Off-Label Drug Use in Pediatric Practice: Unsolved Problems

The widespread «off-label» drug use and the prescribing of unlicensed medicines in pediatric practice is a major health problem. The authors discuss actual regulatory and legal issues of «off-label» drug use in children in the US, Europe and Russia. The results of different population-based studies...

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Bibliographic Details
Main Authors: A. R. Titova, I. L. Asetskaya, S. K. Zyryanov, V. A. Polivanov
Format: Article
Language:Russian
Published: Union of pediatricians of Russia 2015-10-01
Series:Педиатрическая фармакология
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Online Access:https://www.pedpharma.ru/jour/article/view/485
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Summary:The widespread «off-label» drug use and the prescribing of unlicensed medicines in pediatric practice is a major health problem. The authors discuss actual regulatory and legal issues of «off-label» drug use in children in the US, Europe and Russia. The results of different population-based studies from many countries, showing the structure and frequency of «off-label» drug use in children, are summarized in this article. It is shown that such practice increases the risk of adverse drug reactions. The authors offer practical recommendations for a safer use of drugs in pediatric practice. The priority issue is conducting high quality clinical trials with the participation of children, improving national pharmacovigilance and the monitoring of off-label drug use, developing pediatric formularies, improving doctors’ knowledge and awareness of safety and efficacy of medicines in pediatric population.
ISSN:1727-5776
2500-3089