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Post-marketing Safety Measures

PMDA Risk Communications (drug risk information of ongoing evaluation)

This webpage provides drug risk information which has come under review by the PMDA and the Ministry of Health, Labour and Welfare (MHLW). Information provided here is as follows:

  1. Risk information suggested by a certain amount of accumulated information of adverse drug reactions (ADR) reports or Early Post-marketing Phase Vigilance (EPPV)
    Safety measures such as revision of PRECAUTIONS in the package insert of the product might be taken after the ongoing review.
    When evaluations are completed, the information in the table below will be deleted. You will find the results of evaluation on the “Revisions of PRECAUTIONS” webpage.
  2. Risk information which has attracted the attention of foreign regulatory agencies or academic societies based on studies published in scientific journals, etc., for which the PMDA and MHLW have started their evaluation since the risk information is related to drugs marketed in Japan
    Information provided here is still under review. If you are taking the following drugs, you should NOT stop taking them or reduce the dosage without consulting a physician. Consult your healthcare professionals if you have any questions or concerns about these drugs.

 

  1. Risk informationnote) for which some safety measures might be taken

​Note) This English version of risk information is intended to be a reference material to provide convenience for users. In the event of inconsistency between the Japanese original and this English translation, the former shall prevail. The PMDA shall not be responsible for any consequences resulting from the use of this English version.

Posted Date Nonproprietary Name Risk Information of Ongoing Evaluation Related Information Investigation Results
July 26, 2024 Purified pineapple stem juice Application site haemorrhage
Alacepril
Imidapril hydrochloride
Captopril
Delapril hydrochloride
Perindopril erbumine
Hepatic impairment
Azelnidipine
Olmesartan medoxomil/
azelnidipine
Posaconazole
Fosravuconazole 
L-lysine ethanolate
Precautions for concomitant use of preparations containing azelnidipine with posaconazole or fosravuconazole
L-lysine ethanolate
Pemafibrate Hepatic impairment, jaundice
Mirogabalin besilate Renal impairment
Preparations containing sulfamethoxazole sodium (OTC antibacterial ophthalmic solution)
Preparations containing sulfamethoxazole (OTC antibacterial ophthalmic solution)
Shock (anaphylaxis)
Iodixanol Acute generalised exanthematous pustulosis
Sodium valproate Precautions for neurodevelopmental disorder in infants/children with paternal exposure to sodium valproate
Aspirin
Ampiroxicam
Ibuprofen
Esflurbiprofen and mentha oil
Etodolac
Ketoprofen
Celecoxib
Nabumetone
Naproxen
Piroxicam
Bucolome
Flurbiprofen
Flurbiprofen axetil
Mefenamic acid
Loxoprofen sodium hydrate
Lornoxicam
Ethenzamide
Sodium salicylate/
dibucaine hydrochloride/
calcium bromide
Zaltoprofen
Sulpyrine hydrate
Salicylamide/acetaminophen/
anhydrous caffeine/
chlorpheniramine maleate
Salicylamide/acetaminophen/
anhydrous caffeine/
promethazine
methylenedisalicylate
Isopropylantipyrin/
acetaminophen/
allylisopropylacetylurea/
anhydrous caffeine
Flufenamate aluminum
Ibuprofen piconol
Indometacin (dermatologic preparation)
Diclofenac etalhyaluronate sodium
Diclofenac sodium (dermatologic preparation)
Salicylic acid
Methyl salicylate
Methyl salicylate and glycyrrhetinic acid combination drug
Salicylic acid adhesive plaster
Suprofen
Methyl salicylate/
dl-camphor/capsicum extract
Methyl salicylate/
dl-camphor/l-menthol
Glycol salicylate/l-menthol 
Felbinac
Suprarenal extract/
heparinoid/salicylic acid
Aspirin/dialuminate
Aspirin/
vonoprazan fumarate
Aspirin/lansoprazole
Clopidogrel sulfate/
aspirin 
Constriction of the foetal ductus arteriosus
December 26,
2013
Recombinant absorbed bivalent human papillomavirus-like particle vaccine

Recombinant adsorbed quadrivalent human papillomavirus virus-like particle vaccine
Symptoms related to pain Summary of the Report on the Surveillance Results of HPV Vaccines [40.4 KB]

 

  1. Risk information which has attracted the attention of foreign regulatory agencies or academic societies, for which the PMDA and MHLW have started their evaluation
Posted Date Nonproprietary Name Risk Information of Ongoing Evaluation Related Information Investigation Results
November 30,
2011
Bevacizumab (genetical recombination) Japan's view on Avastin (bevacizumab) for breast cancer indication [54.3 KB] Press Announcement from the FDA

Review report of AVASTIN 100mg/4mL Intravenous Infusion and AVASTIN 400mg/16mL Intravenous Infusion on July 14, 2011 (only in Japanese) [1,708 KB]