FOOD AND DRUG ADMINISTRATION NOTICES OF JUDGMENT UNDER THE FEDERAL FOOD, DRUG, AND COSMETIC ACT [Given pursuant to section 705 of the Food, Drug, and Cosmetic Act] 951-1000 DRUGS AND DEVICES The cases reported herewith were instituted in the United States district courts by the United States attorneys acting upon reports submitted by direction of the Federal Security Administrator. WATSON B. MILLER, Acting Administrator, Federal Security Agency. WASHINGTON, D. C, August 21,1944. CONTENTS* Page Drugs actionable because of potential danger when used according to directions 161 Drugs actionable because of failure to bear adequate directions or warning statements.. 162 Drugs actionable because of contamination with filth 166 Drugs actionable because of deviation from official or own standards 167 Page Drugs actionable because of false and misleading claims 175 Human use . 175 Veterinary use 183 Drugs actionable because of failure to bear ac- curate statements of quantity of contents.. 184 DRUGS ACTIONABLE BECAUSE OF POTENTIAL DANGER WHEN USED ACCORDING TO DIRECTIONS 951. Misbranding of Improved Cold Tablets. U. S. v. 126 Packages of Improved Cold Tablets. Default decree of condemnation and destruction. (F. D. C. No. 8936. Sample No. 26201-F.) On December 2, 1942, the United States attorney for the Northern District of Indiana filed a libel against 126 packages of Improved Cold Tablets at Fort Wayne, Ind., alleging that the article had been shipped in interstate commerce on or about September 14, 1942, by the Hygenol Co. from Minneapolis, Minn.; and charging that it was misbranded. Analysis showed that the article consisted essentially of acetanilid 1? grains per tablet, camphor monobromated, cinchonidine sulfate, capsicum, caffeine, and extracts of plant drugs, including a laxative drug. The article was alleged to be misbranded (1) in that the statements appear- ing upon its label, "Cold Tablets * * * For the Belief from Common Head Colds, * * * For the relief of distress and discomfort due to Common Head Colds, etc.," were false and misleading since such statements represented and suggested that the article was effective in the treatment of head colds, whereas it was not so effective; (2) in that its labeling failed to bear ade- *For omission of, or unsatisfactory, ingredients statements, see Nos. 954, 956, 961, 991, 994; inconspicuous- aess of required label information, No. 958; cosmetic, subject to the drug provisions of the Act, No. 982. 608091?-44 1 161 quate directions for use since the directions appearing on the label provided/ for an excessive amount of acetanilid and were therefore not adequate for an( article of such composition; (3) in that its labeling failed to bear such ade- quate warnings against use by children, and in those pathological conditions wherein its use might be dangerous to health, in such manner and form as are necessary for the protection of users, since the article was a laxative and its -labeling failed to warn that a laxative should not be taken in cases of nausea, vomiting, abdominal pain,? or other symptoms of appendicitis, and since the article contained acetanilid and its labeling failed to warn against use by children; (4) in that its labeling failed to bear such adequate warnings against .unsafe dosage and methods-and duration of administration in such-manner and form as are necessary for the,protection of users, since its labeling failed to warn that frequent or continued use of a preparation containing acetanilid might cause serious blood disturbances, anemia, collapse, or a dependence on the drug, and since its labeling also failed to warn that frequent or continued use of a laxative might result in dependence upon laxatives; and (5) in "that it was dangerous to health when used in the dosage and with the frequency and duration prescribed, recommended, and suggested in the labeling thereof, since the article, when taken in accordance with the directions appearing on the labeling, "Directions Adults: Take 2 tablets every 2 or 3 hours until bowels move freely, then take 1 or 2 tablets 3 or 4 times a day until relieved. "Warning! Do Not Take More Than Six Tablets In Any Twenty-Four Hour Period," would provide, even with the limitation of 6 tablets a day, a maximum of 9 grains of acetanilid a day for an indefinite period of time, and was dangerous to health. On April 5, 1943, no claimant having appeared, judgment of condemnation was entered and the product was ordered destroyed.