Los Angles County
                        MARCH 2003
                        Department of Health Services
                        LAC & USC Healthcare Network
                        Department of Pharmacy
                        Drug Information Center
                      
DRUG BULLETIN
                      NEW WARNINGS AND PRECAUTIONS 
                        ABOUT INTERFERON
                        Audience: Neurologists and other healthcare 
                        professionals
                      Biogen and FDA revised the WARNINGS, PRECAUTIONS, ADVERSE 
                        REACTIONS, PATIENT INFORMATION, and CLINICAL STUDIES sections 
                        of the prescribing information to include important new 
                        safety information and a patient Medication Guide.
                      Updated safety information includes a cautionary note 
                        regarding use in
                        patients with depression and other severe psychiatric 
                        symptoms.
                      Post-marketing reports of depression, suicidal ideation 
                        and/or development
                        of new or worsening of pre-existing psychiatric disorders, 
                        including
                        psychosis, and reports of anaphylaxis, pancytopenia, thrombocytopenia,
                        autoimmune disorders of multiple target organs, and hepatic 
                        injury
                        manifesting itself as elevated serum enzyme levels and 
                        hepatitis were added to the labeling.
                      An FDA-approved Patient Medication Guide,
                        providing important patient safety information and comprehensive 
                        instructions for patient self-administration was added.