03
Sep
looking under a rock

Label Changes Drive Drug Shortage for Estradiol Transdermal Patches

In November 2025 the FDA requested that manufacturers of hormonal treatments for menopausal symptoms make changes to the labeling to remove boxed warnings about a probable risk of breast cancer, cardiovascular disease, and probable dementia because new information evaluated by the Agency has made those warnings obsolete. These changes in labeling have had a dramatic […]

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02
Sep

Compounding to Get More Scrutiny?

I read two articles today that made me wonder what the next year will look like for enforcement activity in the compounding arena. First was an article by Peter Pitts published in RealClear Health (here) titled “The Compounding Loophole Has Become a Business Model”. The second is a report in the Pink Sheet written by […]

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01
Sep

FDA Ditches Bonus Pay for Fast Reviews

In an article in the Pink Sheet (here, subscription required) written by Maaisha Osman and Derrick Gingery, titled “US FDA Scraps Program That Paid Bonuses For Completing Speedy Drug Reviews”, the authors note that “[T]he US Food and Drug Administration is scrapping a controversial program that offered bonus payments to drug reviewers who completed their […]

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27
Aug

Pharmacy Compounder Problem with Use of Dietary Grade Glutathione

In an article published today on FDA’s webpage (here), the FDA notes that it “is aware of reports of at least 30 patients who experienced adverse events following the administration of intravenous (IV) glutathione alone or in combination with other ingredients”. The problem has been identified as the use of a dietary grade of glutathione […]

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26
Aug

Etomidate Under Review for Controlled Substance Classification

The Federal Register pre-publication notice published today (here) lists Etomidate as a product with possible abuse potential that will be reviewed for scheduling under the Controlled Substances Act. It is a short-acting anesthetic and mentioned often on TV medical shows when a patient is brought into the ER either unresponsive or in need of immediate […]

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21
Aug

More Product Specific Bioequivalence Recommendations Hit the Press

Today, the FDA published 55 product specific guidances (PSGs) that provide FDA’s current bioequivalence recommendations for generic products. The PSGs can be found here and the current listing represents 24 new and 31 revised PSGs. FDA says that today’s batch of 55 PSGs contain: More than 30 for products with no approved ANDAs including 15 […]

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