FDA Cracks Down on Painkiller Labeling
In light of the prescription drug abuse epidemic, the Food and Drug Administration (FDA) is cracking down on the labeling of opioid painkillers. According to the FDA, immediate-release opioid painkillers will now carry what is called a “black box” warning, which will warn about the “risk of abuse, addiction, overdose and death.”
The new labeling will also state that prescribing immediate-release opioid painkillers “should be reserved for pain severe enough to require opioid treatment and for which alternative treatment options are inadequate or not tolerated.” There will also be clearer instructions for dosage and dosage changes throughout treatment.
Those medications, which often combine oxycodone with lower-grade medications, are among the most commonly used drugs in the U.S. and account for 90 percent of all opioid painkillers prescribed.
The extensions of these warnings apply particularly to the immediate-release painkillers; the FDA already upped labeling restrictions for extended-release painkillers in 2013. Extended-release painkillers were thought to be a bigger risk for addiction, but after the labeling changes in 2013, increased cases of overdoses, addiction, and death continued. In 2014, there was a high of 19,000 deaths related to the misuse of opioid painkillers, according to the CDC.
There’s also a worrisome connection between opioid painkillers and heroin use–given that some individuals who have become addicted to painkillers eventually turn to heroin once they are no longer able to access painkillers, or because heroin is often cheaper. If you combine deaths from opioid painkillers and heroin, the number of fatalities in 2014 jumps to almost 29,000.
Despite the fact that this labeling comes with a very good intention–cutting down on the abuse of opioids and resulting tragic deaths. However, some experts say that the FDA isn’t going quite far enough. Dr. Andrew Kolodny, the executive director of Physicians for Responsible Opioid Prescribing, pointed out that the new labeling still does not recommend maximum amounts. According to the New York Times Dr. Kolodny stated:
Without an upper dose or maximum duration of use on the label, I don’t think the change will have much of an impact.
As heroin and prescription drug abuse remain huge issues in the U.S., it’s laudable that the FDA is trying common-sense approaches to address them. The Obama administration is pushing for action by federal agencies and governors, so we should probably expect to see more efforts to combat drug addiction in the coming months.