Group Petitions FDA to Ban Cesium Chloride from Compounding

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Advocacy group Public Citizen has petitioned FDA to add cesium chloride to its 503A Category 2 list of bulk drug substances identified by the agency as presenting a significant safety risk in drug compounding. The group says FDA has dragged its feet in adding the drug to the listing, noting that an advisory committee meeting and agency reviewers determined more than 18 months ago that cesium chloride presents “serious safety concerns” and should be included on the 503A bulks list. “The failure to take such action represents an unreasonable delay that has threatened patient safety,” the group says in its petition.

 

On 9/30/2014, the American Association of Naturopathic Physicians, Alliance for Natural Health USA, Integrative Medicine Consortium, and McGuff Compounding Pharmacy Services nominated cesium chloride for inclusion on the 503A bulks list for use in combination with other natural substances in treating individuals with numerous types of cancer, “by a presumed alkalinizing effect,” Public Citizen says. The proposed route of administration for the drug is intravenous infusion. It notes there is no applicable monograph for cesium chloride, and it is not a component of any FDA-approved drug product.

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