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According to a “Dear Healhcare Professional" issued by
Pfizer on Monday the pharmaceutical company warned about the presence of an
impurity in its AIDS drug Viracept.
Viracept, which is produced in Europe
by Roche Holding AG and in US by Pfizer, is a protease inhibitor which is
used in conjunction with other antiretroviral agents to fight HIV virus.
Pfizer said it has been discovered that a potential human
carcinogen, ethyl methanesulfonate (EMS), had
been introduced during the production process into Viracept. Viracept comes in
tablets (625 mg or 250 mg) and an oral powder.
The U.S. Food and Drug Administration warned in a notice
posted on its website that there are studies that proves the teratogenic,
mutagenic and carcinogenic effect of EMS on
animals, but no data are available for humans.
FDA and Pfizer said that despite the presence of EMS the drug
is safe for being used in HIV treatment, but the healthcare professional should
not prescribe Viracept to pregnant women and children who are starting HIV
therapy until further notice.
The pediatric patients who already received Viracept and are
stable may continue their treatment. According to Pfizer’s letter, as a
precautionary measure, pregnant women currently receiving Viracept should be
switched to an alternative antiretroviral therapy while the company and FDA
work to implement the long term EMS
specification for Viracept.
In June, the European Medicines Agency had issued a
recall of Viracept because of the same issue.
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