After 12+ Years, FDA Approves Steroid Label Changes

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After more than 12 years, FDA has approved a Public Citizen 8/7/2011 petition request for safety labeling changes for glucocorticosteroids administered orally and by injection. In its 2/8 response, the agency denied other petition requests.

“In particular,” the response says, “we partially grant the request that FDA require specific warnings and precautions regarding latent infections due to special pathogens and Kaposi’s sarcoma in the labeling of corticosteroid products, by requiring them in oral and injectable corticosteroid products. To the extent your petition requests these labeling changes with respect to other routes of administration … that request is denied.”

FDA also denies these additional elements in the petition:

  • require that prednisone and all glucocorticosteroids currently on the market in the U.S. include central serous chorioretinopathy as an adverse reaction in their drug labeling; and
  • review the labeling of all glucocorticosteroids and as appropriate require additional label changes to ensure that other important information regarding the use and safety of these medications is presented consistently across all labels.

Contacted by FDA Webview, Public Citizen Health Research Group director Robert Steinbrook said, “It is ridiculous for FDA, which is a public health agency, to take 12-and-a-half years to respond to a citizen petition to improve safety labeling for widely used medications. Nonetheless, Public Citizen is glad that the agency has partially granted our requests and is requiring safety label changes for glucocorticosteroids administered orally and by injection.”

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