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Transcript
MP
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VOLUME 15
NUMBER 2
Discontinued Drugs—
Still Available?
Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief
International Journal of Pharmaceutical Compounding
Edmond, Oklahoma
LE
Over the past 50 years, thousands of drug products have been
discontinued by manufacturers for a number of different reasons,
including manufacturers going out of business, low sales, decisions to
cut products, companies merging together and eliminating items that do
not sell above a certain cutoff level, manufacturing problems resulting in
excessive costs to continue manufacturing, and, in a few cases, the U.S.
Food and Drug Administration’s (FDA) decisions concerning safety/
effectiveness. Regardless of the reason for discontinuing a drug, the
problem is that physicians and patients no longer have access to the drug
to which they have become accustomed and may be dependent.
To overcome the problem involving drugs not removed by the FDA for safety/effectiveness, compounding pharmacists can continue to provide the
medication for the physicians/patients if the active pharmaceutical ingredient (API) is available
and if the technology involved in
its preparation does not prohibit
compounding. Some technology,
including metered dose inhalers, transdermal patch systems,
liposomal injections, dry powder
inhalers, and some others, are not
amenable to compounding. However, the majority of discontinued
drugs can be compounded.
Discontinued drug products that
are unavailable can pose very serious problems that can even be life
threatening for a patient or can
result in chronic disabilities or a
decreased quality of life. Pharmacists are trained to provide physicians and patients with needed
medications in many situations.
At www.CompoundingToday.com, the International Journal of Pharmaceutical Compounding
provides a list of over 8,000 drugs that have been
discontinued and, in many cases, their formulations
are available. Pharmacists can periodically check
this list and make plans accordingly
to assist physicians and patients. The
future will probably see more drugs
being discontinued for a number
of reasons, and many of these offer
compounding pharmacists additional opportunities to be of service to
you, the prescriber.
For your convenience and informational purposes, we have included
a noninclusive list of discontinued
medications. Please note that only
the brand name is presented here
and each may have numerous dosage
forms, some or all of which may be discontinued, some may remain on the market, and some may be available as generics. Please call your local compounding
pharmacist for information on the availability of discontinued drugs that can be
compounded for your patients.
Example Drugs Withdrawn from
the Market.
Denorex
Depo-Medrol
Depo-Testosterone
Desyrel
Diamox
Didronel
Dilaudid
Dimetane
Diprolene
Diuril
Diutensin
Dolophine
Dolor
Dolprn #3
Dorcol
Dovonex
Doxidan
Dristan
Durabolin
Duracef
Duragesic
Dynacirc
E.E.S.
Edecrin
Elavil
Enduron
Equagesic
Ergomar
EryPed
Fergon
Fiorinal
Fiorinal with
Codeine
Fleets Flavored
Castor Oil
Floxin
Fluonid
Foille
Forhistal
Fostex
Fototar
Fungacetin
Furacin
Furadantin
Furoxone
Gantanol
Gantrisin
Garamycin
Geocillin
Geopen
Grisactin
Halcion
Haldol
Hibiclens
Hibitane
Histadyl
Histaspan
Hycodan
Hydeltrasol
Hydergine
Hydromox
Hygroton
Ilosone
Imodium
Imuran
Inderide
Ismelin
Isoptin
Isopto Carpine
Isopto Cetamide
Isuprel
Iverest
Kantrex
Kari-Rinse
Kefzol
Kenacort
Kenalog
Ketaject
Kytril
Lamisil
Lariam
Lasan
Lasix
Levsin
Librium
Liquiprin
Lodine
Loridine
Lovenox
Loxitane
Marezine
Maxaquin
Maxidex
Mellaril
Mepergan
Mesantin
Metaprel
Meted
Midrin
Mintezol
Moban
Monistat
Mucomyst
Mycelex
Mycitracin
Mycolog
Mycostatin
Mysteclin-F
Naftin
Nalfon
Naphcon
Narcan
Naturetin
Navane
Nebcin
Neo-Cortef
NeoDecadron
Neo-Delta-Cortef
Neo-Hydeltrasol
Neo-Polycin
Neotrizine
Nilstat
Normodyne
Novahistine
Numorphan
Oncovin
Oruvail
Otobiotic
Pamine
Panmycin
Panthoderm
Paredrine
Pathocil
PBZ
Pediamycin
Pediazole
Pen-Vee K
Pepcid
Percocet
Percodan
Percogesic with
Codeine
Percorten
Periactin
Phenaphen with
Codeine
Phenergan
Phenergan with
Codeine
pHisoAC
pHiso-Dan
Platinol
Polaramine
Poly-Histine DX
Polysporin Ophthalmic
Povan
Pragmatar
Prevacid
Primatene
Priscoline
Pro-Banthine
Proketazine
Prolixin
Propion
Protropin
Proventil
Prozac
Pyrroxate
Quibron
Quinamm
Rapamune
Rautrax-N
Rectal MediconeHC
Redisol
Reglan
Relafen
Rezamid
Rhulicaine
Rhulicort
Rhulihist
Rifadin
Risperdal
Robaxisal
Robinul
Robitussin
Romilar
Rondec
Roniacol
Rose Bengal
Ru-Hist
Ru-Tuss
Ru-Vert
Sansert
Seba-Nil
Sebaveen
Sebisol
Sebulex
Sebutone
Septra
Serax
Sinequan
Sinutab
Skelaxin
Sominex
Sopronol
Sotradecol
Sparine
Spectazole
SpectroBid
Spectrocin
Stadol
Stomaseptine
Suby’s Solution G
Sulfatrim
Sultrin
Sumycin
Super-Anahist
Suprax
Surfacaine
Surfadil
Symmetrel
Tagamet
Tapazole
Tedral
Tempra
Tenormin
Terfonyl
Terra-Cortril
Terramycin
Tetra-Bid
Tetracyn
Theelin
Theofed
Theoral
Thiosulfil
Thorazine
Thru
Ting
Tofranil
Torecan
Tricodene
Trilafon
Trisoralen
Tuamine
Unipen
Urecholine
Vacuetts
Vagitrol
Valisone
Vancocin
Vasocon
Vasodilan
Vasotec
Verequad
Vermox
Versed
Vibramycin
V-Cillin
Vioform-HC
Vistaril
Vlemasque
Vleminckx’
Voltaren
Winstrol
Wyanoids
Zantac
Zemo
Zomax
LE
MP
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Achromycin
Achrostatin
Acnaveen
Acne aid
Acne-Dome
Actidil
Adriamycin
Aldomet
Aldoril
Alupent
Ambenyl
Americaine
Amiodarone
Anacin with
Codeine
Anaspaz-PB
Ancef
Anectine
Anspor
Antabuse
Antepar
Anthra-Derm
Antivert
Apresoline
Aralen
Aramine
Aricept
Aristocort
Artane
Arthralgen
Aspergel
Atarax
Aureomycin
AVC
B&O
Baclofen
Bactine
Bactocill
Bactrim
Banthine
Belladenal
Bellergal
Bendectin
Bentyl
Betalin S
Biaxin
Bleph-30
Brethine
Brevital
Bufferin with
Codeine
Bumex
Buticaps
Butisol
Cafergot
Calan
Calcimar
Calcitriol
Calmol 4
CANASA
Cas-Evac
Ceclor
Cefobid
Cefotan
Celestone
Cerumenex
Cetapred
Chloraseptic
Chloroptic-P
Chlor-Trimeton
Chymoral
Claritin
Clinoril
Clistin
Collyrium
Coly-Mycin M
Compazine
Co-Pyronil
Cor-Tar-Quin
Cortef
Cortisporin Ophthalmic
Cotrim
Cyclospasmol
Cytoxan
Dantrium
Decadron
Decholin Sodium
Delalutin
Deltasone
Note: Please note that all these may not necessarily be available for compounding.
Please call your compounding pharmacist for availability.
RxTriad-A publication of the International Journal of Pharmaceutical Compounding. © 2012 IJPC. All rights reserved.