FDA: Tequin Was Withdrawn From U.S. Market “For Reasons Of Safety Or Effectiveness”

Recall That Bristol-Myers Had Said Decline In Sales Was Reason For Its Decision To Stop Selling Tequin

(Posted by Tom Lamb at DrugInjuryWatch.com)

On September 2, 2008 the FDA issued a Notice entitled "Determination That TEQUIN (Gatifloxacin) Was Withdrawn From Sale for Reasons of Safety or Effectiveness" which provides (and confirms) the real reason that Bristol-Myers Squibb Co. (BMY) decided to pull Tequin from the U.S. market in the spring of 2006:

SUMMARY: The Food and Drug Administration (FDA) has determined that TEQUIN (gatifloxacin) Tablets, Injection, and Oral Suspension, were withdrawn from sale for reasons of safety or effectiveness. This determination means that FDA will not accept or approve abbreviated new drug applications (ANDAs) for gatifloxacin oral tablets, injection, or oral suspension that refer to any previously approved dosage forms and strengths of TEQUIN (gatifloxacin).

As you may recall, in April 2006 when the news first broke that Bristol-Myers had decided to stop selling Tequin — an antibiotic which was increasingly associated with potentially fatal blood-sugar problems — the drug company said a continuing decline in Tequin sales was its reason for deciding to stop selling Tequin.

In turn, on May 1, 2006 the consumer advocacy group Public Citizen submitted a petition asking the FDA to ban Tequin in order to have this unsafe drug removed from pharmacy shelves immediately, as opposed to the gradual withdrawal announced by Bristol-Myers.

Now, more than two years after the Public Citizen petition about Tequin was submitted, we have the FDA's final word on the real reason that Tequin was taken off the market:

After considering the citizen petition and reviewing agency records concerning the drug product, analyses of AERS reports, and relevant literature, FDA has determined under Sec.  314.161 that TEQUIN was withdrawn from sale for reasons of safety or effectiveness.

This FDA determination seems to confirm earlier suspicions that, by going the course of a gradual withdrawal as opposed to a Tequin recall, BMS — as it did with the now withdrawn anti-depressant Serzone — was trying not to draw any additional attention to (or "hide" one might say) Tequin's safety problems. 

So much for candor from Big Pharma.

P.S.  For an in-depth review of various other issues concerning Tequin, you should read Armand Rossetti's September 11, 2008 post "The Tequin Mystery".  (9/11/08) 

11 responses to “FDA: Tequin Was Withdrawn From U.S. Market “For Reasons Of Safety Or Effectiveness””

  1. Faye Helms Avatar
    Faye Helms

    When I tell physicians that I cannot take Tequin, I have been met with surprise. I was prescribed it prior to 2006 and experienced rapid heartbeat and had to “crawl” to the sofa to lie down. After several minutes I felt somewhat normal. Not knowing if it was the Tequin, I decided to take a second dose the next day and had simiar feeling. Called physician and was taken off medication but was never given explanation as to what my body experience.

  2. Boyseboy Avatar
    Boyseboy

    Was prescribed tequin several years ago, and thankfully it worked quite well

  3. amy M Avatar
    amy M

    Same reaction in 2002, pharmacist and doc both basically said I was nuts! Many other side effects and complications have happened in the last 14 years- fluoroquinolone toxicity!

  4. Tanya Avatar
    Tanya

    I’m curious what side effects and complications you are experiencing. I too was given tequin for a major spider bite/skin infection. And have had many medical problems in the years following til present

  5. PM Avatar
    PM

    When I took Tequin many years ago I broke out in hives within 15 minutes of taking it. I grabbed some benedryl and threw the medicine away. Called the doctor the next day informing him of the problem and got something else. I don’t tolerate a doctor or a pharmacist telling me there is no possible way to be allergic to the medicine. There always is a small percentage of people taking the drug that may have a reaction. The other problem is the ‘drug ads’ always tell you ‘don’t take this medicine if you are allergic to it’. Trying to find out what is in the drug that you may be allergic to is virtually impossible.

  6. Suzy E Avatar
    Suzy E

    I took tequila a lot for sinusitis in about 2003-2004 consequently in 2004 I had a severe reaction after taking it while on vacation. Hives, trouble breathing, had gotten severe 2nd degree burns from sun exposure and experienced tachycardia. By 2005 I needed a cardiac ablation. I had a PSVT that was now uncontrollable yet prior to that I had been on toprol quite effectively for over a decade. I bet this drug didn’t help.

  7. bltrop@yahoo.com Avatar
    bltrop@yahoo.com

    I just came across an old bottle of Tequin pills in my medicine cabinet and decided to look it up. Was surprised to read it had been discontinued for safety issues. I was prescribed it back in 2001 and saw I had written on the label that I experienced a “Cardiac Allergy.” Scary stuff. Glad it’s no longer available.

  8. Miriam Weems Avatar
    Miriam Weems

    As a T1Diabetic of 47 years, I was given Tequin
    and Cipro as well as Ciproflaxcin thirteen years
    ago, in 2004, after contracting MRSA in the hospital
    after surgery.
    My life, as I once knew it, has been taken away from me.
    The side effects have been devastating.
    I am in chronic pain on a daily basis (joints and tendons)
    Head is in a fog, chronic fatigue and pulse pounding in ears.
    My Diabetes is uncontrollable.,
    I am no longer able to tell if my blood sugars are high or low.
    I also have lost all sensation on the outside of my body.
    These are just a few of the symptoms.
    I believe Fluoroquinolones should absolutely be used as a last resort.

  9. Susan Avatar
    Susan

    My husband was prescribed Tequin for a sinus infection. Two days in, he went to bed one night and I woke up to screams of pain coming from the bathroom. He was doubled over in pain and couldn’t get off of the toilet. I called the all night pharmacy to ask if it could be tied to Tequin I was assured that it could not. Finally around 4:00 AM, we loaded up and headed to the hospital ER. Before he could even get registered he rushed to the bathroom there. He was given something to sleep.(???) As the nurses were hooking up fluids, they asked me if he had taken anything different. When I mentioned Tequin, they both stopped and exchanged looks with each other. I know it only lasted a moment, but it was as if time stood still. I knew by that exchange of looks that they knew something about Tequin that I didn’t. He was in the hospital for 4 days!! They ran every test possible and never came up with a reason. But I already knew. We had minimal insurance at that time and it took several years to pay off that bill. To this day we will never take anything from that class of drugs or its spin offs. We also examine every rx given to us. We trust nothing!

  10. Cathy Dornbush Avatar
    Cathy Dornbush

    I took Tequin in 2004 for a possible sinus infection . With in 10 minutes I was throwing up and had diarrhea at the same time. For 4 days after I experienced heart palpitations nausea. Had complete heart work up but could not explain other than a reaction to the drug for my symptoms:(

  11. Cyrene Avatar
    Cyrene

    In 2003 I had a sinus infection and was prescribed Tequin. After dinner that night I took the first tablet. A half hour later I began feeling ill. I’m diabetic, so I checked my blood sugar level. I had low sugar (60). I ate some ice cream. A few minutes later, I was worse. Checked my blood again and it was 56. I felt like I was blacking out. My sister drove me to the hospital and had me eat a candy bar on the way. Thankfully, I was treated immediately, but it took the doctors a few hours and a lot of juice, pudding, and a sandwich to get me somewhat stable. After eating each item, my blood would rise to upper 50s, but then plummet back to 49 a few minutes later. After the last food item, I finally seemed to be stable. 15 minutes later, I crashed again and was able to yell for help before passing out. The docs came running with a huge syringe of liquid sugar and shot it into an IV tube they had wisely inserted into my arm earlier. The doctors and nurses that treated me saved my life! I was able to go home a few hours later. If I had not gone to the emergency room that night, I would have died! I made sure the hospital knew that I had taken Tequin. I also reported my experience to my doctor.

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