EXOGEN 4000

Description of Event or Problem

IT WAS REPORTED THAT THE PATIENT EXPERIENCED CHEST PAIN THAT RESOLVED WITH TREATMENT WITH SUBLINGUAL NTG ABOUT 4 HOURS FOLLOWING THE USE OF EXOGEN. SHE DID NOT SEEK EMERGENCY MEDICAL CARE FOR THE CHEST PAIN. SHE REPORTED THE EPISODE THE FOLLOWING MORNING TO HER CARDIOLOGIST , CONCERNED THAT THE CHEST PAIN WAS A RESULT OF AN INTERACTION BETWEEN EXOGEN AND HER IMPLANTABLE CARDIOVERTER DEFIBRILLATOR. HE ADVISED HER TO DISCONTINUE EXOGEN. THE PATIENT HAD USED EXOGEN TWICE BEFORE WITHOUT PROBLEM, HOWEVER, SHE EXPERIENCED THE CHEST PAIN WITH HER THIRD TREATMENT. SHE WAS PRESCRIBED EXOGEN FOR THE NONUNION OF A PROXIMAL LEFT HUMERUS FRACTURE. SHE HAS A HISTORY OF CARDIOVASCULAR DISEASE AND IS S/P CORONARY ARTERY BY-PASS GRAFT SURGERY. BECAUSE OF CONCERNS ABOUT A POTENTIAL INTERACTION, THE PATIENT WAS SUBSEQUENTLY REFERRED BACK TO THE CARDIOLOGIST FOR A PRE-OP EVALUATION ON (B)(6) 2012 FOR SURGICAL TREATMENT OF THE NONUNION.