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IA#66-34 --- 11/16/88


TYPE OF ALERT:  AUTOMATIC DETENTION

PRODUCT      :  Comycin and other Asian Products containing Chloramphenicol
                Palmitate

PROBLEM      :  Unapproved new drug

COUNTRY      :  Thailand (875)

MANUFACTURER/
SHIPPER      :  Thai Charoen Bhaesaj (Comycin) Co., Ltd.
                Thai Development Pharmaceutical Comycin Ltd.

CHARGE       :  "The article is subject to refusal of admission pursuant to
                section 801(a)(3) in that the article appears to be a new drug
                without an effective new drug application as required by
                section 505(a); and appears to be misbranded within the
                meaning of section 502(j), in that it is dangerous to health
                when used in the dosage or manner or with the frequency or
                duration prescribed, recommended or suggested in its labeling,
                and 502(f)(1), in that its labeling fails to bear adequate
                directions for use for its intended purpose.

RECOMMENDING
OFFICE       :  HFC-131

REASON FOR
ALERT        :  In 1986, Food and Drug Administration (FDA) received a report
                from the New York State Office of Professional Discipline
                regarding the possible retail sale in Asian American
                communities of a product containing chloramphenicol palmitate
                for use by children.

                FDA investigation, in 1986, including sample collection and
                analysis, confirmed the sale of a product containing
                chloramphenicol palmitate under the brand name of "Comycin
                Powder for Children" by at least one retail outlet in the
                Rochester, New York, vicinity.  Comycin is distributed in
                individual envelopes with both foreign and English labeling
                which lists chloramphenicol palmitate as an ingredient and
                "Thailand" as the country of origin.  In 1986, label
                translation identified the manufacturer as "Thai Charoen
                Bhaesaj (Comycin) Co., Ltd. (Pharma)".  Recently the product
                has been received through the mail from "Thai Development
                Pharmaceutical Comycin, Ltd.", 100 Seonouannoi Ekmai Street,
                Crounthep Metropolitan, Thailand.

                Chloramphenicol is a hazardous antibiotic that is clinically
                indicated only for certain serious infections and it should
                not be used in the treatment of other or less serious
                infections.  The Center for Drugs has confirmed that the use
                of chloramphenicol without the supervision of a physician
                would pose a danger to health.

INSTRUCTIONS :  Automatically detain, without sampling all "Comycin" and other
                Asian products containing chloramphenicol palmitate or other
                chloramphenicol compounds.

FOI          :  No purging is required.