FDA Seeks Withdrawal of Benzocaine Teething Products
FDA is asking manufacturers to voluntarily withdraw from the market over-the-counter (OTC) oral health products containing the pain reliever benzocaine indicated for the temporary relief of sore gums due to teething in infants or children. If companies do not comply, the agency says in a statement, it will initiate a regulatory action to remove the products from the market. FDA also is asking companies to add new Warnings to all other benzocaine oral health products to describe certain serious risks.
“Because of the lack of efficacy for teething and the serious safety concerns we’ve seen with over-the-counter benzocaine oral health products,” says FDA commissioner Scott Gottlieb, “FDA is taking steps to stop use of these products in young children and raise awareness of the risks associated with other uses of benzocaine oral health products. In addition to our letters to companies who make these products, we urge parents, caregivers, and retailers who sell them to heed our warnings and not use over-the-counter products containing benzocaine for teething pain. We will also continue working with Congress to modernize our over-the-counter drug monograph regulatory framework as part of our mission to protect and promote public health.”
A 5/23 Drug Safety Communication builds on previous agency warnings about risks associated with benzocaine products for methemoglobinemia. The FDA statement says this dangerous condition is the result of elevated levels of methemoglobin in the blood and can lead to death. FDA says it is requiring manufacturers of all FDA-approved prescription local anesthetics to standardize warning information about the risk of methemoglobinemia in product labeling across this class of products. Manufacturers have 30 days to reply to the FDA letter on new safety labeling changes.