Naloxone Availability Advisory Committee Meeting
The FDA Anesthetic and Analgesic Drug Products and Drug Safety and Risk Management advisory committees will meet 12/17-18 to consider various options for increasing access to naloxone. FDA commissioner Scott Gottlieb says the advisors “will help us weigh logistical, economic, and harm reduction aspects of different strategies. And we will consider whether naloxone should be co-prescribed with all or some opioid prescriptions to reduce the risk of overdose death.”
Gottlieb’s statement says there is the potential for significant costs and burdens that may be associated with naloxone co-prescribing, including the direct economic costs to consumers and health systems. They also include practical considerations such as the need for manufacturing volume growth for naloxone, and the risk of drug shortages of the product that could come from a sudden spike in prescribing.
“The committee will be asked to evaluate these and other considerations, as part of our effort to consider any potential challenges to wider co-prescribing of naloxone for all or some prescription opioid patients,” Gottlieb says.
The notice says the agency is making progress in efforts to advance development of an over-the-counter naloxone product as a way to promote wider access to the drug. In a new approach, he says, FDA has created a model drug facts label and simple pictogram and is conducting label comprehension testing. Using that information, naloxone manufacturers could focus their efforts on final label comprehension testing of how well consumers understand product-specific information that hasn’t been already tested in the more general facts label.