4. If FDA has
inspected a human drug compounding outsourcing facility, can I be sure that the
drugs I purchase from that facility are safe?
Drugs made by compounders, including those made at human drug compounding
outsourcing facilities, are NOT FDA-approved. This means that they have not
undergone the same premarket review as approved drugs. They lack an FDA review
of safety and efficacy and of manufacturing quality. Therefore, when an
FDA-approved drug is commercially available, FDA recommends that practitioners
prescribe the FDA-approved drug rather than a compounded drug unless the
prescribing practitioner has determined that a compounded product is necessary
for the particular patient and would provide a significant difference for the
patient as compared to the FDA-approved commercially available drug
product.
Although the drugs will not be FDA approved, purchasers of drugs compounded
at a registered outsourcing facility that has had a recent satisfactory FDA
inspection will have some assurance that the conditions at that facility met
applicable current good manufacturing practice standards at the time of the
inspection, and the compounded drugs are labeled with the required
information. It should be noted, however, that FDA inspections are just a
snapshot in time. Conditions at the facility can change at any time. And FDA
only reviews a small sample of the records available at a facility during an
inspection and must draw conclusions about the conditions and practices at the
facility from that small sample of records. Purchasers should look at other
available information about the facility that can provide them with additional
insight with regard to the facility’s operations.
quoted from here
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