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Off-Label Prescribing in Children Remains High: A Call for Prioritized Research

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* Abbreviations: BPCA — : Best Pharmaceuticals for Children Act PREA — : Pediatric Research Equity Act The US Food and Drug Administration requires that medications be tested for safety… Click to show full abstract

* Abbreviations: BPCA — : Best Pharmaceuticals for Children Act PREA — : Pediatric Research Equity Act The US Food and Drug Administration requires that medications be tested for safety and efficacy at a specific dosage, and for a specific time period, before approval for clinical use in a particular population.1 Use of medications outside these parameters is considered “off-label” drug use. Historically, studies evaluating medications in the pediatric population have been challenging. Children present unique considerations in clinical trials owing to scientific, ethical, clinical, and logistic concerns, which have previously limited and even discouraged the testing of medications in this population.1 Consequently, the majority of medications used in the care of children have historically been used off label without an adequate … Address correspondence to Katelyn Yackey, MD, Department of Emergency Medicine, University of Kentucky, 800 Rose St, Room M53, Lexington, KY 40536. E-mail: katelyn.yackey{at}uky.edu

Keywords: prescribing children; research; remains high; high call; children remains; label prescribing

Journal Title: Pediatrics
Year Published: 2019

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