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Drug: Voxelotor
Brand: Oxbryta 500mg
Manufacturer /
TM Owner
Pfizer
Origin: USA

Oxbryta 500mg Tablet

Oxbryta contains Voxelotor, an oncology medicine. It acts on the underlying disease process to relieve symptoms and improve clinical outcomes. It is used in the treatment of a range of cancers. It is supplied as a tablet (500mg). Available on prescription, it forms part of modern, guideline-driven care.
Strength: 500mg
Pack Size: 90s
Storage: 20°C to 25°C
Form: Tablet

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Indications & Clinical Uses

  • Oxbryta (voxelotor) 500 mg tablets have been voluntarily withdrawn from every market worldwide by the manufacturer, Pfizer, since 25 September 2024, and Oxbryta must no longer be prescribed, dispensed, or started in any patient.
  • Before this withdrawal, Oxbryta was a haemoglobin-polymerisation inhibitor approved in the United States for sickle cell disease in adults and children aged 4 years and older, and in the European Union, from February 2022, for patients aged 12 years and older; it was taken by mouth, once daily, to reduce red blood cell sickling.
  • Pfizer withdrew it after clinical trial and real-world data showed more deaths and more painful vaso-occlusive crises in patients taking voxelotor than in those on placebo, so its risks were judged to outweigh its benefits.
  • Anyone still listed as taking this product should contact their sickle cell care team about alternative treatment.

Side Effects

  • While marketed, Oxbryta's most commonly reported side effects were headache, diarrhoea, abdominal pain, nausea, fatigue, rash, hives and fever.
  • The reason for its 2024 global withdrawal was more serious: post-marketing studies found a higher rate of vaso-occlusive (painful sickle cell) crises and more deaths among patients taking voxelotor than among those on placebo, findings serious enough that Pfizer and regulators judged the overall balance of risk to be unfavourable.
  • A separate safety concern applies to anyone currently stopping the drug: sickle cell specialists have reported that abruptly stopping voxelotor can trigger a rebound surge in red-cell breakdown (haemolysis) and worsening sickle cell symptoms within days, sometimes needing hospital care.
  • Anyone still taking Oxbryta should not simply stop it alone — contact the prescribing team urgently to plan a supervised transition, and seek immediate care for new jaundice, dark urine, or severe pain.

Precautions & Warnings

  • Oxbryta is no longer available to start or continue in any country; this information is provided only to help patients transitioning off treatment.
  • No boxed warning was in place on the US label during marketing; the withdrawal was a voluntary manufacturer decision following an unfavourable benefit-risk finding in ongoing trials, not a recall of individual batches for a manufacturing or contamination fault.
  • It was taken orally, with or without food, usually once daily, and was never given by injection or infusion.
  • Anyone still holding tablets should not restart or share them, and should discuss safe disposal with a pharmacist.
  • Because sudden discontinuation can trigger a rapid rise in haemolysis, do not stop Oxbryta without first arranging a supervised transition plan and closer monitoring (blood counts, signs of jaundice) with the sickle cell care team, particularly in the days immediately after the last dose.

Avoid Interactions

  • Because Oxbryta has been withdrawn worldwide, no new interacting medicines should be started specifically to work alongside it.
  • If you have only recently stopped Oxbryta, continue to tell every healthcare provider, including any new sickle cell specialist, about all prescription and over-the-counter medicines, supplements and herbal products you use, since your overall treatment plan is being changed.
  • Do not resume Oxbryta alongside any other sickle cell medicine without specific instruction from your care team, and do not obtain Oxbryta from any informal source once your local pharmacy supply has ended, since withdrawn stock is no longer covered by ordinary quality and safety monitoring.
  • Bring your remaining tablets, or a note of the strength and dates you last took them, to every appointment while your new treatment is being planned.

References

Frequently Asked Questions

Oxbryta (voxelotor) was a tablet for sickle cell disease in adults and children 4 and older. Pfizer withdrew it worldwide on 25 September 2024 after trials showed more deaths and painful crises than placebo. It can no longer be prescribed or started.

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