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July 11, 2005

FDA ALERT

MedWatch - The FDA Safety Information and Adverse Event Reporting Program

Duragesic (fentanyl transdermal system): safety in formation extensively revised

Janssen and FDA notified healthcare professionals of changes to the BOXED WARNING/WARNINGS,CONTRAINDICATIONS,PRECAUTIONS, and DOSAGE AND ADMINISTRATION sections of the prescribing information for Duragesic.

These changes include important safety information in the following areas of the labeling: Use Only in Opioid-Tolerant Patients, Misuse, Abuse and Diversion, Hypoventilation (Respiratory Depression), Interactions with CYP3A4 Inhibitors, Damaged or Cut Patches, Accidental Exposure to Fentanyl, Chronic Pulmonary Disease, Head Injuries and Intracranial Pressure, Interactions with Other CNS Depressants, and Interactions with Alcohol and Drugs of Abuse.

Read the complete MedWatch 2005 Safety summary, including a link to the Dear Healthcare Professional letter, at:

http://www.fda.gov/medwatch/SAFETY/2005/safety05.htm#Duragesic