FOOD AND DRUG ADMINISTRATION NOTICES OF JUDGMENT UNDER THE FEDERAL FOOD, DRUG, AND COSMETIC ACT [Given pursuant to section 705 of the rood, Drug, and Cosmetic Act] 4181-4200 ' 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 the Department of Health, Education, and "Welfare, and include, where indicated, the results of investigations by the Department, prior to the institution of the proceedings. Published by direction of the Secretary of Health, Education, and Welfare. CHARLES W. CRAWFORD, Commissioner of Food and Drugs. WASHINGTON, D. C, July 19, 195?. CONTENTS'1 Page Drug actionable because of poten- tial danger when used accord- ing to directions 172 New drug shipped without effective application 172 Violative sales of prescription drugs.. 173 Drugs and devices actionable be- cause of failure to bear ade- quate . directions or warning statements 174 Pag Drugs and devices actionable be- cause of deviation from official or own standards 177 Drugs and devices actionable be- cause of false and misleading claims 179 Index 182 ?For omission of, or unsatisfactory, ingredients statements, see Nos. 4187, 4188; failure to bear a label containing an accurate statement of the quantity of the contents, Nos. 4187, 4188; failure to bear a label containing the name and place of business of the manufacturer, packer, or distributor, Nos. 4187,. 4188,4190. 171 304223-54 DRUG ACTIONABLE BECAUSE OF POTENTIAL DANGER WHEN USED ACCORDING TO DIRECTIONS 4181. Misbranding of Special Formula cream. U. S. v. 8 Jars * * *. (F. D. C. No. 35320. Sample No. 58957-L.) LIBEL FILED : June 22,1953, Western District of Michigan. ALLEGED SHIPMENT : On or about March 31, 1952, by Bette Knowlton, from Miami, Fla. PRODUCT : 8 jars of Special Formula cream at Grand Rapids, Mich. Examina- tion showed that the article contained estrogenic hormones equivalent to 54,000 International Units (5.4 mg.) of estrone per ounce. RESULTS OP INVESTIGATION : On or about March 23,1952, the consignee received at Miami, Fla., from the Bette Knowlton Laboratories, a 26-page mimeo- graphed booklet dated May 14,1951, entitled "Bette Knowlton Reference Man- ual," to be used in the sale and use of the Bette Knowlton products. This booklet subsequently was transported by the consignee from Miami, Fla., to Grand Rapids, Mich. In addition, Bette Knowlton shipped from Miami, Fla., to Grand Rapids, Mich., on or about February 1, 1953, a number of leaflets entitled "Bette Knowlton Fortune In Loveliness" and one booklet entitled "Bette Knowlton Reference Notes." LABEL, IN PAST: (Jar) "Bette Knowlton Special Formula Cream 2 Oz. * * * Hormone & Vitamin A Formula. Contains Type A Natural Extrogenic Substance, 50,0001. U. per oz., and Vitamin A, 10,000 units per oz." NATURE OF CHARGE: Misbranding, Section 502 (j), the article was dangerous to health when used in the dosage and with the frequency and duration pre- scribed, recommended, and suggested in its labeling, namely, the jar label and the above-mentioned leaflets and booklets, since the labeling provided for the daily application of 1,800 International Units of estrogens as estrone over an extended and indefinite period of time, an amount which would cause injury to health. DISPOSITION: July 9, 1953. Default decree of condemnation and destruction. NEW DRUG SHIPPED WITHOUT EFFECTIVE APPLICATION