FDA Orders Cough Medicine Labeling Changes
FDA is requiring labeling changes to limit the use of prescription opioid cough and cold medicines containing codeine or hydrocodone in children under age 18. An agency news release says the “serious risks of these medicines outweigh their potential benefits in this population.”
After the safety labeling changes are made, the agency says, the products will no longer be indicated for use to treat cough in any pediatric population and will be labeled only for use in adults age 18 and older. The labeling also is being updated with additional adult use safety information, including a Boxed Warning about the risks of misuse, abuse, addiction, overdose and death, and slowed or difficult breathing than can result from exposure to codeine or hydrocodone.
The required labeling changes are based on an extensive review of available data and expert advice shared at meeting to explore the pediatric use of opioid-containing cough and cold products, the release says. They expand the pediatric indication put in place last year when FDA required addition of a Contraindication saying that codeine should not be used to treat pain or cough in children younger than 12 due to a specific risk of ultra-rapid metabolism in certain patients.