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Prescription medicine

Valrubicin Brand names: Valstar

Valrubicin (Valstar) is a prescription medicine with an FDA approval on record since 1998. FDA's NDC Directory lists it from 1 generic labeler.

  • Generic listed

Check it at the source: the valrubicin FDA label on DailyMed (effective October 31, 2024, Endo USA, Inc.); the NDA 20892 record on Drugs@FDA; every valrubicin label on DailyMed.

Highlights of the record

FDA label of October 31, 2024; NDC Directory, Drugs@FDA and Orange Book, October 8, 2026

Used for

From the label: indications and usage

VALSTAR is an anthracycline topoisomerase inhibitor indicated for intravesical therapy of BCG-refractory carcinoma in situ (CIS) of the urinary bladder in patients for whom immediate cystectomy would be associated with unacceptable morbidity or mortality.

Forms and strengths

  • 40 mg/ml

Solution (concentrate).

On the market

Earliest approval on file
September 25, 1998 Valstar Preservative Free, Endo Operations; Drugs@FDA’s file, where older or withdrawn approvals can be missing
Generic approvals
1 first April 19, 2019; 1 with a marketed status in Drugs@FDA
Labelers listed (NDC)
2 of which 1 under generic applications, 1 under brand applications, repackagers included

Supply and safety

Pharmacy cost (NADAC)
Not in the survey
Shortage (FDA)
No current entry
Recalls by its makers (FDA)
No recall recorded
FAERS reports
177 through July 30, 2026

What is valrubicin used for?

From the label: indications and usage

VALSTAR is an anthracycline topoisomerase inhibitor indicated for intravesical therapy of BCG-refractory carcinoma in situ (CIS) of the urinary bladder in patients for whom immediate cystectomy would be associated with unacceptable morbidity or mortality. VALSTAR is an anthracycline topoisomerase inhibitor indicated for intravesical therapy of BCG-refractory carcinoma in situ (CIS) of the urinary bladder in patients for whom immediate cystectomy would be associated with unacceptable morbidity or mortality.

Source: FDA drug label (Valstar), Endo USA, Inc., effective October 31, 2024 (SPL set e96f30a0-6662-11de-8f80-0002a5d5c51b), via openFDA; the full label on DailyMed

Is there a generic for valrubicin (Valstar)?

The FDA approved the first generic valrubicin on April 19, 2019. 1 generic application is approved; 1 of it carries a current (not discontinued) marketing status in Drugs@FDA; that status is not evidence that the generic is on sale.

FDA's NDC Directory lists valrubicin from 1 labeler under a generic (ANDA) application and from 1 brand labeler. A listing means the company has registered the product for sale; it does not show that every pharmacy stocks it.

  • 1998 earliest approval on file
  • 2019 first generic approved

Source: Drugs@FDA, FDA NDC Directory and the Orange Book (openFDA bulk files, October 8, 2026)

What does the valrubicin label say about other medicines?

The valrubicin label names 1 other medicine in its interaction, contraindication or warning sections. The sentences are the labels' own; a label lists what its studies and reports found, not every interaction.

Medicine namedSectionWhat the label says
Castor oilcontraindicationsCONTRAINDICATIONS VALSTAR is contraindicated in patients with: Perforated bladder [ see Warnings and Precautions ( 5.2 )] Known hypersensitivity to anthracyclines or polyoxyl castor oil Active urinary tract infection Small bladder capacity and unable to tolerate a 75 mL instillation Perforated bladder or compromised …

Check valrubicin against other medicines

Source: FDA drug label (Valstar), Endo USA, Inc., effective October 31, 2024 (SPL set e96f30a0-6662-11de-8f80-0002a5d5c51b), via openFDA; the full label on DailyMed

What do FAERS reports show for valrubicin?

The FDA Adverse Event Reporting System holds 177 reports that list valrubicin among the medicines taken, through July 30, 2026, each a report of something that happened, not proof the medicine caused it; 5 are coded as a death and 8 as a hospital stay. Counts follow how widely a medicine is used and watched, and they are not a measure of how risky it is.

The most reported reactions

  • Underdose (a use or a product term, not a reaction)26
  • Bladder Instillation Procedure24
  • Accidental Exposure To Product23
  • Urge Incontinence20
  • Bladder Spasm (named in the label)13
  • Urinary Incontinence (named in the label)11
  • Pain9
  • Dysuria (named in the label)8

Side effects: the label's list and every FAERS reaction

Source: FDA Adverse Event Reporting System (FAERS) via openFDA, reports through July 30, 2026

What next?

Valrubicin side effects
the label's list beside FAERS reports
Check an interaction
what two or more labels say about each other