US FDA to add details of psychiatric side effects to ADHD drug labels
   Last Updated: 29-June-2005  06.30   Related News

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LONDON (AFX) - The US Food and Drug Administration said it plans to add information about possible psychiatric side effects to the labels of a drug category that includes Johnson & Johnson's Concerta and Novartis AG's Ritalin, which are widely used treatments for attention deficit hyperactivity disorder (ADHD), the Wall Street Journal Online reported.

The FDA will investigate other ADHD medicines for similar problems.

In a document posted yesterday on its website, the FDA said it has received reports of patients experiencing psychiatric events such as hallucinations, suicidal thoughts and psychotic behaviour as well as aggression and violent actions while using forms of methylphenidate, which is the generic name for Ritalin.

Concerta is a long-acting form of methylphenidate. Ritalin is widely prescribed as a generic, the report said.

The FDA said it "intends to make labeling changes describing these events," and asked its pediatric advisory committee for comments.

However, the agency's approach likely signals that it doesn't see the label change as an urgent safety issue, the report said.

The statement doesn't say the FDA has confirmed any causal link between such reports and the drugs, or that the descriptions will necessarily go in the warnings section of the drugs' labels.

An FDA spokeswoman said the FDA doesn't plan to change the labeling on the methylphenidate drugs until it has evaluated competing products such as amphetamines -- a group that includes Shire Pharmaceuticals Group PLC's Adderall.

The FDA statement said it hopes to bring to the committee a review of events associated with these products in early 2006, which would seem to indicate that the label change won't be until then.

Shire Pharmaceuticals didn't respond to calls requesting comment on Adderall. A Novartis spokeswoman said the company hadn't yet reviewed the FDA information and declined to comment.