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EU Regulators Recommend EU-Wide Withdrawal of Levamisole Medicines Over Brain Risk

The review found an unpredictable risk of leukoencephalopathy that can follow even one dose, with no identifiable way to reduce it.

Overview

  • EMA’s Pharmacovigilance Risk Assessment Committee concluded after an EU safety review that the benefit–risk profile of levamisole medicines is negative.
  • The committee reported cases of leukoencephalopathy occurring after a single exposure with symptom onset ranging from one day to several months.
  • Most affected products are levamisole monotherapies used as anthelmintics for mild parasitic infections where safer alternatives are available.
  • A Direct Healthcare Professional Communication was approved for distribution by marketing authorization holders and publication in national health registries.
  • National authorities are implementing market withdrawal, which will make levamisole-containing medicines unavailable across the European Union.