Have you heard of the inverted black triangle ?

Have you ever noticed an inverted black triangle Screenshot 2026-06-25 112746 in the prescribing information of certain medicines?

In the European Union, this symbol indicates that a medicine is under additional monitoring. It does not mean that the medicine is unsafe. Instead, it signifies that regulatory authorities are actively encouraging the reporting of suspected adverse drug reactions ( ADRs) to gather more information.

A medicine may be placed under additional monitoring if :

  • It contains a new active substance.
  • It is a newly authorized biological product, such as vaccine.
  • It has received conditional approval or approval under exceptional circumstances.
  • Additional post-authorization safety studies are required.
  • Enhanced safety monitoring has been mandated by regulatory authorities.

A medicine’s safety evaluation does not end at approval – it continues throughout its lifecycle.

Have you encountered the Screenshot 2026-06-25 112746 symbol before? What are your thoughts on the role of additional monitoring in strengthening pharmacovigilance systems?

Source article : Medicines under additional monitoring | European Medicines Agency (EMA)

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