The Food and Drug Administration (FDA) announced that a "black box"
warning, highlighting prolonged use may result in the loss of bone density,
will be added to the labeling of Depo-Provera Contraceptive Injection, an established
injectable drug approved for use in women to prevent pregnancy.
Although Depo-Provera Contraceptive Injection has been used for decades for
birth control throughout the world and remains a safe and effective contraceptive,
FDA and Pfizer, the drug's manufacturer, are taking this action to ensure that
physicians and patients have access to this important information.
The black box warning for Depo-Provera highlights that prolonged use of the
drug may result in significant loss of bone density, and that the loss is greater
the longer the drug is administered. This bone density loss may not be completely
reversible after discontinuation of the drug. Thus the warning states that a
woman should only use Depo-Provera Contraceptive Injection as a long-term birth
control method (for example, longer than two years) if other birth-control methods
are inadequate for her.
Black box warnings are designed to highlight special problems, particularly
those that are serious, and to give health care professionals a clear understanding
of a potential medical complication associated with a drug. Black box warnings
provide physicians with important insights as to how to prescribe a drug that
may be associated with serious side effects in a way that maximizes its benefits
and minimizes its risks. The addition of the black box warning came as a result
of the drug manufacturer's and FDA's analysis of data that clarified the drug's
long-term effects on bone density.
In addition to the black box warning on the labeling, the drug's manufacturer
will issue a "Dear Health Care Practitioner" letter regarding the
effect of long-term treatment on bone mineral density to doctors likely to prescribe
the drug, and will incorporate the new information in the patient information
sheet distributed with the drug.
In July 2005 HealthCanada and Pfizer issued an advisory stating that results
of a new clinical trial showed Depo-Provera users may suffer irreversible loss
of bone density after using the medication. The bone loss may also occur after
two years of using the drug.
If you or someone you love has been affected by Depo Provera, it may be important
to contact an attorney who can help you protect your legal rights. Please contact
our service today in order to get in touch with experienced attorneys who are
familiar with the Depo Provera Warning.
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