
The death of a multiple sclerosis patient shortly after a first dose of fingolimod (Gilenya) is under review by the FDA, the agency said.
No specific cause of death has been determined in the case, which occurred on Nov. 23, and the FDA emphasized that it had not ascertained that the drug was related to the fatal outcome.
Fingolimod's prescribing information includes a warning about bradycardia and/or atrioventricular conduction block in the first hours after starting the drug. Clinicians are advised to monitor patients for six hours following the first dose.
In the fatal case, the patient was also taking the beta-blocker metoprolol and the calcium channel antagonist amlodipine. These drugs are associated with increased risk for bradycardia and heart blocks, the FDA noted.... Read More - http://www.msrc.co.uk/index.cfm/fuseact ... ageid/1309