Japan PMDA Drug Precaution Revisions for FY2025
Summary
The Japan Pharmaceuticals and Medical Devices Agency (PMDA) has published a list of drug precaution revisions for Fiscal Year 2025, detailing updates for various nonproprietary drug names. These revisions are effective on specific dates in late 2025 and early 2026, with associated investigation summaries available.
What changed
The Japan Pharmaceuticals and Medical Devices Agency (PMDA) has released a comprehensive list of revisions to drug precautions for Fiscal Year 2025, affecting numerous nonproprietary drug names. The updates, effective on various dates between November 2025 and February 2026, include detailed information on the revised precautions and summaries of the underlying investigation results. This guidance serves to inform drug manufacturers about necessary updates to product labeling and safety information.
Drug manufacturers must review these revisions to ensure their product labeling and internal safety protocols align with the updated precautions. While specific compliance deadlines for manufacturers are not explicitly stated beyond the effective dates of the revisions, it is critical to implement these changes promptly to maintain regulatory compliance and patient safety. Failure to adhere to updated safety information could lead to regulatory action or impact product market authorization.
What to do next
- Review the list of drug precaution revisions for FY2025 published by PMDA.
- Identify all affected drugs manufactured by the organization.
- Update product labeling and internal safety documentation to reflect the revised precautions by their respective effective dates.
Source document (simplified)
日本語ページはこちら
| Date | Nonproprietary name | Detailed information on revisions of PRECAUTIONS
(from MHLW) | Summary of
investigation results
(from PMDA)
Reference article note)
(if applicable) |
| --- | --- | --- | --- |
| February24,2026 | - Colchicine | PRECAUTIONS
[91.9 KB] | Summary of Investigation
[76.8 KB] |
| February10,2026 | - Cytarabine
- Daunorubicin hydrochloride | PRECAUTIONS
[28 KB] | Summary of Investigation
[67 KB] |
| - Axitinib | PRECAUTIONS
[26 KB] | Summary of Investigation
[65 KB] | |
| - Ibrutinib | PRECAUTIONS
[26 KB] | Summary of Investigation
[62 KB] | |
| - Fruquintinib | PRECAUTIONS
[26 KB] | Summary of Investigation
[62 KB] | |
| - Aciclovir (oral dosage form)
- Aciclovir (injection)
- Valaciclovir hydrochloride | PRECAUTIONS
[26 KB] | Summary of Investigation
[98 KB] | |
| - Riociguat | PRECAUTIONS
[27 KB] | Report on Investigation
[416 KB] | |
| - Lonafarnib | PRECAUTIONS
[33 KB] | Report on Investigation
[416 KB] | |
| - Ensitrelvir fumaric acid | PRECAUTIONS
[123 KB] | Report on Investigation
[416 KB] | |
| January 13, 2026 | - Aspirin (preparations indicated for prevention of thrombus and embolus formation)
- Aspirin/dialuminate
- Aspirin/vonoprazan fumarate
- Aspirin/lansoprazole
- Clopidogrel sulfate/aspirin
- Aspirin (preparations indicated for antipyresis/analgesia/anti-inflammation) | PRECAUTIONS
[26.8 KB] | Summary of Investigation
[87 KB] |
| - Imeglimin hydrochloride | PRECAUTIONS
[24.8 KB] | Summary of Investigation
[60 KB] | |
| - Burosumab (genetical recombination) | PRECAUTIONS
[28.4 KB] | Summary of Investigation
[61.3 KB] | |
| - Preparations containing aspirin
(OTC drug)
- Preparations containing aspirin aluminum (OTC drug) | PRECAUTIONS [26.8 KB] | Summary of Investigation [59.3 KB] | | | November 26, 2025 | - Bosentan hydrate | PRECAUTIONS [24 KB] | Summary of Investigation [73 KB] | | - Apixaban | PRECAUTIONS [19 KB] | Summary of Investigation [113 KB] Appendix: [77 KB] | | | - Edoxaban tosilate hydrate | PRECAUTIONS [20 KB] | Summary of Investigation [113 KB] Appendix: [77 KB] | | | - Dabigatran etexilate methanesulfonate | PRECAUTIONS [19 KB] | Summary of Investigation [113 KB] Appendix: [77 KB] | | | - Rivaroxaban | PRECAUTIONS [20 KB] | Summary of Investigation [113 KB] Appendix: [77 KB] | | | - Warfarin potassium | PRECAUTIONS [21 KB] | Summary of Investigation [113 KB] Appendix: [77 KB] | | | - Andexanet alfa (genetical recombination) | PRECAUTIONS [28 KB] | Summary of Investigation [55 KB] | | | - Imiglucerase (genetical recombination) | PRECAUTIONS [21 KB] | Summary of Investigation [55 KB] | | | - Atezolizumab (genetical recombination) | PRECAUTIONS [19 KB] | Summary of Investigation [72 KB] | | | - Tosufloxacin tosilate hydrate (oral dosage form) | PRECAUTIONS [20 KB] | Summary of Investigation [67 KB] | | | October 22, 2025 | - Lubiprostone | PRECAUTIONS [25.1 KB] | Summary of Investigation [76.3 KB] | | - Estradiol (oral dosage form)
- Estradiol valerate
- Estriol (oral dosage form)
- Progesterone (oral dosage form)
- Estradiol/norethisterone acetate
- Estradiol/levonorgestrel
- Testosterone enanthate/ estradiol valerate | PRECAUTIONS [29.6 KB] | Summary of Investigation [143 KB] | | | - Estradiol (preparations for cutaneous application) estrogens conjugated | PRECAUTIONS [29.7 KB] | Summary of Investigation [143 KB] | | | - Freeze-dried recombinant herpes zoster vaccine (prepared from Chinese hamster ovary cells) | PRECAUTIONS [25.7 KB] | Summary of Investigation [97.8 KB] | | | September 17, 2025 | - Tarlatamab (genetical recombination) | PRECAUTIONS [21.3 KB] | Summary of Investigation [60.9 KB] | | September 9, 2025 | - Azilsartan
- Azilsartan/amlodipine besilate
- Candesartan cilexetil
Candesartan cilexetil/
amlodipine besilateCandesartan cilexetil/
hydrochlorothiazide | PRECAUTIONS
[27.2 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase |
| - Alacepril | PRECAUTIONS
[25.5 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Aliskiren fumarate | PRECAUTIONS
[25.5 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Imidapril hydrochloride | PRECAUTIONS
[25.9 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - IrbesartanIrbesartan/amlodipine besilate
Irbesartan/trichlormethiazide | PRECAUTIONS
[25.6 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Olmesartan medoxomilOlmesartan medoxomil/azelnidipine
Valsartan
Valsartan/amlodipine besilate
Valsartan/cilnidipine
Valsartan/hydrochlorothiazide | PRECAUTIONS
[27.3 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Sacubitril valsartan sodium hydrate | PRECAUTIONS
[26.1 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Delapril hydrochloride | PRECAUTIONS
[25.8 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - TelmisartanTelmisartan/amlodipine besilate
Telmisartan/amlodipine besilate/hydrochlorothiazide
Telmisartan/hydrochlorothiazide | PRECAUTIONS
[25.9 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Trandolapril | PRECAUTIONS
[26.0 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Perindopril erbumine | PRECAUTIONS
[25.8 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - Losartan potassiumLosartan potassium/hydrochlorothiazide | PRECAUTIONS
[25.5 KB] | Summary of Investigation
[136 KB]
Appendix: [155 KB]
Summary of Disproportionality Analysis Using VigiBase | |
| - MesalazineSalazosulfapyridine | PRECAUTIONS
[25.8 KB] | Summary of Investigation
[69.5 KB] | |
| - Adalimumab
(genetical recombination)Adalimumab
(genetical recombination)
[adalimumab follow-on biologics 1]Adalimumab
(genetical recombination)
[adalimumab follow-on biologics 2]Adalimumab
(genetical recombination)
[adalimumab follow-on biologics 3]Adalimumab
(genetical recombination)
[adalimumab follow-on biologics 4] | PRECAUTIONS
[27.1 KB] | Summary of Investigation
[66.7 KB] | |
| - Ipilimumab (genetical recombination) | PRECAUTIONS
[26.2 KB] | Summary of Investigation
[70.3 KB] | |
| - Nivolumab (genetical recombination) | PRECAUTIONS
[26.4 KB] | Summary of Investigation
[70.3 KB] | |
| - Meropenem hydrate | PRECAUTIONS
[25.4 KB] | Summary of Investigation
[66.9 KB] | |
| July 30, 2025 | - Semaglutide
(genetical recombination)Tirzepatide
Insulin glargine (genetical recombination)/lixisenatide | PRECAUTIONS
[19.5 KB] | Summary of Investigation
[84.1 KB]
Reference article:
PMDSI No.422 |
| - Afatinib maleateFulvestrant | PRECAUTIONS
[24.8 KB] | Summary of Investigation
(Afatinib maleate)
[61.1 KB]
Reference article:
PMDSI No.422
Summary of Investigation
(Fulvestrant)
[60.9. KB]
Reference article:
PMDSI No.422 | |
| - Avelumab (genetical recombination) | PRECAUTIONS
[34.1 KB] | Summary of Investigation
[62.0 KB] | |
| - Sunitinib malate | PRECAUTIONS
[18.4 KB] | Summary of Investigation
[61.6 KB]
Reference article:
PMDSI No.422 | |
| - Pembrolizumab
(genetical recombination) | PRECAUTIONS
[18.4 KB] | Summary of Investigation
[65.3 KB]
Reference article:
PMDSI No.422 | |
| June 24, 2025 | - Desmopressin acetate hydrate
(oral dosage form) | PRECAUTIONS
[19.8 KB] | Summary of Investigation
[65.4 KB] |
| - Desmopressin acetate hydrate
(nasal preparations) | PRECAUTIONS
[20.7 KB] | Summary of Investigation
[65.4 KB] | |
| - Thiamazole | PRECAUTIONS
[13.5 KB] | Summary of Investigation
[56.5 KB]
Reference article:
PMDSI No.421 | |
| May 20, 2025 | - AcetazolamideAcetazolamide sodium | PRECAUTIONS
[14.9 KB] | Summary of Investigation
[87.6 KB] |
| - TrichlormethiazideBenzylhydrochlorothiazide
Irbesartan/Trichlormethiazide | PRECAUTIONS
[13.1 KB] | Summary of Investigation
[87.6 KB] | |
| - Hydrochlorothiazide | PRECAUTIONS
[14.0 KB] | Summary of Investigation
[87.6 KB] | |
| - Mefruside | PRECAUTIONS
[12.6 KB] | Summary of Investigation
[87.6 KB] | |
| - Indapamide | PRECAUTIONS
[60.2 KB] | Summary of Investigation
[87.6 KB]
Reference article:
PMDSI No.420
PMDSI No.420 | |
| - Candesartan cilexetil/
hydrochlorothiazide | PRECAUTIONS
[14.1 KB] | Summary of Investigation
[87.6 KB] | |
| - Telmisartan/amlodipine besilate/
hydrochlorothiazideTelmisartan/hydrochlorothiazide | PRECAUTIONS
[14.3 KB] | Summary of Investigation
[87.6 KB] | |
| - Valsartan/hydrochlorothiazide | PRECAUTIONS
[14.1 KB] | Summary of Investigation
[87.6 KB] | |
| - Losartan potassium/
hydrochlorothiazide | PRECAUTIONS
[14.1 KB] | Summary of Investigation
[87.6 KB] | |
| - Riociguat | PRECAUTIONS
[18.5 KB] | Report on Deliberation/
Report on Investigation
[724 KB] | |
| - Domperidone (oral dosage form, suppository) | PRECAUTIONS
[20.6 KB] | Report on Investigation
[148 KB]
Appendix 4 is not included in this file. See Detailed information on revisions of PRECAUTIONS. | |
| - Ceritinib | PRECAUTIONS
[14.8 KB] | Summary of Investigation
[56.0 KB] | |
| - Venetoclax | PRECAUTIONS
[26.4 KB] | Summary of Investigation
[56.0 KB] | |
| - Borofalan (10 B) | PRECAUTIONS
[12.6 KB] | Summary of Investigation
[136 KB] | |
| - Nemolizumab
(genetical recombination) | PRECAUTIONS
[12.4 KB] | Summary of Investigation
[55.1 KB]
Reference article:
PMDSI No.420 | |
| - Eplerenone | PRECAUTIONS
[16.0 KB] | Summary of Investigation
[105 KB] | |
| - Posaconazole (oral dosage form, injections) | PRECAUTIONS
[16.6 KB] | Summary of Investigation
[105 KB] | |
| - Voriconazole (oral dosage form, injections) | PRECAUTIONS
[20.6 KB] | Summary of Investigation
[105 KB]
Report on Deliberation/
Report on Investigation
[724 KB] | |
| - Itraconazole | PRECAUTIONS
[20.7 KB] | Report on Deliberation/
Report on Investigation
[724 KB] | |
| - Iodixanol | PRECAUTIONS
[20.8 KB] | Summary of Investigation
[55.7 KB]
Reference article:
PMDSI No.420 | |
| April 8, 2025 | - Desmopressin acetate hydrate (injections) | PRECAUTIONS
[17.7 KB] | Summary of Investigation
[84.7 KB] |
| - Imeglimin hydrochloride | PRECAUTIONS
[42.2 KB] | Summary of Investigation
[66.0 KB] | |
| - Enzalutamide | PRECAUTIONS
[20.8 KB] | Summary of Investigation
[62.2 KB] | |
| - Nirmatrelvir/ritonavir | PRECAUTIONS
[24.7 KB] | Summary of Investigation
[62.2 KB] | |
Note) "Important Safety Information" in Pharmaceuticals and Medical Devices Safety Information (PMDSI)
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