New prescribing advice for Protelos

A review into the safety of strontium ranelate (Protelos) with regard to venous thromboembolism (VTE) and serious skin reactions has been completed by the EMA.

Osteoporosis is caused by an imbalance between bone resorption (shown here) and bone formation | SCIENCE PHOTO LIBRARY
Osteoporosis is caused by an imbalance between bone resorption (shown here) and bone formation | SCIENCE PHOTO LIBRARY

The agency has recommended that the postmenopausal osteoporosis treatment not be prescribed to patients with VTE or a history of VTE, or to patients who are temporarily or permanently immobilised. Since the risk of VTE is also increased in the elderly, prescribers should re-evaluate the need for continued treatment with strontium ranelate in patients over 80 years of age.

Patients must stop treatment immediately if a severe allergic reaction occurs, such as skin rash, and treatment should not be reinitiated.

Patients should be made aware of the timings and symptoms of potential serious skin reactions to strontium ranelate, including Stevens-Johnson syndrome (SJS), toxic epidermal necrolysis (TEN) and drug rash with eosinophilia and systemic symptoms (DRESS). The risk of SJS and TEN is highest within the first few weeks of treatment; DRESS occurs most commonly after around 3–6 weeks of treatment.

View Protelos drug record

Further information: Servier Laboratories Ltd

Want news like this straight to your inbox?
Sign up for our bulletins

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register
Already registered?
Sign in

More from MIMS

New products - live tracker

New products - live tracker

EXCLUSIVE TO SUBSCRIBERS See the latest products added...

Drug price changes - live tracker

Drug price changes - live tracker

EXCLUSIVE TO SUBSCRIBERS Use our constantly updated...

Direct-acting oral anticoagulants set for wider use under NHS deal

Direct-acting oral anticoagulants set for wider use under NHS deal

More than half a million more people will be able to...

NICE recommends SGLT2 inhibitors for chronic kidney disease

NICE recommends SGLT2 inhibitors for chronic kidney disease

Updated NICE guidance on type II diabetes recommends...