But the Food and Drug Administration says these alternative hormone mixes are no safer, and the agency told seven makers to stop claiming they are. The FDA also said some mixes contain estriol, which is illegal to be sold in the U.S. because the FDA has not approved it for any use.

In letters to the pharmacies, the FDA said the claims about the "bioidentical hormone replacement therapy" products are not supported by medical evidence and that the pharmacy operations are breaking the law by making false and misleading claims about the drugs.

"We want to assure that Americans receive accurate information about the risks and benefits of drug therapies," the FDA's chief medical officer, Dr. Janet Woodcock, said in a statement.

The agency said it is concerned that the claims for safety and effectiveness mislead patients and health care professionals.

In addition to citing the menopausal use, some pharmacies claimed the products could prevent or treat serious diseases, including Alzheimer's, stroke and some cancers, the agency said. Officials said there is no credible evidence to support those claims.

Dr. Kathleen Uhl of the agency's office of women's health said the FDA does not know how widely these drugs are used but has received a growing number of questions about them.

Women need to know that all drugs have benefits and risks, and that patients should discuss them with their doctor, Dr. Uhl said.

The FDA urges women to use the lowest effective dose of hormone replacement drugs that it has approved for menopausal symptoms.

The agency does not review compounded, or custom-mixed, drugs for safety and effectiveness, and encourages patients to use FDA-approved drugs whenever possible.

A 2002 study found replacement hormones made by drug companies raised the risk of heart attacks, breast cancer and strokes. Since then, many women have turned to the estrogen, progesterone and testosterone products sold by compounding pharmacies.

Medical researchers concluded in 2003 that hormone replacement pills should be taken only as a brief treatment to help women cope with the worst symptoms of menopause.

FDA officials stressed that they are not cracking down on all forms of compounding. Traditional pharmacy compounding involves the combining or altering of ingredients by a pharmacist, in response to a doctor's prescription, to produce a drug tailored to an individual patient's needs.

Originally published by Associated Press.

Source: The Augusta Chronicle. Provided by ProQuest Information and Learning. Powered by YellowBrix.

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