In United
Kingdom, there are certain drugs in which although they were granted marketing
approval by the Medicines and healthcare product regulatory agency (MHRA), they
need to be closely monitored, since limited information were available about
these drugs.
One of the key reasons attributed to this may be, less subjects being
enrolled in the clinical trials, short therapy duration etc.…thus, in order to
identify rare adverse reactions, effect of the drug in different populations or
effect of the drug under different co-morbidities, such drugs are tagged with
an inverted black triangle (▼) on their package insert, to ensure that these drugs are
intensively monitored.
The
Commission on Human Medicines (CHM) and MHRA encourages expedited reporting within
15 calendar days of all such drugs with an inverted black triangle symbol if,
found to have caused serious or non-serious adverse drug reaction.
You may find
the black triangle drugs at the Electronic Medicines Compendium, British
National Formulary, Nurse Prescribers’ Formulary etc.… A black triangle symbol
may be assigned to any new active drug / vaccine or even a Biosimilar (Biosimilar
are similar biological therapeutic products). Black triangle is not restricted
to only drugs, it may also include new route of administration, new drug
delivery systems or even new patient population.
Black
triangle drugs are reviewed every 2 years by the MHRA and monitoring black
triangles reports helps in identifying benefit risk profile of drug and
unrecognized adverse effects.
Reference:
·
List
of medicines under additional monitoring, European Medical Agency (url: http://www.ema.europa.eu/ema/index.jsp?curl=pages/regulation/document_listing/document_listing_000366.jsp&mid=WC0b01ac058067c852 )
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