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Injured by Adderall?
The FDA awarded Shire Pharmaceuticals approval for Adderall on November 8, 2002. Adderall is used by approximately 700,000 Americans and is one of the most popular drugs for people with attention deficit hyperactivity disorder. Adderall contains amphetamine and dextroamphetamine, which are both stimulants. Shire Pharmaceuticals Group PLC sold $759 million of Adderall XR in the U.S. and roughly $10 million in Canada in 2004.
Adderall is approved in the United States for the treatment of adults and pediatric patients 6 years of age and older with ADHD, and Adderall, the immediate-release formulation of the drug, is approved for pediatric patients with ADHD. The Food and Drug Administration (FDA) has been aware of these post-marketing cases, and evaluated the risk of sudden death with Adderall prior to approving the drug for treatment of ADHD in adults last year.
On February 9, 2005, Health Canada, the Canadian drug regulatory agency, suspended sales of Adderall in Canada. Adderall is a controlled release amphetamine used to treat patients with Attention Deficit Hyperactivity Disorder (ADHD). The Canadian action was based on U.S. post-marketing reports of sudden deaths in pediatric patients.
In a one-page letter to Adderall's manufacturer, Health Canada, the Canadian regulatory agency, said the "identified risk of sudden death following the recommended doses cannot be managed by label changes." The company said there have been 20 reports of sudden deaths on Adderall's extended release and a prior formulation of the medicine since 1994, when the drug first came on the market.
In a news release, Health Canada said, "the incidence of serious adverse reactions leading to death was higher in" the extended release and earlier formulations of Adderall, when added together, than in other drugs in the same class. Of the 20 deaths reported in patients taking Adderall, 12 were from strokes, and two were in children, Health Canada said.
The FDA is continuing to evaluate these and other post-marketing reports of serious adverse events in children, adolescents, and adults being treated with Adderall and related products.
In August 2005, Health Canada allowed Shire Pharmaceuticals to begin selling Adderall again.
On January 3, 2006, the Food and Drug Administration asked its standing committee of risk-management advisers to review reports of heart-related complications in children and adults using attention deficit disorder drugs. U.S. and Canadian regulators have been looking in the past few years at the probable heart risk of attention-deficit drugs, which are stimulants used to improve concentration.
The three main ADHD drugs that will be reviewed at the February 9, 2006 FDA review meeting include Adderall, Concerta, and Strattera.
On February 9, 2006, Federal science advisers voted narrowly on proposing the most serious type of warning labels for Adderall, Concerta, Ritalin and all other ADHD drugs. The Food & Drug Administration (FDA) Committee voted 8-7, recommending the adding of “black box” safety warnings to ADHD drugs. Doctors prescribe ADHD drugs to approximately 2 million children and 1 million adults a month.
The FDA’s data suggested a link between ADHD drugs and an increased risk of sudden death and serious cardiovascular problems, including heart attacks. Dr. Steve Nissen told his colleagues they should push for the black box warning on the ADHD drugs' packages. A federal health official said Thursday that there was a strong possibility the drugs may be linked to the deaths of 25 people.
The deaths took place between 1999 and 2003, based upon a FDA report. Nineteen of them involved children. The report also detailed 54 cases of severe cardiovascular problems, including heart attack, stroke, hypertension, palpitations and arrhythmia, in adults and children being treated with ADHD drugs.
Sales of Adderall, Concerta, Ritalin and other ADHD drugs increased to $3.1 billion in 2004, from $759 million in 2000, according to IMS Health, a pharmaceutical information and consulting firm.
If you or a loved one took Adderall and suffered side effects, please fill out the form at the right for a free case evaluation by a qualified drug side effects attorney.
Screen for Kids for Heart Problems Before Prescribing ADHD Drugs, Heart Group Says
Apr 22, 2008 | Parker Waichman Alonso LLP
ADHD Stimulant Drugs Tied to ER Visits for Heart Symptoms
Dec 11, 2007 | Parker Waichman Alonso LLP
ADHD drugmakers must tell of risks
Feb 23, 2007 | SOUTH FLORIDA SUN-SENTINEL
Government wants further ADHD drug warnings
Feb 22, 2007 | Baltimore Sun
ADHD drug makers to warn of side effects
Feb 21, 2007 | AP
Quick Facts
Amphetamine
Dextroamphetamine
Date Approved
November 8, 2002
Manufacturer
Shire Pharmaceuticals
Status
2/9/06 Black box warning
Approved Uses
ADHD
ADD
Off Label Uses
Dieting
Serious Side Effects
Sudden deaths
Heart-related deaths
Strokes
Psychosis
Related Topics
Concerta
Cylert
Metadate
Methylin
Ritalin
Strattera
Heart Attack
Stroke
Defective Drugs
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