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A view from the United States
| 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
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