An FDA panel's recommendation to exclude
a "black-box" warning about possible psychiatric
and cardiac risks associated with attention-
deficit/hyperactivity disorder (ADHD)
drugs contrasted with an earlier FDA committee's
vote. Instead, the FDA's pediatric committee
proposed that the medications use
simpler language and include more information
on the labels.
In February 2006, a different FDA advisory
committee had voted in favor of a black-box
warning on ADHD drugs because of possible
cardiac risks. A black-box warning is the FDA's
strongest alert, and it usually negatively affects
the sales of drugs that carry the warning. The
FDA typically follows the recommendations of
its advisory committees.
Controversy surrounding ADHD drugs has
been brewing for some time. The increased
number of patients taking these stimulants
continues to surge. Eli Lilly's Strattera is now
required to carry a black-box warning that it
may trigger suicidal thoughts in children. In the
United States, Adderall XR (Shire US Inc) carries
a warning informing patients with heart
conditions not to use the drug.