The European Medicines Agency’s Pharmacovigilance Risk Assessment Committee (PRAC) has recently concluded critical reviews concerning two significant medicinal products. These evaluations focus on the safety profiles of semaglutide-based treatments and varicella vaccines, responding to emerging adverse event reports.
Semaglutide Linked to Rare Eye Condition
Semaglutide, a GLP-1 receptor agonist found in medications such as Ozempic, Rybelsus, and Wegovy, has been associated with a very rare risk of developing non-arteritic anterior ischemic optic neuropathy (NAION). This eye condition can lead to sudden vision loss. After thorough analysis of available data, PRAC has recommended updating the product information for semaglutide medicines to include NAION as a very rare side effect, potentially affecting up to 1 in 10,000 individuals. Patients experiencing sudden or rapidly worsening eyesight while on semaglutide are advised to seek immediate medical attention, and discontinuation of the treatment is recommended if NAION is confirmed.
Varicella Vaccines Under Scrutiny for Encephalitis Risk
In response to a fatal case of encephalitis reported in Poland following vaccination with Varilrix, PRAC is now reviewing the risks associated with encephalitis in the varicella vaccines Varilrix and Varivax. These live attenuated vaccines are commonly administered to prevent chickenpox in children and adults. While encephalitis is listed as a rare side effect, the recent incident has prompted a closer examination of the risk factors and incidence rates. The Polish authorities have temporarily suspended the affected vaccine batch as a precautionary measure. PRAC’s ongoing assessment aims to determine whether additional regulatory actions are necessary to ensure vaccine safety across the EU.
- Semaglutide’s association with NAION emphasizes the need for vigilant monitoring of visual symptoms in patients.
- The case in Poland highlights the importance of rapid response mechanisms in addressing adverse vaccine reactions.
- PRAC’s recommendations may lead to updated safety information, enhancing informed decision-making for healthcare providers and patients.
- The suspension of the Varilrix batch underscores the agency’s commitment to proactive risk management.
Public health communications from the EMA provide detailed guidelines on managing these risks, ensuring that both healthcare professionals and patients are well-informed. The agency continues to advocate for transparent reporting and swift action in the face of potential medication and vaccine risks, reinforcing its role in safeguarding public health across Europe.
Healthcare providers are urged to stay updated with the latest EMA communications to effectively manage and mitigate these rare but serious side effects. Patients are encouraged to maintain open dialogue with their healthcare providers regarding any unusual symptoms experienced during treatment or following vaccination.
The EMA’s proactive stance in reviewing and updating safety profiles demonstrates its dedication to patient safety and the continuous improvement of medicinal product guidelines. These measures ensure that the benefits of approved treatments and vaccines outweigh the associated risks, maintaining public trust in healthcare interventions.
By addressing these concerns head-on, the European Medicines Agency not only enhances the safety protocols for existing treatments but also sets a precedent for future pharmacovigilance practices. The ongoing reviews and updates to product information serve as critical tools in the collective effort to optimize patient outcomes and maintain high safety standards within the European Union.

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