US Food and Drug Administration (FDA) and Drug Enforcement Administration (DEA), the agencies came to together to warn four online networks operating 10 websites that illegally market unapproved and misbranded versions of opioids.

FDA notes that the illegal online pharmacies may put people in danger on the grounds that there is no assurance that the medications are safe and in light of the fact that few of these websites sell opioids online without a prescription.

In the warning letters, the offices referred to companies for selling unapproved renditions of tramadol, advertised as “Top-Tram” or “Tramadol (Ultram) 100 mg” or “Tramadol

200mg Tablets,” and another narcotic known as tapentadol, among others.

In addition, the online networks violated the Controlled Substances Act (CSA) by failing to register their online pharmacies with the DEA despite knowingly or deliberately promoting the sale of controlled substances, including opioids.

“While the FDA partners regularly with the DEA, this is the first time we have issued joint warning letters with them,” acting FDA Commissioner Ned Sharpless wrote. “This action further strengthens the warning to the operators of these websites. We remain committed to using all available regulatory and enforcement tools to stop the illicit flow of opioids online.”

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