Accutane Info

Information on the development, history and infamy of Accutane.
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Accutane Warning Labels

Since its release in 1982 there has been a controversial history to accutane, its side effects and the information provided with the drug. Accutane's manufacturer has long been under pressure to provide details regarding the alleged side effects of the product, making them comply has been a long strugle.

Currently the warning on accutane states:

"..Mental problems and suicide. Some patients have become depressed or developed other serious mental problems while they were taking Accutane or shortly after stopping Accutane. Some patients taking Accutane have had thoughts of ending their own lives (suicidal thoughts). Some people have tried to end their own lives (attempted suicide) and some people have ended their own lives (committed suicide).
There have been reports of patients on Accutane becoming aggressive or violent. No one knows if Accutane caused these problems or behaviors or if they would have happened even if the person did not take Accutane.."

Below we look at the history leading to todays accuatane labelling.


1971
Hoffman La-Roche (Roche) develops Accutane, but chooses not to pursue marketing because of its risk of birth defects.


June 1982
The Food and Drug Administration (FDA) approves Accutane for the treatment of severe cystic acne which is unresponsive to other treatments. Shortly after marketing, FDA and Roche receive reports of Accutane-related birth defects.

September 1983

Public Citizen, a consumer advocacy group, petitions FDA for warning labels on Accutane's risk of birth defects and other side effects.

March and October 1984
FDA requires stronger warnings and physician mailings on Accutane's risk of birth defects.

June 1985

Roche amends Accutane's package insert under 'Adverse Reactions' to state:
"The following CNS reactions have been reported and may bear no relationship to therapy - seizures, emotional instability including depression, dizziness, nervousness, drowsiness, malaise, weakness, insomnia, lethargy and paresthesias."

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August 1986
Roche amends Accutane's package insert to state:
"Depression has been reported in some patients on Accutane therapy. In some of these patients, this has subsided with discontinuation and recurred with reinstitution of therapy."

May 1988
FDA requires stronger warnings and physician mailings on Accutane's risk of birth defects. FDA also requires additional studies, including follow-up patient surveys. Disregarding an advisory committee recommendation, FDA does not restrict prescribing of Accutane to board-certified dermatologists. Industry contends that FDA lacks the statutory authority to require all such conditions on Accutane's distribution.


1994
FDA initiates a MedGuide program to provide patients with drug information leaflets (also known as "patient package inserts" or PPIs). In the past, FDA had established PPIs through independent regulations or through voluntary manufacturer agreement. Where public health warranted, MedGuide would have permitted FDA to develop PPIs without manufacturer consent.
In response to industry objections, Congress enacts an appropriations rider limiting the MedGuide program. Congress permits FDA to develop MedGuides for 40 drugs with serious side-effects, including Accutane.
Roche unsuccessfully seeks in Federal court in New Jersey to suppress public availability of extensive Accutane documents, including adverse event reports, marketing plans and clinical data, relating to Accutane's risk of birth defects.

According to a 1996 press account of FDA documents, "More than 90 percent of females treated with Accutane did not have severe cystic acne."


Nov. 18, 2004:
FDA scientist David Graham (who previously has described Accutane as "a 20-year regulatory failure by the FDA")  tells a Senate committee the drug should be studied for possible withdrawal.


Nov. 23 2004:
FDA announces registry of prescribers, patients and pharmacies for Accutane, requires women test negative for pregnancy before getting prescription.


Aug 15 2005:
The FDA introduce the I PLEDGE  program , women who wish to take accutane have to agree to use two forms of contraceptive and have pregnancy test while using the drug.

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