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Off Licence Use of Medications

Off-Label – Off Law?

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Legal and Forensic Medicine

Abstract

Off-label prescription is a widely accepted practice for physicians. The label is a summary with all the information about that drug: approved uses, dosages, group of expected patients, or side effects. Although prescribing off-label is common, the truth is, mostly in Europe, there is not a consensus definition about what constitutes an off-label use. Off-label prescribing consists of recommending or proposing a use for the drug that is not yet tested and approved by the authorities of the country, so this use is off-license.

Should that be considered as experimental research or as a clinical trial? Can a physician carry out such a prescription? Is off-label lawful or unlawful? Can we find a place for that situation in the Convention on Human Rights and Biomedicine?

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References

  1. Tiwary AD. Off-label use of prescription drugs should be regulated by FDA, Harvard Law School. 2003. http://leda.law.harvard.edu.

  2. Dresser R, Frader J. Off-label prescribing: a call for heightened professional and government oversight. J Law Med Ethics. 2009;37(3):476–96.

    Article  PubMed  Google Scholar 

  3. Gazarian M, Kelly M, McPhee JR, Graudins LV, Ward RL, Campbell TJ. Off-label use of medicines: consensus recommendations for evaluating appropriateness. Med J Aust. 2006;185(10):544–8.

    PubMed  Google Scholar 

  4. Bégué D. La prescription de médicaments hors AMM. Médecine et Droit. Elsevier. 2003 60. (www.sciencedirect.com).

  5. “Off-label” Drug Use. Shopper’s guide to prescription drugs, 6. http://www.consumerreports.org/health/resources/pdf/best-buy-drugs/money-saving-guides/english/off-label-FINAL.pdf. Accessed 1 Aug 2011.

  6. Riley JB, Basilius, AP. Physicians’ liability for off-label prescriptions. Hematol & Oncol News & Issues, May/June 2007. www.honionline.com.

  7. Van Den Brink H, Chéron C. Les medicaments pédiatriques, un règlement européen incitatif et sécurisant, Revue Générale de Droit Médical. Les Études Hospitalières Éditions. 2007; 25:249.

    Google Scholar 

  8. Rebecq G. La prescription médical, Aix-en-Provence: Presses Universitaires d’Aix-Marseille; 1998.

    Google Scholar 

  9. Dresser R. At law: the curious case of off-label use. Hastings Cent Rep. 2007;37:9–11. apud Edersheim J. Off-label prescribing, Psychiatr Times. 2009; 26 (4). http://www.psychiatrictimes.com/display/article/10168/1401983.

  10. Tabarrok A. From off-label prescribing towards a new FDA, Medical Hypotheses. Elsevier. 2009; 72. www.sciencedirect.com.

Further Reading

  • Edersheim J, Off-label prescribing. Psychiatr Time. 2009; 26(4)

    Google Scholar 

  • McIntyre J, Conroy S, Avery A, Corns H, Choonara I. Unlicensed and off label prescribing of drugs in general practice. Arch Dis Child. 2000;83:498–501.

    Article  PubMed  CAS  Google Scholar 

  • Riley JB, Basilius, AP. Physician’s liability for off-label prescriptions. Hematol & Oncol News & Issues, May/June 2007. www.honionline.com.

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Correspondence to Mafalda Francisco Matos Graduated in Law-University of Coimbra, Master degree on Criminal Law-University of Coimbra, Post-Graduated in Minor’s Protection-Centre for Family Law-University of Coimbra, Post-Graduated in Pharmacy and Medicine Law-Centre for Biomedical Law-University of Coimbra, Participant on Specialization Course in Medical Law-Centre for Biomedical Law-University of Coimbra .

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© 2013 Springer-Verlag Berlin Heidelberg

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Francisco Matos, M. (2013). Off Licence Use of Medications. In: Beran, R. (eds) Legal and Forensic Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-32338-6_116

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