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                  <text>April

ll,

1986

Mr. A. J. Roccograndi
Sonnenreich 6c Roccograndi P.C.
Watergate 600 Suite 720
600 New Hampshire Avenue, N.W.
Washington, D.C. 20037
Dear Mr. Roccograndi,
Dr. Robert Millman sent me a 'copy of your letter of March 21 regarding
the petition to the FDA on bioequivalence. i had written to Dr. Miliman of my
interest in this topic and my concerns that the acceptance of bioequivalence for
psychoactive substances on the basis of in vitro tests was inadequate since their
penetration of the blood brain barrier was an important characteristic of their
actions. My opinion is based on numerous studies of the CNS effects of
psychoactive substances as reflected in quantitative EEG measures.
7

should like to encourage the petition to the FDA to review the
requirements for demonstrating bioequivalence of psychoactive drugs. My
experience was cited by the Hottmann La Roche petition to the FDA for a review
of bioequivalency standards with specific regard to diazepam (Valium). The work
was cited in support of the data developed by Professor [til of the New York
Medical College. 1 enclose a copy of my letter to Bob Millman, as well as a recent
report in which 1 reviewed my expereinces with this problem. You may, of course,
cite the article if it seems helpful.
1

Good luck in your

efforts.
Sincerely yours,

Max Fink, M.D.

Professor of Psychiatry

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