Drug related problems and off-label drug treatment in children as seen at a drug information centre.

作者: Elin Kimland , Ulf Bergman , Synnöve Lindemalm , Ylva Böttiger

DOI: 10.1007/S00431-006-0385-8

关键词:

摘要: The aim of this work was to analyse the characteristics Questions and Answers (Q&As) at a drug information centre (DIC) regarding related problems off-label treatment in children. All questions concerning children 15 years or younger DIC Stockholm, Sweden during 1995-2004 were analysed with respect main problem, drug/s group/s, whether drugs licensed not, pediatric labelling age sex patient. Q&As classified as not they included evaluated literature information, adding drugs. We identified 249 treatment. Each question addressed an average 1.5 More than two-thirds concerned adverse reactions choice dosing. Every second off-label, psychotropic being most common. In half all Q&As, documentation on efficacy safety outside Swedish catalogue medical products found. Most newborns infants. However, proportion among highest adolescence well It thus found that is common DIC. This service can provide additional based contributing safer use There still, however, substantial need for clinical

参考文章(28)
R. M Martin, L. V Wilton, R. D Mann, P. Steventon, S. R Hilton, S. Conroy, Unlicensed and off label drug use for paediatric patients. General practitioners prescribe SSRIs to children off label. BMJ. ,vol. 317, pp. 204- 204 ,(1998) , 10.1136/BMJ.317.7152.204
Mike Ufer, Anders Rane, Åke Karlsson, Elin Kimland, Ulf Bergman, Widespread off-label prescribing of topical but not systemic drugs for 350,000 paediatric outpatients in Stockholm European Journal of Clinical Pharmacology. ,vol. 58, pp. 779- 783 ,(2003) , 10.1007/S00228-003-0560-Z
Sharon Conroy, Unlicensed and Off-Label Drug Use Pediatric Drugs. ,vol. 4, pp. 353- 359 ,(2002) , 10.2165/00128072-200204060-00002
Piero Impicciatore, Imti Choonara, Status of new medicines approved by the European Medicines Evaluation Agency regarding paediatric use British Journal of Clinical Pharmacology. ,vol. 48, pp. 15- 18 ,(1999) , 10.1046/J.1365-2125.1999.00981.X
Piero Impicciatore, Imti Choonara, Amanda Clarkson, Davide Provasi, Chiara Pandolfini, Maurizio Bonati, Incidence of adverse drug reactions in paediatric in/out-patients: a systematic review and meta-analysis of prospective studies. British Journal of Clinical Pharmacology. ,vol. 52, pp. 77- 83 ,(2001) , 10.1046/J.0306-5251.2001.01407.X
Antonio Clavenna, Maurizio Bonati, Elisa Rossi, Marisa De Rosa, Increase in non-evidence based use of antidepressants in children is cause for concern BMJ. ,vol. 328, pp. 711- 712 ,(2004) , 10.1136/BMJ.328.7441.711-C
EJ Sanz, Drug prescribing for children in general practice. Acta Paediatrica. ,vol. 87, pp. 489- 490 ,(2007) , 10.1111/J.1651-2227.1998.TB01490.X
EJ Sanz, U Bergman, M Dahlström, None, Paediatric drug prescribing. A comparison of Tenerife (Canary Islands, Spain) and Sweden. European Journal of Clinical Pharmacology. ,vol. 37, pp. 65- 68 ,(1989) , 10.1007/BF00609427
ERIC SCOWEN, COMMITTEE ON SAFETY OF MEDICINES BJA: British Journal of Anaesthesia. ,vol. 50, pp. 1270- 1270 ,(1978) , 10.1093/BJA/50.12.1270-A