Compounding of Domperidone
It has come to the Board’s attention that some pharmacists
may be compounding domperidone. According to
FDA, domperidone is currently not approved for human
use in the United States. Although there are restrictions
on domperidone, FDA recognizes that there are patients
with severe gastrointestinal motility disorders refractory to
standard treatment who might benefit from domperidone
and in whom the benefits of the drug may outweigh its
risks. Domperidone is currently available to these patients
through FDA’s Expanded Access to Investigational New
Drug (IND) program. This Expanded Access IND program
ensures that the appropriate safeguards are in place to
protect patients treated with domperidone from the drug’s
serious adverse effects, including QT prolongation and
cardiac arrhythmias. Information on this Expanded Access
IND program can be found at http://www.fda.gov/Drugs/
DevelopmentApprovalProcess/HowDrugsAreDeveloped
andApproved/ApprovalApplications/InvestigationalNew
DrugINDApplication/ucm368736.htm.
The compounding of domperidone without utilizing
FDA’s Expanded Access IND program is a direct violation
of Board regulations N.J.A.C. 13:39-7.5, N.J.A.C.
13:39-6.2(f)(9), and N.J.A.C. 13:39-4.18(a) and may
result in the Board imposing disciplinary action against
pharmacies and pharmacists participating in this unauthorized
activity.
source New Jersey Board of Pharmacy April 2016 Newsletter
source New Jersey Board of Pharmacy April 2016 Newsletter
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