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Organ-Specific Warnings: Internal Analgesic, Antipyretic, and Antirheumatic Drug Products for Over-the-Counter Human Use — Small Entity Compliance Guide

FinalCenter for Drug Evaluation and Research08/17/2010

Description

This guidance is intended to help small businesses understand and comply with FDA’s organ-specific labeling regulation for over-the-counter (OTC) internal analgesic, antipyretic, and antirheumatic (IAAA) drug products. The regulation requires IAAA manufacturers to label their products with specific warnings and related information to alert consumers about potential liver injury and stomach bleeding associated with IAAA drug products. Manufacturers must be in compliance with the final rule beginning on April 29, 2010. The Food and Drug Administration (FDA) has prepared this guidance in accordance with section 212 of the Small Business Regulatory Fairness Act (Public Law 104-121).

Scope & Applicability

Product Classes

3
OTC IAAA product

Internal Analgesic, Antipyretic, and Antirheumatic drug products.

Over-the-Counter Human Use

Regulatory scope for human use drugs

Internal Analgesic, Antipyretic, and Antirheumatic Drug Products

OTC drug products subject to organ-specific labeling regulation

Stakeholders

2
IAAA manufacturers

Entities required to label products with specific warnings

Small businesses

Firms that may have fewer resources for reformulation

Regulatory Context

Attributes

2
Principal display panel

Part of the container label and carton labeling for prominent information

Type sizes

Formatting instructions in the final rule

Identified Hazards

Hazards

2
Stomach bleeding

Risk associated with using nonsteroidal anti-inflammatory drugs

Liver injury

Potential risk associated with acetaminophen

Related CFR Sections (3)

Related Warning Letters (4)

  • Finished Pharmaceuticals/Unapproved New Drug/Misbranded/Adulterated

    Guangzhou Zhongkebaishi Health Industry Co., Ltd.

    2022-04-26
  • CGMP/Finished Pharmaceuticals/Unapproved New Drug/Misbranded/Adulterated

    Notarika, S.A. de C.V.

    2021-10-12
  • Finished Pharmaceuticals/Unapproved New Drug/Misbranded/Adulterated

    Guangzhou Minghui Cosmetics Co., Ltd.

    2021-07-13
  • Finished Pharmaceuticals/Unapproved New Drug/Misbranded/Adulterated

    Distribuidora Lagunera del Norte S.A. de C.V.

    2021-03-30

See Also (8)

Organ-Specific Warnings: Internal Analgesic, Antipyretic, and Antirheumatic Drug Products for Over-the-Counter Human Use — Small Entity Compliance Guide | Guideline Explorer | BioRegHub