Zelnorm Approved By FDA (Again) In 2019 – Despite Zelnorm Being Removed From Market In 2007 For Safety Concerns

Concerns About Potential Cardiovascular Safety Signal As Well As Suicidal Ideation And Behavior Were Involved With Zelnorm Recall

 

(Posted by Tom Lamb at DrugInjuryWatch.com)

 

In October 2018 we wrote this article, “Waiting To See Whether FDA Approves Zelnorm In 2018 After Zelnorm Was Withdrawn In 2007 For Safety Reasons”, in which we asked this question:  Despite a possible benefit to some limited patient population, is allowing Zelnorm back on the market really warranted in view of the serious and still-lingering drug safety concerns?

While we had to wait until April 2019 to get the answer, it turned out our FDA thinks the answer should be “Yes”, and so it is.

For some details about Zelnorm being allowed back on the US market 12 years after there was an FDA-mandated Zelnorm recall, we turn to this April 2, 2019 Medscape article, “FDA OKs Reintroduction of Tegaserod (Zelnorm) for IBS-C in Women Under 65”.

[Zelnorm (tegaserod)] for [irritable bowel syndrome with constipation (IBS-C)] has had a checkered past. The drug was first approved by the FDA in 2002 for the short-term treatment of women with IBS-C. It was suspended from the US market in March 2007 due to potential cardiovascular (CV) safety concerns.

In July 2007, the FDA announced that it would allow restricted use of the drug for IBS-C and chronic idiopathic constipation in women younger than 55 years with no history of heart problems.

Last October, following a safety review, the FDA’s Gastrointestinal Drugs Advisory Committee (GIDAC) recommended overwhelmingly (11 yes, 1 no) to recommend reintroducing tegaserod for IBS-C in women without a history of CV ischemic disease and who have no more than one risk factor for CV disease.

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From this April 3, 2019 Healio article, “FDA approves reintroduction of Zelnorm for IBS-C in certain women“, we get this significant point:

Sloan Pharmaceuticals [(the responsible drug company)], a subsidiary of U.S. WorldMeds, acknowledged in [a press release] that there remains an increased risk for cardiac events, including myocardial infarction and stroke, when using [Zelnorm (tegaserod)].

For more background on this recent development, you can read our above-referenced October 2018 article about whether the FDA should allow Zelnorm back on the market and whether this would be a good idea as regards the matter of drug safety.


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4 responses to “Zelnorm Approved By FDA (Again) In 2019 – Despite Zelnorm Being Removed From Market In 2007 For Safety Concerns”

  1. Laura Ellison Avatar
    Laura Ellison

    I took Zelnorm when it first came out, this drug saved my life! I took it for 5 years. It improved my life by 90%. Then came the day when I was told it was no longer available!! I cried and cried. The doctor prescribed Amitiza the only other medication made for IBS w/constipation. This drug not only upsets my stomach every single time I take it, which is 2xs a day, it is so ineffective and costs a fortune. I also have to take 6 stool softeners a day along with 2 stool softeners w/stimulate laxative a day. I still end up on the weekend having to take reg laxatives to finally have a bowel movement. I don’t eat breakfast or lunch, because the bloat I get from eating makes me so miserable all day. Then along comes Linzess, so my doctor says, lets just start with the strongest dosage because of your history. I went 2 weeks without a bowel movement and so much bloat I said no way. My life is non existent since the loss of Zelnorm. I can’t go out and have fun, because I’m always bloated and in pain. My IBS has in a sense crippled me and ruined my life. I feel I exist in a bubble…

  2. Laura Ellison Avatar
    Laura Ellison

    I took Zelnorm when it first came out, this drug saved my life! I took it for 5 years. It improved my life by 90%. Then came the day when I was told it was no longer available!! I cried and cried. The doctor prescribed Amitiza the only other medication made for IBS w/constipation. This drug not only upsets my stomach every single time I take it, which is 2xs a day, it is so ineffective and costs a fortune. I also have to take 6 stool softeners a day along with 2 stool softeners w/stimulate laxative a day. I still end up on the weekend having to take reg laxatives to finally have a bowel movement. I don’t eat breakfast or lunch, because the bloat I get from eating makes me so miserable all day. Then along comes Linzess, so my doctor says, lets just start with the strongest dosage because of your history. I went 2 weeks without a bowel movement and so much bloat I said no way. My life is non existent since the loss of Zelnorm. I can’t go out and have fun, because I’m always bloated and in pain. My IBS has in a sense crippled me and ruined my life. I feel I exist in a bubble…

  3. Kayvem Avatar
    Kayvem

    Dear Laura.
    I’m doing some research right now on drugs and vaccines that have been recalled and came across your comment. Hopefully, you have found help by now, but I felt I had to reply just in case you haven’t.
    I had the same symptoms. Very bloated and constipated.
    Being a pilot, that made it all the worse due to the pressure altitude. I saw a doc who prescribed Zelnorm, which didn’t work and only gave me diarrhea. Luckily, I think, considering the serious side effects with your heart.
    I flew with a gal who is the “anti-gluten-queen.” She convinced me to go gluten-free. Although I had no hope this would work, I was cured within a week.
    Anyway, now I can have gluten once in a while, but try not to do it before going flying. It was such a miracle to me; I had to share. Unfortunately, I have also found that after I turned 50, I’m a bit lactose intolerant too.
    You sound like a much worse case than me, so it might take you longer, but considering your pain, wouldn’t it be worth a try?
    Blessings to you, and I hope you get better.

  4. Kayvem Avatar
    Kayvem

    Dear Laura.
    I’m doing some research right now on drugs and vaccines that have been recalled and came across your comment. Hopefully, you have found help by now, but I felt I had to reply just in case you haven’t.
    I had the same symptoms. Very bloated and constipated.
    Being a pilot, that made it all the worse due to the pressure altitude. I saw a doc who prescribed Zelnorm, which didn’t work and only gave me diarrhea. Luckily, I think, considering the serious side effects with your heart.
    I flew with a gal who is the “anti-gluten-queen.” She convinced me to go gluten-free. Although I had no hope this would work, I was cured within a week.
    Anyway, now I can have gluten once in a while, but try not to do it before going flying. It was such a miracle to me; I had to share. Unfortunately, I have also found that after I turned 50, I’m a bit lactose intolerant too.
    You sound like a much worse case than me, so it might take you longer, but considering your pain, wouldn’t it be worth a try?
    Blessings to you, and I hope you get better.

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