Mellaril
Mellaril is an antipsychotic drug manufactured by Novartis
Pharmaceuticals for the management of schizophrenic patients failing
to adequately respond to treatment using alternate antipsychotic drugs.
On July 7, 2000, doctors and pharmacists were alerted of the Mellaril
safety warnings that was being added to Mellaril labeling and package
inserts. The new Mellaril warnings were included in extensive safety
warnings, which was found in a boxed warning, the professional product
labeling, and package insert of Mellaril.
The Mellaril boxed warning was to appear at the top of the Mellaril
labeling to better caution QTc interval prolongation that will sometimes
lead to a heart rhythm disturbance or cardiac arrhythmia (torsade de
pointes), and sudden death. The addition of the Mellaril boxed warning
was a result of the findings based mainly on the FDA’s review
of three published studies. One Mellaril study was published in the
1991 journal Clinical Pharmacology and Therapeutics, the second study
was published in 1996 also in the Clinical Pharmacology and Therapeutics,
and the third study was published in the 1999 Journal of Clinical Psychopharmacology.
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