Wednesday, June 24, 2020

My June 24, 2020, Email to the FDA and CDC Addressing Contraindication Warnings for Drug/Biologic Products Based on the Source of Excipients


To:      FDA, druginfo@fda.hhs.gov
           CDC, NIPINFO@cdc.gov 

            Due to potential liability, I would encourage physicians to petition the FDA to mandate that contraindication warnings be clearly listed in the package insert for all drug/biologic products based on the "source of all excipients;" since it is their responsibility to verify the source of excipients prior to prescribing drug/biologic products to their patients with confirmed IgE-mediated allergies.  

            Therefore, I have forwarded the following documentation to the majority of pharmaceutical companies, physician associations, and leading healthcare organizations in an effort to protect physicians from potential liability, in addition to protecting their patients from allergic reactions to drug/biologic products. I will also be forwarding this documentation to the leading medical journals.

Physicians may be liable if they prescribe drugs/biologics containing excipients derived from a patient's allergens, even if no contraindication warning is present in the package insert. They are required to confirm the source of all excipients.

My June 16, 2020, Email to the FDA Re: Corn Labeling in Drug/Biologic Products

Corn is ubiquitous and is EXEMPT from FDA labeling requirements; therefore, allergic reactions are currently categorized as idiopathic, resulting in underreporting and suppression of corn allergy statistics.


            Physicians continue to ignore the contraindication warning on the package insert accompanying IV fluids to which dextrose (corn sugar derived from cornstarch) has been added, even though it took me three years to forward the package insert to our nation's hospitals, colleges of medicine, and colleges of pharmacy.  In addition, we continue to receive reports from the 12K+ members in our corn allergy support groups that physicians continue to prescribe drug/biologic products to their corn-allergic patients, even though these products contain excipients derived from corn.  Therefore, I have added a sixth option for reporting these events.

    "6.  Consult with legal counsel, since medical professionals are required to verify the "source" of ALL excipients in drug/biologic products BEFORE prescribing to their patients, even if no contraindication warning is present on the drug label."

Revised June 24, 2020
LACTATED RINGER’S IN 5% DEXTROSE CONTRAINDICATED FOR CORN-ALLERGIC PATIENTS

Added References:

ALLERGIC TO YOUR MEDICATION: WHAT YOUR DOCTOR SHOULD KNOW
“Doctors should have your medical history, including all known allergies, on file. OF course, many patients aren’t aware of the full extent of their drug allergies, so it is important that a doctor discloses to their patient what the drug is they’re prescribing and whether it has known side-effects or might cause an allergic reaction.”

"Inactive" ingredients in oral medications

93 percent of medications contain 'potential allergens'


            Thank you for your attention to this growing concern, and it is my hope that physicians file an immediate petition with the FDA to mandate these critical contraindication warnings based on the source of excipients. 


Diane H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
Email:  cornallergyinitiative@gmail.com
Twitter:  @CornAllergy911

  

Revised June 23, 2020
Pharmaceutical Companies Contacted Re: Protocol for Treating Corn-Allergic Patients
https://cornallergyadvocacyresources.blogspot.com/2017/05/pharmaceutical-companies-contacted.html



Additional References:


Corn Allergy References, Surveys, Studies, Statistics, & Petitions
(Includes my submission to The Joint Commission, Congress, FDA, & U.S. Dept. of Health requesting emergency mandate that hospitals stock corn-free foods, liquids, & drugs.)
https://cornallergyadvocacyresources.blogspot.com/2018/04/corn-allergy-reference-links.html

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