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ELMIRON® was evaluated in clinical trials in a total of 2627 patients (2343 women, 262 men, 22 unknown) with a mean age of 47 [range 18 to 88 with 581 (22%) over 60 years of age]. Of the 2627 patients, 128 patients were in a 3-month trial and the remaining 2499 patients were in a long-term, unblinded trial.
Deaths occurred in 6/2627 (0.2%) patients who received the drug over a period of 3 to 75 months. The deaths appear to be related to other concurrent illnesses or procedures, except in one patient for whom the cause was not known.
Serious adverse events occurred in 33/2627 (1.3%) patients. Two patients had severe abdominal pain or diarrhea and dehydration that required hospitalization. Because there was not a control group of patients with interstitial cystitis who were concurrently evaluated, it is difficult to determine which events are associated with ELMIRON® and which events are associated with concurrent illness, medicine, or other factors.
Adverse Experience in Placebo-Controlled Clinical
Trials of ELMIRON® 100 mg Three Times a Day for 3 Months
|Body System/Adverse Experience||ELMIRON®
|CNS Overall Number of Patients*||3||5|
|Severe Emotional Lability/Depression||2||1|
|GI Overall Number of Patients*||7||7|
|Skin/Allergic Overall Number of Patients*||2||4|
|Other Overall Number of Patients*||1||3|
|Total Number of Patients Reporting Adverse Events||13||19|
|* Within a body system, the individual events do not sum to equal overall number of patients because a patient may have more than one event.|
The adverse events described below were reported in an unblinded clinical trial of 2499 interstitial cystitis patients treated with ELMIRON®. Of the original 2499 patients, 1192 (48%) received ELMIRON® for 3 months; 892 (36%) received ELMIRON for 6 months; and 598 (24%) received ELMIRON® for one year, 355 (14%) received ELMIRON® for 2 years, and 145 (6%) for 4 years.
Frequency ( ≤ ; 1%):
Hypersensitive Reactions: Allergic reaction, photosensitivity.
ELMIRON® was evaluated in a randomized, double-blind, parallel group, Phase 4 study conducted in 380 patients with interstitial cystitis dosed for 32 weeks. At a daily dose of 300 mg (n = 128), rectal hemorrhage was reported as an adverse event in 6.3% of patients. The severity of the events was described as “mild” in most patients. Patients in that study who were administered ELMIRON® 900 mg daily, a dose higher than the approved dose, experienced a higher incidence of rectal hemorrhage, 15%.
Liver Function Abnormality
A randomized, double-blind, parallel group, phase 2 study was conducted in 100 men (51 ELMIRON® and 49 placebo) dosed for 16 weeks. At a daily dose of 900 mg, a dose higher than the approved dose, elevated liver function tests were reported as an adverse event in 11.8% (n = 6) of ELMIRON®-treated patients and 2% (n = 1) of placebo-treated patients.
Read the Elmiron (pentosan polysulfate sodium capsules) Side Effects Center for a complete guide to possible side effects
Last reviewed on RxList: 4/22/2016
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