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To: RxLink

From: Morton Grove Pharmaceuticals

Important new information about Lindane Shampoo and Lindane Lotion, USP 1%

April 2004

Dear RxLink Pharmacist:

Have you been receiving the most accurate information about Lindane Shampoo and Lotion?

Lindane Shampoo (AT rated to Kwell Shampoo) and Lindane Lotion (AT rated to Kwell Lotion) are both effective second-line therapies that are prescribed by physicians when other medicines have been tried and have failed. Both therapies are sold only under a physician's prescription. Lindane Shampoo is an effective second-line therapy for head lice, while Lindane Lotion is an effective therapy for treatment of scabies.

While these products are both useful and effective when needed, it is essential that they are used only in accordance with the directions provided. Seizures and fatalities have been reported following Lindane use with repeated or prolonged application but also in rare cases following a single application reportedly used according to directions. Also, central nervous system stimulation as mild as dizziness has occurred. We ask for your assistance to assure appropriate use. Morton Grove Pharmaceuticals, in conjunction with the FDA, has taken the following measures designed to help prevent improper use of these medications.

-Lindane Shampoo and Lotion are now supplied in 2-oz bottles only. The 2-oz bottle is a single application, which will help prevent patients from using more than the recommended dosage in accordance with the physician's prescription.

-A medication guide containing full prescribing and usage information has been attached to each carton of Lindane Shampoo and Lindane Lotion. This guide gives the patient information and instructions needed to assure optimum safety and effectiveness.

-Use special care when prescribing to patients who may be especially prone to side effects or adverse events, such as pregnant and nursing mothers, the elderly, and children weighing less than 110 pounds.

-A complete package insert has been built into the label.

Thank you for your attention to this important matter. We are confident that these practices will assist pharmacists, physicians, and patients in assuring the proper use of Lindane Shampoo and Lotion.

Please refer to the enclosed prescribing information for complete details.

P.S. For further information about the appropriate use of Lindane products, visit http://www.fda.gov/cder/drug/infopage/lindane/lindaneQA.htm

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