FDA Warns Against Rx Drugs High in Acetaminophen
Officials say action taken because of reports of severe liver damage from accidental overdoses
By HealthDay staff
WEDNESDAY, Jan. 15, 2014 (HealthDay News) -- The U.S. Food and Drug Administration has asked doctors to stop prescribing painkillers that contain more than 325 milligrams of acetaminophen because of reports of severe liver damage.
Prescription painkillers, which include Vicodin and Percocet, are commonly given for pain following acute injuries, operations or dental procedures and they often contain acetaminophen. However, many over-the-counter medications also contain acetaminophen.
The FDA first tackled this issue in January 2011, when it asked drug makers to stop making prescription painkillers that contained more than 325 milligrams of acetaminophen per dose.
Accidental overdoses from using these products contributes to nearly half of all cases of acetaminophen-related liver failure in the United States, the agency said in a statement issued Tuesday.
Most cases of severe liver injury occurred in patients who took more than the prescribed dose of an acetaminophen-containing product over a 24-hour period, took more than one acetaminophen-containing product at once and/or drank alcohol while taking the drug.
"There is no immediate danger to patients who take these combination pain medications and they should continue to take them as directed by their health care provider," said Dr. Sandra Kweder, deputy director of the Office of New Drugs in the FDA's Center for Drug Evaluation and Research, said in 2011. "The risk of liver injury primarily occurs when patients take multiple products containing acetaminophen at one time and exceed the current maximum dose of 4,000 milligrams within a 24-hour period."
In 2011, the FDA gave drug makers three years to comply with its request to reduce levels of acetaminophen in prescription painkillers, and more than half have done so, the agency said Tuesday. Previously, such products could contain up to 750 milligrams of acetaminophen, according to U.S. health officials.
The agency noted that it will now take action to withdraw approval of any prescription painkillers that contain more than 325 milligrams of acetaminophen.
"We're taking a major step in the agency's overall strategy to reduce the risk of intentional and unintentional liver damage that can occur if a patient takes too much of the common painkiller acetaminophen," Kweder told HealthDay in 2011. "[But] let me also be clear that, when taken as directed, acetaminophen is a very safe product. Our goal is to make it even safer."