Bulk Drug Substances Reviewed and Not Listed
List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals
Bulk Drug Substances Currently Under Review
FDA reviewed these bulk drug substances and is not including them on either 1) The List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals, or 2) The List of Bulk Drug Substances for Compounding Drugs for Use in Food-Producing Animals or Free-Ranging Wildlife Species. Therefore, these bulk drug substances are not covered by the enforcement discretion policy described in Guidance for Industry #256 Compounding Animal Drugs from Bulk Drug Substances. These substances may be nominated again for re-evaluation by FDA using the nomination procedure described in the appendix to GFI #256.
FDA will accept nominations of additional bulk drug substances at any time and will continue to review nominations and update lists. For information on how to submit a bulk drug substance nomination, see the appendix to Guidance for Industry #256 Compounding Animal Drugs from Bulk Drug Substances.
DOGS, CATS, HORSES
Bulk Drug Substance (BDS) | Species | Dosage form(s) | Strength/concentration | Reason |
---|---|---|---|---|
Apomorphine hydrochloride | dog | subconjunctival solution subconjunctival tablets |
3.125-6.25 mg/mL 6.25 mg |
Clevor (ropinirole ophthalmic solution) 30 mg/mL (NADA 141-534) is now FDA-approved for induction of emesis in dogs. |
Chloramphenicol | horse | ophthalmic (conjunctival) solution | 1% | There are human and animal FDA-approved products for initial empirical treatment, there are human health risks associated with administration of chloramphenicol, and in instances where chloramphenicol may be indicated based on culture and sensitivity results, this preparation can be compounded on an individual patient basis and is not needed for urgent or immediate treatment to prevent animal suffering or death. |
Dexamethasone | horse | oral powder | 10 mg/packet | FDA-approved human oral tablets can be used to compound 10 mg oral powder doses. |
Dipyrone | Shar-Pei and Shar-Pei mixed breed dogs | solution for injection | 250 and 500 mg/ml | The FDA-approved drug product Zimeta (dipyrone 500 mg/mL) (NADA 141-513) can be used in an extralabel manner under 21 CFR part 530. |
Enrofloxacin | horse | oral paste and suspension | 100-200 mg/ml | There are FDA-approved enrofloxacin products that can be used in an extralabel manner or used to compound enrofloxacin paste and suspension. |
Fluoxetine | dog, cat, horse | capsule, tablet, soft chew treat, suspension, paste, transdermal gel | all strengths and concentrations | Fluoxetine may take several weeks to achieve a therapeutic effect and is not needed for urgent treatment to avoid animal suffering or death. Reconcile® (fluoxetine), NADA 141-272, is approved for use in dogs and there are alternative medications FDA-approved for use in animals that could be used to treat some of the nominated conditions. Additionally, fluoxetine products FDA-approved for use in humans can be used in an extralabel manner if deemed appropriate by a veterinarian as could several other alternative drugs FDA-approved for use in humans. If fluoxetine is needed in a formulation that is not FDA-approved, a patient-specific prescription for compounded fluoxetine should be sufficient. |
Isoflupredone acetate | horse | suspension for injection | 2 mg/ml | FDA-approved drugs are available for urgent use in horses for the same or similar indications. |
Mirtazapine | dog, cat | soft chewable treats oral suspension oral paste transdermal gel |
1 – 3.75 mg 0.5 – 37.7 mg/ml 1.875 mg/ml 5 – 150 mg/ml |
Mirtazapine BDS for compounding tablets (1 – 3.75 mg) and capsules (0.5 – 3.75 mg) is on the List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals. FDA-approved tablets for humans (7.5/15/30/45 mg) can be used in an extralabel manner for dogs. Mirataz (mirtazapine transdermal ointment, 20 mg/g) is FDA-approved for use in cats and may be used in an extralabel manner in dogs, although FDA is not aware of evidence of adequate transdermal absorption of mirtazapine in dogs. These dosage forms may be administered to dogs and cats for urgent treatment until a patient-specific prescription for another dosage form can be filled. |
Pentosan polysulfate sodium | dog, cat, horse | capsules oral suspension injectable solution |
10-800 mg 75-400 mg/ml 100-250 mg/ml |
Zycosan (NADA 141-599) (pentosan polysulfate sodium 250 mg/ml) solution for injection is FDA-approved for use in horses for the control of clinical signs associated with osteoarthritis. There are numerous FDA-approved products that can be used as labeled or in an extralabel manner under 21 CFR part 530 in dogs, cats, and horses. |
NONFOOD-PRODUCING MINOR SPECIES
Bulk Drug Substance (BDS) | Species | Dosage form(s) | Strength/concentration | Reason |
---|---|---|---|---|
Butorphanol-Azaperone-Medetomidine (BAM) | laboratory animals (mice, rats, and rabbits) | fixed-combination injectable solution | butorphanol (27.3 mg/ml)-azaperone (9.1 mg/ml)-medetomidine (10.9 mg/ml) | Butorphanol and medetomidine are FDA-approved animal drugs available in concentrations that can be used in an extralabel manner under 21 CFR part 530 for sedation and anesthesia in laboratory animals. While FDA-approved azaperone is not marketed in the United States, azaperone tartrate is included on the List of Bulk Drug Substances for Compounding Office Stock Drugs for Use in Nonfood-Producing Animals and can be used to compound office stock for use in laboratory animals. |
Haloperidol | large herbivores (zoo hoofed stock), exotic pet birds | Injectable (lactate, aqueous) capsules oral solution oral suspension |
20 mg/ml 60 mg 0.1 mg/ml to 2 mg/ml 2 mg/ml |
Haloperidol is available as FDA-approved human drug products that can be used as formulated or used to compound a different concentration or to add flavor if needed. |
Naloxone hydrochloride | bears, birds, camelids, canids, pocket pets, cervids, otters, primates, rabbits, lab rodents, ratites, sheep, and free-ranging wild animals | injectable solution | 1 mg/ml | There are FDA-approved naloxone 1 mg/ml injection products that can be used in animals in an extralabel manner under 21 CFR part 530. |
FOOD-PRODUCING ANIMALS OR FREE-RANGING WILDLIFE SPECIES
Bulk Drug Substance (BDS) | Species | Dosage form(s) | Strength/concentration | Reason |
---|---|---|---|---|
Naloxone hydrochloride | sheep and free-ranging wild animals | injectable solution | 1 mg/ml | There are FDA-approved naloxone 1 mg/ml injection products that can be used in animals in an extralabel manner under 21 CFR part 530. |
These bulk drug substances are not covered by FDA’s enforcement discretion policy described in GFI #256. FDA will consider them for inclusion on any List if they are nominated again with new information, using the nomination procedure described in the appendix to GFI #256.
FDA will accept nominations of additional bulk drug substances at any time and will continue to review nominations and update lists. For information on how to submit a bulk drug substance nomination, see the appendix to Guidance for Industry #256 Compounding Animal Drugs from Bulk Drug Substances.
To view information that was previously submitted for these nominations, click on the hyperlinked Docket ID for each of these nominations, below.
Docket ID: FDA-2015-N-1196-0005
Substance(s): Prednisolone and prednisone 2.5mg, 5mg, 10mg, 20mg, 50mg, doxycycline 50mg, 100mg, 200mg, ketoconazole 200mg, cyclosporin 2% ophthalmic suspension
Docket ID: FDA-2015-N-1196-0006
Substance(s): Lanolin, enrofloxacin, triamcinolone, and neomycin in combination
Docket ID: FDA-2015-N-1196-0007
Substance(s): Doxycycline, metronidazole, methimazole, ponazuril
Docket ID: FDA-2015-N-1196-0009
Substance(s): List of 85 bulk drug substances
Docket ID: FDA-2015-N-1196-0017
Substance(s): Copper peptide, Superoxide dismutase
Docket ID: FDA-2015-N-1196-0018
Substance(s): Ophthalmic: idoxuridine, cidofivir, cyclosporine 2%, tacrolimus 2%, fluconazole, voriconazole
Docket ID: FDA-2015-N-1196-0019
Substance(s): List of 23 bulk drug substances
Docket ID: FDA-2015-N-1196-0020
Substance(s): Methimazole, amlodipine, ondansetron, prednisolone, prednisone, metronidazole, griseofulvin, cyproheptadine, mirtazapine, doxycycline
Docket ID: FDA-2015-N-1196-0021
Substance(s): Apomorphine, methocarbamol, buprenorphine, antibiotics, fentanyl, morphine
Docket ID: FDA-2015-N-1196-0024
Substance(s): Metronidazole, baytril, buprenorphine, morphine, prazosin, prednisone, methocarbamol, omeprazole
Docket ID: FDA-2015-N-1196-0036
Substance(s): Tylan soluble powder
Docket ID: FDA-2015-D-1176-0113
Substance(s): Diclofenac