FDA Action on Fluoride Drugs for Children
FDA Announces Enforcement Action on Fluoride Drugs
Are Fluoride drugs Risking Kids’ lives? The FDA announced an enforcement action on October 31. The US Food and Drug Administration said on Friday that it has told four companies it will begin enforcement action against the sale of unapproved prescription medications for children containing fluoride, as part of a wider federal effort to remove ingestible fluoride supplements from the market. The ruling is a key move in protecting the health of children, said Health Secretary Robert F. Kennedy Jr., who has long opposed the use of fluoride.
“This Halloween, the FDA is driving a stake through the heart of outdated science and protecting our kids from the risks associated with ingestible fluoride,” said Kennedy. His comments reflect a new emphasis by the administration on preventive health, especially for young children and newborns.
Fluoride: From Public Health Staple to Policy Debate
Fluoride is a naturally occurring mineral found in the soil, water, and air, and that has been proven to prevent tooth decay and cavity formation. Fluoride has been added to toothpaste, mouthwash, and community water supplies for decades.
This long-held public health consensus is increasingly called into question with new findings on the interactions of gut microbiome, neurocognitive development, and poison thresholds in children.
Scientific Review Triggered Federal Action
The move comes after the government first announced earlier this year it would phase out fluoride supplements for children after a months-long safety evaluation and public comment period. The officials from the FDA said these fluoride drugs could alter gut microbiota and lead to broader health risks, particularly among young children. Regulators noted, however, that this was the first such review of fluoride supplements in light of current standards of pediatric safety, including neurodevelopmental effects.
Cognitive Consequences and Gut Health Concerns
These fluoride drugs have been sold since the 1940s, but the FDA stressed that it has never approved their safety and effectiveness. Indeed, the agency noted that a recent meta-analysis indicated that children with greater exposure to fluoride tend to have lower IQs.
Increasingly, pediatric neurologists are sounding warnings against cumulative fluoride exposure in newborns and toddlers.
Indeed, the FDA cited a Cochrane review that said although fluoride has been shown to prevent dental caries in older children, no evidence of benefit for baby teeth could be found. The FDA also added that, for the same reasons fluoride kills germs on teeth, when ingested, it could alter gut microbiota and raise questions about immunological development, digestion, and long-term metabolic health.
Changing Public Health Priorities
The crackdown is part of President Donald Trump’s “Make Our Children Healthy Again” campaign, which instructed the FDA to reevaluate fluoride products. Administration officials said the effort represents a new direction in pediatric health policy toward prevention, fueled by microbiome research. Science of neurodevelopmental pressure for consumer safety, growing demand for natural health substitutes
The FDA did not immediately respond to a request for comment on which companies got the warning letters.
States Begin Taking Independent Action
After Governor Spencer Cox announced in May that he would sign legislation banning fluoride in public water systems, Utah became the first state in the nation to do so. The Utah ruling is being debated by legislators across the country, and it could open the door for other states to revisit their water fluoridation laws.
Industry and Medical Community Reaction
Yet, consumer health activists hailed the move as a “long overdue modernization of dental policy.” It’s expected that the pharmaceutical industry will either reformulate drugs or consider a clinical approval pathway.
Future Trends: What Comes Next
- Growth of Pediatric Non-Fluoride Dental Care
- Probiotics, hydroxyapatite-based toothpastes, and biomineralization gels may be the dominating dental products of future generations.
- Preventing Tooth Decay Powered by AI
It is possible that the new bioengineered protective chemicals, saliva microbiome diagnostics, and predictive AI technologies could emerge.
- Rewrite of Federal Guidelines
- New fluoride advisories may be issued by the American Dental Association and the American Academy of Paediatrics.
- National Water Fluoridation Review. With the added support of grassroots and legal campaigns, even more states might reconsider their water fluoridation laws.
- New Research: Government funding for fluoride neurotoxicity threshold research expected. Microbiota-friendly alternatives support dental immunity in infancy



