FDA Increasing Oversight on Diethylene Glycol Contamination

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In response to a World Health Organization (WHO) warning about contaminated medications, including children’s cough/cold syrups found in Gambia with unacceptable amounts of diethylene glycol (DEG) and ethylene glycol (EG), CDER director Patrizia Cavazzoni says the agency is stepping up its actions to prevent contaminated drug products from entering the U.S. market.

WHO has announced that cases of DEG and EG contamination have been reported in at least seven countries, with over 300 associated deaths. “This current outbreak is becoming one of the largest epidemics of DEG poisoning in history,” Cavazzoni observes in an online post.

“We have implemented strict safeguards to prevent DEG/EG adulterated products, including those listed in the WHO alerts, from being imported into the U.S., and we are also working with the Centers for Disease Control and Prevention (CDC), regulatory authorities in other countries, and the WHO to support investigation efforts to determine the root cause of the reported contamination,” she said. “We are closely scrutinizing multiple liquid formulations of FDA-regulated drug products, including syrups, solutions, and suspensions, made with glycerin, propylene glycol, polyethylene glycol, maltitol solution, hydrogenated starch hydrolysate, or sorbitol solution.”

Additionally, Cavazzoni said FDA has contacted drug product manufacturers to remind them about testing raw materials and finished product batches before release to ensure that a product is safe for use. She also cited a guidance entitled Testing of Glycerin for Diethylene Glycol to help drug makers test for potential contaminants.

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