The FDA announced on July 31, 2025, that all opioid pain medications must update their safety labels to emphasize and explain the serious risks associated with long-term use, including addiction, misuse, and overdose.
The decision was based on data from two large FDA-required observational studies (PMR 3033-1 and 3033-2) that revealed serious side effects from long-term opioid use and identified a lack of adequate research on long-term effectiveness.
Drug manufacturers have 30 days to submit revised labels for FDA review, and the agency is also mandating new randomized controlled clinical trials to examine long-term opioid benefits and risks.
The labeling changes include clearer risk information, stronger dosage warnings, removal of language that could support indefinite use, and enhanced warnings about drug combinations and overdose reversal agents.