Accutane Birth Defects
Accutane birth defects have been a well-known Accutane
side effect, however Hoffmann-La Roche failed to strongly emphasize
the dangers that Accutane can cause in pregnant woman.
Well before Accutane received FDA approval, the manufacturers knew
about accutane birth defects that could occur with use, causing
them to delay marketing pursuits for over ten years. Following FDA
approval in June 1982, the FDA received three reports of birth defects
linked to Accutane use by July 1983, resulting in Public Citizen
consumer group petitioning the FDA to require birth defects warning
labels on Accutane.
An FDA memo written in 1998 concluded the Accutane manufacturer
had not acted in good faith regarding Accutane and the risk of Accutane
birth defects. Not until the FDA recommended steps to remove Accutane
from the market due to the birth defects that Roche finally proposed
a more aggressive educational push to inform patients of the potential
Accutane birth defects.
The FDA issued yet even stronger Accutane birth defects warnings
on the labeling, but by 1990, the number of birth defects due to
Accutane use remained very high. The FDA included in a 1990 Accutane
related memo that birth defects as a result of Accutane had affected
900-1,100 births and was responsible for 11,000-13,000 Accutane
related abortions.
In 2001, research suggested that women were still not adequately
receiving the message of the risks of birth defects when using Accutane.
In the January/February 2002 FDA Consumer magazine, the FDA announced
that the SMART program, originally launched in 2000 was being strengthened
in attempts to drastically reduce the number of birth defects resulting
from Accutane use. It has taken nearly twenty years for a program
to be put into place while women on Accutane failed to understand
the severity of birth defects that could occur if using the acne
medication when pregnant.

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