p=7269"},"modified":"2011-07-19T17:44:29","modified_gmt":"2011-07-19T21:44:29","slug":"fda-warns-against-repackaging-dabigatran","status":"publish","type":"post","link":"https:\/\/blogs.nejm.org\/cardioexchange\/2011\/03\/30\/fda-warns-against-repackaging-dabigatran\/","title":{"rendered":"FDA Warns Against Repackaging Dabigatran"},"content":{"rendered":"<p>The FDA has issued a <a href=\"http:\/\/www.fda.gov\/Drugs\/DrugSafety\/ucm248746.htm\">safety communication<\/a> regarding dabigatran  (Pradaxa). Because the drug is subject to product breakdown and loss of  potency due to moisture, the FDA recommends that it should be dispensed  and stored in its original packaging and that consumers avoid using pill  boxes or pill organizers with it.<\/p>\n<p>Pradaxa is supplied as  either a bottle with a 30-day supply of the drug and a desiccant in the  cap or in a blister package. The current label states that the drug  should be discarded 30 days after the bottle has been opened, but the  FDA now says that the drug maintains its potency for up to 60 days as  long as it is stored in the original bottle and the cap is closed  tightly. The bottle should be kept away from excessive moisture, heat,  and cold, according to the FDA. The agency advises that only one bottle of  Pradaxa should be open at a time.<\/p>\n<p>Here is the FDA&#8217; advice for  healthcare professionals:<\/p>\n<ul>\n<li>Tell patients it is important to follow the special storage and  handling requirements for Pradaxa.<\/li>\n<li>Tell patients that Pradaxa must be kept in the original bottle or  blister package to protect from moisture. The bottle contains a  dessicant in the cap, and the blister package protects unopened pills  from moisture.<\/li>\n<li>Tell patients that Pradaxa capsules must not be stored in pill  boxes or pill organizers.<\/li>\n<li>Pharmacists should only dispense Pradaxa in the original  manufacturer bottle with the original dessicant cap. Do not repackage  Pradaxa capsules in standard amber pharmacy vials.<\/li>\n<li>Pharmacists should not open the Pradaxa bottle when dispensing.  When more than one bottle is dispensed, tell the patient to only open  one bottle at a time.<\/li>\n<li>Pharmacists should place an auxiliary expiration label on the  bottle and instruct the patients to date the bottle to expire 60 days  after opening.<\/li>\n<li>Pharmacists can also number the bottles (e.g., bottle #1 and  bottle #2) when dispensing multiple bottles so the patient can keep  track of which bottle they opened.<\/li>\n<li>Report adverse events involving Pradaxa to the <a href=\"https:\/\/www.accessdata.fda.gov\/scripts\/medwatch\/medwatch-online.htm\">FDA MedWatch  program<\/a>.<\/li>\n<\/ul>\n<p><em>For more of our coverage on dabigatran, check out the <a href=\"..\/dabigatran-resource-round-up\/\">Dabigatran Resource Round-Up<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The FDA has issued a safety communication regarding dabigatran (Pradaxa). Because the drug is subject to product breakdown and loss of potency due to moisture, the FDA recommends that it should be dispensed and stored in its original packaging and that consumers avoid using pill boxes or pill organizers with it. Pradaxa is supplied as [&hellip;]<\/p>\n","protected":false},"author":196,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[495,13,7],"tags":[339,422,281],"class_list":["post-7269","post","type-post","status-publish","format-standard","hentry","category-anticoagulation-2","category-electrophysiology","category-prevention","tag-dabigatran","tag-pradaxa","tag-safety-warning"],"_links":{"self":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/7269","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/users\/196"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/comments?post=7269"}],"version-history":[{"count":0,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/posts\/7269\/revisions"}],"wp:attachment":[{"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/media?parent=7269"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/categories?post=7269"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.nejm.org\/cardioexchange\/wp-json\/wp\/v2\/tags?post=7269"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}