F.D.A. Increases Scrutiny of Some Generic Drugs

Posted: Published on November 1st, 2012

This post was added by Dr P. Richardson

The Food and Drug Administration said it was looking more closely at the way generic companies made extended-release drugs after it found one such medicine failed to work as well as its brand-name counterpart.

A conveyor belt at Teva Pharmaceuticals in Israel, which markets a generic version of Wellbutrin XL.

The finding is a rare departure for the agency, which for years has insisted that generic drugs are just as effective as their brand-name versions.

The drug, a 300-milligram dose of bupropion, was manufactured by Impax Laboratories and was intended to mimic the popular antidepressant, Wellbutrin XL. But soon after it was introduced in 2006, patients who switched to it from Wellbutrin began complaining that their depression had returned. Impax and Teva Pharmaceuticals, which marketed the drug, have stopped selling the 300-milligram dose.

Although regulators have said the episode appears to be limited to one dosage level of a single drug, an F.D.A. official said in October that the agency was now looking more closely at the techniques generic drug makers used to make the extended-release drugs.

This has actually prompted us to change our policy, Dr. Gregory P. Geba, the director of the F.D.A.s office of generic drugs, said in an interview.

Generic drugs now account for the overwhelming majority of medicines prescribed in the United States, and extended-release drugs are a rapidly growing segment of the generic market. But they can be tricky to make. While the active ingredient is the same as the brand-name version, the mechanism for gradually releasing the drug into a persons body can vary.

The unusual decision by the F.D.A. that a generic was not the equivalent of the brand has provided fodder to some longtime critics, who say the F.D.A. and generic drug companies have been reluctant to acknowledge that sometimes generics dont work as well as the brand-name originals.

Others dismissed such arguments, saying the recent criticism is just the latest effort in a longstanding campaign to unfairly discredit generics.

I think theres still a cloud hanging over generic drugs, said Joe Graedon, a pharmacologist who runs a consumer Web site, the Peoples Pharmacy, which raised questions five years ago about Teva and Impaxs version of Wellbutrin XL. This may be far more common than the F.D.A. had realized.

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F.D.A. Increases Scrutiny of Some Generic Drugs

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