The federal government says it will ban compounding pharmacists from producing and selling non-brand copies of semaglutide and other GLP-1 receptor agonists, citing safety concerns over their growing off-label use for weight loss.
Health Minister Mark Butler’s decision comes amid a boom in sales of compounded GLP-1RAs driven by online telehealth providers such as Woolworths-backed Eucalyptus and NIB’s Midnight Health that advertise direct to consumers.
Sales of TGA-approved products including Ozempic (semaglutide) or Mounjaro (tirazapetide) will be unaffected.
However, the government says it is aware of at least 20,000 Australian patients injecting compounded versions of these medicines, with media reports suggesting the true number could be far higher.
“While I understand that this action may concern some people, the risk of not acting is far greater,” Mr Butler said on Wednesday.
“You only have to look to the recent reports of individual impacted by large-scale compounding to realise the dangers posed.”
“This action will protect Australians from harm and save lives.”
The change will take effect from 1 October 2024.
The federal government said the move followed consultation from a range of health groups including the Royal Australian College of GPs, the Medical Board of Australia, Diabetes Australia, the Eating Disorders Alliance of Australia and state and territory health departments.
Unlike TGA-approved products, pharmacy-compounded medicines are not clinically evaluated by the independent regulator for safety, quality or efficacy, it added.
“The commercial-like scale and quality standards of compounded weight loss products has been the subject of increasing community concern, both in Australia and internationally.”