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9mm

Original Poster:

2,103 posts

97 months

[news] 
Friday 5th October 2012 quote quote all
An 80 year old relative has been prescribed a drug that NICE and the BNF say should not be prescribed to anyone over 65. Is there any other source that I can read that might explain this?

K77 CTR

1,138 posts

69 months

[news] 
Friday 5th October 2012 quote quote all
Which drug are you referring to?

geeks

910 posts

26 months

[news] 
Friday 5th October 2012 quote quote all
9mm said:
An 80 year old relative has been prescribed a drug that NICE and the BNF say should not be prescribed to anyone over 65. Is there any other source that I can read that might explain this?
The doctor who prescribed it...

turbolucie

3,464 posts

69 months

[news] 
Friday 5th October 2012 quote quote all
Which drug? Drugs are prescribed off recommendation in lots of situations.

BlackVanDyke

8,607 posts

98 months

[news] 
Sunday 7th October 2012 quote quote all
It's a massive context thing - you haven't given any.

There are nearly always exceptions for nearly everything, justifications for what I think Americans call 'off-label' use, a drug company might eg only have evidence to PROVE its safety in under-65s but that doesn't make it a worse idea than doing nothing if the alternative involves suffering or an avoidable death.

Talk to the doctor who prescribed it, you could also talk to the pharmacist, they know stuff about drugs. smile
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9mm

Original Poster:

2,103 posts

97 months

[news] 
Wednesday 10th October 2012 quote quote all
geeks said:
The doctor who prescribed it...
They won't respond to the question. That's fine - there'll be a complaint idc.

9mm

Original Poster:

2,103 posts

97 months

[news] 
Wednesday 10th October 2012 quote quote all
turbolucie said:
Which drug? Drugs are prescribed off recommendation in lots of situations.
Could you give me just two or three examples please?

9mm

Original Poster:

2,103 posts

97 months

[news] 
Wednesday 10th October 2012 quote quote all
K77 CTR said:
Which drug are you referring to?
No need to name it at this stage. I'd simply like to know where a doctor gets the guidance for prescribing a drug. I know about NICE and the BNF.

Is there another resource?

oldbanger

2,639 posts

125 months

[news] 
Wednesday 10th October 2012 quote quote all
9mm said:
Could you give me just two or three examples please?
Metformin is one such example

ETA All the doctor has to do is follow the Bolam Principle and they can prescribe against NICE guidelines without fear of major repercussions. If they can show sound reasoning, I'd say they'd have a case even if they weren't following a fairly common practice.


Edited by oldbanger on Wednesday 10th October 23:00

BlackVanDyke

8,607 posts

98 months

[news] 
Wednesday 10th October 2012 quote quote all
oldbanger said:
9mm said:
Could you give me just two or three examples please?
metformin is one such example
Pregabalin has had pretty impressive 'usage creep' as its applications in different fields are discovered.

Wikipedia article on off-label use here. That's the phrase you want to Google for to find more info, too.

turbolucie

3,464 posts

69 months

[news] 
Thursday 11th October 2012 quote quote all
9mm said:
Could you give me just two or three examples please?
See the article linked below on Wikipedia. That's not exhaustive, pain medication and psychiatric drugs in particular are often used off licence. Really does depend though, the drug may be being prescribed in error, best thing to do is ask.
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