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Veramyst (Fluticasone Furoate Nasal) - Side Effects and Adverse Reactions

 
 



ADVERSE REACTIONS

Systemic and local corticosteroid use may result in the following:

•Epistaxis, ulcerations,

Candida albicans

infection, impaired wound healing, and nasal septal perforation

[see Warnings and Precautions ]

•Cataracts and glaucoma

[see Warnings and Precautions]

•Immunosuppression

[see Warnings and Precautions ]

•Hypothalamic-pituitary-adrenal (HPA) axis effects, including growth reduction

[see Warnings and Precautions (5.5), Use in Specific Populations]

 

The safety data described below reflect exposure to VERAMYST Nasal Spray in 1,563 patients with seasonal or perennial allergic rhinitis in 9 controlled clinical trials of 2 to 12 weeks’ duration. The data from adults and adolescents are based upon 6 clinical trials in which 768 patients with seasonal or perennial allergic rhinitis (473 females and 295 males aged 12 years and older) were treated with VERAMYST Nasal Spray 110 mcg once daily for 2 to 6 weeks. The racial distribution of adult and adolescent patients receiving VERAMYST Nasal Spray was 82% white, 5% black, and 13% other. The data from pediatric patients are based upon 3 clinical trials in which 795 children with seasonal or perennial rhinitis (352 females and 443 males aged 2 to 11 years) were treated with VERAMYST Nasal Spray 55 or 110 mcg once daily for 2 to 12 weeks. The racial distribution of pediatric patients receiving VERAMYST Nasal Spray was 75% white, 11% black, and 14% other.

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared with rates in the clinical trials of another drug and may not reflect the rates observed in practice.

Adults and Adolescents Aged 12 Years and Older: Overall adverse reactions were reported with approximately the same frequency by patients treated with VERAMYST Nasal Spray and those receiving placebo. Less than 3% of patients in clinical trials discontinued treatment because of adverse reactions. The rate of withdrawal among patients receiving VERAMYST Nasal Spray was similar or lower than the rate among patients receiving placebo.

Table 1 displays the common adverse reactions (>1% in any patient group receiving VERAMYST Nasal Spray) that occurred more frequently in patients aged 12 years and older treated with VERAMYST Nasal Spray compared with placebo-treated patients.

Table 1. Adverse Reactions With >1% Incidence in Controlled Clinical Trials of 2 to 6 Weeks’ Duration With VERAMYST Nasal Spray in Adult and Adolescent Patients With Seasonal or Perennial Allergic Rhinitis

Adverse Event

Adult and Adolescent Patients

Aged 12 Years and Older

Vehicle Placebo

(n = 774)

VERAMYST Nasal Spray

110 mcg Once Daily

(n = 768)

Headache

54 (7%)

72 (9%)

Epistaxis

32 (4%)

45 (6%)

Pharyngolaryngeal pain

8 (1%)

15 (2%)

Nasal ulceration

3 (<1%)

11 (1%)

Back pain

7 (<1%)

9 (1%)

There were no differences in the incidence of adverse reactions based on gender or race. Clinical trials did not include sufficient numbers of patients aged 65 years and older to determine whether they respond differently from younger subjects.

Pediatric Patients Aged 2 to 11 Years: In the 3 clinical trials in pediatric patients aged 2 to <12 years, overall adverse reactions were reported with approximately the same frequency by patients treated with VERAMYST Nasal Spray and those receiving placebo. Table 2 displays the common adverse reactions (>3% in any patient group receiving VERAMYST Nasal Spray), that occurred more frequently in patients aged 2 to 11 years treated with VERAMYST Nasal Spray compared with placebo-treated patients.

Table 2. Adverse Reactions With >3% Incidence in Controlled Clinical Trials of 2 to 12 Weeks’ Duration With VERAMYST Nasal Spray in Pediatric Patients With Seasonal or Perennial Allergic Rhinitis

Adverse Event

Pediatric Patients Aged 2 to <12 Years

Vehicle Placebo

(n = 429)

VERAMYST Nasal Spray

55 mcg Once Daily

(n = 369)

VERAMYST Nasal Spray

110 mcg Once Daily

(n = 426)

Headache

31 (7%)

28 (8%)

33 (8%)

Nasopharyngitis

21 (5%)

20 (5%)

21 (5%)

Epistaxis

19 (4%)

17 (5%)

17 (4%)

Pyrexia

7 (2%)

17 (5%)

19 (4%)

Pharyngolaryngeal pain

14 (3%)

16 (4%)

12 (3%)

Cough

12 (3%)

12 (3%)

16 (4%)

There were no differences in the incidence of adverse reactions based on gender or race. Pyrexia occurred more frequently in children aged 2 to <6 years compared with children aged 6 to <12 years.

Long-Term (52-Week) Safety Trial: In a 52-week, placebo-controlled, long-term safety trial, 605 patients (307 females and 298 males aged 12 years and older) with perennial allergic rhinitis were treated with VERAMYST Nasal Spray 110 mcg once daily for 12 months and 201 were treated with placebo nasal spray. While most adverse reactions were similar in type and rate between the treatment groups, epistaxis occurred more frequently in patients who received VERAMYST Nasal Spray (123/605, 20%) than in patients who received placebo (17/201, 8%). Epistaxis tended to be more severe in patients treated with VERAMYST Nasal Spray. All 17 reports of epistaxis that occurred in patients who received placebo were of mild intensity, while 83, 39, and 1 of the total 123 epistaxis events in patients treated with VERAMYST Nasal Spray were of mild, moderate, and severe intensity, respectively. No patient experienced a nasal septal perforation during this trial.

 

In addition to adverse reactions reported from clinical trials, the following adverse reactions have been identified during postmarketing use of VERAMYST Nasal Spray. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. These events have been chosen for inclusion due to either their seriousness, frequency of reporting, or causal connection to fluticasone furoate or a combination of these factors.

Immune System Disorders: Hypersensitivity reactions, including anaphylaxis, angioedema, rash, and urticaria.

Respiratory, Thoracic, and Mediastinal Disorders: Rhinalgia, nasal discomfort (including nasal burning, nasal irritation, and nasal soreness), nasal dryness, and nasal septal perforation.

 



REPORTS OF SUSPECTED VERAMYST SIDE EFFECTS / ADVERSE REACTIONS

Below is a sample of reports where side effects / adverse reactions may be related to Veramyst. The information is not vetted and should not be considered as verified clinical evidence.

Possible Veramyst side effects / adverse reactions in 71 year old female

Reported by a health professional (non-physician/pharmacist) from United States on 2011-10-04

Patient: 71 year old female

Reactions: Dyspnoea, Mouth Haemorrhage, Oropharyngeal Swelling, Epistaxis

Suspect drug(s):
Veramyst
    Indication: Product Used FOR Unknown Indication
    Start date: 2011-09-21

Amoxicillin
    Indication: Product Used FOR Unknown Indication



Possible Veramyst side effects / adverse reactions in 62 year old male

Reported by a consumer/non-health professional from United States on 2011-10-28

Patient: 62 year old male

Reactions: Multiple Allergies

Suspect drug(s):
Advair Diskus 100/50
    Indication: Product Used FOR Unknown Indication
    Start date: 2009-02-13

Ventolin HFA
    Indication: Product Used FOR Unknown Indication
    Start date: 2009-02-13

Veramyst
    Indication: Product Used FOR Unknown Indication
    Start date: 2009-02-19



Possible Veramyst side effects / adverse reactions in 60 year old male

Reported by a consumer/non-health professional from United States on 2011-11-07

Patient: 60 year old male weighing 102.7 kg (225.9 pounds)

Reactions: Nasal Discomfort, Nasal Septum Disorder, Scab, Erythema, Nasal Septum Perforation, Nasal Oedema, Nasal Disorder, Nasal Ulcer, Epistaxis

Suspect drug(s):
Veramyst

Other drugs received by patient: Ipratropium Bromide; Saline Nasal Spray



See index of all Veramyst side effect reports >>

Drug label data at the top of this Page last updated: 2013-06-07

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