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DHT Hair Loss
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| New York District Food & Drug Administration 158-15 Liberty Avenue Jamaica, NY 11430 WARNING LETTER CERTIFIED MAIL RETURN RECEIPT REQUESTED |
April 3, 2003 Ref: NYK-2003-19 Mr. Anthony Imbriolo President Global Vision Products, Inc. 227 E. 56th Street, 3rd FL. New York, New York 10022 |
Dear Mr. Imbriolo:
This letter is in reference to your firm's marketing of AVACOR™ Hair Care System
(AVACOR ™) which consists of: Scalp Detoxifying Shampoo, Step 1; Physicians
Topical Formula, Step 2; and Nutricap®, DHT Blocker capsules, Step 3. Each
component product of this hair care system is marketed together as one system
and is not available separately.
AVACOR™ accompanying promotional material, the brochure booklet, Hair & Skin
Treatment Center, New York, NY AVACOR includes claims that AVACOR™ is for the
treatment and prevention of hair loss and also for promotion of hair growth.
Examples include: "This therapeutic approach represents the latest and most
advanced treatment in the management of androgentic alopecia (hair loss) in both
men and women". . ." The decreased amount of receptor binding and production of
DHT achieved by our special herbal formulations allows for prevention of further
hair loss and promotes hair regrowth in thinning and bald areas". . ."The
overall outcome of this therapeutic modality has proved to be an extremely
beneficial treatment approach in the management of androgenetic alopecia (hair
loss)". . ."Avacor, the most advanced hair re-growth program". . ." Physicians
Topical Formulation not only helps regrow the hair you have lost but also
strengthens and nourishes the existing hair from future hair loss". . ." This
product is responsible for blocking the D.H.T. from reaching your hair follicle
(root). As you already know, it stops your hair from falling out enabling our
other two steps to work efficiently in stopping your hair loss and re-growing
new hair.. ."
Statements on your Internet website, www.avacorusa.com, from which consumers can
buy this hair care system, indicate that the AVACOR™ system of three component
products is useful in treatment and prevention of hair loss and also in the
promotion of hair "regrowth."
AVACOR™ Scalp Detoxifyinq Shampoo, Step 1:
According to the product label, this product "is to cleanse the scalp of many
types of pollutants, and improve the absorbency of the Physician's Topical
Formulation." You claim that the shampoo acts as a synergistic agent for the
Physician's Topical Formula, Step 2, enhancing the hair growth and hair loss
prevention drug aspects of the Physicians Formula, Step 2. In addition, you
claim that the shampoo is one of three components that must be used to regrow
hair. Because of these claims, the shampoo is a drug under section 201(g) of the
Federal Food, Drug and Cosmetic Act (the Act).
AVACOR™ Physicians Topical Formula, Step 2:
According to the ingredient declaration on the product label, and confirmed by
our analysis of a sample, the product contains minoxidil (2,
4-diamino-6-piperidinopyrimidine 3- oxide). All topical drug products that
contain minoxidil and are intended for use as baldness remedies are drugs under
section 201 (g) of the Act. Drug products that are available over-the-counter
(OTC) for external use as hair growers or for hair loss prevention are subject
to the final rule covering Hair Grower and Hair Loss Prevention Drugs for OTC
Human Use, Title 21, Code of Federal Regulations (21 CFR) Part 310.527.
According to this final rule, no OTC drug products for external use offered as a
hair grower or for hair loss prevention can be considered to be generally
recognized as safe and effective for its intended use.
AVACOR™ Nutricap® DHT Blocker Capsules, Step 3:
The bottle label for Nutricap® capsules states: ". .necessary to combat the bad
chemicals in our body that causes thinning and balding." and ". . .very
important step in the process of regrowing new hair." Based on these claims as
well as the claims described above printed in the AVACOR™ accompanying
promotional brochure, this product is a drug under 201 (g) of the Act because it
affects the structure or any function of the body of man.
As discussed above, based on the claims made for the AVACOR™ Hair Care System
and the three individual products of which it is composed, the kit and its
components are drugs under section 201(g) of the Act. Each product is a required
component of your AVACOR™ Hair Care System for the intended use. Further, this
system and its three component products are new drugs under section 201 (p) of
the Act. They are not generally recognized as safe and effective for their
labeled uses.
Under section 505(a) of the Act, a new drug may not be marketed in the United
States without an approved new drug application (NDA). We are unaware of any
approved NDA or abbreviated new drug application (ANDA) for your AVACOR™ Hair
Care System and its three individual component products. In addition, the three
individual component products of the AVACOR™Hair Care System are misbranded in
violation of the Act because their labeling fails to list the active ingredients
as required by section 502(e)(1)(A)(ii) of the Act.
We acknowledge receipt of the August 16, 2002 letter from Sheldon S. Lustigman
of The Lustigman Firm, PC., which includes proposed labeling changes for your
products. However, the proposed labeling changes are not adequate to bring these
products into compliance with the requirements of the Act. As stated above, the
AVACOR™ products are new drugs and require an approved drug application for
marketing.
This letter is not intended be an all-inclusive review of all of the claims made
in your labeling and promotional literature for your product. It is your
responsibility to ensure that all products marketed by your firm are in
compliance with the Act and implementing regulations.
We request that you take prompt action to correct these violations. Failure to
do so may result in enforcement action being initiated by the Food and Drug
Administration without further notice. The Federal Food, Drug, and Cosmetic Act
provides for the seizure of illegal products and for injunction against the
manufacturer and/or distributor of illegal products.
Please respond to this office in writing within fifteen (15) working days of
receipt of this letter. Your response should describe the specific actions you
will take, or have taken, to correct the violations. Your response should also
include an explanation of each step being taken to identify and make corrections
to assure that similar violations will not recur. If corrective action cannot be
completed within fifteen (15) working days, state the reason for the delay and
the time within which corrections will be completed.
You should send your reply to the Food and Drug Administration, 158-15 Liberty
Avenue, Jamaica, NY 11433, Attention: Laurence O. Daurio, Compliance Officer. If
you have any questions regarding the content of this letter, Mr. Daurio can be
reached at (718) 340-7000, ext. 5585.
Sincerely,
/s/
Jerome G. Woyshner
District Director
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