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Why are Buckley's banned in the US? Unpacking Drug Regulation Differences

5 min read

While Buckley's cough syrup is a Canadian household staple, its distinct product formulations have prevented it from being widely sold in the United States. The perception that Buckley's is "banned" in the US stems from strict regulations by the U.S. Food and Drug Administration (FDA) that target certain ingredients and safety standards, which differ significantly from those enforced by Health Canada. The differences primarily boil down to ingredient approvals and variations in manufacturing and packaging rules.

Quick Summary

This article explores the specific FDA regulations and ingredient restrictions that explain why Buckley's cough and cold medicines are generally unavailable in the United States. It details the key differences between U.S. and Canadian drug approval processes, focusing on sweetener and herbal ingredient restrictions.

Key Points

  • Cyclamate Ban: The U.S. FDA banned the artificial sweetener cyclamate in 1969 based on a controversial study, while it remains legal in Canada, leading to formula differences.

  • Herbal Ingredient Scrutiny: Traditional Buckley's includes herbal ingredients like Canada Balsam and pine needle oil, which must meet stricter FDA proof-of-efficacy standards for over-the-counter drugs.

  • Regulatory Divergence: The U.S. FDA and Health Canada have different approval processes and standards for over-the-counter medicines, impacting which ingredients and formulations are allowed.

  • DXM Regulations: While dextromethorphan (DXM) is regulated in both countries, different rules regarding its sale to minors reflect varying approaches to preventing drug abuse.

  • Past U.S. Market Attempts: The brand has been sold in the U.S. in the past, but with different formulations to comply with FDA regulations, highlighting the challenges of transatlantic distribution.

  • Choking Hazard Recall: In 2017, a voluntary recall in Canada for a defective bottle seal, unrelated to the ingredients, further complicates the product's history and regulatory navigation.

In This Article

The Cyclamate Controversy: A Sweetener's U.S. History

One of the primary historical reasons why Buckley's formulations couldn't be sold in the United States relates to the use of cyclamates as a sweetener. The distinct, famously awful taste of Buckley's is what many Canadians associate with its efficacy, but for some versions of the cough syrup, the taste was balanced by cyclamate sweeteners.

In 1969, the U.S. FDA banned cyclamates after a controversial study suggested that high doses of the artificial sweetener caused bladder tumors in rats. While the study's methodology was widely criticized and cyclamates remain legal in over 100 countries, including Canada, the FDA's ban has never been fully overturned. This regulatory difference meant that any Buckley's product sweetened with cyclamates could not be legally imported or sold in the U.S.. While newer U.S.-specific formulations of Buckley's have been attempted in the past, they required significant changes to adhere to FDA standards, including replacing cyclamates with other approved sweeteners like saccharin.

Herbal Ingredients and Product Classification

Beyond sweeteners, Buckley's traditional formulation contains a mix of ingredients that are common in Canada but either unapproved or regulated differently in the U.S..

  • Canada Balsam: Derived from the resin of the balsam fir tree, this ingredient is an expectorant in Buckley's. In the U.S., a product containing a natural substance like Canada Balsam would likely face different scrutiny than a standard pharmaceutical-grade expectorant, especially as an over-the-counter medication.
  • Pine Needle Oil: Also derived from trees, pine needle oil is another herbal ingredient that contributes to the product's unique flavor and scent. The use and labeling of such ingredients must meet specific U.S. regulatory standards, which can be a complex and costly process for manufacturers.
  • Capsicum: A tincture of capsicum (peppers) is also an active ingredient. Its use, while common in certain natural remedies, would have to pass FDA safety and efficacy reviews for over-the-counter drug classification.

These herbal components, while long-established in Canadian remedies, highlight a key philosophical difference between the two nations' drug regulatory bodies. The FDA has a famously stringent approval process that requires manufacturers to prove both the safety and effectiveness of all active ingredients in a drug before it can be sold to the public. Health Canada, while also rigorous, may have different historical pathways and classifications for certain long-used ingredients.

The Role of Dextromethorphan (DXM) Regulation

Some Buckley's products contain dextromethorphan (DXM), a common cough suppressant. While DXM is legal in both countries, its regulation has evolved differently, particularly concerning age restrictions and abuse potential. In recent years, both the U.S. and Canada have increased restrictions on DXM-containing products to curb recreational abuse.

  • Canada: In 2016, the manufacturer of Buckley's voluntarily discontinued its DM formulation in Canada. This was a market-driven decision, not a regulatory ban, and other Buckley's products containing DXM are still sold.
  • United States: State-level laws have been enacted across the U.S. to prevent the sale of DXM-containing products to minors without a prescription, following concerns about recreational abuse. While not a direct reason for Buckley's absence, this demonstrates the differing regulatory landscapes and product considerations manufacturers must navigate.

Comparison of US vs. Canada Regulatory Approach

Feature U.S. FDA Approach Health Canada Approach
Approval Process Generally requires rigorous, evidence-based proof of both safety and efficacy for all active ingredients before market entry. Also rigorous, but may have a different approach to long-standing, traditional remedies and their constituent ingredients.
Sweeteners Cyclamates are banned for use in food and drugs based on a historical, though controversial, study. Cyclamates are legal and approved for use as a food additive and artificial sweetener.
Herbal Ingredients Scrutiny under the FDA requires demonstrating safety and effectiveness for every herbal component in an over-the-counter drug. May have different classifications for natural or herbal medicines, leading to differences in what can be included in over-the-counter products.
Safety Recalls Regularly issues safety communications and can mandate recalls for approved products. Also issues recalls based on safety concerns, such as the 2017 recall of Buckley's for a packaging issue.

Potential Choking Hazard and Voluntary Recall

It is important to note that a separate issue involving a voluntary recall also contributed to Buckley's market presence. In March 2017, Health Canada announced that the manufacturer was voluntarily recalling six of its syrups due to a potential choking hazard. This was caused by a defective plastic seal that could detach and fall into the bottle. The recall affected several Buckley's products in Canada, and while not related to the ingredients, it highlights the importance of market-specific safety protocols.

The Takeaway for American Consumers

For an American consumer seeking to purchase Buckley's, the issue is not simply one of product availability but a testament to the distinct regulatory environments in Canada and the U.S. The FDA's ban on cyclamates and different stances on certain herbal ingredients make it difficult for the traditional Canadian formulation to cross the border. Furthermore, a company wanting to launch a U.S.-specific version would need to reformulate the product and undergo a full FDA review and approval process, which can be a time-consuming and expensive endeavor. This is why when the brand was briefly sold in the U.S. in 2007, it featured a different formula.

Conclusion: Navigating Different Regulatory Standards

The perception that Buckley's is "banned" in the US is rooted in the divergent regulatory standards between the U.S. Food and Drug Administration and Health Canada. While the word "banned" might be a simplification, it accurately reflects the market reality that many traditional Buckley's formulations do not meet U.S. requirements due to specific ingredient restrictions, most notably the historical ban on cyclamates. The use of certain herbal ingredients and differing approaches to product approval further contribute to the brand's limited availability. These regulatory differences underscore the fact that pharmaceutical products, even seemingly simple over-the-counter remedies, are not universally approved and must adhere to the specific legal framework of each country where they are sold. Ultimately, the story of Buckley's in the US is a case study in how national health and safety policies directly impact global product availability and consumer choice.

Frequently Asked Questions

Generally, it is not recommended to bring unapproved drugs across the border. While personal use might sometimes be overlooked, it can be confiscated by customs officials, especially if it contains unapproved ingredients.

Yes, in 2007, a version of Buckley's was introduced to the U.S. market by Novartis, but it featured a different formulation designed to comply with FDA regulations, and it is no longer widely available.

Cyclamate is an artificial sweetener banned by the FDA in 1969. The ban was based on an animal study suggesting a link to bladder cancer, although the study is now widely considered flawed and the ban remains controversial.

The main difference lies in the specific ingredients and approval standards. The FDA's process is very strict, whereas Health Canada has a different framework that allows for certain ingredients and traditional remedies not permitted in the U.S..

No, dextromethorphan (DXM) is a common cough suppressant found in many U.S. over-the-counter medicines. However, its sale is often restricted to adults due to concerns about abuse.

There is no direct equivalent due to the specific combination of ingredients in Buckley's. American consumers must rely on a variety of different products that use FDA-approved ingredients to address cough, chest congestion, and other symptoms.

The traditional Buckley's formula incorporates a blend of herbal components, such as Canada Balsam and pine needle oil, which have been used for their expectorant and soothing properties in Canada for many years.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.