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Medicines Healthcare Products Regulatory Agency


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Guidance: Notify MHRA about a clinical investigation for a medical device

How to notify the MHRA of your intention to carry out a clinical investigation for medical devices.

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Decision: Human medicines: register of electronic export certificates

Department of Health and Social Care and MHRA register of electronic export certificates (human).

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Decision: Medical devices given exceptional use authorisations during the COVID 19 pandemic

List of manufacturers and their medical devices granted an exemption by MHRA. The list also includes manufacturers whose exemption expired or was cancelled.

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Class 3 Medicines Recall: Accord Healthcare Ltd, Atomoxetine 10mg, 18mg, 25mg, 40mg, 60mg, 80mg, 100mg Hard Capsules, EL(24)A/25

Accord Healthcare Ltd is recalling various batches after retesting showed out of specification results. The tabled batches are being recalled as a precautionary measure after testing showed variability of the capsule contents beyond permitted levels.

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Guidance: Medical devices: UK approved bodies

UK approved bodies listed under?Medical Devices Regulations 2002?(SI 2002 No 618, as amended) (UK MDR 2002).

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Man who illegally imported unlicensed medicines from India, the Middle East and the Far East sentenced

A man who had unlicensed medicines sent to his parents’ address, has been sentenced at Southwark Crown Court to a term of imprisonment, having earlier been found guilty of criminal activity in May. The sentencing follows an investigation by the Medicine and Healthcare products Regulatory Agency’s Criminal Enforcement Unit (CEU) into the illegal supply of unlicensed medicines.

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Decision: Suspended and revoked licences and registrations for manufacturers and wholesalers of medicines and ingredients

Public list of companies in the UK who have had their licence/registration to manufacture or wholesale medicines/ingredients revoked or suspended.

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Decision: Advertising investigations: May 2024

Decisions made by the MHRA following investigations into complaints about advertising for licensed medicines.

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Decision: Advertising investigations: April 2024

Decisions made by the MHRA following investigations into complaints about advertising for licensed medicines.

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Decision: Advertising investigations: March 2024

Decisions made by the MHRA following investigations into complaints about advertising for licensed medicines.

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Field Safety Notices: 17 to 21 June 2024

List of Field Safety Notices from 17 to 21 June 2024.

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Decision: Orphan registered medicinal products

A list of authorised orphan medicinal products registered by the UK licensing authority.

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Class 4 Medicines Defect Information: PHARMATHEN S.A., Grepid 75 mg film coated tablets (Kent Pharma Livery), EL(24)A/24

PHARMATHEN S.A. has informed the MHRA that the outer carton (box) of some batches of Grepid 75mg film coated tablets is missing the medicines legal classification for a Prescription Only Medicine ‘POM.’ This notification contains additional batches impacted by this issue.

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Field Safety Notices: 10 to 14 June 2024

List of Field Safety Notices from 10 to 14 June 2024.

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Guidance: Drug Safety Update: monthly PDF newsletter

Monthly PDF editions of the Drug Safety Update newsletter from MHRA and its independent advisor, the Commission on Human Medicines

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New pregnancy prevention measures introduced for topiramate 

Migraine and antiseizure medication topiramate must no longer be prescribed to women and girls unless they fulfil the requirements of a Pregnancy Prevention Programme.  

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Guidance: Safety Public Assessment Reports

These reports explain our assessment of the scientific evidence used to lead to regulatory decisions on the safety of medicines or medicines classes.

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Guidance: Safety Public Assessment Reports

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These reports explain our assessment of the scientific evidence used to lead to regulatory decisions on the safety of medicines or medicines classes.

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Research: Topiramate: review of safety in pregnancy

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Public Assessment Report of review of Topiramate safety data and expert advice on management of risks.

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Topiramate (Topamax): introduction of new safety measures, including a Pregnancy Prevention Programme

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Topiramate is now contraindicated in pregnancy and in women of childbearing potential unless the conditions of a Pregnancy Prevention Programme are fulfilled. This follows a review by the MHRA which concluded that the use of topiramate during pregnancy is associated with significant harm to the unborn child. Harms included a higher risk of congenital malformation, low birth weight and a potential increased risk of intellectual disability, autistic spectrum disorder and attention deficit hyperactivity disorder in children of mothers taking topiramate during pregnancy.

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Warfarin: be alert to the risk of drug interactions with tramadol

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Taking warfarin and tramadol together can cause harmful drug interactions, which can raise the International Normalised Ratio (INR), and result in severe bruising and bleeding, which in some patients could be fatal.

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Field Safety Notices: 3 to 7 June 2024

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List of Field Safety Notices from 3 to 7 June 2024.

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Class 3 Medicines Recall: Teva UK Limited, GoResp Digihaler, EL (24)A/23

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Teva UK Limited has informed the MHRA that it plans to withdraw from further sale all batches of GoResp Digihaler (budesonide and formoterol fumarate dihydrate) and the linked Digihaler App for commercial reasons.

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Class 4 Medicines Defect Information: Viatris UK Healthcare Ltd, Oxcarbazepine Mylan 150 mg, 300mg, 600mg Film Coated Tablets, EL (24)A/22

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Viatris UK Healthcare Limited has informed the MHRA that the Patient Information Leaflet (PIL) packaged in the specified batches of Oxcarbazepine 150 mg, 300 mg & 600 mg Film-Coated Tablets do not contain the most up to date safety information.

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Transparency data: MHRA performance data for assessment of clinical trials and established medicines

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MHRA performance metrics for clinical trials and established medicines assessment.

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Transparency data: Medicines and Healthcare products Regulatory Agency spending over £25,000: 2023 to 2024

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Information on Medicines and Healthcare products Regulatory Agency spending over £25,000.

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Field Safety Notices: 27 to 31 May 2024

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List of Field Safety Notices from 27 to 31 May 2024.

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Guidance: Machine learning medical devices: transparency principles

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Guidelines for communicating clear and relevant information about machine learning-enabled medical devices.

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Guidance: Software and artificial intelligence (AI) as a medical device

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Information for manufacturers, healthcare professionals, researchers and patients on software as a medical device (SaMD) and AI as a medical device (AIaMD).

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Decision: Medical devices given exceptional use authorisations during the COVID 19 pandemic

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List of manufacturers and their medical devices granted an exemption by MHRA. The list also includes manufacturers whose exemption expired or was cancelled.

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Decision: Marketing authorisations granted in 2024

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Marketing authorisations granted in 2024

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Decision: Parallel import licences granted in 2024

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Parallel import licences granted in 2024

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Class 4 Medicines Defect Information: Dawa Limited, Paracetamol 500mg, 1000mg Film Coated Tablets, EL (24)A/21

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Dawa Limited has informed the MHRA that specified batches listed in this notification have been packed with an outdated Patient Information Leaflet (PIL).

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Field Safety Notices: 27 to 31 May 2024

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List of Field Safety Notices from 27 to 31 May 2024.

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Class 2 Medicines Recall: Desitin Pharma UK Ltd, Lamotrigine Desitin 10mg/ml Oral Suspension, EL(24)A/20

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Desitin Pharma UK Ltd is recalling all batches of Lamotrigine Desitin 10mg/ml Oral Suspension as a precautionary measure due to an out of specification observation in the appearance of samples during routine stability testing. Please note this is a Class 2 Patient, Pharmacy and Wholesaler level recall.

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Class 3 Medicines Recall: Neuraxpharm UK Ltd, Atomoxetine 10mg, 18mg, 25mg, 40mg Capsules, EL(24)A/19

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Neuraxpharm UK Ltd is recalling specific batches after retesting showed out of specification results. The tabled batches are being recalled as a precautionary measure after testing showed variability of the capsule contents beyond permitted levels.

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Decision: Human medicines: register of electronic export certificates

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Department of Health and Social Care and MHRA register of electronic export certificates (human).

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Class 4 Medicines Defect Information: Manx Healthcare Ltd., Betamethasone Valerate 0.1% Ointment, EL(24)A/18

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Manx Healthcare Ltd. has informed MHRA that they have identified a problem with the product packaging of the batch indicated in the table.

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Decision: Early access to medicines scheme: expired scientific opinions

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Medicines that were granted a positive opinion under the early access to medicines scheme (EAMS) which has now expired.

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Decision: Orphan registered medicinal products

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A list of authorised orphan medicinal products registered by the UK licensing authority.

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Field Safety Notices: 20 to 24 May 2024

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List of Field Safety Notices from 20 to 24 May 2024.

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Guidance: Topical corticosteroids and withdrawal reactions

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Safety leaflet on topical corticosteroids and withdrawal reactions to help patients and their carers to use these medicines safely.

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Topical steroids: introduction of new labelling and a reminder of the possibility of severe side effects, including Topical Steroid Withdrawal Reactions

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Topical steroid products are safe and highly effective treatments for the management of a wide range of inflammatory skin diseases but have important risks, especially with prolonged use at high potency. In the coming months, as a result of regulatory action, topical steroid products will be labelled with information on their potency to simplify advice for patients.

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Letters and medicine recalls sent to healthcare professionals in April 2024

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A summary of recent letters and notifications sent to healthcare professionals about medicines and medical devices, and information about the publication of two recent Device Safety Information pages. The article also includes information on a recent National Patient Safety Alert highlighting the need for reducing risks for transfusion associated circulatory overload (TACO).

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Decision: CAP bridging mechanism products

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A list of centrally authorised product (CAP) bridging mechanism products registered by the UK Licensing Authority.

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