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| The purpose of this letter is to inform you of an important safety update relating to ELMIRON® capsules, which is indicated for the relief of bladder pain or discomfort associated with interstitial cystitis (IC).1 | The purpose of this letter is to inform you of an important safety update relating to ELMIRON® capsules, which is indicated for the relief of bladder pain or discomfort associated with interstitial cystitis (IC).1 | ||
| - | A new WARNING for pigmentary changes in the retina, reported in the literature as pigmentary maculopathy, | + | A new WARNING for **pigmentary changes in the retina**, reported in the literature as **pigmentary maculopathy**, has been added to the ELMIRON® United States Prescribing Information (USPI) June 2020.1 |
| - | Cases of pigmentary changes have been reported with long-term use of ELMIRON®. Although most of these cases occurred after 3 years of use or longer, cases have been seen with a shorter duration of use. While the etiology is unclear, cumulative dose appears to be a risk factor. Visual symptoms in the reported cases included difficulty reading, slow adjustment to low or reduced light environments, | + | Cases of pigmentary changes have been reported with long-term use of ELMIRON®. Although most of these cases occurred after **3 years of use or longer**, cases have been seen with a shorter duration of use. While the etiology is unclear, |
| The ELMIRON® USPI is being updated to include a new WARNING for Retinal Pigmentary Changes (included below) and to add additional information about retinal pigmentary changes in the PRECAUTIONS, | The ELMIRON® USPI is being updated to include a new WARNING for Retinal Pigmentary Changes (included below) and to add additional information about retinal pigmentary changes in the PRECAUTIONS, | ||