BMJ 2002;324:1290-1291 ( 1 June )

Editorials

Off label prescribing in children

A view from the United States

Primary care pp 1311, 1312, 1313

The first 150 words of the full text of this article appear below.

Three papers in this issue, one from Germany and two from the Netherlands, highlight the problem of off label prescribing in children. 1 2 At first reading these manuscripts were a confusing "tower of Babel" for a reader from the United States, but the problem being discussed is all too familiar. In the United States the Food and Drug Administration has responsibility for the licensing process for all drugs. The term "approved" is used for a drug that has been deemed to have safety and efficacy for a particular disease process. Until recently, the drug need only to have been studied in the adult male population. Yet once a drug is approved it may be prescribed by a physician for any population or disease state desired. The term "off label" has been applied to describe the use of these drugs in either populations or disease states not listed as indicated in the . . . [Full text of this article]


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Relevant Articles

Off label prescribing in children
S Guiton, David M Reith, and Valerie L Isitt
BMJ 2002 325: 338. [Extract] [Full Text]

Off label prescribing to children in primary care in Germany: retrospective cohort study
Reinhild Bücheler, Matthias Schwab, Klaus Mörike, Bernhard Kalchthaler, Hartmut Mohr, Helmut Schröder, Peter Schwoerer, and Christoph H Gleiter
BMJ 2002 324: 1311-1312. [Extract] [Full Text] [PDF]

Unlicensed and off label drug use by children in the community: cross sectional study
Eric Schirm, Hilde Tobi, and Lolkje T W de Jong-van den Berg
BMJ 2002 324: 1312-1313. [Extract] [Full Text] [PDF]

Unlicensed and off label prescription of drugs to children: population based cohort study
Geert W `t Jong, Ingo A Eland, Miriam C J M Sturkenboom, John N van den Anker, and Bruno H Ch Stricker
BMJ 2002 324: 1313-1314. [Extract] [Full Text] [PDF]

This article has been cited by other articles:

  • Curtis, L. H., Masselink, L. E., Ostbye, T., Hutchison, S., Dans, P. E., Wright, A., Krishnan, R. R., Schulman, K. A. (2005). Prevalence of Atypical Antipsychotic Drug Use Among Commercially Insured Youths in the United States. Arch Pediatr Adolesc Med 159: 362-366 [Abstract] [Full text]  
  • Schirm, E., Tobi, H., de Jong-van den Berg, L. T.W. (2003). Risk Factors for Unlicensed and Off-Label Drug Use in Children Outside the Hospital. Pediatrics 111: 291-295 [Abstract] [Full text]  
  • O'Donnell, C. P. F., Stone, R. J., Morley, C. J. (2002). Unlicensed and Off-Label Drug Use in an Australian Neonatal Intensive Care Unit. Pediatrics 110: e52-52 [Abstract] [Full text]  
  • Guiton, S, Reith, D. M, Isitt, V. L (2002). Off label prescribing in children. BMJ 325: 338-338 [Full text]  

Rapid Responses:

Read all Rapid Responses

A cynical view from down-under
David M Reith
bmj.com, 7 Jun 2002 [Full text]
Medicines for Children
Valerie L Isitt
bmj.com, 7 Jun 2002 [Full text]
Off-label prescribing to children in primary care
Maurizio Bonati, et al.
bmj.com, 22 Jun 2002 [Full text]
Re: Off-label prescribing to children in primary care
David G Bartle, et al.
bmj.com, 25 Jun 2002 [Full text]
A view from Europe
Francis P. Crawley, et al.
bmj.com, 4 Jul 2002 [Full text]
Off-label and unlicensed drug use: a view-point from Australia
Elaine Tan, et al.
bmj.com, 15 Jul 2002 [Full text]
Where do our interests lie?
Dimah Sweis, et al.
bmj.com, 17 Jul 2002 [Full text]
Standardised terminology is useful
Gerben ter Riet, et al.
bmj.com, 16 Aug 2002 [Full text]



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