Janssen Pharmaceuticals. Elmiron's generic name is Pentosan polysulfate (PPS). Doctors prescribe it to treat: Interstitial cystitis (painful bladder syndrome), and osteoarthritis. Formerly, doctors used PPS as a blood thinner.

Elmiron® Lawsuit - Legal Claims for Vision Loss

Q: What are the grounds for an Elmiron lawsuit?

The primary claim in Elmiron lawsuits is failure to warn. The packaging and instructions do not list maculopathy as a risk. Therefore, doctors were unaware of this complication. Had they known, they may not have prescribed it. And patients may have chosen not to take it.

Q: Does Elmiron cause maculopathy?

There is substantial evidence that long-term Elmiron consumption leads to pigmentary maculopathy. This is an injury of the macula. (The macula is the retina's center.) Macular injury can cause vision loss. And total blindness. In 2018, the American Academy of Ophthalmology (AAO) published an article. It discussed six Emory Eye Center patients from 2015 to 2017. They had taken Elmiron for bladder problems. And they developed pigmentary maculopathy. The following year, AAO published an update. More Emory Eye Center patients on Elmiron developed the eye condition. Three common symptoms of pigmentary maculopathy include: 1) Darkened spots on the retina. 2) Yellow, round lesions under the macula. 3) Abnormal capillaries and blood vessels.

Q: Are the lawsuits class action of separate?

But these lawsuits get consolidated into multi-district litigation (MDL). The Elmiron MDL is out of the District of New Jersey. It is called: In re Elmiron (pentosan polysulfate sodium) Products Liability Litigation; MDL 2973. MDLs are a way to streamline litigation. One judge makes all the pretrial rulings. Then about four or five cases go to trial. How these bellwether trials turn out is critical. It serves as the starting point for negotiations. Unlike in class actions, MDL plaintiffs get separate settlements. The final number depends on their injuries and circumstances.

Q: Is Elmiron recalled?

No. The FDA approved it in 1996. Rheumatologists and urologists continue to prescribe it. (There is no over-the-counter version.) So Elmiron remains available. Despite the FDA Adverse Event Reporting System (FAERS). It logged 100 vision problem cases between 1997 and 2019. Eighty percent were serious. And 22 patients (at least) had maculopathy.

Q: Have there been settlements yet?

Not yet. But plaintiffs' attorneys are seeking large settlements. No price can be put on vision. And seeing problems affect every aspect of victims' lives. Ultimately, attorneys are fighting for enough money to pay for: All past and future medical bills (including mental health counseling); lost wages, past and future, and pain and suffering.

Q: What are Elmiron's side effects?

In addition to vision problems, Elmiron can cause: Skin rashes and/or bruising, hair loss (alopecia), sleeping problems, headaches, diarrhea, and/or reflux. The product labeling does mention some vision disorders. None of them is maculopathy. Instead, the label mentions retinal hemorrhage, pink eye (conjunctivitis), optic neuritis, amblyopia, and nystagmus. Elmiron patients may wish to consult with their doctors. Perhaps doctors will suggest they get a vision test. Or possibly switch medications.

Q: What are recent Elmiron cases?

Litigation is very new. Check back for updates on current litigation and settlements.

Updated January 1, 2021

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An Elmiron lawsuit is a claim for compensation by patients diagnosed with pigmentary maculopathy after taking the medication. Plaintiffs accuse Janssen, the manufacturer, of failure to warn both doctors and patients that the drug could cause vision problems and possibly blindness.https://www.shouselaw.com/torts/elmiron/settlements/

Shouse Law Group is representing Elmiron victims throughout the United States. We are demanding Janssen compensate our clients for medical bills, lost earnings, and pain and suffering.

These lawsuits are not a class action. We fight each lawsuit separately, but the lawsuits join into a multidistrict litigation (MDL). This will expedite the negotiation and settlement process.

Plaintiffs can be anyone who developed maculopathy eye damage after taking Elmiron.

The statute of limitations to file suit is short. In most states, it is only a year or two. Therefore, victims should consult a lawyer right away.

In this article, our Elmiron attorneys discuss:

Elmiron victim taking an eye exam. The medicine may cause vision problems.

Taking prescription drug Elmiron may lead to vision damage. Even blindness.

1. What are the grounds for an Elmiron lawsuit?

The primary claim in Elmiron lawsuits is failure to warn. The packaging and warning label did not list maculopathy as a risk prior to June 16, 2020.

Therefore, doctors were unaware of this complication of Elmiron use. Had they known, they may not have prescribed it. And patients may have chosen not to take it.

Now, Elmiron’s label states:

Pigmentary changes in the retina, reported in the literature as pigmentary maculopathy, have been identified with long-term use of ELMIRON® (see ADVERSE REACTIONS). Although most of these cases occurred after 3 years of use or longer, cases have been seen with a shorter duration of use. While the etiology is unclear, cumulative dose appears to be a risk factor.

The U.S. Food and Drug Administration also recommends that Elmiron users get eye exams that include auto-fluorescence imaging and optical coherence tomography.

2. Does Elmiron cause maculopathy?

There is substantial evidence from recent studies that at least six months of Elmiron consumption causes about 25% of users to develop pigmentary maculopathy. This is an eye injury of the macula. (This is the central part of the retina, so it is a retinal disease.) Macular injury can cause permanent vision loss. And total blindness. In more mild cases, it can cause difficulty reading and other vision impairment.

In 2018, the American Academy of Ophthalmology (AAO) published an article. It discussed six Emory Eye Center patients from 2015 to 2017. They had taken Elmiron for bladder problems and developed pigmentary maculopathy of unknown etiology.¹

The following year, AAO published an update. More Emory Eye Center patients on Elmiron developed the eye condition.²

Common symptoms of pigmentary maculopathy include:

Dark spots (hyper-pigmented spots) on the retina
Retinal pigment epithelium atrophy
Yellow, round lesions under the macula (vitelliform deposits a.k.a. adult pattern macular dystrophy)
Abnormal capillaries and blood vessels (parafoveal pigmented deposits)
Night blindness or blindness (loss of vision)
Seeing dark spots
No close vision
Blurred vision and/or dimming
Trouble reading

Patients may also present with hyperpigmented, or darkened spots, on the retina during an eye examination.

Sometimes doctors confuse retinal maculopathy for age-related macular degeneration or pattern dystrophy.

3. Are the lawsuits class action of separate?

Separate lawsuits. But these lawsuits get consolidated into multi-district litigation (MDL). The Elmiron MDL is out of the District of New Jersey. It is called:

In re Elmiron (pentosan polysulfate sodium) Products Liability Litigation; MDL 2973

MDLs are a way to streamline litigation. One judge makes all the pretrial rulings, and then about four or five cases go to trial. How these bellwether trials turn out is critical. It serves as the starting point for negotiations.

Unlike in class actions, MDL plaintiffs get separate settlements. The final number depends on their injuries and circumstances.

4. Is Elmiron recalled?

No. The FDA approved it in 1996.³ Rheumatologists and urologists continue to prescribe it. (There is no over-the-counter version.)

So Elmiron remains available. Despite the FDA Adverse Event Reporting System (FAERS). It logged 100 vision problem cases between 1997 and 2019. Eighty percent were serious. And 22 patients (at least) had maculopathy.⁴

Elmiron patient failing a vision test due to developing maculopathy.

Elmiron victims may be able to sue the drug maker for financial damages.

5. Have there been settlements yet?

Not yet. But plaintiffs’ attorneys are seeking large financial settlements.

No price can be put on vision. And seeing problems affect every aspect of victims’ lives. Ultimately, attorneys are fighting for enough financial compensation to pay for:

All past and future medical bills (including mental health counseling),
Lost wages, past and future, and
Pain and suffering

6. Who makes Elmiron?

Janssen Pharmaceuticals, a division of Johnson & Johnson. The FDA approved Elmiron in 1996 for interstitial cystitis. Patients take one 100 mg capsule three times a day.

Elmiron is a brand name. Elmiron’s generic name is Pentosan polysulfate sodium (PPS). Considered an “orphan drug”, Elmiron is prescribed by doctors to treat:

Interstitial cystitis (a bladder condition also called IC, painful bladder syndrome, or bladder pain syndrome); and
Osteoarthritis

IC is more common among older women with fair skin and red hair. IC causes the sensation of a urinary tract infection (UTI), and it is similar to overactive bladder syndrome, but IC actually changes the urothelium – the tissue layer around the bladder. IC can decrease the patient’s quality of life by affecting sleep, stress, and intimacy.

The FDA rejected Elmiron two times before finally approving it for IC. There is little evidence proving that Elmiron is effective. Formerly, doctors used PPS as a blood thinner.⁵

7. What are Elmiron’s side effects?

In addition to vision problems, victims can experience such Elmiron side effects as:

Skin rashes and/or bruising,
Hair loss (alopecia),
Sleeping problems,
Headaches,
Gaining weight,
Swelling,
Dizziness,
Liver problems,
Bloody stools,
Diarrhea, and/or
Reflux

The product labeling does mention some eye diseases. None of these eye disorders is maculopathy. Instead, the label mentions such eye problems observed in clinical trials as:

Retinal hemorrhage,
Pink eye (conjunctivitis)
Optic neuritis,
Amblyopia, and
Nystagmus.⁶

Elmiron patients may wish to consult with their doctors and ophthalmologists. Perhaps doctors will suggest they get a vision test. Or possibly switch medications.

8. What are recent Elmiron cases?

Litigation is very new. Check back for updates on current litigation and settlements. One recent case includes:

Pelczar vs. Teva Branded Pharmaceutical Products R&D et al. United States District Court District Of Connecticut. Case 3:20-cv-00406. (March 26, 2020).

Other Elmiron victims who have recently brought lawsuits include Valerie Hull and Tina Pisco.

For the latest on the Elmiron MDL, go to the official Elmiron MDL website.

Contact our law firm for help. Our Elmiron lawyers offer free consultations.

Did you or a loved one get maculopathy or other retinal damage from the use of Elmiron? Contact our dangerous drugs attorneys for a free case evaluation and case review.

Disclaimer: Past results do not guarantee future results.

Legal References

Joseph T Nezgoda, MD MBA, Nieraj Jain, MD, Pigmentary Maculopathy From Chronic Exposure, AAO (December 7, 2018); Elmiron use may also lead to atypical retinopathy.
More Evidence Linking Common Bladder Medication to a Vision-threatening Eye Condition, AAO (October 12, 2019), Kaiser Permanente (140 patients consumed 5,000 doses over an average of 15 years; upon examination of 91, 22 developed pigmentary maculopathy.); Robin A. Vora, Amar P. Patel, Ronald Melles, Prevalence of Maculopathy Associated with Long-Term Pentosan Polysulfate Therapy, AAO (January 16, 2020). Other types of maculopathy include age-related macular degeneration, cellophane maculopathy (“macular pucker”), and Malattia Leventinese (“Doyne Honeycomb Retinal Dystrophy” or DHRD).
Elmiron, FDA.
See July – September 2019 | Potential Signals of Serious Risks/New Safety Information Identified by the FDA Adverse Event Reporting System (FAERS), FDA.
Elmiron 100 mg, FDA.
See same.