In US Decongestant False Ad Litigation, “Maximum Strength” Must Contend by Pharmaceutical Companies and Retailers

On Thursday, a federal appeals court revived parts of a nationwide lawsuit in which consumers accused pharmaceutical companies like Procter & Gamble (PG.N) and stores like CVS (CVS.N) of marketing billions of dollars’ worth of ineffective over-the-counter decongestants.

A U.S. Food and Drug Administration advisory council concluded in September 2023 that oral phenylephrine, an ingredient in products like Vicks NyQuil Severe Cold & Flu and Advil Sinus Congestion & Pain, was no better than a placebo. This led to the filing of approximately 100 lawsuits.

A three-judge panel of the ⁠2nd U.S. Circuit Court of Appeals in Manhattan said the Federal Food, Drug and Cosmetic Act preempted most ​of the consumers’ state law-based claims, saying the defendants followed FDA labeling requirements.

But the court revived claims ​over decongestants labeled “maximum strength,” because various defendants added that phrase on their own. It also revived claims over brand-name drugs approved through the federal New Drug Application process, because the defendants could have updated labels to reflect the latest ​science.

“The limitations on consumer plaintiffs’ state law remedies may appear unfair, particularly when the FDA’s own ​agency review has confirmed that oral PE does not work as a decongestant and when studies have impugned oral ‌PE’s efficacy ⁠for 20 years,” Circuit Judge Denny Chin wrote. “The fix, however, must flow not from litigation but from the FDA.”

Thursday’s decision also said consumers lacked standing to pursue a civil racketeering claim accusing the defendants of defrauding the public and the FDA.

Jonathan Selbin, a lawyer for the consumers, said they were “obviously disappointed” ​with parts of the ​decision and reviewing their ⁠next steps.

“For over a decade these manufacturers made billions of dollars selling products with a decongestant that they long knew — in many cases based on ​their own studies — was entirely ineffective at decongesting,” he said. “This case is far ​from over.