HPRA Drug Safety Newsletter Edition 109

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 The latest edition of the HPRA Drug Safety Newsletter (DSN) includes important updates to support the safe and appropriate use of the following medicines:

- Nurofen Plus (codeine/ibuprofen) - serious clinical harms, including renal tubular acidosis and severe hypokalaemia, following prolonged use of codeine/ibuprofen at higher than recommended doses

- Leuprorelin-containing depot medicines - risk of idiopathic intracranial hypertension (pseudotumor cerebri)

- Pholcodine-containing medicines - review of risk of developing anaphylactic reactions to neuromuscular blocking agents (NMBA)

- Product information updates recommended by the EMA's Pharmacovigilance Risk Assessment Committee (PRAC) for clopidogrel and pegfilgrastim


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