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US FDA Releases Drug Dosage Guidance

by Gopalan on Nov 8 2009 9:12 AM

The US FDA has released drug dosage guidance as part of its Safe Use Initiative, intended to help both patients and caregivers.

The US FDA has released drug dosage guidance as part of its Safe Use Initiative, intended to help both patients and caregivers.

The agency’s report “Dosage Delivery Devices for OTC Liquid Drug Products,” contains guidance on calibrated cups, droppers, syringes and spoons packaged with over-the-counter liquid medications.

Accidental overdoses can be caused by dosage delivery devices that are unclear or are inconsistent with the labeled dosing instructions, it has been pointed out.

"This new drug dosage guidance document is an example of steps that can be taken to ensure safer medication use,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research.

“Many accidental overdoses result from confusion about exactly how much of a drug to take. Better measuring devices will help patients, parents, and other caregivers use the right amount of these medications – the safest and most effective dose – especially for children.”

The FDA also says it intends to collaborate with health care professionals and other stakeholders to identify drugs and drug classes that are linked to preventable harm. A list of specific problems, cross-sector interventions for reducing harm from these problems, and the metrics for success will be developed.

“Too many people suffer unnecessary injuries from avoidable medication misuse, errors and other problems. The FDA is launching the Safe Use Initiative to develop targeted solutions for reducing these injuries,” said FDA Commissioner Margaret A. Hamburg, M.D.

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Millions of people are harmed every year from inappropriate medication use. Many injuries occur as a result of incomplete access to information about a drug, a patient, or the patient’s condition.Other preventable sources of harm include unintentional misuse of medications, medication abuse, and attempts at self harm. Unintended exposure to prescription medications such as opioid drugs can cause harm, even death, in a single dose, if taken by someone other than the patient who was prescribed the medication.

“Only through coordinated interventions across all sectors of the health care system can we substantially reduce preventable injuries from using medications,” said Ms.Woodcock. "All participants in the health care community have a role to play in reducing the risks and preventing injuries from medication use.”

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More detailed information on the new program was contained in a report, titled, “FDA’s Safe Use Initiative – Collaborating to Reduce Preventable Harm from Medicines.” The report was released by Drs. Hamburg and Woodcock at FDA’s annual Science Writers Symposium at the agency’s White Oak Campus in Silver Spring, Maryland.

The report highlights several risk-reduction projects that may benefit from Safe Use collaborations, including evaluating consumer medication information, communicating about the risk of inadvertent overexposure to acetaminophen, implementing safeguards against surgery fires caused by alcohol-based surgical preps, and avoiding contamination of multiple use medication vials.



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