Off-label use is the practice of prescribing
drugs for a purpose outside the scope of the drug's approved label, most often concerning the drug's
indication. In the
United States, the
Food and Drug Administration (FDA) requires numerous clinical trials to prove a drug's safety and efficacy in treating a given disease or condition. If satisfied that the drug is safe and effective, the drug's manufacturer and the FDA agree on specific language describing dosage, route and other information to be included on the drug's label. More detail is included in the drug's package insert. However, once the FDA approves a drug for prescription use, they do not attempt to regulate the practice of medicine, and so the
physician makes decisions based on her or his best judgment. It is entirely legal in the United States and in many other countries to use drugs off-label. Exceptions to this are certain
controlled substances, such as
opiates, which cannot be legally prescribed except for approved purposes (at least in the U.S.). In
Australia,
amphetamines are included in these drugs which cannot be prescribed off-label.
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