Roche Media Release Basel, November 17, 1998 Tasmar® label change in the US - Suspension in the European Union Evolving safety information about the anti-parkinson drug Tasmar® (tolcapone) has led Roche to revise the recommendations to physicians on the appropriate use of the drug. These changes reflect additional information obtained through post-marketing experience in approximately 100'000 patients worldwide. After careful review of all available information and in consultation with outside medical experts, Roche is of the opinion that for a restricted group of patients suffering from Parkinson's Disease, the addition of Tasmar to standard therapy is providing a clinically significant benefit that outweighs the risks. Cases of rare and unexpected adverse events, including three fatal cases of unpredictable, fulminant hepatitis, have been reported. Parkinson's Disease is a chronic, increasingly debilitating disease afflicting almost 2 million people for whom only a limited number of treatments are available. In consultation with the Food and Drug Administration FDA, Roche is issuing in the United States a revised label, indicating that the drug should be used as an adjunctive therapy in patients with Parkinson's Disease who do not respond satisfactorily to other therapies. This and other important safety information are being communicated immediately to all physicians. In the European Union, the Commission has initiated the procedure asking member states to suspend the use of Tasmar as of Tuesday, 17th November 1998. Roche's principle concern is to implement the Commission's decision with the patients' interest in mind. Roche and regulatory authorities in other countries are working closely to ensure that the revised recommendations for the appropriate use of Tasmar are implemented. Patients taking Tasmar should consult their physicians and should not precipitately stop treatment, since inappropriate change in therapy might trigger serious adverse events. Roche is informing physicians and other health care professionals accordingly. Tasmar (tolcapone), a COMT inhibitor used in combination with levodopa preparations for the treatment of Parkinson's Disease, has been first launched in August 1997 and is currently available in 38 countries. -- Judith Richards, London, Ontario, Canada <[log in to unmask]> ^^^ \ / \ | / Today’s Research \\ | // ...Tomorrow’s Cure \ | / \|/ ```````