Alert on Compounded Moxifloxacin Ophthalmic Solutions

Share

An FDA drug safety alert is warning about reports of toxic anterior segment syndrome (TASS) following intraocular administration of compounded drugs using moxifloxacin as a bulk drug substance, as well as reports associated with the intraocular administration of repackaged or diluted FDA-approved moxifloxacin. The agency has identified 29 cases that described TASS associated with moxifloxacin’s intraocular administration, with most of these occurring after cataract surgery.

 

The alert notes that moxifloxacin topical ophthalmic solutions (marketed under Moxeza and Vigamox brands) are not FDA approved for intraocular administration. “FDA is aware of multiple literature reports that claim to support the use of intraocular moxifloxacin for the prophylaxis of endophthalmitis, and it is a common practice among ophthalmologists in association with cataract surgery,” it says. “However, there are no adequate and well controlled studies that demonstrate moxifloxacin’s efficacy for treating endophthalmitis.”

Read more