tag:www.gov.uk,2005:/drug-safety-update Drug Safety Update about Dispensing GP practices 2026-05-11T14:29:47+01:00 HM Government tag:www.gov.uk,2005:/drug-safety-update/finasteride-and-dutasteride-updated-safety-warnings-for-psychiatric-side-effects-and-sexual-dysfunction 2026-05-11T14:29:47+01:00 Finasteride and Dutasteride – updated safety warnings for psychiatric side effects and sexual dysfunction The MHRA has reviewed the evidence for finasteride and dutasteride and the risk of suicidal thoughts and behaviours and has recommended further measures to minimise this risk. tag:www.gov.uk,2005:/drug-safety-update/nasal-decongestant-sprays-and-drops-containing-xylometazoline-hydrochloride-slash-oxymetazoline-hydrochloride-increased-risk-of-rebound-congestion-rhinitis-medicamentosa-and-tachyphylaxis-with-overuse 2026-04-30T14:01:45+01:00 Nasal decongestant sprays and drops containing xylometazoline hydrochloride / oxymetazoline hydrochloride: increased risk of rebound congestion, rhinitis medicamentosa, and tachyphylaxis with overuse There have been reports of worsening nasal congestion (rebound congestion) when the effects of nasal decongestant sprays or drops containing xylometazoline hydrochloride and oxymetazoline hydrochloride, wear off. tag:www.gov.uk,2005:/drug-safety-update/falsified-mounjaro-kwikpen-15mg-pre-filled-pens 2026-02-24T14:00:08+00:00 Falsified Mounjaro KwikPen 15mg pre-filled pens A falsified version of Mounjaro (tirzepatide) KwikPen 15mg solution for injection has been found supplied through one online pharmacy in the UK. The falsified product is labelled with batch D873576 and applies to Mounjaro Kw… tag:www.gov.uk,2005:/drug-safety-update/isotretinoin-changes-to-prescribing-guidance-and-additional-risk-minimisation-measures 2026-01-22T16:15:32+00:00 Isotretinoin – changes to prescribing guidance and additional risk minimisation measures The Commission on Human Medicines (CHM) has endorsed changes to the risk minimisation measures for isotretinoin, following a review of the impact of the measures implemented in 2023. We ask healthcare professionals to review… tag:www.gov.uk,2005:/drug-safety-update/rybelsus-r-semaglutide-tablets-transition-to-new-formulation-and-risk-of-medication-error 2025-12-17T14:17:47+00:00 Rybelsus ® (semaglutide tablets): transition to new formulation and risk of medication error There is a risk of patient harm arising through medication error during a transition period where the original and new formulation of Rybelsus ® tablets, which have different stated mg doses but are bioequivalent, will both … tag:www.gov.uk,2005:/drug-safety-update/isotretinoin-updates-to-prescribing-guidance-and-survey-of-services 2025-10-27T11:00:14+00:00 Isotretinoin – updates to prescribing guidance and survey of services The Commission on Human Medicines (CHM) has endorsed changes to isotretinoin prescribing guidance. In addition, CHM is seeking further information from dermatology services who prescribe isotretinoin to inform any future cha… tag:www.gov.uk,2005:/drug-safety-update/number-medsafetyweek-3-9-november-2025-a-call-to-action-to-improve-patient-safety 2025-10-23T14:00:13+01:00 #MedSafetyWeek (3-9 November 2025): A call to action to improve patient safety The annual #MedSafetyWeek campaign takes place from 3 to 9 November 2025. This year’s campaign theme is ‘we can all help make medicines safer.’ tag:www.gov.uk,2005:/drug-safety-update/paracetamol-and-pregnancy-reminder-that-taking-paracetamol-during-pregnancy-remains-safe 2025-09-23T17:41:18+01:00 Paracetamol and pregnancy - reminder that taking paracetamol during pregnancy remains safe Patients should be reminded and reassured that there is no evidence that taking paracetamol during pregnancy causes autism in children. Paracetamol is recommended as the first-choice pain reliever for pregnant women, used at… tag:www.gov.uk,2005:/drug-safety-update/fezolinetantv-veoza-risk-of-liver-injury-new-recommendations-to-minimise-risk 2025-04-10T12:00:08+01:00 Fezolinetant▼(Veoza): risk of liver injury; new recommendations to minimise risk Fezolinetant treatment is associated with a risk of drug induced liver injury. New recommendations have been introduced to minimise this risk. Liver function should be monitored before and during treatment in all patients ta… tag:www.gov.uk,2005:/drug-safety-update/bromocriptine-monitor-blood-pressure-when-prescribing-bromocriptine-for-prevention-or-inhibition-of-post-partum-physiological-lactation 2024-10-24T11:00:18+01:00 Bromocriptine: monitor blood pressure when prescribing bromocriptine for prevention or inhibition of post-partum physiological lactation A safety review has been conducted by the MHRA following a Yellow Card report concerning a patient who was taking bromocriptine. The review concluded that blood pressure monitoring of patients prescribed with this drug is es… tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-august-2024 2024-09-26T15:00:38+01:00 Letters and medicine recalls sent to healthcare professionals in August 2024 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-july-2024 2024-08-21T11:00:39+01:00 Letters and medicine recalls sent to healthcare professionals in July 2024 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. tag:www.gov.uk,2005:/drug-safety-update/epimax-ointment-and-epimax-paraffin-free-ointment-reports-of-ocular-surface-toxicity-and-ocular-chemical-injury 2024-07-23T14:01:13+01:00 Epimax Ointment and Epimax Paraffin-Free Ointment: reports of ocular surface toxicity and ocular chemical injury Epimax Ointment and Epimax Paraffin-Free Ointment can harm the eyes if used on the face. Do not prescribe these ointments for use on the face. Tell patients to wash their hands and avoid touching their eyes after using these… tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-june-2024 2024-07-23T14:01:07+01:00 Letters and medicine recalls sent to healthcare professionals in June 2024 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. tag:www.gov.uk,2005:/drug-safety-update/warfarin-be-alert-to-the-risk-of-drug-interactions-with-tramadol 2024-06-20T11:11:09+01:00 Warfarin: be alert to the risk of drug interactions with tramadol Taking warfarin and tramadol together can cause harmful drug interactions, which can raise the International Normalised Ratio (INR), and result in severe bruising and bleeding, which in some patients could be fatal. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-may-2024 2024-06-20T11:11:05+01:00 Letters and medicine recalls sent to healthcare professionals in May 2024 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. tag:www.gov.uk,2005:/drug-safety-update/codeine-linctus-codeine-oral-solutions-reclassification-to-prescription-only-medicine 2024-02-20T11:01:38+00:00 Codeine linctus (codeine oral solutions): reclassification to prescription-only medicine Advice for healthcare professionals on the reclassification of codeine linctus to a prescription-only medicine (POM), following a public consultation. tag:www.gov.uk,2005:/drug-safety-update/pseudoephedrine-very-rare-risk-of-posterior-reversible-encephalopathy-syndrome-pres-and-reversible-cerebral-vasoconstriction-syndrome-rcvs 2024-02-20T11:01:34+00:00 Pseudoephedrine: very rare risk of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) There have been very rare reports of posterior reversible encephalopathy syndrome (PRES) and reversible cerebral vasoconstriction syndrome (RCVS) with pseudoephedrine. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-october-2023 2023-11-23T14:15:26+00:00 Letters and medicine recalls sent to healthcare professionals in October 2023 A summary of recent letters and notifications sent to healthcare professionals about medicines. tag:www.gov.uk,2005:/drug-safety-update/isotretinoin-roaccutanev-introduction-of-new-safety-measures-including-additional-oversight-of-the-initiation-of-treatment-for-patients-under-18-years-of-age 2023-10-31T10:29:28+00:00 Isotretinoin (Roaccutane▼): introduction of new safety measures, including additional oversight of the initiation of treatment for patients under 18 years of age We have strengthened the safe use of isotretinoin through the introduction of additional oversight of the initiation of isotretinoin in patients under 18 years and through improved assessment and monitoring of mental health … tag:www.gov.uk,2005:/drug-safety-update/valproate-dispense-full-packs-of-valproate-containing-medicines 2023-10-31T10:29:15+00:00 Valproate: dispense full packs of valproate-containing medicines Unless there are exceptional circumstances, valproate-containing medicines must always be dispensed in the manufacturer’s original full pack. tag:www.gov.uk,2005:/drug-safety-update/fluoroquinolone-antibiotics-suicidal-thoughts-and-behaviour 2023-09-26T14:30:19+01:00 Fluoroquinolone antibiotics: suicidal thoughts and behaviour Healthcare professionals prescribing fluoroquinolone antibiotics (ciprofloxacin, delafloxacin, levofloxacin, moxifloxacin, ofloxacin) are reminded to be alert to the risk of psychiatric reactions, including depression and ps… tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-august-2023 2023-09-26T14:30:07+01:00 Letters and medicine recalls sent to healthcare professionals in August 2023 A summary of recent letters and notifications sent to healthcare professionals about medicines, and a recent National Patient Safety Alert highlighting the risk of deaths and serious injuries from entrapment or falls relatin… tag:www.gov.uk,2005:/drug-safety-update/fluoroquinolone-antibiotics-reminder-of-the-risk-of-disabling-and-potentially-long-lasting-or-irreversible-side-effects 2023-08-30T10:48:23+01:00 Fluoroquinolone antibiotics: reminder of the risk of disabling and potentially long-lasting or irreversible side effects Healthcare professionals prescribing fluoroquinolone antibiotics (ciprofloxacin, delafloxacin, levofloxacin, moxifloxacin, ofloxacin) are reminded to be alert to the risk of disabling and potentially long-lasting or irrevers… tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-july-2023 2023-08-30T10:31:08+01:00 Letters and medicine recalls sent to healthcare professionals in July 2023 A summary of recent letters and notifications sent to healthcare professionals about medicines. tag:www.gov.uk,2005:/drug-safety-update/hyoscine-hydrobromide-patches-scopoderm-1-dot-5mg-patch-or-scopoderm-tts-patch-risk-of-anticholinergic-side-effects-including-hyperthermia 2023-07-24T13:59:33+01:00 Hyoscine hydrobromide patches (Scopoderm 1.5mg Patch or Scopoderm TTS Patch): risk of anticholinergic side effects, including hyperthermia There have been a small number of reports of serious and life-threatening anticholinergic side effects associated with hyoscine hydrobromide patches, particularly when used outside the licence. Healthcare professionals, pati… tag:www.gov.uk,2005:/drug-safety-update/codeine-linctus-public-consultation-on-the-proposal-to-reclassify-to-a-prescription-only-medicine 2023-07-24T13:59:27+01:00 Codeine linctus: public consultation on the proposal to reclassify to a prescription-only medicine We have launched a public consultation on the proposal to reclassify codeine linctus to a prescription-only medicine. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-may-2023 2023-06-27T13:34:54+01:00 Letters and medicine recalls sent to healthcare professionals in May 2023 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices and details of two recent MHRA National Patient Safety Alerts to remove from service Philips Health Systems V… tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-april-2023 2023-05-25T10:53:17+01:00 Letters and medicine recalls sent to healthcare professionals in April 2023 Recent MHRA National Patient Safety Alerts to remove from service Philips Health Systems V60 and V60 Plus ventilators and to recall Emerade adrenaline auto-injectors from patients, pharmacies and wholesalers. We also provide… tag:www.gov.uk,2005:/drug-safety-update/pholcodine-containing-cough-and-cold-medicines-withdrawal-from-uk-market-as-a-precautionary-measure 2023-03-23T14:55:48+00:00 Pholcodine-containing cough and cold medicines: withdrawal from UK market as a precautionary measure Advice for healthcare professionals regarding the withdrawal of pholcodine-containing medicines from the market. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-december-2022 2023-01-25T13:24:51+00:00 Letters and medicine recalls sent to healthcare professionals in December 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-october-2022 2022-11-29T14:00:08+00:00 Letters and medicine recalls sent to healthcare professionals in October 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-september-2022 2022-10-25T14:43:16+01:00 Letters and medicine recalls sent to healthcare professionals in September 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-august-2022 2022-09-26T16:19:15+01:00 Letters and medicine recalls sent to healthcare professionals in August 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines tag:www.gov.uk,2005:/drug-safety-update/covid-19-vaccines-and-medicines-updates-for-august-2022 2022-08-23T11:05:50+01:00 COVID-19 vaccines and medicines: updates for August 2022 Recent information relating to COVID-19 vaccines and medicines that has been published since the July 2022 issue of Drug Safety Update, up to 19 August 2022. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-july-2022 2022-08-23T11:04:18+01:00 Letters and medicine recalls sent to healthcare professionals in July 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines, and a patient safety alert on mexiletine hydrochloride. tag:www.gov.uk,2005:/drug-safety-update/covid-19-vaccines-and-medicines-updates-for-july-2022 2022-07-21T11:03:46+01:00 COVID-19 vaccines and medicines: updates for July 2022 Recent information relating to COVID-19 vaccines and medicines that has been published since the June 2022 issue of Drug Safety Update, up to 20 July 2022. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-june-2022 2022-07-21T11:03:37+01:00 Letters and medicine recalls sent to healthcare professionals in June 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines. tag:www.gov.uk,2005:/drug-safety-update/metformin-and-reduced-vitamin-b12-levels-new-advice-for-monitoring-patients-at-risk 2022-06-20T16:39:03+01:00 Metformin and reduced vitamin B12 levels: new advice for monitoring patients at risk Decreased vitamin B12 levels, or vitamin B12 deficiency, is now considered to be a common side effect in patients on metformin treatment, especially in those receiving a higher dose or longer treatment duration and in those … tag:www.gov.uk,2005:/drug-safety-update/roche-accu-chek-insight-insulin-pump-with-novorapid-pumpcart-insulin-cartridges-alert-following-cases-of-insulin-leakage 2022-06-20T16:38:53+01:00 Roche Accu-Chek Insight insulin pump with NovoRapid PumpCart insulin cartridges: alert following cases of insulin leakage We have issued a National Patient Safety Alert following serious reports of harm associated with insulin leakage during use of the Accu-Chek Insight Insulin pump with NovoRapid PumpCart prefilled insulin cartridges. Patients… tag:www.gov.uk,2005:/drug-safety-update/covid-19-vaccines-and-medicines-updates-for-june-2022 2022-06-20T16:38:40+01:00 COVID-19 vaccines and medicines: updates for June 2022 Recent information relating to COVID-19 vaccines and medicines that has been published since the May 2022 issue of Drug Safety Update, up to 17 June 2022. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-may-2022 2022-06-20T16:38:29+01:00 Letters and medicine recalls sent to healthcare professionals in May 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices tag:www.gov.uk,2005:/drug-safety-update/denosumab-60mg-prolia-should-not-be-used-in-patients-under-18-years-due-to-the-risk-of-serious-hypercalcaemia 2022-05-17T13:11:57+01:00 Denosumab 60mg (Prolia): should not be used in patients under 18 years due to the risk of serious hypercalcaemia Serious and life-threatening hypercalcaemia has been reported with denosumab 60mg (Prolia) in children and adolescents in clinical trials for osteogenesis imperfecta and during off-label use. Denosumab 60mg (Prolia) is autho… tag:www.gov.uk,2005:/drug-safety-update/covid-19-vaccines-and-medicines-updates-for-may-2022 2022-05-17T13:11:47+01:00 COVID-19 vaccines and medicines: updates for May 2022 Recent information relating to COVID-19 vaccines and medicines that has been published since the April 2022 issue of Drug Safety Update, up to 13 May 2022. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-april-2022 2022-05-17T13:11:33+01:00 Letters and medicine recalls sent to healthcare professionals in April 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. Includes a recent recall of Accupro (quinapril hydrochloride) and advice on Xagrid (anagrelide hydrochloride… tag:www.gov.uk,2005:/drug-safety-update/pregabalin-lyrica-findings-of-safety-study-on-risks-during-pregnancy 2022-04-19T14:27:52+01:00 Pregabalin (Lyrica): findings of safety study on risks during pregnancy A new study has suggested pregabalin may slightly increase the risk of major congenital malformations if used in pregnancy. Patients should continue to use effective contraception during treatment and avoid use in pregnancy … tag:www.gov.uk,2005:/drug-safety-update/covid-19-vaccines-and-medicines-updates-for-april-2022 2022-04-19T14:27:39+01:00 COVID-19 vaccines and medicines: updates for April 2022 Recent information relating to COVID-19 vaccines and medicines that has been published since the March 2022 issue of Drug Safety Update, up to 14 April 2022. tag:www.gov.uk,2005:/drug-safety-update/letters-and-medicine-recalls-sent-to-healthcare-professionals-in-march-2022 2022-04-19T14:27:17+01:00 Letters and medicine recalls sent to healthcare professionals in March 2022 A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices. Includes a recent recall of Accuretic (quinapril hydrochloride and hydrochlorothiazide). tag:www.gov.uk,2005:/drug-safety-update/amiodarone-cordarone-x-reminder-of-risks-of-treatment-and-need-for-patient-monitoring-and-supervision 2022-03-15T14:31:03+00:00 Amiodarone (Cordarone X): reminder of risks of treatment and need for patient monitoring and supervision Amiodarone has been associated with serious and potentially life-threatening side effects, particularly of the lung, liver, and thyroid gland. We remind healthcare professionals that patients should be supervised and reviewe… tag:www.gov.uk,2005:/drug-safety-update/metformin-in-pregnancy-study-shows-no-safety-concerns 2022-03-15T14:30:51+00:00 Metformin in pregnancy: study shows no safety concerns A large study has shown no safety issues of concern relating to the use of metformin during pregnancy. The licence for metformin now reflects that it can be considered for use during pregnancy and the periconceptional phase …