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Post-marketing Safety Measures

The Yellow Letter / Blue Letter

To prevent health hazards associated with the use of drugs, it is important that post-marketing reports of adverse drug reactions be collected and reviewed in order to promptly provide feedback about necessary information to medical institutions.
Under Article 68-10, Paragraph 1 of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960), when the marketing authorization holders of drugs learn that the use of drugs that they have marketed might cause the onset or spread of hazards to public health or hygiene, necessary measures shall be taken, including recall, suspension of sales, and information provision to prevent such hazards.
Based on the above provision, various types of safety information have been provided. Particularly important safety information which requires immediate communication is provided through the Dear Healthcare Professional Letters of Emergent Safety Communications (Yellow Letter) or Dear Healthcare Professional Letters of Rapid Safety Communications (Blue Letter). The Yellow Letter provides emergent and important safety information about drugs. The Blue Letter provides information that does not require emergent communications compared to the Yellow Letter but should be promptly provided to alert healthcare professionals.

 

Copies of letters sent to healthcare professionals
Date Dear Healthcare Professional Letters Relevant case summaries
June 1,
2021
Shock and anaphylaxis by Joyclu 30mg intra-articular injection [85.9 KB]
To patients who receive and their caregivers [441 KB]
Case reports
[109 KB]
May 17,
2019
Serious Interstitial lung disease by Verzenio Tablets 50mg, 100mg, 150mg [311 KB] Case reports
[394 KB]
February 4,
2015
Serious skin disorders suggestively caused by Lamictal (lamotrigine) Tablets [157 KB] Case reports
[124 KB]
October 24,
2014
Sovriad (simeprevir) Capsules 100 mg and hyperbilirubinaemia [199 KB] Case reports
[90.3 KB]
April 21,
2014
Fatal cases with Xeplion (paliperidone) Aqueous Suspension for IM Injection [206 KB] Case reports
[147 KB]
January 17,
2014
Thrombosis with Yaz (drospirenone/ethinylestradiol) Combination Tablets for dysmenorrhea [150 KB] Case reports
[51.5 KB]
May 17,
2013
Careram Tablets 25mg and Kolbet Tablets 25mg (iguratimod) - Risk of severe haemorrhages by a suspected interaction with warfarin [73.1 KB] Case reports
[148 KB]
September 11,
2012
Ranmark (denosumab) - Risk of severe hypocalcaemia, including fatal cases [137 KB] Case reports
[86.1 KB]
August 12,
2011
Warnings and Alerting: Severe haemorrhages in patients treated with an anticoagulant "Prazaxa capsules(dabigatran etexilate)" [97.0 KB]
Blue Letter (only in Japanese) [387 KB]
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