Senator Manchin Seeks 3 Opioid Policy Changes
Senator Joe Manchin (D-WV) has called on FDA to adopt three policy changes through its Opioid Policy Steering Committee to reduce unnecessary and dangerous opioid medications. In a 12/6 letter to FDA commissioner Scott Gottlieb, Manchin offered support for the steering committee. He noted that in the past he had been “very critical of the role that the FDA has played in this epidemic, but I have been heartened to see the changes that the agency has been making to take responsibility for the public health impact of these deadly drugs.”
Manchin’s first policy change recommendation is that FDA should require mandatory and continuing education for every healthcare provider who prescribes opioids. He said too many medical professionals have received inadequate training on opioid dangers, addiction signs, and and alternatives to opioids for managing pain.
Second, Manchin said FDA should seek advisory committee guidance and review every opioid product that is currently on the market to determine if its risks outweigh the benefits. “Every opioid that an advisory committee determines is more dangerous than beneficial should be immediately removed from the market,” he said.
And lastly, for every new opioid medication approved, FDA should remove one or more older opioids from the market that have a history of abuse, Manchin wrote. “This market is saturated and we can currently treat everything from short-term, acute pain to excruciating cancer pain,” he said. “We simply do not need to increase the number of opioid medications on the market.”