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| A new WARNING for **pigmentary changes in the retina**, reported in the literature as **pigmentary maculopathy**, | A new WARNING for **pigmentary changes in the retina**, reported in the literature as **pigmentary maculopathy**, | ||
| - | Cases of pigmentary changes have been reported with long-term use of ELMIRON®. Although most of these cases occurred after 3 years of use or longer, cases have been seen with a shorter duration of use. While the etiology is unclear, cumulative dose appears to be a risk factor. Visual symptoms in the reported cases included difficulty reading, slow adjustment to low or reduced light environments, | + | Cases of pigmentary changes have been reported with long-term use of ELMIRON®. Although most of these cases occurred after **3 years of use or longer**, cases have been seen with a shorter duration of use. While the etiology is unclear, |
| The ELMIRON® USPI is being updated to include a new WARNING for Retinal Pigmentary Changes (included below) and to add additional information about retinal pigmentary changes in the PRECAUTIONS, | The ELMIRON® USPI is being updated to include a new WARNING for Retinal Pigmentary Changes (included below) and to add additional information about retinal pigmentary changes in the PRECAUTIONS, | ||