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Dear Healthcare Professional Letters - Emergent and Rapid Drug Safety Communications

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Summary

PMDA maintains an index of Dear Healthcare Professional Letters (DHPCs) communicating drug safety information to medical institutions in Japan. The letters are categorized as Yellow Letters (emergent and important safety information requiring immediate communication) and Blue Letters (prompt but non-emergent safety information). The index lists nine DHPCs issued between August 2011 and June 2021, covering drugs including Verzenio (abemaciclib), Lamictal (lamotrigine), Xeplion (paliperidone), and others, each with associated case reports. Marketing authorization holders are required under Article 68-10 of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices to take necessary measures including recall, suspension of sales, and information provision when drugs may cause public health hazards.

“The Yellow Letter provides emergent and important safety information about drugs.”

PMDA , verbatim from source
Published by PMDA on pmda.go.jp . Detected, standardized, and enriched by GovPing. Review our methodology and editorial standards .

About this source

GovPing monitors Japan PMDA Safety (EN) for new healthcare & life sciences regulatory changes. Every update since tracking began is archived, classified, and available as free RSS or email alerts — 3 changes logged to date.

What changed

This PMDA page provides a consolidated index of historical Dear Healthcare Professional Letters (DHPCs) issued to healthcare institutions in Japan. The letters communicate post-market drug safety risks identified through adverse reaction reports. Marketing authorization holders are legally required under Article 68-10 to take measures including recall, suspension of sales, or information provision when their drugs may cause public health hazards. The page does not create new compliance obligations but catalogs existing safety communications.

Affected parties—including pharmaceutical companies holding marketing authorization in Japan and healthcare providers administering the named drugs—should use this index to review historical safety communications. Companies should ensure their pharmacovigilance systems have captured and distributed relevant DHPCs to affected prescribing departments. Healthcare institutions should verify their drug safety reference materials reflect the communications listed.

Archived snapshot

Apr 23, 2026

GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.

日本語ページはこちら To prevent health hazards associated with the use of drugs, it is important that post-marketing reports of adverse drug reactions be collected and reviewed in order to promptly provide feedback about necessary information to medical institutions.
Under Article 68-10, Paragraph 1 of the Act on Securing Quality, Efficacy and Safety of Products Including Pharmaceuticals and Medical Devices (Act No. 145 of 1960), when the marketing authorization holders of drugs learn that the use of drugs that they have marketed might cause the onset or spread of hazards to public health or hygiene, necessary measures shall be taken, including recall, suspension of sales, and information provision to prevent such hazards.
Based on the above provision, various types of safety information have been provided. Particularly important safety information which requires immediate communication is provided through the Dear Healthcare Professional Letters of Emergent Safety Communications (Yellow Letter) or Dear Healthcare Professional Letters of Rapid Safety Communications (Blue Letter). The Yellow Letter provides emergent and important safety information about drugs. The Blue Letter provides information that does not require emergent communications compared to the Yellow Letter but should be promptly provided to alert healthcare professionals.

Date Dear Healthcare Professional Letters Relevant case summaries
June 1,
2021 Shock and anaphylaxis by Joyclu 30mg intra-articular injection [85.9 KB]
To patients who receive and their caregivers [441 KB] Case reports
[109 KB]
May 17,
2019 Serious Interstitial lung disease by Verzenio Tablets 50mg, 100mg, 150mg [311 KB] Case reports
[394 KB]
February 4,
2015 Serious skin disorders suggestively caused by Lamictal (lamotrigine) Tablets [157 KB] Case reports
[124 KB]
October 24,
2014 Sovriad (simeprevir) Capsules 100 mg and hyperbilirubinaemia [199 KB] Case reports
[90.3 KB]
April 21,
2014 Fatal cases with Xeplion (paliperidone) Aqueous Suspension for IM Injection [206 KB] Case reports
[147 KB]
January 17,
2014 Thrombosis with Yaz (drospirenone/ethinylestradiol) Combination Tablets for dysmenorrhea [150 KB] Case reports
[51.5 KB]
May 17,
2013 Careram Tablets 25mg and Kolbet Tablets 25mg (iguratimod) - Risk of severe haemorrhages by a suspected interaction with warfarin [73.1 KB] Case reports
[148 KB]
September 11,
2012 Ranmark (denosumab) - Risk of severe hypocalcaemia, including fatal cases [137 KB] Case reports
[86.1 KB]
August 12,
2011 Warnings and Alerting: Severe haemorrhages in patients treated with an anticoagulant "Prazaxa capsules(dabigatran etexilate)" [97.0 KB]
Blue Letter (only in Japanese) [387 KB] -

Named provisions

Yellow Letter Blue Letter Article 68-10

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Last updated

Classification

Agency
PMDA
Instrument
Notice
Branch
Executive
Legal weight
Non-binding
Stage
Final
Change scope
Minor

Who this affects

Applies to
Pharmaceutical companies Healthcare providers
Industry sector
3254 Pharmaceutical Manufacturing
Activity scope
Adverse drug reaction reporting Post-market surveillance Drug safety communications
Geographic scope
Japan JP

Taxonomy

Primary area
Pharmaceuticals
Operational domain
Regulatory Affairs
Compliance frameworks
GxP
Topics
Public Health Healthcare

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