{"id":1094,"date":"2017-02-18T15:41:53","date_gmt":"2017-02-18T21:41:53","guid":{"rendered":"http:\/\/www.cchrstl.org\/wordpress\/?p=1094"},"modified":"2024-07-14T05:40:28","modified_gmt":"2024-07-14T10:40:28","slug":"off-label-drug-use-may-be-risky","status":"publish","type":"post","link":"https:\/\/www.cchrstl.org\/wordpress\/2017\/02\/18\/off-label-drug-use-may-be-risky\/","title":{"rendered":"Off-Label Drug Use May Be Risky"},"content":{"rendered":"<p>The February 2017 issue of <em>Consumer Reports<\/em> article, &#8220;Should Drugs Do Double Duty&#8221; says, &#8220;Your doctor might give you a drug for a condition that it&#8217;s not approved to treat. That&#8217;s a risk you may not want to take.&#8221;<\/p>\n<p>&#8220;Doctors routinely (and legally) prescribe drugs &#8220;off label&#8221; &#8212; that is, for conditions not approved by the FDA&#8211;for any use they see fit. Most don&#8217;t tell their patients. The results of this practice are alarming.&#8221;<\/p>\n<p>Klonopin (clonazepam), an anti-anxiety drug, is routinely prescribed off-label for restless leg syndrome and insomnia, for which there is insufficient evidence for its effectiveness &#8212; let alone the fact that it poses an addiction risk and a risk of birth defects when prescribed to pregnant women.<\/p>\n<p>Trazodone, an antidepressant, is routinely prescribed off-label for insomnia, but a black box warning says it increases suicidal thinking in children, teens, and young adults.<\/p>\n<p>Seroquel (quertiapine) and Abilify (aripiprozole), antipsychotics, are routinely prescribed off-label for dementia, but the FDA has issued black box warnings about their use by people with dementia, which ups their risk of death. By the way, it doesn&#8217;t actually treat dementia, it is only used to suppress a person&#8217;s agitation.<\/p>\n<p>&#8220;One reason drug companies may want more freedom to market or advertise drugs for unapproved uses is to eliminate financial penalties for off-label promotions.&#8221; Johnson &amp; Johnson was fined $2.2 billion in 2013 for illegally promoting the off-label use of the antipsychotic Risperdal (risperidone). GlaxoSmithKline was fined $3 billion in 2012 for promoting the off-label use of the antidepressant Paxil (paroxetine).<\/p>\n<p>All the more reason to learn how to protect yourself, your family and friends, with <a href=\"http:\/\/www.cchrstl.org\/truth.shtml\"><strong>full informed consent<\/strong><\/a>. Courts have determined that informed consent for people who receive prescriptions for psychotropic (mood-altering) drugs must include the doctor providing &#8220;information about\u2026possible side effects and benefits, ways to treat side effects, and risks of other conditions\u2026,&#8221; as well as, &#8220;information about alternative treatments.&#8221;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The February 2017 issue of Consumer Reports article, &#8220;Should Drugs Do Double Duty&#8221; says, &#8220;Your doctor might give you a drug for a condition that it&#8217;s not approved to treat. That&#8217;s a risk you may not want to take.&#8221; &#8220;Doctors &hellip; <a href=\"https:\/\/www.cchrstl.org\/wordpress\/2017\/02\/18\/off-label-drug-use-may-be-risky\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[2,3],"tags":[62,77],"class_list":["post-1094","post","type-post","status-publish","format-standard","hentry","category-big-muddy-river-newsletter","category-press-releases","tag-informed-consent","tag-psychiatric-drugs"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6NMpC-hE","jetpack_likes_enabled":true,"_links":{"self":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts\/1094","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/comments?post=1094"}],"version-history":[{"count":0,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/posts\/1094\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/media?parent=1094"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/categories?post=1094"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.cchrstl.org\/wordpress\/wp-json\/wp\/v2\/tags?post=1094"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}