Emergent’s OTC Naloxone Single-Panel Instruction List Prompts Doubletake From US FDA Officials

Larger box “would accommodate all five steps on the single back panel,” says Emergent executive Manish Vyas. But FDA says proposed DFl for OTC Narcan nasal spray “has not yet been officially submitted or reviewed.”

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Emergent BioSolutions, Inc. acted fast, like the opioid overdose treatment it’s proposed for OTC sales, preparing labeling with instructions on a single page after the US Food and Drug Administration indicated it doubted spreading the information over multiple panels would be effective.

“What we're now proposing is a larger box, which would accommodate all five steps on the single back panel,” said Manish Vyas, Emergent’s regulatory affairs senior vice president, on 15 February during a joint meeting of the FDA’s

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