FDA Lays Out Unapproved GLP-1 Drug Concerns

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FDA says it is aware that some patients and healthcare professionals may look to unapproved GLP-1 drugs (including semaglutide and tirzepatide) as an option for weight loss. “This can be risky for patients, as unapproved versions do not undergo FDA’s review for safety, effectiveness, and quality before they are marketed,” an agency statement says.

The statement discusses the agency’s concerns with compounded versions of the drugs, saying it is aware of fraudulently compounded GLP-1 drugs marketed in the U.S. that contain false information on the product label. “In some cases,” the notice says, “the compounding pharmacies identified on the labels of the products do not exist. In other cases, the labels of the fraudulent compounded medicine contain the name of a licensed pharmacy that, based on information FDA has gathered, did not compound these products.” It also covers dosing concerns with the compounded products.

The agency says that as of 4/30, it had received 520 reports of adverse events associated with compounded semaglutide and 480 reports for compounded tirzepatide.

The statement also covers illegally marketed versions of the drugs, including counterfeit Ozempic (semaglutide), illegal online sales of the drugs, and versions sold falsely for research purposes or not for human consumption.

FDA recommends that patients obtain a prescription from their doctor and then fill it at a state-licensed pharmacy.

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