Dear fellow Optimal members, I have tried to keep this discussion off Optimal to avoid any misunderstandings and to prevent any panic buying. However in everyone's interest I will try to respond to John's post .There are a couple of very important points to keep in mind when reading the FDA action ( and I suggest everyone should read it). First the FDA has given recognition (NDA & ANDA) to Akorn and Alcon for going through the process of filing as recommended in previous FDA guidance letters. Fluorescein as many of you know was grandfathered into use through the Hatchman- Wax Act of 1984. The FDA has been asking (as they should) for all manufacturers of grandfathered products to go through the process of demonstrating that they have been found to be safe, effective,of good quality and appropriately labeled. No manufacturers have been found to be unsafe. HUB Pharmaceuticals must stop distribution of their fluorescein inj. product by May 16. The product has not been found to be unsafe and has been manufactured in it's current form for many years under cGMP guidelines. I have not been able to find anywhere outside of studies where Alcon has its product in the market ( I would love to hear from anyone with different information). Alcon has approval for 10%. Akorn has approval for both 10% and 25% but at this point does not have an NDC# for 25%. In my professional opinnion this means that effective May 16 the only fluorescein sodium for inj available for sale in the U.S. market will be Akorn 10%. All product from other manufacturers currently supplying fluorescein sodium for inj may fall into this single source distribution channel, for at least some period of time. It is also my understanding that all product in the market from Altaire and HUB will be fine for use until the labeled expiration date as long as the FDA posted guidlines , in HUB's case no distribution after May 16, are followed. If there are any questions please contact me offline by email or by phone for more detailed information. Financial interest! Sincerely, Stuart Weedn President Apollo Ophthalmics inc. (c) 949-689-0293 (w)800-603-4164 apolloophthalmics.com stuweedn@xxxxxxxxx Stuart Weedn Apollo Ophthalmics inc. (c) 949-689-0293 (w)800-603-4164 apolloophthalmics.com stuweedn@xxxxxxxxx ________________________________ From: "Head, John" <John_Head@xxxxxxxx> To: optimal@xxxxxxxxxxxxx Sent: Monday, February 6, 2012 9:08 AM Subject: [optimal] manufacture of fluorescein Hi all, Thought I would share this… A representative of a Fluorescein manufacturer came by our site with some news about an action taken by the FDA. I won’t summarize much, but here is a link to the FDA website. http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/EnforcementActivitiesbyFDA/SelectedEnforcementActionsonUnapprovedDrugs/ucm280534.htm apparently the FDA is looking closely at a couple manufacturers, and the FDA have asked that they stop production, until further notice. I have been told that Akorn, one of the manufacturers still approved, have increased production, and will try to limit any possible shortages. Best Regards, John Head, CRA