FDA Clarifies Safety of Phenylephrine Products

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FDA has issued a safety clarification about its 9/12 Non-prescription Drug Advisory Committee deliberation and 16 to 0 vote (see story) that current scientific data do not support the effectiveness of the over-the-counter monograph dosage of orally administered phenylephrine (10mg) as a nasal decongestant. In the notice, the agency noted that “neither FDA nor the committee raised concerns about safety issues with use of oral phenylephrine at the recommended dose.”

The clarification outlines how FDA would proceed if it determines that oral phenylephrine is not effective. The agency would “first issue a proposed order removing phenylephrine from this monograph,” it says. “The public would then have the opportunity to comment on the proposed order. If, after considering the comments, FDA continued to conclude phenylephrine is not effective, the agency would issue a final order removing this ingredient from the monograph, and phenylephrine would no longer be considered GRASE. FDA would then work closely with manufacturers to reformulate products as needed to help ensure availability of safe and effective products to treat symptoms of colds or allergies.”

Additionally, FDA notes that phenylephrine is also an ingredient in nasal sprays to treat congestion, and that the advisory committee only reviewed orally administered phenylephrine. “Phenylephrine-containing nasal sprays will not be affected by any possible actions taken for phenylephrine in orally administered products (such as tablets or capsules that contain phenylephrine).”

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