FDA Wants Opioid Blister Pack Comments

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FDA has opened a public docket to receive comments on a potential modification to the Opioid Analgesic Risk Evaluation and Mitigation Strategy to require that certain solid, oral dosage forms of immediate-release opioid analgesics be made available in fixed-quantity, unit-of-use blister packaging for outpatient dispensing. A Federal Register notice says the change “could reduce the amount of unused opioid analgesics, thereby reducing opportunities for misuse, abuse, inappropriate access, and overdose, and possibly reducing the development of new opioid addiction.”

The notice lists nine questions the agency would like answered on the proposal, including the potential safety advantages and public health impact of broadly available, fixed-quantity, unit-of-use blister packages of opioid analgesics for treating acute pain in adults, and the specific information on the safe and effective use of opioid analgesics that would be most beneficial to include in blister packaging configuration of these products.

In a statement on the agency request for comments, FDA acting commissioner Ned Sharpless and CDER deputy director for regulatory programs Douglas Throckmorton say the availability of new packaging configurations could help prescribers to more carefully consider the amount of opioid pain medication they prescribe. “These fixed-quantity, unit-of-use blister packages could even become the default option for many common acute pain conditions for which opioid pain medications are commonly prescribed, where the evidence shows that shorter durations are clinically appropriate,” they say.

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