http://www.kevinmd.com/blog/2007/12/persecution-of-off-label.html Tue, 14 Feb 2012 17:18:00 +0000 hourly 1 http://www.kevinmd.com/blog/2007/12/persecution-of-off-label.html#comment-82286 Gasman Tue, 18 Dec 2007 18:31:00 +0000 http://clients.emmense.com/kevinmd/2007/12/the-persecution-of-off-label.html#comment-82286 I have yet to have a patient express any concern about off label uses. Which is too bad because some years ago I prepared exactly for that conversation. I collected a list of every drug useful during an anesthetic and noted the ages for on-label usage. Then I made a list for each age group of what was available, with the startling recognition that if your child is under 2 months, I've got nothing. Can't even have bupivacaine local anesthetic until age 12. Toradol or opiates for pain, nope. I have yet to have a patient express any concern about off label uses. Which is too bad because some years ago I prepared exactly for that conversation. I collected a list of every drug useful during an anesthetic and noted the ages for on-label usage. Then I made a list for each age group of what was available, with the startling recognition that if your child is under 2 months, I’ve got nothing. Can’t even have bupivacaine local anesthetic until age 12. Toradol or opiates for pain, nope.

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