August
25, 1998
Dockets
Management Branch
Food and Drug Administration
Department of Health and Human Services
Room 1-23
12420 Parklawn Drive
Rockville, MD 20857
CITIZEN
PETITION
The undersigned submits this petition under the Federal Food, Drug and
Cosmetic Act to request the Commissioner of Food and Drugs to issue final rules
for dietary supplements containing ephedrine alkaloids.
A. ACTION REQUESTED
The petitioner requests the Commissioner to issue final rules for dietary
supplements containing ephedrine alkaloids pursuant to the proposed rule
published in the Federal Register on June 4, 1997. (62 Fed. Reg. 30677) Specifically, the petitioner requests that the Food and Drug
Administration (FDA) make a finding that a dietary supplement is adulterated if
it contains 8 milligrams (mg) or more of ephedrine alkaloids per serving, or if
its labeling suggests or recommends conditions of use that would result in
intake of 8 mg or more in a 6-hour period or a total daily intake of 24 mg or
more of ephedrine alkaloids; require that the label of dietary supplements that
contain ephedrine alkaloids state "Do not use this product for more than 7
days"; prohibit the use of ephedrine alkaloids with ingredients, or with
ingredients that contain substances, that have a known stimulant effect (e.g.,
sources of caffeine or yohimbine), which may interact with ephedrine alkaloids;
prohibit labeling claims that require long-term intake to achieve the purported
effect (e.g., weight loss and body building); require a statement in conjunction
with claims that encourage short-term excessive intake to enhance the purported
effect (e.g., energy) that "Taking more than the recommended serving may
result in heart attack, stroke, seizure or death"; and require specific
warning statements to appear on product labels.
B. STATEMENT OF GROUNDS
The petitioner, the American Obesity Association (AOA), relies on the
statements of the FDA and on the FDA's analysis of the many adverse reactions
suffered in connection with the ingestion of dietary supplements containing
ephedrine alkaloids. (62 Fed. Reg.
30677) The comment period for
regulations concerning dietary supplements containing ephedrine alkaloids was
originally scheduled to close on August 18, 1997. On September 18, 1997, the FDA reopened the comment period an additional
75 days, until December 2, 1997. (62
Fed. Reg. 48968) In the notice of
reopening, the FDA stated that it did not intend to provide any additional
extensions of the comment period. "Because
of the serious and significant adverse events associated with the use of dietary
supplements containing ephedrine alkaloids, FDA is concerned about the adverse
impact that a prolonged comment period may have on the public health." (62 Fed. Reg. 48968)
Despite the FDA's own estimation that 40 deaths and several hundred
serious injuries (such as myocardial infarctions, strokes, seizures, and
psychiatric events) can be attributed annually to the use of dietary supplements
containing ephedrine alkaloids (62 Fed. Reg. 30708), the agency has failed to
timely issue final rules. Since the
FDA has proposed a period of 180 days before final rules as published take
effect (62 Fed. Reg. 30678), the FDA's delay in issuing these final rules
endangers the lives and health of many Americans.
In submitting this petition, the petitioner relies completely on the
information published by the FDA in the June 4, 1997 Federal Register. (62 Fed. Reg. 30677)
C.
ENVIRONMENTAL IMPACT
The petitioner relies on the FDA's statement, published June 4, 1997, in
the Federal Register, that the final rules on dietary supplements containing
ephedrine alkaloids "will not have a significant impact on the human
environment." (62 Fed. Reg. 30712)
D. ECONOMIC IMPACT
A statement of economic impact will be submitted if requested by the
Commissioner.
E. CERTIFICATION
The undersigned certifies that, to the best knowledge and belief of the
undersigned, this petition includes all information and views on which the
petition relies, and that it includes representative data and information known
to the petitioner which are unfavorable to the petition.
(Signature)______________________________
Morgan
Downey
for: