Abstract
The last 30 years has brought significant changes to self care through responsible self medication. From being essentially unregulated in the 1960s, over-the-counter (OTC) medicines have been transformed by the evolving statutory and regulatory initiatives into a mature market with a high level of consumer confidence in their safety and expected benefits. This paper reviews the legislative/regulatory achievements that have modernized self care with OTCs, including the statutory and regulatory basis for OTCness, the criteria and studies used as a basis for permitting OTC availability, and the paradigm for interaction between regulators and sponsors, as well as the challenges still facing the industry.
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References
- 1.
Soller RW. OTCness. Drug Inf J. 1997;32:555–560.
- 2.
U. S. Public Law 82-215, 1951.
- 3.
Hutt P. A legal framework for future decisions on transferring drugs from prescription to nonprescription status. Rx-OTC, New Resources in Self-Medication. Symposium sponsored by the Consumer Healthcare Products Association, 34-39. Washington, 1982.
- 4.
21 Code of Federal Regulations 330.10(a)(4)(i).
- 5.
21 Code of Federal Regulations 330.10(a)(4)(ii).
- 6.
21 Code of Federal Regulations 330.10(a)(4)(iii).
- 7.
Soller RW. Evolution of self-care with over-the-counter medications. Current Thera Res. 1998: C134–C140.
- 8.
Lesko S, et al. An assessment of the safety of pediatric ibuprofen. JAMA. 1995:273;929–933.
- 9.
21 Code of Federal Regulations 330.10(a)(4)(v).
- 10.
Federal Register. 38:31260-69. Washington; 1973.
- 11.
State of California Assembly Bill 2713, September 12, 1990.
- 12.
Consumer Healthcare Products Association. Label Readability Guidelines, Washington; 1999.
- 13.
Federal Register. 57:58369. Washington; 1992.
- 14.
Federal Register. 58:28216. Washington; 1993.
- 15.
Federal Register. 64:13254-303. Washington; 1999.
- 16.
Consumer Healthcare Products Association: Submission to FDA Docket Nos. 98N-0337,96N-0420, 95N-0259, and 90P-0201, November 23, 1999.
- 17.
Federal Register. 64:13254-303. Washington; 1999.
- 18.
Watanabe RK. The ability of the geriatric population to read labels on over-the-counter medication containers. J Am Optometric Assoc. 1994;65:32–37.
- 19.
National Consumers League. Consumer’s Ability to Read OTC Labels with Different Type Sizes. Washington, DC: National Consumers League; August 5, 1991.
- 20.
Soller RW. The over-the-counter scientific/regulatory paradigm. Drug Inf J. 1999;33:799–804.
- 21.
Federal Register. 39:19864. Washington; 1974.
- 22.
Federal Register. 39:19881. Washington; 1974.
- 23.
US General Accounting Office. Nonprescription Drugs—Value of a Pharmacist-Controlled Class Has Yet to Be Demonstrated. Report to the Ranking Minority Member, Committee on Commerce, House of Representatives. Washington; 1995.
- 24.
Francesco S. OTC switch monitoring and compliance research should quality for a 3 year period of market exclusivity plus access to the monograph system. Switch. (Newsletter) May 1995 (10): 1–4, 9.
- 25.
Consumer Healthcare Products Association. Ingredients & Dosages Transferred From Rx-to-OTC Status (or New OTC Approvals) by the Food and Drug Administration Since 1975. Washington, DC: Consumer Healthcare Products Association; 1999.
- 26.
Consumer Healthcare Products Association. Rx-to-OTC Switch Workshop Materials. Research & Scientific Development Conference. Washington, DC Consumer Healthcare Products Association; October 28-29, 1999.
- 27.
Federal Register. 62:55645-55646. Washington; 1997.
- 28.
Food and Drug Administration. Transcript of the Joint Meeting of the Antiviral Drugs Advisory Committee and Nonprescription Drugs Advisory Committee. Docket No. 94N-0006, January 11-12, 1995.
- 29.
Food and Drug Administration. Draft guidance for industry on OTC treatment of herpes labialis with antiviral agents, www.fda.gov/cder/guidance/index.htm.
- 30.
Soller RW. Rx-to-OTC switch—A testable hypothesis. Presented at the Annual AESGP Meeting, Berlin; June 9-11, 1999.
- 31.
Food and Drug Administration. Managing Risks from medical Product Use: Report to the Commissioner from the Task Group on Risk Management. www.fda.gov/oc/tfrm/riskmanagement.pdf. May 1999.
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Soller, R.W. OTCS 2000: Achievements and Challenges. Ther Innov Regul Sci 34, 693–701 (2000). https://doi.org/10.1177/009286150003400305
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Key Words
- Over-the-counter medicines
- Self care