Change Buprenorphine Labeling: Petition

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The Colorado Society of Addiction Medicine, supported by similar societies in eight states, is calling on FDA to update the labeling of sublingual buprenorphine products to treat opioid use disorder. The society petition wants the labeling to indicate that following initiation, the buprenorphine dose should be titrated based on the prescriber’s clinical judgment to alleviate symptoms enough to enable patients to maintain discontinuation of illicit opioid use.

The society says the labeling should indicate that evidence suggests that 16 mg/day or more may reduce the risk of overdose death more effectively than lower doses.

The petition also asks FDA to issue a drug safety communication to providers highlighting the potential clinical benefit of sublingual buprenorphine doses equal to or greater than 16 mg/day in patients with opioid use disorder.

“Current labeling for sublingual and/or buccal buprenorphine products is inadequate to meet the needs of the American population during a synthetic opioid overdose epidemic,” the society says.

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