Guidance

Safety Public Assessment Reports

These reports explain our assessment of the scientific evidence used to lead to regulatory decisions on the safety of medicines or medicines classes.

How Safety Public Assessment Reports work

The Safety Public Assessment Reports (PARs) cover medicines safety issues assessed at a national level by the Commission on Human Medicines (CHM) or its advisory groups. We prioritise the publication of PARs that relate to major national regulatory action.

The reports show the evidence that was available at the time we made the regulatory decision, showing a 鈥榮napshot鈥 of the clinical landscape at the time. They are not intended to provide clinical advice.

Since 2012, most safety issues are assessed at an EU level. Reports for these issues can be found on the (EMA) or websites.

We publish updates and prescribing updates on a wide range of medicines in our monthly Drug Safety Update

We also publish .

2025

Modified Release Opioids and Treatment of Post-operative Pain

Valproate: Managing reproductive risks in male patients under 55

2024

Valproate: Paternal exposure to valproate and risk of neurodevelopmental disorders and congenital malformations in offspring

Topiramate: review of safety in pregnancy

Finasteride: review of safety data and expert advice on management of risks

MHRA Public consultation on the proposal to make Codeine Linctus available as a prescription-only medicine (POM)

2023

Valproate: review of safety data and expert advice on management of risks

2022

Chloramphenicol eye drops containing borax and boric acid buffers: review of the use in children under 2 years

Hydroxychloroquine or chloroquine, in combination with macrolide antibiotics: review of epidemiological data for cardiovascular safety

2021

Public Assessment Report: safety of macrolide antibiotics in pregnancy: a review of the epidemiological evidence

Antiepileptic drugs: review of safety of use during pregnancy

Topical steroid withdrawal reactions: a review of the evidence

Review of the use of haloperidol in elderly patients with acute delirium

2020

Public Assessment Report of over-the-counter stimulant laxatives: benefit-risk review

2019

(21 November 2019)

2018

(13 December 2018)

2017

(PDF, 62.5 KB, 12 pages) (20 June 2017)

2015

(PDF, 99.5 KB, 12 pages) (9 September 2015)

(PDF, 104 KB, 8 pages) (27 January 2015)

2014

(PDF, 501 KB, 38 pages)

2013

(PDF, 181 KB, 21 pages) (20 March 2013)

2012

(PDF, 342 KB, 27 pages) (5 December 2012)

(PDF, 111 KB, 11 pages) (29 October 2012)

(PDF, 144 KB, 24 pages) (29 October 2012)

(PDF, 194 KB, 23 pages) (25 May 2012)

2011

(PDF, 381 KB, 36 pages) (14 November 2011)

(PDF, 116 KB, 16 pages) (14 September 2011)

(PDF, 108 KB, 12 pages) (10 September 2011)

(PDF, 124 KB, 19 pages) (1 September 2011)

(PDF, 109 KB, 11 pages) (30 August 2011)

(PDF, 121 KB, 18 pages) (1 May 2011)

(PDF, 179 KB, 24 pages) (1 April 2011)

(PDF, 249 KB, 41 pages) (1 February 2011)

2010

(PDF, 74.5 KB, 11 pages) (23 December 2010)

(PDF, 200 KB, 22 pages) (11 October 2010)

(PDF, 246 KB, 31 pages) (1 October 2010)

(PDF, 124 KB, 13 pages) (15 September 2010)

(PDF, 248 KB, 11 pages) (30 July 2010)

(PDF, 64 KB, 9 pages) (1 February 2010)

(PDF, 382 KB, 33 pages) (1 January 2010)

2009

(PDF, 157 KB, 19 pages) (3 December 2009)

(PDF, 288 KB, 27 pages) (3 December 2009)

(PDF, 313 KB, 32 pages) (3 November 2009)

(PDF, 134 KB, 15 pages) (1 November 2009)

(PDF, 259 KB, 13 pages) (1 November 2009)

(PDF, 58.5 KB, 16 pages) (1 September 2009)

(PDF, 141 KB, 18 pages) (1 July 2009)

(PDF, 608 KB, 37 pages) (1 June 2009)

2008

(PDF, 151 KB, 20 pages) (1 February 2008)

Recombinant human erythropoietins (epoetins): new prescribing advice (01 December 2007)

  • (PDF, 661 KB, 36 pages)
  • (PDF, 324 KB, 26 pages)

(PDF, 668 KB, 45 pages) (3 September 2007)

(PDF, 151 KB, 17 pages) (1 May 2007)

(PDF, 239 KB, 24 pages) (1 February 2007)

(PDF, 340 KB, 20 pages) (1 November 2006)

(PDF, 59.2 KB, 5 pages) (1 July 2006)

(PDF, 100 KB, 8 pages) (1 July 2006)

Updates to this page

Published 4 January 2019
Last updated 12 March 2025 show all updates
  1. Added PAR for 'Modified Release Opioids and Treatment of Post-operative Pain'

  2. Added Public Assessment Report for 'Valproate: Managing reproductive risks in male patients under 55'.

  3. Added new guidance for Valproate: Paternal exposure to valproate and risk of neurodevelopmental disorders and congenital malformations in offspring

  4. Added 'Topiramate: review of safety in pregnancy' to 2024 Public Assessment Reports.

  5. Added 'Finasteride: review of safety data and expert advice on management of risks' to 2024 reports

  6. Added 'Finasteride: review of safety data and expert advice on management of risks' to 2024 reports.

  7. Added public assessment report 'Valproate: review of safety data and expert advice on management of risks'

  8. Addition of PAR for Hydroxychloroquine or chloroquine, in combination with macrolide antibiotics: review of epidemiological data for cardiovascular safety

  9. Addition of PAR for Chloramphenicol eye drops containing borax and boric acid buffers: review of the use in children under 2 years

  10. Addition of the Public Assessment Report on our review of the risks of using haloperidol for the acute treatment of delirium in elderly patients.

  11. Added a link to the new Public Assessment Report: safety of macrolide antibiotics in pregnancy: a review of the epidemiological evidence

  12. Added links to the Antiepileptic drugs: review of safety of use during pregnancy and the Public Assessment Report of over-the-counter stimulant laxatives: benefit-risk review

  13. First published.

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