New Boxed Warning
Trasylol® (aprotinin) may cause fatal anaphylactic or anaphylactoid reactions. Fatal reactions have occurred with an initial dose as well as a dose regimen. Fatal reactions have also occurred in situations where the initial Trasylol® dose was tolerated. The risk for anaphylactic or anaphylactoid reactions is increased among patients with prior Trasylol® exposure and a history of any prior Trasylol® exposure must be sought prior to administration. The risk for a fatal reaction appears to be greater upon re-exposure within 12 months of the most recent prior Trasylol® exposure....
Contraindications
Administration of aprotinin to patients with a known or suspected previous aprotinin exposure during the last 12 months is contraindicated. Trasylol® may also be a component of some fibrin sealant products and the use of these products should be included in the patient history.
Warnings
- Re-exposure to Aprotinin
- Anaphylactic or Anaphylactoid Reactions
- Renal Dysfunction
Precautions
General
- Initial (Test) Dose
- Renal Dysfunction
Adverse Reactions
- Myocardial Infarction - Incidence of Myocardial Infarctions by Treatment Group Population
- Laboratory Findings - Serum Creatinine and Serum Transaminases
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Reference:
"MedWatch - December 2006 Safety-Related Drug Labeling Changes," FDA, December 2006.











