TY - JOUR T1 - FIngolimod precautions AU - Kuehn BM Y1 - 2012/06/27 N1 - 10.1001/jama.2012.7064 JO - JAMA SP - 2578 EP - 2578 VL - 307 IS - 24 N2 - Based on analysis of the sudden unexplained death of 1 patient and reports of cardiovascular adverse events, including some deaths in other patients, the FDA concluded it could not determine whether fingolimod caused these events (http://tinyurl.com/d2zazcd). However, the agency expressed its concern about the cardiovascular effects of the drug, particularly the first dose. According to the FDA, the drug may lower the heart rate, with the greatest effect occurring during the first 6 to 20 hours of first use. SN - 0098-7484 M3 - doi: 10.1001/jama.2012.7064 UR - http://dx.doi.org/10.1001/jama.2012.7064 ER -